Community Health Nursing Action Plan Topic 2022

Running head: ACTION PLAN 1
Action Plan
Student’s Name
Institutional Affiliation

ACTION PLAN 2
Action Plan
Selection of topic
The topic selected for this discussion is Rheumatic Heart Disease among the Indigenous
population in Australia.
Action plan
Community Health Nursing Action Plan
Target group The indigenous population in Australia
Health challenge Rheumatic Heart Disease
Promotion of health Early diagnosis of group A streptococcal infections
among children
Treatment of pharyngitis
Early diagnosis of Rheumatic Fever
Adherence to Benzylpenicillin treatment
Promotion of
independence
Education on the causes and sequelae of the
disease
Lifestyle modification on sources of cooking fuel
and ventilation in the house
Hygiene intervention to prevent the spread of
pharyngitis
Evaluation of strategies Assess the environmental modifications at the
household

ACTION PLAN 3
Assess access to primary treatment
Assess adherence to Benzylpenicillin treatment in
those with Acute Rheumatic Fever
Original Discussion Post
Rheumatic Heart Disease is an autoimmune illness characterized by valvular dysfunction
as a result of a primary streptococcal infection (Gray et al., 2017). Despite the indigenous
population accounting for only 3 % of the national population, they experience a
disproportionate affliction to the disease. In 2017 among those living with RHD in Australia,
87% were from the indigenous population (AIHW, 2019).
Evidence-based strategies at the primordial level such as minimizing crowding in the
household show a reduction in the incidence of the disease. Additionally, maternal education on
the disease was associated with a lower incidence of RHD in a study (Coffey, Ralph & Krause,
2017). In effecting secondary prevention, I would ensure that those diagnosed with Acute
Rheumatic Fever receive and adhere to Benzylpenicillin treatment (Zeitz et al., 2019). According
to AIHWA, secondary prevention is a cost-effective strategy at both the community and clinical
levels.
Culturally incompetent care due to the language barrier was among one of the factors
highlighted in poor health promotion of RHD among the indigenous population in a study
(Belton et al., 2018). To provide culturally congruent care I would ensure the patient is a part of
the health-seeking strategy. I would ensure that a community worker from the indigenous
population is present to allow for the translation of important information. Additionally, through