The Role of a Community Nurse in a Diverse Community: A Report

This report focuses on the role of community nurses in diverse communities, particularly addressing health challenges faced by Black Americans. It identifies key health concerns like cardiovascular ailments, obesity, and diabetes, linking them to historical and cultural factors. The report proposes a community plan emphasizing the prevention and management of obesity and metabolic disorders through nursing interventions such as nutritional health education, anthropometric assessment, and dietary and exercise interventions. Primary, secondary, and tertiary prevention strategies are outlined, along with specific goals and evaluation methods to assess the effectiveness of the interventions. The report highlights the importance of achieving health body mass index (BMI), balanced diets, and physical activity levels, emphasizing the need for long-term behavior changes and multidisciplinary approaches to improve community health outcomes. The report is supported by references to relevant research articles.

Running head: ROLE OF COMMUNITY NURSE IN DIVERSE COMMUNITY
ROLE OF COMMUNITY NURSE IN DIVERSE COMMUNITY
Name of the Student:
Name of the University:
Author note:

1ROLE OF COMMUNITY NURSE IN DIVERSE COMMUNITY
1. Black Americans mainly originated from the countries of Central and Western Africa
(Newman & Kaljee, 2017).
2. Cardiovascular ailments such as stroke and hypertension and stroke, as well as obesity,
diabetes and pulmonary disorders such as lung cancer and sarcoidosis are major health
concerns (Cunningham et al., 2017).
3. Black Americans were victims of slavery, which pushed them towards poverty, resulting
in consumption of financially feasible food sources, mainly left over options from slave
owners such as high fat, organ meats. Such foods have become traditional meal items.
Further, consumption of starchy vegetables coupled with the belief that it is acceptable to
cook enough food rather than less at cultural events, results in excess calorie consumption
which may be associated with barriers (Chen et al., 2016).
4. The community plan will focus on prevention and management of obesity and associated
metabolic disorders and include nursing interventions of nutritional health education,
anthropometric assessment, dietary and exercise interventions.
5. Primary interventions will include treatment and management of obesity, hypertension,
hyperlipidemia and hyperglycemia. Secondary prevention would include community
service care services such as exercise programs and dietary interventions. Tertiary
prevention would include referrals to behavioral psychologists, counselors or self help
groups (Montesi et al., 2016).
6. The first goal would include obesity and metabolic disorder management with the
objective to achieve health body mass index (BMI) and blood levels of glucose, lipids
and pressure and would be evaluated by blood tests and anthropometric measurements.
The second goal would include obesity and metabolic disorder prevention with the

2ROLE OF COMMUNITY NURSE IN DIVERSE COMMUNITY
objective to achieve balanced diet and physical activity levels and would be evaluated by
24 or 72 hour dietary and exercise recalls. The third goal would include inculcation of
health diet and exercise behaviors with the objective to maintain healthy eating and
activity patterns and would be evaluated using follow up interviews and self reflection
(Bernstein, Manning & Julian, 2016).
7. Evaluation outcomes indicating population achievement of health BMI, blood glucose,
lipid and pressure levels along with maintenance of balanced diet and exercise adherence
would indicate successful implementation (Carrier et al., 2016).

3ROLE OF COMMUNITY NURSE IN DIVERSE COMMUNITY
References
Bernstein, K. M., Manning, D. A., & Julian, R. M. (2016). Multidisciplinary teams and obesity:
role of the modern patient-centered medical home. Primary Care: Clinics in Office
Practice, 43(1), 53-59.
Carriere, C., Cabaussel, C., Bader, C., Barberger‐Gateau, P., Barat, P., & Thibault, H. (2016).
Multidisciplinary care management has a positive effect on paediatric obesity and social
and individual factors are associated with better outcomes. Acta Paediatrica, 105(11),
e536-e542.
Chen, J., Vargas-Bustamante, A., Mortensen, K., & Ortega, A. N. (2016). Racial and ethnic
disparities in health care access and utilization under the Affordable Care Act. Medical
care, 54(2), 140.
Cunningham, T. J., Croft, J. B., Liu, Y., Lu, H., Eke, P. I., & Giles, W. H. (2017). Vital signs:
racial disparities in age-specific mortality among blacks or African Americans—United
States, 1999–2015. MMWR. Morbidity and mortality weekly report, 66(17), 444.
Montesi, L., El Ghoch, M., Brodosi, L., Calugi, S., Marchesini, G., & Dalle Grave, R. (2016).
Long-term weight loss maintenance for obesity: a multidisciplinary approach. Diabetes,
metabolic syndrome and obesity: targets and therapy, 9, 37.
Newman, L. A., & Kaljee, L. M. (2017). Health disparities and triple-negative breast cancer in
African American women: a review. JAMA surgery, 152(5), 485-493.