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Population Health Nursing

Respond to these Discussion prompts:
Choose one or two commercial blocks near your home or employer (look for a commercial block near to HCA Florida Mercy Hospital) and list the food outlets (stores and restaurants) on these blocks. Include all stores that sell food, even if they are not grocery stores or restaurants. If there are food trucks or sidewalk stands that sell food regularly, include these as well.
• Which outlets should be considered “healthy” or “unhealthy” and why?
• Based on the research described in the case study, what local policies (if any) would you recommend to make this micro-food environment more supportive of healthy eating?
• Apply this content in your practice this week by actually doing an assessment with a patient, client, or co-worker. Assess any food insecurity or healthy food access issues that may impact their health. What strategies did you use (or could use) with your clients (or coworkers if you do not work in direct client care) to promote a healthy intake?

Full Answer Section

- La Carreta (Hospital cafeteria) - limited access for non-hospital visitors
- Baptist Health Doctors Hospital Cafeteria (limited access for non-hospital visitors)
- Pollo Tropical (Latin Fast Food)
- Chevron (Gas station with convenience store selling snacks)

Healthy vs. Unhealthy Outlets:

Healthy:Publix Supermarket offers a wide variety of fresh produce, lean proteins, and whole grains. The fruit stand (seasonal) provides fresh fruits and vegetables.
Unhealthy:Subway can be healthy with the right choices, but many options are high in sodium and bread. Taco Bell, McDonald's, Pollo Tropical, and the convenience store at Chevron typically offer fast food which is often high in calories, unhealthy fats, sodium, and sugar.

Policy Recommendations for a Healthier Environment:

Incentives for healthy grocery stores:Provide tax breaks or subsidies to attract grocery stores with a focus on fresh produce and healthy options.
Zoning regulations:Encourage development of mixed-use areas with restaurants offering healthy choices alongside grocery stores.
Restrictions on fast food establishments:Consider limitations on the number of fast-food restaurants allowed in the area.
Farmers market support:Facilitate a farmers market to increase access to fresh, local produce.

Sample Assessment: Client: John, a co-worker at a nearby office. Assessment: During a casual conversation, you learn John often eats fast food for lunch due to a busy schedule and limited access to healthy options near his workplace. Strategies:

Provide information:Share the location of Publix supermarket and suggest meal prepping healthy options for the week.
Encourage shared lunches:Suggest taking turns bringing healthy potluck lunches to the office.
Promote healthy eating apps:Recommend apps that help find healthy restaurants or plan meals.

Remember:

These are just examples. A full assessment would consider factors like income, cooking skills, and access to transportation.
There are limitations when working with co-workers, so focus on education and encouragement.

Overall: While there are some healthy options available, the fast-food options dominate the commercial blocks near HCA Florida Mercy Hospital. Local policy changes and individual strategies can contribute to a more supportive environment for healthy eating.

Sample Answer

Food Environment near HCA Florida Mercy Hospital

Commercial Blocks:

South Dixie Highway & Mercy Drive:
- Publix Supermarket
- Subway
- Taco Bell
- McDonald's
- Walgreens (has a limited grocery section)
- Fruit Stand (seasonal)
Le Jeune Road & Alhambra Street: