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Your name:
Jessica Listman-Ward

Event date September 27, 2014

Community or population of interest:

I will be working in my local community of Chestertown, MD. I will be focusing on Alzheimers disease
and those at risk for the disease. This is a very serious disease that affects 5.1 million Americans and is
steadily on the rise (Alzheimers Association, 2014).

Review of literature and health outcomes data:

This disease is the 6th leading cause of death in the United States (Alzheimers Association, 2014). This
just proves that this disease is on the rise and needs to be brought to the forefront. The Alzheimers
Association website also has statistics for each state. In the state of Maryland 97,000 people over the
age of 65 have Alzheimers disease (Alzheimers Foundation, 2014). Just to put it in perspective every
67 seconds someone in United States develops Alzheimers (Alzheimers Association, 2014).

Your selected health concern focus:

I will be focusing on the possible pre-existing conditions that may be linked to the disease. One of the
problems that I have noticed is that there seems to be a correlation between cardiovascular disorders
and Alzheimers (Alzheimers Foundation, 2014). If we can address the risk factors for Alzheimers in
relation to cardiovascular disease, then we might be able to reduce the prevalence of the disease in the
community. I live in a rural area where many are farmer or laborers. They tend to be set in their ways
and only see the doctor when necessary. We also tend to get a lot of farm hands that are of Latino
and/or Hispanic descent. The community population is at risk for heart disease and cardiovascular


disorders. If we can reach out and educate them, we might be able to help them reduce one of the risk
factors for the disease.
A study completed in 2011, illustrated that there is a link between cognitive impairment and the
progression to Alzheimer disease as it related to cardiovascular disorders. This study showed that
patients who had chronic medical conditions like hypertension, diabetes, and hypercholesterolemia that
were being treated and/or untreated were at greater risk for developing Alzheimers disease (Li, J.,
Wang, Y., Zhang, M., Xu, Z., Gao, C., Fang, C., et al., 2011, 1490). This research supports the need for
additional education to the public.
Three possible nursing interventions:
Three possible nursing interventions include:
1. Creating a support group for those who have the disease and those with family that have the
2. Educating all patients about reducing their risks because they have hypertension, diabetes, and
3. Encourage awareness of the disease to reduce caregiver role strain which can cause stress, etc.

Your selected nursing intervention:

Ive decided to focus on education since this is one of my favorite parts of nursing. I also believe that
knowledge is power. If we can teach people the importance of maintaining a healthy lifestyle this can
go a long way. I would like to educate the Dept. of Health staff by the end of November. They are one
of best resources since they come in to contact with a variety of patients. My long term goal is to
educate everyone that will be involved in the walk/run event so that they can spread the word. This will
not be done this year, but I hope that over the course of the next year I will be able to work with the
event staff.

Brief plan for conducting nursing intervention:

I cant do this all alone so I have created a support system to help get the word out and educate
everyone. I have talked to the hospital and will be working with the nurses and staff there to create
awareness of the disease. I am in the process of creating flyers that will be used at the Dept. of Health
where I am doing my community nursing hours. They were thrilled to learn that I am taking an active
role in community nursing. These flyers will focus on the importance of reducing your risk for the
disease. I have also spoken to some of the local doctors who are willing to place the flyer in their office.
They will be taking a more proactive role in educating their patients. I have also spoken to the nurses at
the Dept. of Health and they are willing to educate the patients that use the clinic. The blood pressure
screenings will also include the importance of reducing the risk for Alzheimers. The hospital has a
diabetes education class and they will be educating their patients and families on this risk factor.



Alzheimers Association. (2014). Latest Facts & Figures Report. Retrieved September
24, 2014, from
Alzheimers Foundation of America. (2014, June 5). Alzheimers Foundation of
America. Retrieved September 25, 2014, from
Li, J., Wang, Y., Zhang, M., Xu, Z., Gao, C., Fang, C., Yan, J., Zhou, H., (2011).
Vascular risk factors promote conversion from mild congnitive impairment
to Alzheimer disease. The Official Journal of the American Academy of
Neurology, 76(17), 1485-1491. Retrieved September 25, 2014, from