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Posted: January 15th, 2023

Identify 3 priority public health concerns

Preparation for Home Visiting Worksheet

Population
Which population do you intend to choose for your home visiting client?
______ Older adult with functional limitations
______ MCH pregnant/postpartum family)

Provide a brief general description of this population.

Priority Public Health Concerns
Identify 3 priority public health concerns for your specified population (aging or MCH). These should be health concerns for which you can target an individual/family level intervention during your home visits. Describe why these are priority concerns. What public health-based strategies may help save future healthcare expenditure for these priority concerns?

Concern Description of concern and public health-based strategy
1.

2.

3.

Policy Map
Using the Minnesota State University Mankato library database Policy Map, search your community on information that could be of concern for your home visiting client. For example, search information on quality of life, incomes, spending, and health. Describe resources and data that can impact your home visiting client.

Resources and Data

Focused Assessment Tools
Identify and describe 3 focused assessment tools (i.e. checklists, survey, etc.) that may be used with your chosen population to determine if your individual/family is at risk of your above specified priority public health concerns (use readings, referenced websites, and/or other sources). The focused assessment tools should be appropriate for use on an individual/family at your upcoming home visits. See sample assessment tools in D2L content area.

Focused Assessment Tool Description

1.

2.

3.

Family Assessment Tools
Identify and describe a full or partial family assessment tool that may be used with your client/family.

Population:
The population chosen for the home visiting client is older adults with functional limitations. This population includes individuals who have difficulty performing daily activities and tasks due to physical, cognitive, or emotional impairments.

Priority Public Health Concerns:

Fall prevention: Falls are a leading cause of injury among older adults, and can lead to long-term disability and reduced quality of life. Public health-based strategies that can help prevent falls include home safety assessments, exercise programs, and medication management.
Chronic disease management: Many older adults have multiple chronic conditions, such as diabetes, hypertension, and heart disease, that require ongoing management. Public health-based strategies that can help manage these conditions include disease self-management programs, regular screenings, and medication management.
Social isolation: Older adults who live alone or have limited social support are at increased risk of depression, anxiety, and other mental health issues. Public health-based strategies that can help reduce social isolation include community-based programs, volunteer programs, and support groups.
Policy Map:
Resources and data that can impact the home visiting client include information on quality of life, incomes, spending, and health. These resources and data can be found on Policy Map by searching the community and looking at data on poverty rates, education levels, and access to healthcare.

Focused Assessment Tools:

The Timed Up and Go Test (TUG) can be used to assess an individual’s risk of falls. The TUG measures the time it takes for an individual to rise from a chair, walk 3 meters, turn around, and return to the chair.
The Morisky Medication Adherence Scale (MMAS-8) can be used to assess an individual’s risk of medication non-adherence. The MMAS-8 is a self-administered questionnaire that assesses an individual’s knowledge, attitudes, and behaviors related to medication taking.
The Geriatric Depression Scale (GDS) can be used to assess an individual’s risk of depression. The GDS is a self-administered questionnaire that assesses an individual’s mood, interest in activities, and overall well-being.
Family Assessment Tools:
One example of a family assessment tool that may be used is the Family Assessment Device (FAD). The FAD is a standardized questionnaire that assesses various aspects of family functioning, including communication, problem-solving, roles and rules, affective responsiveness, and behavioral control.

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