Throughout this course, students will be working on the Community Teaching Project. The project will include a community teaching presentation given during Topic 5
Selection, Research, and Assessment
Throughout this course, students will be working on the Community Teaching Project. The project will include a community teaching presentation given during Topic 5. The audience for the presentation will be community members, rather than the staff at the community agency chosen or in-patient residents.
The Community Teaching Project has indirect care experience requirements. The “Indirect Care Experience Hours” form, located in Topic 1 resources, will be used to document the indirect care experience hours completed in the Community Teaching Project and presentation. As progress is made on the Community Teaching Project, update this form indicating the date(s) each section is completed. This form will be submitted in Topic 5.
In this topic, students will be selecting, researching, and assessing a nonprofit community setting in their community using one of the following four topics:
- Primary prevention/health promotion
- Secondary prevention/screening for a vulnerable population
- Disaster planning
- Environmental issues
The following are considered appropriate nonprofit community organization settings:
- Public health clinic
- Community health center
- University/school health center
- Religious community (i.e., local church)
- Community center (i.e., YMCA)
- Adult/childcare center
- Youth development organization (i.e., 4-H, scout troops, Boys and Girls Clubs, etc.)
- Senior centers
- Food pantries (St. Mary’s Food bank, St. Vincent De Paul, etc.)
- Community shelters (i.e., women’s shelter, women and children’s shelter, or homeless shelters)
Review the objectives and measures describes on the “Healthy People 2030” website, listed in the Topic 1 Resources, to assist in selecting a topic for the project.
For this assignment, use a minimum of two sources to complete the “Community Teaching Project: Part 1” template.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
RN-BSN
2.3: Integrate assessment skills in practice.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 2.3
Expert Answer and Explanation
NRS-425 Community Teaching Project – Part 1
| Name (GCU Student) |
| Name of Nonprofit Organization |
| Address of Nonprofit Organization |
| Full Name of Contact Person and Job Title |
| Contact Person’s Email and Phone Number |
| Community and Target Aggregate |
| The main population served by the South Adams Senior Center is older adult population residing in Berne, Indiana. The target population for the center is usually those 60 years of age and older, while the programs it offers may have different age requirements for participation.Retirees, the aged, and senior citizens who are looking for chances for social interaction, leisure activities, educational programs, and needs-specific support services are probably among the clients that the South Adams Senior Center serves.
These services could include a range of things, including social events, health and wellness initiatives, exercise courses, meal services, educational seminars, and help getting access to social welfare, healthcare, and transportation benefits. Because of the nature of a senior center, the clients it serves frequently consists of people who, in their later years, may need different degrees of support, company, and chances for further education or personal growth. These programs are designed to fight isolation, encourage healthy aging, and give seniors access to a community that supports them while they stay independent. |
| Social Determinants of Health (SDOHs): |
| According to Healthy People 2020, social determinants of health are aspects of people’s living, learning, working, playing, worshiping, and aging contexts that have an impact on a variety of risks and outcomes related to health, functioning, and quality of life. There are various SDOH that impact the quality and safety of care of patients served by the nonprofit organization.One of the SDOH is education level. According to Statista Research Department (2023), approximately 18.5% of Indiana adults over the age of 25 had a bachelor’s degree as their highest degree in 2021. The majority, or roughly 33.3% of the population, had completed high school or its equivalent as their greatest degree of education.
Indiana has tried to close the gap between itself and the US in terms of education attainment among adults aged 25 years and above (Schleyer et al., 2021). However, the gap increases as people age. In other words, older people are less educated compared to other population in Indiana. The second SDOH is geographical location. According to a report by Indiana State (2021), residents residing in urban areas are more likely to access quality care than those living in rural areas. The report noted that populations in rural areas have higher number of fair or poor health days than those in urban areas. The report also stated that physicians in rural areas in Indiana have been decreasing for the last decades (Indiana State, 2021). For instance, for every 100,000 patients, there are 55 mental health professionals in rural areas compared to 133 professionals per 100,000 patients in urban Indiana, meaning that older patients in rural Indiana are less likely to access care than those in urban Indiana (Indiana State, 2021). The image below is a visual representation of differences in access to primary care between rural and urban Indiana.
Image 1: Access to care in Indiana based on geographical location (Indiana State, 2021) The third determinant is economic status. For older persons to age in place, have a respectable quality of life, and have access to essential resources, they must be financially stable (Central Indiana Senior Fund, 2021). Life experiences and other important factors play a significant role in determining an older adult’s financial stability revealed that one in twelve older persons live in poverty, with the oldest age group being more impoverished than the other age groups. When it comes to poverty, older adults face racial and gender disparities: older women are more likely to be poor than older males, and older adults of Black and Latino descent are more likely to be poor than older adults of White descent (Central Indiana Senior Fund, 2021). One of the biggest obstacles to getting and keeping a job for older persons is their limited technological proficiency. Among older persons, one in three said they had lately had at least some trouble finding inexpensive health insurance or paying for everyday expenses (Central Indiana Senior Fund, 2021). The graph below illustrates poverty level in older adults in Indiana.
Image 2: Poverty levels among older adults in Indiana (Central Indiana Senior Fund, 2021) The last SDOH is race and ethnic disparities. United States Census Bureau (2023) noted that the number of uninsured people in Indiana was high among minority race and ethnicity. United States Census Bureau (2023) reported that 10.4% of African Americans have no health insurance. The table below shows the percentage of other races in Indiana without health insurance.
Table 1: Residents in Indiana without health insurance (United States Census Bureau, 2023) |
| Topic: |
| The education topic that will be relevant for patients served by the organization is fall prevention. Falls prevention is a serious issue among older people. For older Americans, falls are the primary cause of both fatal and nonfatal injuries. Falls create significant financial and personal expenses while endangering the independence and safety of aging citizens (CDC, 2023).Aging does not, however, inevitably lead to falling. Senior fall rates can be significantly decreased with the use of evidence-based fall prevention programs, practical lifestyle changes, and clinical-community partnerships (CDC, 2023). The Centers for Disease Control and Prevention (CDC) in the United States report that about one in four people over 65 fall at least once a year.
Among older persons, falls are the primary cause of both fatal and nonfatal injuries (CDC, 2023). By 2030, it is expected that the expense of treating injuries brought on by falls would have risen to more than $101 billion. Last but not least, each year, falls cause over 3 million injuries that are treated in emergency rooms, including over 800,000 hospital admissions (CDC, 2023). The entire expense of non-fatal fall injuries in 2015 was $50 billion (National Council on Aging, 2023). Injuries or not, falls have a significant negative influence on people’s quality of life. An increasing proportion of senior citizens restrict their activities and social interactions due to their fear of falling (National Council on Aging, 2023). Further physical deterioration, melancholy, social isolation, and a helpless sense can arise from falls. |
| Rationale of Topic: |
| This topic has been selected because falls is the leading cause of death among older people in Indiana. Indiana (2016) noted that among older persons in Indiana, accidental falls are the main cause of both fatal and nonfatal injuries. A significant portion of health care funds spent on injury-related treatment go toward hospital charges due to injuries caused by falls.
Over 58,900 fall injuries were treated in hospitals and ERs in 2016, and 394 older Indiana individuals died as a result of an inadvertent fall (Indiana, 2016). The prevalence of fall injuries among Indiana citizens 65 years of age and older is depicted in the figure below. 71.8% of nonfatal fall hospitalizations and 82.1% of all fall deaths in Indiana are caused by persons 65 years of age or older. For Indiana residents 65 years of age and older, falls are the primary cause of traumatic brain injury (TBI), accounting for 47.1% of TBI hospitalizations and 53.0% of TBI deaths (Indiana, 2016). In Indiana, the projected lifetime expenses for fall-related injuries among individuals 65 and over in 2013 were predicted to be $740 million. In Indiana, there are 240.3 hospital admissions, 879.8 ER visits by individuals 65 and older, and 7.6 fall-related fatalities every week (Indiana, 2016). Indiana (2016) noted that 26.4% of fall deaths in this age range in 2016 were caused by stumbling into an object, and 8.6% were the result of falling from steps or stairs. For 54.8% of fall deaths, this information was either unknown or not specified. The figure below is a visual representation of falls per 100000 older people in Indiana.
Image 3: Falls rate per 100000 older people in Indiana |
| Healthy People 2030 (HP2030) Objectives and Measures: |
| The topic is listed in the HP2030 Objectives and Measures. The HP2030 for the topic is “reduce fall-related deaths among older adults — IVP‑08.” The presentation has provided statistics about falls prevalence and incidences, which can be used to justify why this topic is necessary. |
| References: |
| Centers for Disease Control and Prevention. (2023). Older adult falls reported by state. https://www.cdc.gov/falls/data/falls-by-state.htmlCentral Indiana Senior Fund. (2021). Financial Stability: State of aging in Central Indiana. https://centralindiana.stateofaging.org/report-data/financial-stability/
Indiana State. (2021). Indiana State health assessment and improvement plan. https://www.in.gov/health/files/18_SHA-SHIP-FINAL-DOC_v5.pdf Indiana. (2026). Special emphasis report: Fall injuries among older adults 2016. https://www.in.gov/health/trauma-system/files/SER_Older_Adult_Falls_2018_1_MWT-edits.pdf National Council on Aging. (2023). Get facts on fall prevention. https://www.ncoa.org/article/get-the-facts-on-falls-prevention. Office of Disease Prevention and Health Promotion. (n.d.). Social determinants of health. https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health Schleyer, T., Williams, L., Gottlieb, J., Weaver, C., Saysana, M., Azar, J., & Embi, P. J. (2021). The Indiana learning health system initiative: Early experience developing a collaborative, regional learning health system. Learning Health Systems, 5(3), e10281. https://doi.org/10.1002/lrh2.10281 Statista Research Department. (2023). Educational attainment in Indiana 2021. https://www.statista.com/aboutus/our-research-commitment United States Census Bureau. (2023). QuickFacts: Indiana. https://www.census.gov/quickfacts/fact/table/IN/RHI225222 |
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