Week 2 discussion Population Health Nursing
· Read ” Case Study 1” p. 12 – 22, located in Lovasi, G., Bader, M., Rundle, A. & Neckerman, K. (2018). Healthy and unhealthy food sources in New York City. In R. A. Hiatt (Ed.), Population health: The translation of research to policy case studies and commentary . Robert Wood Johnson Foundation. Milbank Memorial Fund.
Respond to these Discussion prompts:
Choose one or two commercial blocks near your home or employer (look for a commercial block near to HCA Florida Mercy Hospital) and list the food outlets (stores and restaurants) on these blocks. Include all stores that sell food, even if they are not grocery stores or restaurants. If there are food trucks or sidewalk stands that sell food regularly, include these as well.
· Which outlets should be considered “healthy” or “unhealthy” and why?
· Based on the research described in the case study, what local policies (if any) would you recommend to make this micro-food environment more supportive of healthy eating?
· Apply this content in your practice this week by actually doing an assessment with a patient, client, or co-worker. Assess any food insecurity or healthy food access issues that may impact their health. What strategies did you use (or could use) with your clients (or coworkers if you do not work in direct client care) to promote a healthy intake?
Week 2 discussion Population Health Nursing
**Commercial Block Assessment near HCA Florida Mercy Hospital:**
Near HCA Florida Mercy Hospital, there are two commercial blocks with various food outlets. Here is a list of the food outlets:
- **Block 1:**
– Subway (fast food sandwich chain)
– Starbucks (coffee shop)
– CVS Pharmacy (pharmacy with a selection of snacks and convenience foods)
– 7-Eleven (convenience store with a variety of snacks and beverages)
– Pizza Hut (fast food pizza chain)
– McDonald’s (fast food burger chain)
– Burger King (fast food burger chain)
- **Block 2:**
– Publix (supermarket with fresh produce, meats, and a deli)
– Dunkin’ Donuts (donut and coffee chain)
– Walgreens (pharmacy with a selection of snacks and convenience foods)
– Taco Bell (fast food Mexican chain)
– Wendy’s (fast food burger chain)
**Healthy vs. Unhealthy Outlets:**
– **Healthy Outlets**: Publix supermarket stands out as a healthy option as it provides a variety of fresh produce, meats, and other nutritious foods. Subway can also be considered relatively healthy compared to other fast food options, as it offers sandwiches with customizable ingredients including vegetables.
– **Unhealthy Outlets**: McDonald’s, Burger King, Pizza Hut, Taco Bell, and Wendy’s are considered unhealthy due to their offerings of high-calorie, high-fat, and low-nutrient foods. These fast food chains typically serve items high in saturated fats, sodium, and added sugars, contributing to poor dietary habits and negative health outcomes.
**Local Policy Recommendations:**
Based on the research described in the case study and the food environment near HCA Florida Mercy Hospital, the following local policies could be recommended to make the micro-food environment more supportive of healthy eating:
- **Zoning Regulations**: Implement zoning regulations to limit the number of fast food outlets and increase the availability of healthy food options within the vicinity of hospitals and healthcare facilities.
- **Incentives for Healthy Food Outlets**: Provide incentives for supermarkets and restaurants that offer healthy food options, such as tax breaks or grants to support their operations.
- **Nutritional Labeling Requirements**: Enforce nutritional labeling requirements for all food outlets to provide consumers with information about the nutritional content of menu items, enabling them to make informed choices.
**Application in Practice:**
In my practice this week, I will assess food insecurity and healthy food access issues with my patients. I will use screening tools to identify individuals at risk and refer them to community resources such as food banks or nutrition assistance programs.
To promote healthy intake, I will provide education on nutritious food choices, meal planning, and budget-friendly shopping strategies. I will also collaborate with dietitians and social workers to develop personalized nutrition plans and support systems for my patients to improve their overall health and well-being.
Week 2 Discussion Population Health Nursing
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