Domain 1.Health promotion
Class 2. Health management
Diagnostic Code: 00215
Nanda label: Deficient community health
Diagnostic focus: Health
Introduction to Nursing Diagnosis Deficient Community Health
Nursing diagnosis, in a nutshell, is the identification of problems that occur due to lifestyle choices or health conditions. This can then be used to help improve a patient’s overall health and well-being. The diagnosis of deficient community health is an important one, as it refers to the lack of support or services that are necessary to provide healthy living standards in a given community. This can range from physical health, mental health, or easy access to public services that are required for basic living essentials.
NANDA Nursing Diagnosis Definition
The NANDA International Nursing Diagnoses classification defines Deficient Community Health as “a state in which a person's social determinants of health are inadequate to achieve desired health outcomes”. It is the responsibility of the healthcare professionals to investigate any underlying causes, identify the deficits, and develop a plan of care that addresses the issue.
Defining Characteristics (Subjectives & Objectives)
The following are some of the key subjectives and objectives for Deficient Community Health:
- Subjective: Lack of safe neighborhoods, excessive noise, poor air quality and sanitation, overcrowded housing, limited recreational resources.
- Objective: High rates of substance abuse and violence, low employment rates, inadequate public services, inadequate access to quality healthcare, low educational attainment.
There are various factors that can cause a community to suffer from deficient health. These include:
- Economic: Low employment and wages, income inequality, poverty, limited access to housing and transportation, poor nutrition.
- Politico-Legal: Inequities in access to healthcare, police fighting local crime without sufficient support, diluted accountability, lack of necessary services.
- Socio-cultural: Ethnic and cultural diversity, pre-existing social and cultural forces, language differences, and family breakdown.
- Environmental: Poor access to environmental services such as sewage, waste disposal, safe drinking water, and green open spaces.
Suggestions of Use
When assessing a community's health, nurses should consider its environment, as well as the available resources. It is important to address potential issues in order to create an environment that is respectful of diversity and supportive of individual needs. Nurses can also assess the health status of the community by examining community demographics, examining any disparities in health, evaluating access to basic needs, such as nutrition, housing and transportation, and monitoring the prevalence of communicable diseases. Lastly, nurses should become familiar with the resources available in their community to aid in diagnosis and treatment of health issues.
Suggested Alternative NANDA Nursing Diagnrisis
There are a multitude of NANDA nursing diagnoses that can be used to diagnose deficient community health. Some of these include:
- Ineffective Coping: A state in which an individual lacks the ability to adapt to changes or challenges in the environment.
- Risk for Infection: A state in which an individual is at risk for acquiring an infection due to an invasion of pathogenic organisms or toxins.
- Powerlessness: A state in which an individual lacks the power to make life decisions independently.
- Social Isolation: A state in which an individual lacks meaningful interactions with others.
Usage Tips
When assessing a community's health, it is important to remember that no single diagnosis is a silver bullet. Instead, an assessment should take into consideration the wider social, economic and environmental context in order to get a complete picture. Additionally, when conducting an assessment, make sure to include members of the community so their perspectives can be taken into account.
NOC Outcomes
The following are some of the Nursing Outcomes Classification (NOC) outcomes related to Deficient Community Health:
- Community Coping Strategies: Ability to apply coping strategies to manage the stresses associated with living in a deficient community.
- Risk for Injury: An individual’s risk for harm due to exposure to physical, emotional, sexual, and environmental risk factors.
- Access to Health Services: Availability and/or usage of services needed for health promotion, prevention, diagnosis, treatment, and management of illness.
- Social Interaction: Ability to form and engage in mutually satisfying relationships with others.
Evaluation Objectives and Criteria
When evaluating a community’s health, there are certain objective criteria to keep in mind. These include the availability of resources, the prevalence of risk factors such as poverty and violent crime, access to quality healthcare services, and the level of education in the community. These will all give valuable insights that can be used to identify areas in need of attention as well as potential solutions.
NIC Interventions
The Nurse Intervention Classification (NIC) can aid in the development of a plan of care to address deficient community health. One such intervention is ‘Health Education’, which involves promoting healthy lifestyle choices and providing resources to increase health literacy. Others include ‘Chronic Care Management’, which focuses on developing plans for patients with chronic conditions in order to promote self-care, and ‘Healthy Public Policies’, which seeks to identify and address the underlying causes of health disparities.
Nursing Activities
Nurses can contribute to improving community health through several ways. They can provide health education on the importance of preventive measures, offer support to individuals and families to identify health risks, coordinate resources and referrals to appropriate services, work with community leaders and organizations to improve existing services, as well as provide necessary interventions to those in need.
Conclusion
Deficient community health is an important concept for nurses to understand, given its wide-reaching effects on citizens’ health. Nurses can play a valuable role in helping to identify and address such issues by assessing the community’s health, using various NANDA and NIC interventions, and providing needed assistance and resources.
5 FAQs
- What is Deficient Community Health? Deficient Community Health is a state in which a community's social determinants of health are inadequate to achieve desired health outcomes. It is the responsibility of healthcare professionals to investigate and address underlying issues in order to provide the necessary support and resources.
- What are the Related Factors of Deficient Community Health? The primary related factors are economic, politico-legal, socio-cultural, and environmental. This includes low employment and wages, pre-existing social and cultural forces, poor access to environmental services, and more.
- What are the Suggested NANDA Nursing Diagnoses for Deficient Community Health? Suggested NANDA nursing diagnoses for Deficient Community Health include Ineffective Coping, Risk for Infection, Powerlessness, and Social Isolation.
- What are the Evaluative Objectives and Criteria for assessing Deficient Community Health? When assessing the health of the community, it’s important to consider the availability of resources, the prevalence of risk factors, access to quality healthcare services, and the level of education in the community.
- What Nursing Activities Can Help Improve Deficient Community Health? Nurses can contribute to improving community health through providing health education, offering support to individuals and families, working with community leaders, and providing necessary interventions.
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