Community and Public Health Nursing Diagnosis


Community and public health diagnosis involves identification of different health concerns within a community and drawing critical intervention strategies that accommodate different cultural and social dynamics of assessment group. Family health diagnosis aims to address the identified health concerns in the order of priorities and appropriateness of the intervention mechanisms. This analytical paper attempts to carry out a comprehensive family nursing diagnosis for the LJH family community. The diagnosis will incorporate nursing theories, legal and social considerations, family structures, Healthy People 2020 LHI, and resources used in diagnosis and interventions.

Summary of the family assessment

The LJF family community falls within the vulnerable members of the society. Mr. LJF and Mrs. LJF are aged patients with hypertension and stroke ailments. Their only daughter has cancer and is scheduled for a vigorous treatment therapy. Their only son is alcoholic and is likely to be more stressed up with his new responsibility of taking care of the ailing parents. Despite existence of the aged care center, youth center, and several hospitals in the region, the family cannot afford these services. From the assessment, it is apparent that the family is in dire need for counseling support, medical support, and social support in order to cope up with stress, hypertension, cancer, and alcohol addiction.

As indicated in the Watson’s theory of human caring, the LJH family community has both normative and comparative needs. For instance, each individual in the community assessment group has unique medical and psychological needs which are not accommodated by the health and social support centers within the community. In fact, direct nursing intervention as proposed by the theory will ensure that the normative and comparative needs are addressed in a sustainable manner within the acceptable ethics of nursing (Kulbok, Thatcher, Park, & Meszaros, 2012).

Linking each diagnosis to Healthy People 2020 LHI

The diagnoses such as counseling support, medical and therapeutic support, and social support can be linked to health care accessibility indicator within the Healthy People 2020. Since the above health concerns are affected by the elements of quality and reliability of health care services, the health care accessibility indicator will establish the actual urgency of each diagnosis (Healthy People 2020, 2013).

Potential intervention for each diagnosis within the health care accessibility indicator

Medical support: Apparently, the members of the assessment community lack medical support despite existence of several health care centers within the assessment region. The health care centers do not have programs to support those without health care insurance. The senior members of the LJH family community have to survive without proper medical attention. The children of the family community also do not have medical insurance or guarantee from the local medical centers. There is need to establish a social trust for providing medical services to the poor at subsidized costs within the average income of households in the community (Healthy People 2020, 2013).

Counseling support: From the above community assessment, it is apparent that there social and youth service centers that do not have the capacity to offer counseling services to the family community. The lack of capacity has made the health care accessibility a challenge within the assessment community. The center should introduce stronger programs and structures within the youth, aged, and social centers to offer counseling services to the community in the form of emotional, and psychological counseling. This will go a long way in emotional needs for those suffering from different medical concerns (Healthy People 2020, 2013).

Social support: The current structures within the local community health structures of the assessment family community do not have support services for emotional and physical assistance. The community does not have a strong community volunteers program to facilitate the needs of the LJH family community. Therefore, there is need to establish a volunteer program to offer emotional and physical support to the LJH family community (Healthy People 2020, 2013).

Three legal and ethical considerations and potential actions/solutions

In community health diagnosis, ethics refers to a set of rules guiding the conduct of medical intervention personnel. Legal considerations refer to a set of rules which are drawn and implemented by the supreme authority in a geographical region. The three ethical and legal considerations in this diagnosis include professionalism, client rights, and societal obligations. There is need to adopt an utmost professional approach in providing the required community health interventions in the form of counseling, social, and medical support. This will ensure that the partnership between the medical personnel and the targeted community is mutually beneficial (Kulbok et al. 2012).

When advocating for the family partnerships in intervention mechanisms, it is healthy to observe the client rights such as privacy, auth of secrecy and humane treatment. Lastly, the health care personnel must observe the societal obligations such as religion, cultural beliefs, and social orientation to gain acceptance from the LHJ family community. The level of acceptance will be instrumental in measuring the success of diagnoses and intervention (Fielding & Briss, 2006).

Since the LJH family consists of members from two age groups, family structure and roles affect the family’s health in that the children have to cope with pressure of taking care of their ailing parents, despite having own health concerns. The children cannot afford health care for their parents and must take the role of nurses in the home-base care. The unique family values in the LJH family community are responsibility and traditions.

For instance, the children have the responsibility of taking care of the ailing parents at home. The family has a closed traditional orientation where each member must fit within the needs of others. These values will positively affect the interventions since the community nursing personnel will have an easy time in allocating duties to the family members when executing the intervention programs (Fielding & Briss, 2006).

Resources/topics for family’s health education and their significance

In order to successfully implement the proposed intervention programs for the identified health concerns within the LJH family community, the main resources needed include community assessment data, relevant nursing support kit, authority consent document, and human volunteer personnel. The topics to be discussed include prevalence of the identified health concerns, effective home-base strategies, relevant emotional and physical support, and success measurement mechanisms. These resources will be significant in planning, execution, and assessment of the proposed intervention programs for the LJH family community (Fielding & Briss, 2006).


Community nursing diagnosis is a significant aspect in designing appropriate, acceptable, and sustainable intervention programs. From the above health diagnosis of the LJH family community, the diagnosis reveals the need for social, medical and counseling support programs to enable this community to survive alcoholism, cancer, and hypertension.


Fielding, J., & Briss, P. (2006). Promoting evidence-based public health policy: Can we have better evidence and more action? Health Affairs Journal, 25(4), 969-978.

Healthy People 2020. (2013). Healthy People 2020 standards. Web.

Kulbok, P., Thatcher, E., Park, E., & Meszaros, P. (2012). Evolving public health nursing roles: Focus on community participatory health promotion and prevention. The Online Journal of the American Nurses Association, 17(2), 12-38.