Running head: CARING FOR POPULATIONS MILESTONE 2: ASSESSMENT AN Caring for Populations Milestone 2: Assessment and Diagnosis Tammy Lake Chamberlain College of Nursing Community Health Nursing NR443 May 22, 2016 1 CARING FOR POPULATIONS MILESTONE 2: ASSESSMENT AN 2 Caring for Populations Milestone 2: Assessment and Diagnosis The primary purpose of this paper is to assess the health needs of the city of North Scottsdale, Arizona, as well as identifying a community health problem. This community is a large, urban residential community in Maricopa County, adjacent to Phoenix, Arizona, which is the sixth largest city in the United States. Scottsdale is named for the U.S. Army Chaplain William Scott who had visited the Salt River Valley, and initially made a down payment in order to start a farming operation. This operation was located near the heart of our present downtown. Scottsdale has a very favorable climate with beautiful scenery and is enriched with many cultural activities dating back to Scott's time and still present today. Community Overview North Scottsdale, Arizona is a large urban community located in a valley surrounded by various mountain ranges, canyons, gorges, and plateaus. This community is adjacent to Phoenix, Arizona. Present in this community are a multitude of various businesses, healthcare facilities, various parks with hiking/biking paths, schools, churches, outdoor activities, restaurants, and shopping. The climate is mild which attracts many snowbirds during the winter months from other parts of the United States and Canada, bringing a mixed population and wide age range during this time from young families to the elderly. North Scottsdale is not culturally diverse, with Caucasians making up the highest number of residents. There is a dedicated police and ambulance presence. Transportation includes a public bus system with access to major roads and freeways. Demographic Data CARING FOR POPULATIONS MILESTONE 2: ASSESSMENT AN 3 What follows is the demographic data for Scottsdale, Arizona, derived from the U.S. Census Bureau between 2010-2014, with 2010 having the most available information. The population as of 07/01/2014 was 230,512 with the highest percentage in the 65 and older range, followed by those over 18 years of age at 17.8%, and those less than 5 years comprising 4.2%. Females comprised 51.7% as of 04/01/2010. The major ethnic population within Scottsdale is Caucasian, making up 89.3% of the population. This is followed by Hispanics at 8.8%, Asians at 3.3%, Two or more races at 2.3%, African Americans at 1.7%, and American Indians and Alaska Natives at 0.8%. The median household income in 2014 was $72,455. The median value of an owner occupied home was $376,700, with an occupancy rate of 66.8%. Scottsdale has 124,001 housing units as of 04/01/2010. Though a wealthy area, the poverty rate in this community is 8.8%. Education wise, 53.2% hold Bachelor's degrees, and the high school graduate rate of those over the age of 25+ between 2010-14 was 96.2%. (http://quickfacts.census.gov). Epidemiological Data Epidemiological Data was retrieved from the 2016 Arizona County Health Rankings website. Scottsdale is located within Maricopa County, which ranked first in health outcome and quality of life categories. Maricopa County further ranked third in length of life in Arizona. Priority health problems of this area include alcohol impaired driving deaths at 27%, children living in poverty at 26%, a high number of children living in single parent households at 36%, adult obesity at 22%, and physical inactivity at 20%. Also of concern is the quality of air pollution, rated at 9.9% compared to the National average of 9.5%. (County Health Rankings, 2016). Windshield Survey CARING FOR POPULATIONS MILESTONE 2: ASSESSMENT AN 4 This survey allowed me to view diverse areas of the large community which comprises Scottsdale. The majority of individuals within Scottsdale are of various ages differing in the summer and winter months. Higher populations of snowbirds are evident in the winter. Within this urban community are many areas in which people from the very young to elderly are seen actively involved in the parks, trails, and walking paths available year round for use. I did not see any homeless individuals on the streets or begging for food and/or money. There are no homeless shelters or food banks in view of the areas I observed in Scottsdale. There are a few Goodwill stores scattered in different areas of Scottsdale, but no persons loitering outside of them, and most had a sign stating they were distribution centers. The roads in Scottsdale are well maintained with plenty of lighting and few potholes. Neighborhoods appear well lit, have sidewalks and bike lanes for those who travel by this method of transportation. There are multiple areas outside in nature and at local fitness centers for individuals to utilize. There are many local hospitals within this community for public access, some of which offer transportation, as well as urgent care centers. There appears to be a multitude of primary care practices as well as dentists in this area. There are many restaurants and bars which offer happy hours most days of the week and they appear to be well populated with a variety of ages, which can be problematic given the high percentage of alcohol impaired related deaths at 27%. When driving from Scottsdale towards Phoenix, there is a noticeable change of ethnicities and individuals from all walks of life, with socioeconomic changes evident as one leaves Scottsdale. South Phoenix, adjacent to Scottsdale is one of the more oppressed areas, socially as well as economically. Garbage on the streets is in visible evidence with multiple areas of graffiti present on buildings. While many who reside in North Scottsdale do not appear to be under the influence of substances, the same cannot be said for this area. However, this does CARING FOR POPULATIONS MILESTONE 2: ASSESSMENT AN 5 not hold true on the weekends when large student population from Arizona State University and a younger 20's crowd flock to Old Town in Scottsdale to visit the bars within the area, most of whom are intoxicated during this time. Problem Diagnosis The community health nursing problem evident in the Scottsdale community is the high percentage of alcohol related impaired driving deaths. This problem relates to the Substance Abuse Objective of Healthy People 2020, SA-17, which decreases the rate of alcohol-impaired driving fatalities (healthypeople.gov). This is a problem with a high percentage of 27%. Even with the toughest drunk driving laws within the United States, to include mandatory jail time with first offense, a real problem is in existence in this community. With Arizona State University being in close proximity to Old Town and multiple bars within this area, comes increased risk of drinking and driving which could lead to injury or death. \"The magnitude of problems posed by excess college student drinking should stimulate both efforts to improve our measurement of these problems and reduce them\" (Hingson, R., Heeren, T., Zakocs, R., Kopstein, A., & Wechsler, H., 2002, p.142). With the easy accessibility of alcohol aimed towards college students and younger populations, this trend may grow before it declines. There is a growing concern present for the high number of deaths related to this issue as well as the affect this has on one's life. Even with a heavy police presence in this area on the weekends, the high percentage of deaths indicate this is barely making a dent with this problem. In addition to the loss of life, alcohol related crashes cost taxpayers in this country, both locally and federally over $51 billion yearly. A study by the NIH showed a large increase on weekend fatalities related to alcohol consumption as opposed to other days of the week, with those in the age range 16-20, CARING FOR POPULATIONS MILESTONE 2: ASSESSMENT AN mostly 21-45 primarily affected (pubs.niaaa.nih.gov). This is the primary age range seen in the Old Town areas on weekend nights, though 45 is on the lower scale. Summary Scottsdale does lack resources for dealing with the high percentage of impaired alcohol related deaths within the community, though it should not, given the median income of the area. With alcohol being the most widely abused drug and its ease of accessibility, it is not surprising that most indulge. What is surprising in this area are the harshest drunk driving laws within the United States and the high percentage of deaths related to it which still persist despite this. Having personally witnessed the binge drinking that goes on in this young age group within this section of Scottsdale, it appears to be a problem on the rise. This community appears to be on the wealthier side and has opportunity as well as an obligation to all of its citizens both young and old to educate and protect them against this growing number of senseless deaths. 6 CARING FOR POPULATIONS MILESTONE 2: ASSESSMENT AN References County Health Rankings, Arizona health rankings. (2016). http://www.countyhealthrankings.org/app/arizona/2016/overview Hingson, R. W., Heeren, T., Zakocs, R. C., Kopstein, A., & Wechsler, H. (2002, March). Magnitude of Alcohol-Related Mortality and Morbidity among U.S. College Students Ages 18-24. Journal of Studies on Alcohol, 136-144. Retrieved from collegedrinkingprevention.gov/media/Journal/136-Hingson.sep.pdf National Institute on Alcohol Abuse and Alcoholism. (2002). Epidemiology and Consequences of Drinking and Driving. Retrieved from pubs.niaaa.nih.gov/publications/arh27-1/6378.htm United States Census Bureau. (2010-2014). U.S. Census Bureau: www.census.gov/quickfacts 7 Chamberlain College of Nursing NR443 Community Health Nursing Caring for Populations: Milestone1: Community Windshield Survey Form Directions: Please refer to the Milestone 1: Community Windshield Survey Guidelines and grading rubric for specific instructions in order to complete the information below. This assignment is worth 150 points. Type your name, date, and observations directly on this form. Click Save as and save the file with the assignment name and your last name; for example, NR443 Windshield Survey Form_Smith. When you are finished, submit the form to the Week 2 Caring for Populations: Windshield Survey Dropbox by the deadline indicated in your guidelines. Your Name: Date: Criteria 1. Introduction of Community (20 points) Identify the city and state of your community and briefly describe the community you will be using for this assignment. It should be the area where you live or the area surrounding your work setting but must include a residential area. Demographic data are not needed. Your response Raleigh is the capital of the state of North Carolina and the seat of Wake County is also located here. It is known as the 'city of Oaks' because of the many oak trees in its streets. The city covers approximately 142.8 square miles and the U.S Census Bureau estimated the population as 451,066 as of July, 2015. The city was named after Sir Walter Raleigh, who established the Lost Colony(Roanoke Colony) which is situated in Dare County. Raleigh is an example of a planned city in the United States and it was chosen as the site of the state capital of North Carolina in 1788 and later incorporated in 1792. It was laid out in grid pattern with the state capitol in union square situated at the center. Majority of the population are white and according to the 2010 census they were 57.5%, followed by African Americans at 29.3% and the Asian Americans were at 4.3%. The predominant region in the city is Christianity, with large number being Roman Catholic. Other religions include Hinduism, Islam and Judaism. According to 2015 Forbes list, it was ranked at number one for being the best place for business and career and there are a lot of industries situated in Raleigh. 2. Windshield Survey (75 points) a. Vitality: Use a majority of the questions from Box 6-2 in your text to describe your observations about the community vitality. Raleigh is a diverse community with majority of the residents identifying themselves as white, then followed closely by African Americans. The streets in the city are filled with people of different age brackets but those between 25 to 45 years are the majority in the streets going about their day to day activities. Majority of the residents use vehicles as a mode of travel but you will come across some using bicycles and motorized wheelchairs. When you look at the bus stops, you will find people from different races as well as different age groups. You will find children strolling to the nearby schools in the morning as well as after school. Most public buses have bicycle racks and some roads have lanes NR443Windshield Survey Form 1/31/16 LS 1 Chamberlain College of Nursing NR443 Community Health Nursing dedicated to bicycle only and in may 2011, Raleigh was considered a Bicycle friendly community and walk score ranked the city at number 36 most walk able of the largest U.S cities. Tourists can be spotted visiting historical sites for example The Dr. Martin Luther King Jr Memorial Gardens, Pullen Park and Mordecai Historic Park. You will find people taking photos in such places and others taking notes to better their understanding of the historical past of Raleigh as a whole. b. Indicators of social and economic conditions: Use a majority of the questions from Box 6-2 in your text to describe your observations about the social and economic conditions. Most business in Raleigh includes banking services, food processing, paper products and pharmaceuticals. Raleigh is a member of North Carolina's Research Triangle, which is one of the largest and most successful research parks in the country. It is also a major center for high tech and biotech research, and textile development. The city is boost also as a major retail shipping point for eastern part of North Carolina as well as a wholesale distribution point for the grocery sector. Majority of the population prefer to use public transport when going to their places of work even though sometimes the traffic flooded during peak hours in the morning when going to work and in the evening when going back home. c. Health Resources: Use a majority of the questions from Box 6-2 in your text to describe your observations about the health resources. Hospital. Apart from these hospitals, Raleigh has several clinics, nursing homes and pharmacies which are distributed evenly throughout the city to meet the growing demand of the health services. When you travel in the streets of Raleigh during the day as well as the night you will find out that medical resources are in plenty and this will go a long way in ensuring that the community in Raleigh get medical attention in the shortest time possible because of the availability of the services throughout the city. All these health care facilities can be accessed easily from any part of the city within the shortest time possible in case of a medical emergency. Public transport is available when one need them to travel to one of this health facilities. d. Environmental conditions related to health: Use a majority of the questions from Box 6-2 in your text to describe your observations about the environmental conditions. Most part of Raleigh city have been zoned into either commercial or residential use. Most of the road systems in Raleigh are grid streets, providing a convenient access to the various neighborhood and other parts of the city. The road network also have sidewalks some are in good conditions while others have a few potholes. The drainage system in place in Raleigh city are in perfect conditions and telephone, power and cable TV utilities are mostly above the ground with a few laid underground. When you take a trip during the night you will find that the city have sufficient street lighting and there is no worry of being mugged in the streets during the night. In some neighborhoods of the city you will NR443Windshield Survey Form 1/31/16 LS 2 Chamberlain College of Nursing NR443 Community Health Nursing find illegal dumping of waste which causes water and air pollution which can cause an health hazards to the community living in the city. The city also has several recreation parks where you will find families and friends relaxing and having a good time together. These parks can be accessed with ease, others are even free to enter and can be accessed easily by road. e. Social functioning: Use a majority of the questions from Box 6-2 in your text to describe your observations about the social functioning. The streets in Raleigh are deserted during the day when everyone is at the work place and those who remain at home are mostly indoors. You will find some families in recreational parks enjoying themselves. In places of worships which are mostly comprised of churches can be seen in every street corner with people visiting them to worship almost on a daily basis. The presence of graffiti and illegal dumpsite in some areas of the city is a clear indication of social problem which suggest the presence of gang related activities. Wake County operates a day center that provides some basic services to persons of the community who are experiencing homelessness. They includes basic needs items, mental health treatment, showers, telephone access, financial assistance, substance abuse treatment, veteran services, information and assistance in application of mainstream resources. f. Attitude toward healthcare: Use a majority of the questions from Box 6-2 in your text to describe your observations about the attitudes toward healthcare. Healthcare resources in Raleigh city are well utilized and this is evidenced by the high number of people in the main hospital receptions within the city and its neighborhoods. You will find people buying drugs from pharmacies which is a clear indication of good use of the health resources. There are also a lot advertisement throughout every street corner concerning the health resources. This adverts shows the available hospitals and the services they render as well as the available offer concerning certain medical conditions and financial support. 3. Vulnerable population (20 points) Describe a vulnerable population or aggregate that you identified during your survey. What did you observe about this group such as their appearance and actions? The vulnerable population are those that are experiencing homelessness and the poor. They are usually exposed to external threats from contamination of water they are using due to illegal dumping of waste in deserted streets. The air and water pollution experienced in some part of the streets and its neighborhoods can have a negative impacts on the lives of the homeless and the needy. To protected the homeless and the needy from the harsh effects of the health hazards, Wake County cane up with the cornerstone project to offer basic needs to the homeless and give some medical assist to some basic health problems for them to protect the vulnerable population from the negative effects the people of Raleigh town has induced on the environment they are living in at the moment. NR443Windshield Survey Form 1/31/16 LS 3 Chamberlain College of Nursing NR443 Community Health Nursing 4. Conclusion (20 points) Provide a summary of your findings and your conclusion. What potential problems did you identify? From the observation I have seen during my trips across Raleigh city, the overall quality of life is above average. The houses are decent and access to clean water and sanitation is not a problem in the city. This has led to the quality of life for the community members to improve and protect them from cases of disease outbreak due to contamination of water. The ever growing population can strain the existing healthcare resources and measures should be taken to increase the number of the healthcare facilities to avoid cases of exposing the residents to an health hazard. The federal government should increase funds to the healthcare sector for them to meet the ever increasing demand for healthcare services in Raleigh city. 5. References: References are not required for this survey:If you used references, they must be listedin APA format. If you include any references here, you must also include an intext citation (author, year) in the body of the form. NR443Windshield Survey Form 1/31/16 LS 4 Chamberlain College of Nursing NR443 Community Health Nursing NR443 Guidelines for Caring for Populations Milestone 2: Vulnerable Population Assessment PURPOSE The purpose of this paper is to identify and assess a vulnerable population in your community. You will also describe one community health problem that impacts this vulnerable group. This problem must be one that a community health nurse could positively impact. COURSE OUTCOMES This assignment enables the student to meet the following course outcomes: 2. Assess the health needs of individuals, families, aggregates, and communities using demographic and epidemiological data to identify population health risks. (PO 4) 6. Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO 2) DUE DATE Submit to the appropriate basket in the Dropbox by 11:59 p.m. MT Sunday of Week 4. POINTS: 225 points DIRECTIONS Watch the Milestone 2 tutorial (click this link or copy and paste it into your browser): http://www.brainshark.com/devry/Milestone2_2016 This APA paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper. Please use the following categories as the first level headings on your paper. APA formatting helps you to format your paper in a professional manner and provides consistent methods for citing your sources within the paper and providing the complete reference on the reference page. See the documents in the APA category in Doc Sharing for assistance with APA formatting. There is an APA template that you can use to type on and this will help with APA formatting. The Student Success Strategies resource has a great sections on writing scholarly papers and APA formatting (to find resource watch: http://www.brainshark.com/devry/Student_Success_Strategies/zHszgnQAKzBXqbz0) Based on your community assessment, including your windshield survey and the assessment information from your discussions, identify one aggregate or vulnerable population in your community that faces a community health problem. See units five (5) and six (6) in your Nies and McEwen text for examples of vulnerable populations and aggregates. Your community must be the area where you live or work. A. Introduction (one paragraph): The introduction should be interesting and capture the reader's attention. Provide a brief description of your community including the city name and state and key features. NR443 Milestone 2 Vulnerable Population Assessment 8/15/16 LS 1 Chamberlain College of Nursing NR443 Community Health Nursing Briefly introduce one vulnerable population that you identified in your assessment. Discuss the purpose of your paper. The purpose statement of the paper should relate to assessing this vulnerable population in your community. B. Vulnerable Population Overview (one to two paragraphs): Describe one vulnerable group in your community in greater detail. Include your observations about this group from the windshield survey. Discuss events or trends that have affected this vulnerable group such as economic conditions, trends in health related behaviors or disease rates, etc. C. Strengths, Risk Factors, and/or Barriers (two to three paragraphs): Discuss the strengths, risk factors, and/or barriers that impact this vulnerable population's health. Include support from at least one scholarly peer-reviewed journal article in this discussion. Go to the Chamberlain library at http:/library.chamberlain.edu. Search peer reviewed journals to find a scholarly article that discuss the strengths, risk factors, and/or barriers faced by this vulnerable group. Summarize what you learned from this article and cite the source in the text and reference page (Author, year). For this section, you must choose at least one scholarly article from a peer-reviewed journal. The article must be less than 10 years old (less than 5 years is best). You may include and cite your textbook or other scholarly sources as well, but they do not count as the scholarly journal article. Please do not include more than two short quotations, at the most. You will need to summarize and analyze the information from the article in your own words. D. Community Resources (one to two paragraphs): Search your local public health department website, the internet, the local newspaper and/or telephone book for health resources available in your community for this vulnerable group. Briefly describe the resources in your community that are available for this group. Are these resources adequate? Discuss gaps in services that you identified. E. Community Health Problem Diagnosis (one to two paragraphs): NR443 Milestone 2 Vulnerable Population Assessment 8/15/16 LS 2 Chamberlain College of Nursing NR443 Community Health Nursing F. Based on your assessment and the Healthy People 2020 objectives, identify and discuss one priority community health problem that a community health nurse could positively impact. Examples include an increase in teen pregnancies, prevalence of cancer, high incidence of tobacco use, above average infant mortality etc. The problem must relate to the vulnerable population you identified. Go to the Healthy People topic areas at http://www.healthypeople.gov/2020/topicsobjectives. Find a topic area that relates to your vulnerable population. Click on the topic area and then click on the green \"Objectives\" tab. Find and state the Healthy People 2020 specific numbered objective (not just a goal) that describes your problem (ex. for teen pregnancy, the topic area Family Planning is relevant, click the green objectives tab and you might choose FP-8.1 \"Reduce pregnancies among adolescent females aged 15 to 17 years\" (US Department of Health and Human Services: Healthy People 2020, 2016, Objectives: Family Planning, para 8). Summary (one paragraph): Summarize important points from the body of your paper including the vulnerable group you identified and key factors that you discussed above that affect the health of this group. Include a statement about the priority problem you identified. End with a concluding statement. G. Reference Page: The Reference Page should start on a new page (insert a page break). All references should be cited within the body of the paper as (Author, year) and the full reference should be included in APA format on the reference page. A url link alone is not an adequate reference. See the APA Guidelines in Doc Sharing for examples of properly formatted references. GUIDELINES Application: Use Microsoft Word 2010 to create this assignment. Scholarly Writing: APA format is required. Review APA documents in the Doc Sharing and use the free resources of SmartThinking for writing tutors Use the categories above as APA headings for the sections of your paper. Length: This paper is expected to be no more than 4 pages in length (not including the title page and reference list). Quotations should be minimal - please paraphrase your sources. A maximum of one quotation should be used for this paper. Submission: Submit your file via the basket in the Dropbox: Caring for Populations: Milestone 2 Vulnerable Population Assessment, by 11:59 p.m. MT Sunday of Week 4. Save your paper with your last name in the document title (e.g., \"Smith Vulnerable Population Assessment\"). Late Submission: See the course policy on late submissions. NR443 Milestone 2 Vulnerable Population Assessment 8/15/16 LS 3 Chamberlain College of Nursing NR443 Community Health Nursing BEST PRACTICES IN PREPARING THE PAPER The following are best practices in preparing this project. Use the assessment information that you collected in your windshield survey and weekly discussions to identify the vulnerable group of interest. Choose one nursing problem specific to your community that this vulnerable group faces. Find one article about this vulnerable group from the Chamberlain library from a peer reviewed journal. Visit the Chamberlain Care Student Success Strategies resource for help with writing a scholarly paper, APA formatting, and library navigation (http://www.brainshark.com/devry/Student_Success_Strategies/zHszgnQAKzBXqbz0). Make sure all elements of the paper are addressed and headings for each category are included. Review directions thoroughly. Cite all sources within the paper as well as on the Reference page. Proofread prior to final submission. Check for spelling and grammar errors prior to final submission. Use the \"A\" column of the rubric below to ensure that you have included all the needed elements. Abide by the CCN academic integrity policy - use the Week 1 Turnitin Draft Dropbox to ensure that your similarity index is less than 24%, if not, revise and resubmit prior to the deadline. Please review the documents related to TurnItIn in DocSharing. NR443 Milestone 2 Vulnerable Population Assessment 8/15/16 LS 4 Chamberlain College of Nursing NR443 Community Health Nursing GRADING RUBRIC: MILESTONE 2: ASSESSMENT AND DIAGNOSIS (225 POINTS) Criteria Introduction 30 points Vulnerable population overview 30 points Strengths, risk factors, and/or barriers identified 20 points Discussion of peer review article 20 points Community Resources 30 points Problem A (92-100%) Outstanding or highest level of performance B (84-91%) Very good or high level of performance C (76-83%) Competent or satisfactory level of performance Good introduction which: -catches the reader's attention, -introduces your community -identifies the vulnerable population and -includes a purpose. (28 - 30 points) Vulnerable population described with rationale which includes windshield survey observations and discussion of contributing events for choosing this population. (28 - 30 points) Good description of strengths, risk factors and/or barriers faced by this vulnerable group (18 - 20 points) Introduction present but is missing one of the elements listed in \"A\" column. (25 - 27 points) Introduction present but is missing two or more elements listed in \"A\" column. (22 - 24 points) Population described but rationale is incomplete. (25 - 27 points) Population or rationale not described. (22 - 24 points) Population and rationale not described. (0 points) /30 Adequate description of strengths, risk factors and/or barriers faced by this vulnerable group (16 - 17 points) Minimal description of strengths, risk factors and/or barriers faced by this vulnerable group (15 points) /20 One peer reviewed journal article discussed that clearly relates to factors affecting the health of the vulnerable group. (18 - 20 points) Good description of resources available in community and gaps in services. (28 - 30 points) One peer reviewed article about vulnerable group discussed, but slightly off topic. (16 - 17 points) One article discussed but does not clearly relate to the vulnerable group. (15 points) Lacks description of strengths, risk factors and barriers faced by vulnerable group (0 points) No peer reviewed article discussed. (0 points) Adequate description of resources available in community but gaps in services missing. (25 - 27 points) Poor description of resources and gaps in services. (22 - 24 points) /30 One priority community One priority Problem No discussion of community resources or gaps in services. (0 points) Problem NR443 Milestone 2 Vulnerable Population Assessment 8/15/16 LS F (0-75%) Poor or failing or unsatisfact ory level of performan ce No introduction present. (0 points) Pts /30 /20 /30 5 Chamberlain College of Nursing NR443 Community Health Nursing Diagnosis 30 points health problem clearly identified and Healthy People 2020 specific objective included. (28 - 30 points) Summary 20 points Good summary of key points about vulnerable population and community health problem reiterated. (18 - 20 points) Presentation 20 points Discussion well organized and logical. Structure is clear and compelling to reader; paragraphs are linked together logically, and main ideas stand out. (18 - 20 points) Excellent mechanics with no more than two errors of the following: - correct grammar, spelling -complete sentences -all sources cited in the text -all references listed on the reference page and in APA format -title page in APA format -correct APA format of headings -12 point font, double spaced, 1 inch margins, paragraphs indented -no more than two short quotations. -length 4 pages or less (23 - 25 points) Mechanics 25 points community health problem identified and Healthy People 2020 information included but a specific HP objective is missing. (25 - 27 points) Adequate summary of key points about vulnerable population and community health problem reiterated. (16 - 17 points) Discussion missing one of the organizational elements in column one. Some minor organizational concerns. (16 - 17 points) Three errors of elements listed in column one. (21 - 22 points) identified but not related to Healthy People 2020. (22 - 24 points) discussion missing. (0 points) Summary of key points about vulnerable population or community health problem missing. (15 points) Discussion missing two of the organizational elements in column one. Overall flow is difficult to follow. (15 points) Four errors of elements listed in column one. (19 - 20 points) Summary not completed. (0 points) /20 Paper appears disorganize d and is difficult to understand. (0-14 points) More than four errors of elements listed in column one. (0-18 points) /20 /25 Total Points: NR443 Milestone 2 Vulnerable Population Assessment /225 8/15/16 LS 6