SIMPATH BSN 422 Assignment 4 Activity: Sentinel City

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Sample Selection and Application

The need for addressing samples in research cuts across the fields of public health and nursing education across various demographic groups, including geriatrics, Southeast Asians, impoverished groups, and children. In studying the prevention of falls in the elderly, areas with concentrations of elderly persons and convenient access to senior services would be suitable for geriatrics. They are known for their elderly-friendly housing and neighborhood support agencies, which would provide wonderful assistance in answering the research questions. Just as with geriatrics, there are Southeast Asian communities where health-related customs and beliefs have concerns (Wong et al., 2020).

These are the areas that tend to have unique community services or specialized health services that help to understand the extent of the culturally focused health services that are needed. Therefore, in looking at the impoverished demographic groups, it is important to select areas that are socially and economically deprived and where there are inadequate health services. These groups of the population experience the highest burden of chronic health conditions and have the least social and health resources available to them; thus, their situation is extremely valuable in articulating the health disparities and lack of access to health services. It is also important in pediatric research to focus on the communities where there is a high concentration of children and the available School health services. These usually offer health and developmental services for children in varied integrated formats that provide the opportunities and constraints of pediatric health services.

This assignment will review and analyze some of the effective methods of healthcare delivery for certain demographic populations within Sentinel City that include geriatrics, Southeast Asian groups, people living in poverty, and children. It will evaluate different strategies and methods of direct care for these populations and the resultant health outcomes. Its purpose is to improve the care strategy and health outcomes for these populations.

Evidence-Based Practice Guidelines

In Sentinel City, tailoring specialized policies for each group is vital to the process of nursing, care, and treatment. For the elderly, a multidisciplinary approach to fall prevention is done by designing home interventions with grab bars and placement of lights, in addition to therapeutic interventions to improve balance and strength. It appears that some Southeast Asian populations may need culturally sensitive health education and community health service (CHS) interventions to address particular health needs and concerns related to health implications of some food practices (Yang et al. 2022).

Health services that offer subsidized/free treatment of chronic illnesses, improved nutritional services, and low-cost supportive housing are needed by the urban impoverished community. In the management of children and adolescent health, greater emphasis is placed on the asthma management guidelines. Inhaled steroids are to be used on a daily basis by the asthmatic children, while the school-age children are to be sensitized to the condition and the mothers are to be taught how to recognize and control asthma episodes (Shipp et al. 2022). While these interventions are meant to improve the health of the communities, they bring to the community of Sentinel City the much-needed relief.

Focusing on pediatrics, the use of practice guideline evidence ensures that optimal care is provided. Thinking, for example, of the management of childhood asthma, one of the structured formats is the Global Initiative for Asthma (GINA), which provides a stepwise approach to the management and prevention of asthma [re]attacks (Alexandre-Sousa et al., 2024). This involves ensuring that the family members of asthmatic children and adults are educated to recognize the early signs of an asthma attack, are provided with a prescription of inhaled corticosteroids for the long-term prevention of asthma, and are educated on how to use inhaler devices.

Some of the impacts of these guidelines are a reduction in asthma-related hospital admissions, a reduction in school absenteeism, and an overall better asthma control for the pediatric population. It is important that children and their pediatricians, as well as the nurses, respiratory therapists, and school educators, work together and utilize the guidelines in an inter-professional manner. For example, a combined effort in schools would provide the necessary asthma inhalers along with the therapeutic medical care needed to improve the child’s health and their overall quality of life.

PICO Model

The PICO model can be formulated for pediatric populations with asthma as follows:

• Population (P): Pediatric patients with asthma attending school.
• Intervention (I): Development of an inclusive asthma management plan with an emphasis on the inhalation of corticosteroids, asthma management workshops conducted in the school setting, and training of the family on the recognition and assistance of an individual with asthma.
• Comparison (C): Typical practice of asthma management without school-centered education and family practice integration.
• Outcomes (O): A decrease in the number of asthma attacks, a decline in the number of visits to the emergency department (ED), and an improvement in asthma control reported in the Asthma Control Test (ACT) with a decrease in school absences due to asthma.

Identifying Need

To meet the changing needs of pediatric asthma patients, care plans need to be adjusted as necessary, and plans need to be monitored, requiring ongoing assessments of the plans. Evaluating the plans frequently means the strategies to manage the asthma remain effective and accommodate the changing condition or the child’s lifestyle. The asthma care process identifies the needs and the gaps to improve health outcomes. When the needs are accommodated and care plans are adjusted to meet the needs of pediatric asthma patients, then the intended health outcomes are achieved.

Conclusion

The research and practice in public health and the education of nursing must meet the needs of the specific demographic. The right selection of neighborhoods in the sampling, along with the guidelines and approaches of evidence-based practice, lead to improved health outcomes and effective practice. The PICO model supports a clear focus on a specific need, within the continuous assessment of the plans and the relevant practice. The strategy and approach of evidence-based practice and thoroughness in public health and the practice of nursing are significant in providing progress within the fields.

References

Alexandre-Sousa, P., Sousa, N., Bento, J., Azevedo, F., Assis, M., & Mendes, J. (2024). Nurses’ role in the control and treatment of asthma in adults: A systematic literature review. Advances in Respiratory Medicine, 92(3), 175–189. https://doi.org/10.3390/arm92030019

Shipp, C. L., Gergen, P. J., Gern, J. E., Matsui, E. C., & Guilbert, T. W. (2022). Asthma management in children. The Journal of Allergy and Clinical Immunology: In Practice, 11(1). https://doi.org/10.1016/j.jaip.2022.10.031

Wong, L. P., Wong, P. F., & AbuBakar, S. (2020). Vaccine hesitancy and the resurgence of vaccine-preventable diseases: The way forward for Malaysia, a Southeast Asian country. Human Vaccines & Immunotherapeutics, 16(7), 1–10. https://doi.org/10.1080/21645515.2019.1706935

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