Health is a dynamic process of physical, mental, spiritual, and social well-being. Health includes self-determination and a sense of connection with the community ( Ehrlich, A., & Galloway, T. 2000).

Community health nurses believe that individuals and communities understand the hopes and needs in their cultural, social, economic, and physical environment. They consider health as a resource for everyday life, which affects circumstances, beliefs, and determinants of health. Social, economic, and environmental determinants of health include:

  • income and social status
  • support for social networks
  • education
  • employment and working conditions
  • social media
  • the physical environment
  • biology and genetic foundation
  • personal health practices and skills
  • healthy child development
  • medical services
  • gender
  • culture (Ehrlich, A., & Galloway, T. 2000).

Community health nurses promote health using the following strategy: (a) health promotion, (b) prevention and health protection, and (c) the maintenance of health, rehabilitation and palliative care (Allender, J. A., & Spradley, B. W., 2001). They recognize that they may need to use all of these strategies in the provision of care and services.

The Ottawa Charter for Health Promotion and Population Health Promotion Model Community nurses focus on health promotion. Health promotion is a mediation strategy between people and their environment. It is a positive, dynamic, empowering, and a unifying concept based on social and environmental approach to health. It recognizes that basic resources and conditions are critical to achieving health (Allender, J. A., & Spradley, B. W., 2001). The health of the population is closely connected with the health of each of its members, and it is often reflected first on the individual and family level. Community health nurses also take into account the socio-political issues, that sometimes may prove to be the key individual and social problems. Health communities and support systems have increased the options for the well-being of society.

Let us consider the following case.  You are a community health nurse employed in a rural Alberta health unit. In your district, the unemployment rate is over 20%, and the incidence of small grocery store theft has increased markedly during the past year. During routine infant and preschool immunization clinics and home visits you have noted signs of fatigue, anemia, and susceptibility to respiratory infections in family members of all ages. In addition you have noticed that many of the parents that you see in their homes seem to be smoking more. During clinic and home visits, many parents express concern about the adequacy of the diet that they are able to provide, and say that the funding they receive from Social Services is insufficient to meet their families’ basic food needs. The largest urban centre where large discount food stores are available is a four-hour-drive away. Most families in the district do their grocery shopping at the local general stores, where prices are higher. Many of these families have large debts. The owners of these stores are unable to extend the credit lines of many of their customers much further, although they are sympathetic to the overall situation. The general tone within the district towards the employment and economic situation is pessimistic, although many parents do comment during clinic and home visits that they are still waiting for things to “turn around.”

Recently a small group of farmers and local businessmen expressed interest in developing a Food Bank, although no one has any experience in organizing one. The only condition that they have placed on their offer is that “needy families become directly involved in helping themselves and each other, and nobody just gets a free handout.” The provincial nutritionist, a good friend of yours, has indicated her support and is willing to be involved in consultation and teaching.

Let us start with considering the ideas and proposals.. The children suffer from fatigue, anemia, and susceptibility because of the bad food, since good food was expensive, and the unemployment rate was over 20%. The largest urban center was an hour-drive away, so citizens had to cover the travel expenses.   It is very clear from these observations that a Bood Bank will help the citizens to improve their living. The unemployment rate is over 20%, and the group of farmers and local businessmen will help to organize that bank of food, and most people were able to work there, spend their time doing a useful thing and get good food. Food is an essential part of our life; our life depends on what we eat.  Some girls took part in the job in the bank food. It was really interesting to see how it worked.

Food Banks are non-profit organizations that deal primarily with food manufacturers and distributors, collecting products in quantities that would overwhelm most individual charity organizations. Banks then offer food products that they saved to local charity organizations that deal with hunger issues, charging only a small service fee. For food pantries or other charity organizations, using a Food Bank is very much like purchasing; the main difference is that the Food Bank inventory is changing faster than that of a grocery store, and the food in a  Food Bank  costs significantly less. Financial donations are used towards obtaining food. Food Banks are entitled to the same tax benefits, which are established for purchasing food for commercial purposes, and some states offer additional food-bank-related tax benefits. Using charity programs to purchase and distribute food, Food Banks get five to ten times as much food as they would get by any other means.

There is  an issue with smoking among the parents. Good idea to create a programme for the parents. Two men are able to work on the smoking issue. The objectives of the program is  reducing the proportion of people who smokes daily. They can develop a public education campaign using television and radio. They can even work with parents so that the latter  could make right decisions about their own health in accordance with the principles of community development.

The organizations mentione above help to resolve several issues. People  will start doing something, they will start eating well. The disease rates will be  reduced. Some will parents stop smoking; but, unfortunately, not all of them did so. It is a good practice, which can lead to future improvements not only in Alberta, but all over the world.

The concuclsion is to create a groups and programms for smoking people. To open Food Bank and to hire citizens to work their for food and to spend their time profitably. To create some outdoors activities for children,children also can help their parents with work in Bank Food. The result is supposed to be good, everyone will be busy and will spend  time profitably. Grown-ups and children will get good food, the health of people is supposed to be improved and  unemployment rate will be less.

The nursing communities continue to influence the practice of nursing and health care in the contemporary world. Still there is an urgent need to overcome the health barriers that the vulnerable populations face with. The need for education, law, public health, and policy is now important for making a positive change in health care. In this respect, the nursing profession is a leader in health care, and it is responsible for the issues regarding public health and the quality of health care.

Let`s us disscuss it as per above? What offers and proposals do you have regarging this situation? What is your opinion to my offers?

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