Identification of Focus for Community Teaching (Topic Selection):The topic of focus for community focus is the risks and prevention of heart diseases.

Epidemiological Rationale for Topic (Statistics Related to Topic):

Cardiovascular disease is one of the major causes of deaths globally. Heart disease is a collection of diseases that affect the heart. Under this spectrum, some diseases include blood vessel diseases like heart defects from birth (congenital heart defects), coronary artery disease, and heart rhythm conditions (arrhythmia), etc. Around 600,000 people die of cardiovascular disease in the US each year (WHO, 2017). It is considered as the biggest cause of death for both women and men. Coronary heart disease is the prevalent type heart disease, claiming around 370,000 lives every year. Each year, around 750,000 Americans develop heart attack (Allender, Peto & Scarborough, 2017). Around 42% of those diagnosed with heart disease are between ages 25-38. Smoking, high cholesterol, and high blood pressure are key risk factors that increases the risk of contracting heart disease.

In my county, Middlesex, New jersey despite an 11% decline between 2010 (174.4/100,000) and 2014 (155.2/100,000) and a top 25% statewide ranking, deaths due to heart disease perform lower than the Healthy People 2020 target (108.8/100,000) by 42.6%. The 2014 Middlesex County mortality rate due to heart disease (155.2/100,000) is 6.2% lower than Statewide (165.4/100,000) and is similar to neighboring Union and Monmouth Counties. Across all race/ethnicities, the Middlesex County death rate for heart disease improves from 2010 through 2014. In 2014, the Middlesex County heart disease mortality rate for Whites (176.2/100,000) is similar to New Jersey (173.4/100,000). Within the County, Whites have the highest heart disease mortality rate as compared to statewide statistics in which Blacks (191.2/100,000) have the highest rate. Between 2009 and 2015, Middlesex County adults who are told they have high blood pressure increased from 27.5% to 29.2% which exceeds the Healthy People 2020 target (26.9%) for adults with high blood pressure (Hackensack Meridian Health, 2017).

Nursing Diagnosis:

Deficient knowledge regarding heart disease related to incomplete information as evidenced by request for information/verbalization of concerns and misconception.

Readiness for Learning: Identify the factors that would indicate the readiness to learn for the target aggregate. Include emotional and experiential readiness to learn.

One of the signs that would show eagerness to learn is their attendance. Additionally, their eagerness to learn will be seen from how they include their feeling towards preventing this disease and its risk factors. Their involvement in the learning process will tell a lot.

Learning Theory to Be Utilized: Explain how the theory will be applied.

Teach-back theory will be the most appropriate since it narrows down the communication gap between the teacher and the patients. Teaching materials will be designed in simple languages without medical jargon. I will request the audience to repeat what they have understood in the simplest form the can.

Goal: Healthy People 2020 (HP2020) objective(s) utilized as the goal for the teaching. Include the appropriate objective number and rationale for using the selected HP2020 objective (use at least one objective from one of the 24 focus areas). If an HP2020 objective does not support your teaching, explain how your teaching applies to one of the two overarching HP2020 goals.

A Healthy People 2020 objective  is to reduce CHD deaths from 129.2 deaths per 100,000 population to 103.4 deaths per 100,000 population (American’s health ranking, 2018).

My aim is to improve cardiovascular health and quality of life through prevention, detection, and treatment of risk factors for heart attack and stroke; early identification and treatment of heart attacks and strokes; prevention of repeat cardiovascular events; and reduction in deaths from cardiovascular disease by educating the adherence of the HP2020 objectives of reducing CHD deaths from 129.2 deaths per 100,000 population to 103.4 deaths per 100,000 population (Department of Health and Human Services, 2014).





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