Target Audience
The population of people living in and around the Oklahoma State Fair Grounds is the target audience and was chosen because there is a teaching opportunity in the community since the Oklahoma State Fair was occurring. The Oklahoma State Fair is known for its outrageous unhealthy food and obese people of the community are seen here every year. The community surrounding the fairgrounds live in housing that ages from 1920’s to the 1970’s. The motivation of this group to become healthier would be access to free healthcare. Since the median household income from 2008-2012 in Oklahoma is $44,891, it would be safe to assume that most people in the community do not have enough income to provide for their families and easily pay for
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healthcare and eat healthy on a budget. For my healthy people 2020 teaching learning project I have chosen to increase awareness of where to receive free healthcare and also handout information on resources to increase knowledge of eating healthy and exercising. The rationale for choosing this population included the fact that a majority of the people in this community are obese and do not have areas in which they can exercise easily or eat healthy meals and lack access to healthcare. The communities’ need was identified during a windshield survey which revealed that the rate of diabetes in the area was 9.8%. There are not very many gyms in the local area and only one health clinic. The Oklahoma City area poverty level is 16.6% which is higher than the national average of 14.9% (City Data, 2014). Project Development This project would help increase the knowledge of access to healthcare and create awareness of healthy body mass index which will aide in decreasing obesity in children and adults. By focusing on these objectives it will reduce the proportion of children and adolescents aged 2 to 19 years who are considered obese (NHANES, 2014). In addition this will increase the proportion of physician office visits that include counseling or education related to nutrition or weight gain (NAMCS, 2014). Lastly, it will help increase the proportion of persons with medical insurance (NHIS, 2014). People without medical insurance are more likely to lack a usual source of medical care, such as a PCP, and are more likely to skip routine medical care due to costs, increasing their risk for serious and disabling health conditions (Healthy People 2020, 2014). When they do access health services, they are often burdened with large medical bills and out-of-pocket expenses. The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen children age 6 and older for obesity and offer them or refer them to comprehensive, intensive behavioral interventions to promote improvement in weight status (Whitlock, O’Connor, Williams, et. Al, 2010). Some of the barriers that may be evident in teaching the parents about when educating them about child obesity would include identifying what they already know, what they believe, the culture in which they have been raised, and how well they can relate to and understand the information they receive (Stanhope & Lancaster, 2012). For the population of 25 years and over in OKC 85.4% of the population have a high school or greater education. Language should be considered for teaching in this area since 17.5 percent of the population is consisted of Hispanic race, requiring the education material to be provided in Spanish as well as English. A small percentage of the community is consisted of Asian descent which would require the need of Vietnamese, Chinese, or Japanese handouts. The education would be provided via flyers in the community at frequently visited businesses or handed out at large community events in the area. Project Design and Delivery One of the objectives of Healthy People 2020 relating to nutrition and weight status is to reduce the proportion of children and adolescents who are considered obese.
16.1 percent of children and adolescents aged 2 to 19 years were considered obese in 2005-08 (NHANES, 2014). The target goal is 14.5 %, this would be a 10% improvement from the current goal. At the end of the teaching project the parents of the audience would be able to identify the healthy target weight for their children. 20.8 percent of physician office visits by adult patients with a diagnosis of cardiovascular disease, diabetes, or hyperlipidemia included counseling or education related to diet or nutrition in 2007 (NAMCS, 2014). The target goal would be to improve the target percentage to 22.9 percent. At the conclusion of my presentation the audience would be able to verbalize what the healthy body mass index is. The last objective for my project would be to increase the proportion of persons with medical insurance in 2014 by 10 percent (NHIS, 2014). This would be evidenced by at the end of my teaching project the audience will be able to verbalize how they apply for insurance. By teaching the audience these objectives nurses provide people with health information so they can improve their decision making abilities and therefore decide if they want to change their behavior. While teaching the audience it must be identified of how people learn, since not everyone learns the same way. “Learners accept information based on many factors including what they know, what they believe, the culture in which they have been raised as well as how well they can understand and relate to the information they receive (Stanhope & Lancaster, 2012).” According to the CDC, some strategies and solutions for my community to help decrease obesity in adults and children include information on resources such as the “Let’s Move! Child Care” initiative to help the children in the state fairgrounds community. See
Appendice A for free tools and resources including menu planning tools and activity ideas. Child care and early prevention programs can be beneficial to help families learn about obesity prevention for the child care and early education setting. In May 2010, The Childhood Obesity Task Force, appointed by President Obama, released 70 recommended actions to prevent and control childhood obesity. One community strategy would be to create and maintain safe neighborhoods for physical activity and improve access to parks and playgrounds. School Nurses should advocate for physical education in schools and childcare facilities. People within the community should be encouraged to support programs that bring local fruits and vegetables to schools, businesses, and communities (CDC, 2014). In regards to teaching the community about access to healthcare, teaching should be done on how to apply for health insurance. The website in which to obtain information on obtaining health insurance is www.hrsa.gov. In addition to learning about obtaining healthcare insurance is the website in which to apply for health insurance www.healthcare.gov. Flyers will be distributed to all the clinics in the area and also include businesses in which heavy traffic will be able to see the flyers. Utilizing by current workplace also to see how many people actually took time to read the flyer was helpful in determining whether the information was easy to understand and informative. Social events in the area such as the Oklahoma State Fair Grounds were an excellent source to provide information. The environments were conductive to catching attention of the reader and also proved to be informative. When patients asked about the information in the flyers to healthcare team members at my work, it showed that the information sparked interest into the topic. Flyers were distributed to Saint Anthony Hospital, Oklahoma City Indian Clinic, Subway, 7-eleven, OSU-OKC campus, Jimmy’s Egg Restaurant, and Taft Middle School. They were distributed on November 11th, 2014 and were removed after one week to evaluate the response of the businesses. Some of the businesses had removed them prior to the end date since they had to change their advertisement boards. Evaluation Since flyers were distributed it was difficult to keep a log of who actually learned from the information presented or whether or not it was easy to understand. Since I had the flyer in my workplace in addition to the other businesses I was able to evaluate the flyers effectiveness at my workplace. All the flyers were placed on small 8x11 stands and placed on tables where people had to wait in line for prescriptions and in the lobby. I strategically placed the child obesity flyer in the patient rooms of the pediatric clinic. This flyer had the most “bites” in which I am describing parents who asked about the information in the flyer. This was reported to me by the nurse working in the pediatric clinic. There was no log of how many people asked about the flyer just an evaluation via the staff of whether or not it was helpful in attracting attention to the issue or not. Conclusion This teaching learning project has been very beneficial into aiding my interest in providing education to the community and population around my current workplace. Currently the population in which my workplace serves also is close to the community that the windshield survey studied. With this project the knowledge of identifying your target audience and also barriers that you may come into contact with became helpful. It provided opportunities to learn more about the community and how it functions as a whole and what nurses can do to make a positive impact. This community is severely lacking healthcare coverage which was evident when several people decided to ignore the flyers for the healthcare.gov information. When polling patients at my work the consensus towards applying for healthcare, most patients were not supportive of “Obamacare” and they were under the impression that the change in legislation was just a way for the government to make money off taxpayers and creating a burden on the people. Reflecting on this project made me realize how little I knew about applying for health care since I have always been fortunate to have health coverage since I work in the health field. Another realization I had was about how much parents are involved in their childs healthcare but are lacking knowledge of basic information such as what is a healthy weight for my child. My strength in this project would be the availability of resources to print out the flyers. The weaknesses I had in this project would be the researching the information to provide the flyers. Each piece of information had to be evaluated carefully to make sure what I was using to provide information to the community was in fact true. I would improve the presentation next time with a scheduled meeting on “how to apply for healthcare.”
The “White City” was a vast collection of architecture and arts that were put on display in the year 1893. The Chicago World Fair, also called the “White City”, was a major event in American history that impacted America’s culture, economic, and industry. The Chicago World Fair was held to honor Columbus’ discovery of the New World. The real reason why it was made was to proudly have back their wealth and power. Larson said, “the tower not only assured the eternal fame of its designer, Alexandre Gustave Eiffel but also offered graphic proof that France had edged out the United States for dominance in the realm of iron and steel…”(15). To accomplish this, architects led by Daniel Burnham and John Root made numerous buildings and beautiful scenery
My family and I recently visited the State Fair of Texas. It is the biggest
Faculty Assignment Goal #1: To increase the capacity of youth, adults and families to make informed, science-based decisions which prevent chronic disease and maintain healthy weight status through physical activities and intake of nutrient-dense foods.
The purpose of this paper is to provide an individual health promotion for an 8 year old African American female who is in the 95 percentile for weight. Guiding change is a key component that a nurse must display in order to combat childhood obesity (Berkowitz & Borchard, 2009). The health promotion will aim to increase physical activity and enhance the individual’s consumption of nutrient dense food based on Healthy People Guidelines 2010, as well as improve the health literacy for the parent and the individual with regards to childhood obesity. It is essential that the nurse, parent, and child have open communication with mutually agreed upon goals (Caprio et al., 2008). The goals set forth by the nurse, parent, and child are that the attendee participate in at least 60 minutes of sustained aerobic activity 5 days a week for the next 6 months.
Obesity is a rising problem in the United States. With obesity rates on the rise something must be done to prevent this massive issue. There are ways to help including educating at young ages, improving nutrition facts at restaurants, and providing more space for citizens to get physically active.
Over 60 million people are obese in the world today. The socioeconomic statuses of the Americans play a major part in the obesity rates across the country. People with higher incomes are less likely to be obese than people with lower incomes. One in every seven preschool-aged children living in lower income areas are obese (Center for Disease Control and Prevention). A 2008 study showed that obesity is highest among American Indian and Alaska Native (21.2 percent) and Hispanic Americans (18.5 percent) children, and it is lowest among white (12.6 percent), Asian or Pacific Islander (12.3 percent), and black (11.8 percent) children (Get America Fit).
"Obesity." Current Issues: Macmillian Social Science Library. Detroit: Gale, 2010. Gale Opposing Viewpoints In Context. Web. 21 Oct. 2015.
Our future begins with the children of today growing up to be the adults of tomorrow. “Childhood obesity is the condition of being overweight or severely overweight which causes risks to health between the age of 2 and 19” (“Childhood Obesity”). Childhood obesity is taking a huge toll on not only the physical standpoint of the child, but also their mental stability. Childhood obesity is no longer a concern with Americans; it’s now a problem that has spiraled out of control in the world. Obesity will never be resolved one hundred percent, but it’s the little impacts that concerned citizens bring to people’s attention that make the difference. One step in the right directions is better than not taking a step at all. Along with the many health issues associated with childhood obesity, there are three major effects that seem to stand out more around the world; the food we subject our bodies to, setting a pattern for the next generation(s), and it contributes to a child not reaching his or her full potential in life.
According to the US Census Bureau, 46.5 million people were living in poverty in 2012. Among those, 21.8 percent were children. Even more surprising is the staggering number of people who are food insecure. It is estimated that nearly 50 million Americans experience food insecurity during a given year. And yet, the obesity prevalence is skyrocketing. In 2010, 35.9 percent of adults over age 20 were obese, 18.4 percent of adolescents age 12-19 years were obese, 18 percent of children age 6-11 ...
However, there is more at stake here than what these two groups ultimately believe to be true. The percentage of obese children in the United States has risen from 5% in 1980 to almost 20% in 2012. Factors such as food choices and fitness levels are contributing greatly to this problem. Obese children eventually become obese adults and bring along with them many adverse medical conditions. These medical conditions such as diabetes are known to be severe and place a shorter life expectancy on the people it affects. Ultimately, what is at stake here is childhood obesity is on the rise in the United States due to people’s failure to eat the proper foods and as a result of children followin...
In the United States as in other developed nations, the level of obesity goes up every year. Obesity is a great issue as it affects individuals, society, and the government itself. In every kind of people, the number of obese increases everyday which increase the risks of getting obesity related diseases? Based on research done by Elissa and Steele, the number of young obese people has doubled in past two decades. (12) This is not surprising because as the United States industry food aggressively markets high-fat, high-sugar, super-sized food. Many schools dropped physical education, many children spend a lot of time playing computer games instead of playing sports and even fattening snacks food is sold onto campus. Family and school education on obesity awareness is the main path to decrease obesity epidemic among young people and children beside diet and physical exercises improvement. It is necessary to improve health education in American schools and families to help kids to be aware of obesity and obesity related diseases.
Since 1970, the obesity rates in America have more than doubled. Currently two-thirds of (roughly 150 million) adults in the United States are either overweight, or obese (Food Research and Action Center). According to the American Journal of Clinical Nutrition, “overweight is defined as a body mass index (BMI) greater than 25 whereas obesity is defined as a BMI greater than 30.” There are numerous factors that contribute to obesity such as: biological, behavioral and cultural influences (Food Research and Action Center). While these factors all have a large role in obesity, there is no factor with as great of an influence as poverty.
Childhood obesity is a serious problem among American children. Some doctors are even calling childhood obesity an epidemic because of the large percentage of children being diagnosed each year as either overweight or obese. “According to DASH sixteen to thirty-three percent of American children each year is being told they are obese.” (Childhood Obesity) There is only a small percentage, approximately one percent, of those children who are obese due to physical or health related issues; although, a condition that is this serious, like obesity, could have been prevented. With close monitoring and choosing a healthier lifestyle there would be no reason to have such a high obesity rate in the United States (Caryn). Unfortunately, for these children that are now considered to be obese, they could possibly be facing some serious health conditions, such as heart disease, diabetes, and some types of cancers. All of these diseases have been linked to obesity through research. These children never asked for this to happen to them; however, it has happened, and now they will either live their entire life being obese, or they will be forced to reverse what has already been done (Childhood Obesity).
The SMART goal of the obesity program is to reduce the obese population in Pitt County by creating a healthier diet program. Different objectives will be needed in order to reach this goal. The first objective is that from July 2016 through December 2016 100 community members will participate in the health department’s health promotion activities. This objective aligns with the reinforcement construct of the Social Cognitive Theory. By repeatedly participating in the activities, the 100 community members will be rewarded with the knowledge they receive and also motivation to change their behavior. By having an enjoyable time, they will be rewarded and want to keep coming back to the activities. The second objective is that following the 6-month duration; the majority of the participants will lose 2-10% of their original body weight by changing to a healthier diet. The reason the participants need to lose 2-10% of their body weight is to either prevent or reduce the chances of gaining other health diseases associated with obesity, including coronary artery disease and Type 2 Diabetes. This objective aligns with the self-efficacy construct. By losing a little bit of body fat, the participants will believe in their ability to lose weight, and continue to do so. The third objective is that on June 17 and June 24, informational brochures will be distributed to the community members to create awareness and reminders to join the obesity program, and gain knowledge about the health condition of obesity. This objective deals with the behavioral capability construct of the Social Cognitive Theory because the participants will gain the knowledge and skills needed to change their behavior through the brochures.
Childhood obesity is a health problem that is becoming increasingly prevalent in society’s youth. For a number of years, children across the nation have become accustomed to occasionally participating in physical activities and regularly snacking on sugary treats. In result of these tendencies, approximately one third of American children are currently overweight or obese (Goodwin). These grim statistics effectively represent all the lack of adult interference, in regards to health, has done to the youth of America. The habits of over consuming foods and under participating in physical activities are all too common in the children of today. Children cannot solve this issue alone, though. These young people need to essentially be given the opportunities to make positive health decisions and learn about good, nutritional values.