Direct Care Project Part 2

Directions for Part 2
For this part of the direct care project, you will be creating a PowerPoint presentation based on the topic and problem identified in Part 1. If you chose air quality as your topic, you will present on the Air Quality Flag Program. If you chose substance use, you will present the SBIRT intervention model.
If you have chosen substance use, you will present to at least 3 practicing RN’s. You can present all at one time or individually. If you chose air quality, you will present to at least one organization leader. See the Direct Care Project module for FAQs.

Each topic has separate directions.
Download the Planning Your Presentation Directions for your corresponding topic.

Air Quality

Air Quality Flag Program: Planning the Presentation Instructions (Links to an external site.)
Substance Use

SBIRT : Planning the Presentation Instructions (Links to an external site.)
View the Direct Care Project Part 2 Tutorial (Links to an external site.).
Download the template below and create a PowerPoint presentation for your selected group.
Create speaker notes for the PowerPoint presentation. These will assist you as you present and will be part of your assignment submission.
Utilize your own words and paraphrasing for all presentation content.
The presentation should be no fewer than 8 and no more than 15 slides. This does not include the introduction and reference slides.
Submit presentation in PDF for instructor approval. See Submitting PowerPoint Notes Pages in PDF format (Links to an external site.).
You will present the PowerPoint to your audience, not the PDF, as you do not want the speaker notes to show to your audience members.
Note: You may not present until your presentation has been approved by your instructor.
Review comments about your presentation from your instructor in Grades. Please see the Viewing Feedback on Assignments job aid in Resources. Your instructor will indicate what (if any) revisions are needed in your presentation and if it is approved to present as-is or once revisions are made.
**You may be instructed to resubmit depending on the revisions needed.

After your presentation is approved, see Week 5: Direct Care Project Part 3: Implementing Your Presentation. This is where you will find:
Attendance form
***The surveys you will give your audience pre and post presentation are already developed. You will submit the attendance form with the Part 4 submission and utilize the survey data in the Part 4 assignment. ***

Templates and Links
Click on the links below to download and view the resources for your project.

PowerPoint Presentation Template (Links to an external site.)

Air Quality Flag Program (Links to an external site.) (website)

SBIRT (Links to an external site.) (website)

Best Practices

Please use your browser’s File setting to save or print this page.
Include your name and date on the title slide.
Check for spelling and grammar errors prior to final submission.
Use bullet points instead of long sentences or paragraphs
Include graphics, photographs, colors, and themes.
Use the rubric as a final check prior to submission to ensure all content is clearly addressed.
Scholarly Sources and Citations
Minimum of 3 references. See Presentation Instructions for references needed.
Cite all resources in APA format on the slide where content occurs. Cite in lower corner/footer as prompted on template.
Reference slide is in template. Hanging indent is not required.

Direct Care Project Part 1

Substance Use Assessment and Diagnosis Template


Maria I Perez Garcia

RN Community Health Nursing



Directions: Collect the data outlined in this template. Fill in the blanks in the tables provided. There are two parts – online data collection and a modified windshield survey data collection. You will then identify a nursing problem in a vulnerable population and write a nursing diagnosis. See the assignment directions for suggestions and best practices. For full credit, all information in a category must be completed. This will be the topic of your Assessment and Nursing Diagnosis Template and also Parts 2 through 4 of your course project.


Name: Date: May 16, 2021


Online Data Collection


1. Community Information


  Your Community Data
Name of city or town and state Miami, Florida.
Population 454, 279 in Miami.
Nature of this community (rural, suburban, urban) Urban.
Describe your community in 2-3 sentences The community is cosmopolitan, comprising of all races, social, and political classes. The community flourishes in terms of business. However, t suffers significant challenges including high levels of poverty and substance abuse.



2. Community Demographics

a. Go to

i. The US data should automatically populate

ii. Input your zip code or county/township name

iii. Then input your state for comparison data

iv. Enter the data into the table below

v. Compare the county, state, and US data


  County Data(Miami Dade) State Data(Florida) U.S. Data
Population total 2,716, 940 21,477,737 328,239,523
Male (subtract female % from 100) 48.6 48.9 49.2
Female 51.4 51.1 50.8
Persons under 5 5.8 5.3 6.0%
Persons over 65 16.7 20.9 16.5%
Race and origin data
  County Data State Data U.S. Data
White alone 79.0% 77.3% 76.3%
Black or African American alone 17.7% 16.9% 13.4%
American Indian and Alaska Native alone 0.3% 0.5% 1.3%
Asian alone 1.6% 3.0% 5.9%
Native Hawaiian and other Pacific Islander alone 0.0% 0.1% 0.2%
Two or more races 1.3% 2.2% 2.8%
Hispanic or Latino 69.4% 26.4% 18.5%
White alone, not Hispanic or Latino 12.9% 53.2% 60.1%
Significant population characteristics
  County Data State Data U.S. Data
Veterans 48, 104 1,440, 338 18,230,322
Foreign born persons 53.7% 20.7% 13.6%
Housing overview
  County Data State Data U.S. Data
Housing units 1,040,666 9,673, 682. 139,684,244
Owner-occupied housing unit rate 51.2% 65.4% 64.0%
Median selected monthly owner costs with a mortgage $1, 825 $1, 503. $ 1,595
Median selected monthly owner costs without a mortgage $ 627 $ 505 $ 500
Median value of owner-occupied housing units $289, 600 $ 215, 300 $ 217, 500
Median gross rent $1, 328   $ 1,062
Family and living arrangements
  County Data State Data U.S. Data
Households 883, 372 120, 756, 048 120, 756, 048.
Persons per household 3.00 2.65 2.62
Living in same house 1 year ago 88.0% 84.5% 85.8%
Language other than English spoken at home 74.9% 29.4% 21.6%
Computer and Internet Use
  County Data State Data U.S. Data
Households with a computer 89.9% 91.5% 90.3 %
Households with broadband internet subscription 76.9% 83.0% 82.7%
  County Data State Data U.S. Data
High school graduate or higher 81.4% 88.2% 88.0%
Bachelor’s degree or higher 29.8% 29.9% 32.1%
  County Data State Data U.S. Data
With a disability under age 65 years 5.8 % 8.6% 8.6%
Persons without health insurance under age 65 years 19.5 % 16.3% 9.5%
  County Data State Data U.S. Data
Civilian labor workforce ages 16+ 62.6% 58.5% 63.0%
Transportation-mean travel time to work (minutes) 32.8 27.8 26.9
Income and poverty
  County Data State Data U.S. Data
Median household income $51, 347 $55, 660 $ 62,843
Persons in poverty 15.7 12.7% 10.5 %



3. Community Epidemiological Data

a. Go to:

b. Click on your state

i. Start with Overall Rankings in Health Outcomes

ii. Then choose your county


**you will need to use the “+” to see all of the data**


  County Data State Data
Health Outcome Rank Healthiest N/A
Length of life rank 50% N/A
Premature death 5,200 per 100,000 7200 per 100,000
Low birth weight 8% 9%
Adult smoking 16% 15%
Adult obesity 22% 27%
Physical inactivity 23% 26%
Excessive drinking 19% 20%
Alcohol impaired deaths 22% 22%
STIs 486.8 per 100,000 499.2 per 100,000
Teen births 15 per 1,000 20 per 1,000
Drug overdose deaths 10.9 25.5%
Uninsured 20% 16%
Unemployment 2.4% 3.1%
Children in poverty 21% 18%
Violent crime 602 484
Air pollution 7.7% 7.7%
Drinker water violations No No
Long commutes 57% 42%



4. Substance Use

a. Go to:

i. Find your state and download the report.

ii. Review the report and document the following:

1. Go to Substance Use, Misuse, and Use disorders section. This will be the area that discusses those 12 and older (near end of report).

iii. Find the following percentages:

  State Average Regional Average National Average
Tobacco use 24.6% 29.0% 26.8%
Marijuana 14.6% 14.0% 16.2%
Marijuana use disorder 1.3% 1.3% 1.6%
Heroin use 0.28% 0.25% 0.30%
Misuse of prescription pain reliever 4.1% 3.9% 3.7%
Opioid use disorder 0.9% 0.8% 0.7%
Illicit drug use disorder 2.7% 2.7% 2.9%
Alcohol use disorder 4.2% 4.5% 5.3%
Substance use disorder 6.3% 6.4% 7.4%




Windshield Survey

It is recommended that you have someone drive you around your community at least 2 times, ideally at different times of day and weekend vs. weekday.

Look at the people in your community.


Did you observe:

No Yes If Yes, provide number or state “many” “some” or “few”
· *pregnant women   yes Few
· *pregnant adolescents No    
· *infants (under the age of 1 year old)   yes some
· *young children (1-5 years old)   yes many
· *school-age children (6-18 years old)   yes many
· adults (18 – 60 years old)   yes many
· *older adults (over the age of 60 years old)   yes many
· people exercising   yes some
· people driving   yes many
· people walking   yes many
· people biking   yes some
· people congregating in groups on the street   yes few
· *people that had hygiene issues or were unkempt   yes few
· people that were appropriately dressed   yes many
· people that were physically fit   yes some
· people that were obese   yes some
· *people that were undernourished, thin   yes Some
· people that appear healthy   yes Many
· *people that have obvious physical disabilities, such as those using walkers or wheelchairs   yes Few
· *people with apparent mental/emotional disabilities   yes some
· *people who appeared homeless or unemployed   yes few

*Represents vulnerable populations

Social and Economic Conditions


Did you observe:

No Yes If Yes, provide number or state “many” “some” or “few”
· housing that was run down or dilapidated   yes Few
· areas undergoing renewal   yes few
· public housing   yes some
· public transit (subway, train, buses, taxis, etc)   yes many
· transportation to health care resources   yes many
· landfills   yes few
· restaurants   yes man
· any political signs   yes many
· any evidence of health education on billboards, advertisements, or signs   yes many
· any efforts to improve the neighborhood’s health such as advertisements for health-related events, health fares, clinics, or lectures   yes some
· any group efforts in the neighborhood to improve the living conditions or the neighborhood   yes few
· churches, synagogues, and other places of worship   yes many




Health Resources


Did you observe:

No Yes If Yes, provide number or state “many” “some” or “few”
· hospitals   yes many
· community clinics   yes some
· family planning clinics   yes About three
· generalist doctors   yes some
· dentist offices   yes some
· pharmacies   yes many
· urgent care clinics   yes About 2
· skilled nursing facilities   yes some
· mental health or counselling clinics   yes some
· homeless or abuse shelters   Yes some
· public health department office   yes some
· substance abuse treatment center   yes some
· alternative medicine practices, botanicals, or herbal medicine shops No    

Answer the following question:


If some of the above health resources were not observed, approximately how far away would a person need to travel to find these resources?








Environmental Conditions


Did you observe:

No Yes If Yes, provide number or state “many” “some” or “few”
· evidence of anything that might make you suspicious of ground, water, or air pollutants   Yes Few
· poor road conditions with potholes, or poor drainage No    
· adequate traffic lights, signs, sidewalks, and curbs   Yes Many
· railroad crossings fitted with warnings and barriers   Yes Many
· streets and parking lots well lit   Yes Many
· handicapped access to buildings, sidewalks, and streets   Yes Some
· recreational facilities, playgrounds, and/or facilities like the YMCA   Yes Many
· children playing in the streets, alleys, yards, or parks   Yes Many
· evidence of nuisances such as ants, flies, mosquitoes, or rodents, or stray animals observed No    




Identify a nursing problem based on your data and observations. The problem must be related to substance use. Example: Alcohol use



Problem Identification: Tobacco use.


Vulnerable Population

Identify the vulnerable population that is most impacted by this problem. Example: Adolescents



Vulnerable Population Identification: Youth





Write a nursing diagnosis based on your problem from above. Fill in the blanks below.


Example: Increased risk for alcohol use among adolescents related to lack of sufficient knowledge about the long and short-term impacts demonstrated in increased county data compared to state/national averages.


*See chapter 6 in the Nies and McEwen (2019) textbook for more examples of composing a community health nursing diagnosis.



Nursing Diagnosis: Increased risk of Tobacco use among the youth related inadequate knowledge about the side effects and ease of tobacco availability in the area as demonstrated in the high state average of tobacco use.












Substance Abuse and Mental Health Services Administration (SAMHSA). (2020). Behavioral health barometer, volume 6

County Health Rankings and Roadmaps. (2018). Explore rankings.

U.S. Census Bureau. (2018). State and county QuickFacts.




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