Comprehensive Care Plan for the Aggregate in Homestead, Florida

### Comprehensive Care Plan for the Aggregate in Homestead, Florida

**Introduction**

Homestead, a city in Miami-Dade County, Florida, comprises both traditional and modern neighborhoods with a culturally rich populace. Heart disease and cancer are significant health concerns in this community, mirroring national trends (Still & Wright, 2022). This care plan identifies these health risks and provides nursing diagnoses and interventions derived from literature research. Additionally, it includes a disaster management plan to address health complications related to heart disease and cancer, with measures for nursing care and emergency intervention for Homestead residents diagnosed with these chronic diseases.

**Priority Nursing Diagnoses**

1. **Risk for Ineffective Health Maintenance Related to Cardiovascular Disease**

Cardiovascular diseases remain a significant health concern in Miami-Dade County, as highlighted by the Centers for Disease Control and Prevention (CDC) in 2018. Despite advancements in medical care and public health initiatives, these conditions continue to impose a substantial burden on the local population, underscoring the imperative of focused early intervention and medical prevention in cardiovascular disease among residents.

**Strategies:**

– **Implementation of a Heart-Healthy Diet Program:**
– Reduced sodium and fat intake, coupled with increased nutrients, are associated with a lower risk of heart disease. Workshops will emphasize the need to change dietary habits, with meal plans and education programs guided by the American Heart Association.
– **Support:**
– Lin et al. (2015) highlight the effectiveness of community-based interventions in improving dietary behaviors and reducing obesity rates.
– Community engagement and education significantly impact dietary choices and overall health outcomes (Kumanyika et al., 2014).

– **Regular Physical Activity:**
– Daily physical activities aligned with residents’ abilities, such as walking, chair exercises, and gentle stretching, can enhance cardiovascular health. Tracking participation and progress is essential, with programs adjusted for varying mobility levels.
– **Support:**
– Simple physical exercises improve cardiovascular health and general well-being (Anderson et al., 2017).

2. **Risk for Ineffective Health Maintenance Related to Cancer**

Cancer is another leading cause of mortality among Miami-Dade County residents. Risk factors such as tobacco use, limited physical activity, alcohol consumption, and poor access to preventive care exacerbate this risk (Roman, 2020).

**Strategies:**

– **Screening and Early Detection Program:**
– Routine screening for cancer aids in early identification and treatment. Scheduling regular checkups, such as mammograms, colonoscopies, and skin checks, can help. Routine screening decreases cancer mortality rates (Smith et al., 2020).
– **Support:**
– The American Cancer Society guidelines can help organize such programs (Smith et al., 2020).

– **Education and Awareness Campaigns:**
– Community education sessions on cancer prevention can help patients and families understand cancer risks and symptoms. Focus areas include smoking cessation, skin protection from the sun, and dietary information.
– **Support:**
– Community-based education interventions effectively address needs and issues contributing to cancer disparity (Roman, 2020).

**Disaster Management Plan**

Homestead residents are prone to severe illnesses such as heart disease and cancer. Developing a disaster preparedness plan that focuses on these health conditions is essential. The plan should include actions to take before a crisis, steps to follow during a cardiac or cancer crisis, and resources and programs to stabilize and assist those affected after a health crisis event. The objective is to implement niche prevention strategies to handle acute and severe forms of heart disease and cancer in the Homestead population.

**Potential Health Disasters:**
1. Acute Myocardial Infarction (Heart Attack) Surge
2. Cancer-Related Emergencies (e.g., Severe Pain, Tumor Lysis Syndrome)

**Strategies for Handling Health Disasters:**

1. **Acute Myocardial Infarction (AMI) Surge**

– **Preparation:**
– Place AEDs in various parts of the facility and ensure all personnel are trained in AED usage, BLS, and ACLS. Develop strategies to respond quickly and efficiently to cardiac arrest. Conduct practice drills with staff to ensure readiness.
– **Support:**
– Damluji et al. (2021) highlight the importance of emergency preparedness and the role of AEDs in improving survival rates during cardiac events.

– **During the Disaster:**
– If a person displays signs of a heart attack, call the healthcare response team and follow protocols. Provide aspirin if indicated and closely monitor vital signs until EMS arrives.

– **Post-Disaster:**
– Conduct reviews to assess the response and identify areas for improvement. Offer support services to help residents and staff deal with emotional trauma. Use the evaluation to enhance training and protocols.

2. **Cancer-Related Emergencies**

– **Preparation:**
– Ensure availability of emergency drugs for managing urgent cancer symptoms such as pain, vomiting, and nausea. Educate staff on identifying and managing possible cancer-related complications like tumor lysis syndrome, infection with a low WBC count, and cord compression by cancer (Still & Wright, 2022).

– **During the Disaster:**
– Initiate the protocol to manage the condition and provide required medication and nursing care.

– **Post-Disaster:**
– Analyze the response and look for ways to enhance outcomes, including updating emergency plans and training the team if necessary.

**Disaster Supply Kit Recommendations:**

– Automated External Defibrillators (AEDs)
– Emergency medications for cardiac and oncological crises (e.g., nitroglycerin, aspirin, pain medications, antiemetics)
– Basic and advanced life support equipment (e.g., oxygen, resuscitation bags, intravenous supplies)
– Personal protective equipment (PPE)
– Emergency contact information for cardiologists and oncologists
– Documentation forms for emergency response
– Educational materials for residents and staff on recognizing symptoms of heart attacks and cancer emergencies

**Conclusion**

This care plan aims to reduce major health risks associated with heart disease and cancer among residents in Homestead, Florida. By improving the integration of preventive health efforts and disaster preparedness planning, the well-being and safety of this vulnerable population can be enhanced. Periodic appraisal of these approaches will ensure they remain feasible and effective in fulfilling the emerging needs of this population over time.

**References**

– Anderson, M., et al. (2017). The impact of access to healthy food on dietary behaviors in underserved communities. *Journal of Public Health Management and Practice, 23*(2), 118-125.
– Damluji, A. A., Van Diepen, S., Katz, J. N., Menon, V., Tamis-Holland, J. E., Bakitas, M., … & American Heart Association Council on Clinical Cardiology; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular Surgery and Anesthesia; and Council on Cardiovascular and Stroke Nursing. (2021). Mechanical complications of acute myocardial infarction: a scientific statement from the American Heart Association. *Circulation, 144*(2), e16-e35.
– Heart disease and stroke death rates by county: Florida. Retrieved July 2, 2024, from https://www.cdc.gov/dhdsp/maps/gisx/mapgallery/FL-hd-death-rates.html
– Kumanyika, S. K., et al. (2014). Community interventions to prevent obesity. *American Journal of Preventive Medicine, 47*(5), 529-541.
– Lin, J. S., et al. (2015). Effectiveness of community-based interventions in improving dietary behaviors. *Preventive Medicine, 76*, 26-34.
– Powell-Wiley, T. M., Baumer, Y., Baah, F. O., Baez, A. S., Farmer, N., Mahlobo, C. T., … & Wallen, G. R. (2022). Social determinants of cardiovascular disease. *Circulation Research, 130*(5), 782-799.
– Roman, J. C. (2020). Factors Associated with Up To Date Cervical Cancer Screening among Hispanic Refugee and Nonrefugee Women in Miami Dade County, FL (Doctoral dissertation, University of Miami).
– Smith, R. A., et al. (2020). Cancer screening in the United States, 2020: A review of current American Cancer Society guidelines and current issues in cancer screening. *CA: A Cancer Journal for Clinicians, 70*(1), 17-35.
– Still, C. H., & Wright, J. T. (2022). Intersections Among Sociocultural and Environmental Issues in Adulthood and Childhood Cardiovascular Health and Hypertension. *A Population Health Approach to Health Disparities for Nurses: Care of Vulnerable Populations*.

 

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