blocks on the template by continuing to type within each section. Use as much space as necessary to provide your answers. Introduction : Purpose of the paper, synopsis of community, two CHN diagnoses with supporting evidence, for example, observations, reports from Key Informants and Statistical data. Remember to cite sources as appropriate. Based on the 2 CHN Diagnoses you developed in Assignment 2 or modified, select ONE problem and develop a CH Nursing intervention. Remember to cite sources as appropriate. 1. CHN Diagnosis /Problem you selected: 29

2. Why did you select this problem? Provide your rational for selecting this problem in 1-2 comprehensive paragraphs (Consider the problem priority criterion on page 417 Box 18-5). Provide supporting community and scientific/authoritative evidence, for example, Healthy People 2020 , CDC, AHA, other. Remember to cite sources as appropriate. 3. Identify two (2) Goals. For example, goals indicate where you want to go. Then, identify two to three (2-3) objectives per goal . For example, objectives should indicate how you plan to get there, or how you plan to accomplish the goal(s). Goal 1 : 1. Objective: 2. Objective: 3. Objective: Goal 2: 1. Objective: 2. Objective: 3. Objective: 4. Intervention Objectives Timeline 30

Present Date Objective( Number and Statement) Anticipated Completion Date Enter Date Ex. Eighty-percent (80%) of infants seen by health department, neighborhood health center, and private physicians will have developmental levels assessed. Enter Date 5. Plan of Intervention and Evaluation Date Intervention Activities Responsible Agency/Person Evaluation Measures Target Date of Completion Enter start date. Ex. Community Health Nurse identifies and trains lay advisors in community as case finders Ex. Community Health Nurse (CHN) Ex. • Lay advisors will be able to verbally describe case-finding methods to CHN • Number of new WIC cases will be tracked by CHN on monthly basis for 1 year to determine if goal of 80% has been met Ex. Lay advisor training completed by enter date of estimated completion. Summary/Conclusion: Summarize your assessment findings, your proposed community health nursing intervention, and the community public health outcomes that you anticipate as a result of the intervention. This can be one or two brief paragraphs. Remember to cite sources as appropriate. 31