Community Health Problem & Improvement Plan
Falls are one issue with community health that my community’s health improvement plan has identified. Many elderly patients aged 65 and above are at increased risk of chronic disorders, such as heart disease, stroke, diabetes, and falls. The prevalence of falls among the elderly has caused multiple brain injuries, emotional strain, and hip fractures, which have resulted in increased hospitalization rates, especially among patients residing in long-term care facilities. As the population of the baby boomer generation continues to rise, coupled with the increase in falls, the prevalence is postulated to rise. According to data published by the world health organization on its website, approximately 684,000 deaths occur worldwide due to falls, and the majority of them, 80%, happen in low and middle-income countries (WHO, 2021). The increase in the number of falls in my community is attributable to the lack of physical exercise, lifestyle including cultural practice where saul foods are consumed, substance misuse, and behavioral risk factors. As noted by Chu (2017), due to the rise in the number of fall-related injuries as sentinel surveillance events, there is a greater demand for medical attention, including hospitalizations. This is also notable in my community.
It also plays a significant role in the price of healthcare. The cost of treating fall-related injuries is substantially high. Considering the socioeconomic status of my community, it is clear that many would not be able to settle the hospital bills for treating fall-related injuries and hospitalization costs. Hence, there is a need for an appropriate intervention bundle that is cost-friendly to reduce the increased number of falls and fall-related injuries among older adults. A balanced diet, exercise, and avoiding sugary beverages are a few methods to stop it. In order to fix this issue, we must cooperate. Our community needs to be informed about the risks of falls and how to avoid them. Additionally, we must guarantee that our neighborhood has access to wholesome foods and secure locations for physical activity.
Organizational structure: The program should have a simple, efficient, and successful organizational structure. The program should have a sufficient number of qualified employees who can carry out its activities. In order for the program to be able to continue its operations, it needs to be appropriately funded. Therefore, I would propose the use of a nurse-led intervention bundle that incorporates the use of physical exercise and education on the proper diet to keep fit. The physical exercise program would be rolled out by a champion nurse who would monitor the progress of individual patients. Besides, the program would be rolled out three days a week and would begin with simple exercises, including walking for a given distance. For patients with unique requirements, such as heart attacks, the champion nurse would customize the intervention bundle to suit them. In addition, the nurse would educate them on the importance of avoiding saul foods and increasing the consumption of fruits and vegetables to guarantee an increased shelf-life.
The evaluation criteria for the intervention would include reduced proportions of older adults hospitalized with falls and fall-related injuries. That would go a long way in reducing the financial costs associated with the treatment of fall-related injuries and the burden incurred by the family members during the process of hospitalization.
References
Chu, R. (2017). Preventing inpatient fall: The nurse’s pivotal role. Nursing2019 47(3), 24-30. Doi:10.1097/01.NURSE.0000512872.83762.69
World Health Organization. (2021, April 26). Falls. WHO | World Health Organization. https://www.who.int/news-room/fact-sheets/detail/falls#:~
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Question 
Briefly describe one community health problem from your community’s health improvement plan.
Community Health Problem & Improvement Plan
What structure, process, and outcome standards would you use to evaluate a program addressing this problem?