Windshield Survey
N4465 Care of Vulnerable Populations COMMUNITY ASSESSMENT, ANALYSIS, and NURSING INTERVENTION Modules 1-3 (Weeks 1 3) Assignment Template Student Name Emily Scott Dates 08/15/20114 Name of Community or Zip Code 63101 Module One (Week One) Part One Windshield Survey and Key Informant Interviews -The age of the condo building I live in was built in 1907 -Type of construction used are, steel, concrete, dry wall, and plaster, wood. -The appearance is a 16 floor tall building, white in color shaped in the form of a rectangle. -The general condition of the building is refurbished with new added condos and upgrades to all exiting condos as well as new ones. -Most business people from the nearby businesses, such banks, urgent care
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and other businesses in the area. As well college students from St. Louis college and Washington University. -The hours vary on the week days, but on the weekends from Saturday to Sunday are from 12pm noon to 4am. -There is new and ongoing construction near the St. Louis Arch area as the city has removed part of the I70 bridge to convert a straight away national park leading the Arch from the down town area. This will prevent tourist from have to cross the freeway and waiting at a stop light. There are also construction the most of the city streets in the area. -All areas in the down town area are kept clean at all times -Due to the high presence of St. Louis Police patrolling in cars, bike and on foot prevents any dirt, trash or graffiti in the down town area. -The majority of racial group represented in the area are 85 whites, 10 Blacks and 5 Other -The cultural similarities or differences Ive observe are all western influenced. -Primary languages spoken is English, however I have heard some Turkish, Korean, and Spanish. -Clothing is primarily casual to business dress in the area -Ethnic eating places are western style, Irish, Greek and Turkish style foods and restaurants -The only culturally based celebration Ive witness in the down town area has been Cinco De Mile. -All signs are in English -Ive witness most individuals wearing proper head gear when operating bikes and other two wheels devices. -The use of seat belts while operating a car in St. Louis is the law. -The use of trash cans for garbage is find if not used -The unhealthy lifestyle behaviors I have observed has been centered around the homeless that also share the area -I have witness individuals smoking in public area only -I have not seen any signs of violence, gang activity, drug use not criminal activity. NO bars on doors and/or windows -I have not seen any signs of unattended children playing in the streets as I live in the down town area St. Louis. -Ive seen evidence of obesity in the area but really no underweight person - Persons observed have been primarily Blacks and Whites. Ages appear to be between 2mo -70 years of age -Person observed also appears to be in poor health due to no health care, lack of enough food and poor hygiene. Services in the Community -There are many social services in the area provided by the city and government. Such as homeless shelters, clothing and food closets. Shower points for the homeless, County general assistant offices and much more. -There is evidence of health, and mental health services in the area due to the homelessness in the area. -Such services are provided by St. Patrick, local churches all located in the central down town area. There is an urgent care located in the area as well who caters the homeless population. -There is no sign of alternative services in the area that Im aware from my research. -There are two public libraries one is the old post office which is only 1 block from my resident, the second is the main library due east of me, which is 4 blocks from my resident. -The closest school would be Gateway middle school, Gateway high school Clarks middle school and Humboldt elementary, all less than a 5 mile radius -The closet universities are St. Louis University, Washington University, Missouri State University and Webster University again within a 5-8 mile radius -There is only on community college close to the area and that is St. Louis Community College located 4 miles from the down town area -There are other colleges locations in the area, however these are considered nontraditional or online based school located in 3-6 mile radius -All churches offer morning and evening services, food and clothing, day care and summer camps. -Some offer marriage counseling, male and female support groups and AA classes as well. Business Industry Describe stores and shops available in the community, e.g., grocery stores, gas stations, department stores. What type of business climate exists Manufactures Light or heavy industry Large employers Small business owners Retail Hospitality industry Do people have to seek employment elsewhere Is this considered a bedroom community- where people work outside this community but live here -Store varies from community grocery store which has the same as any other grocery store you may be use to going. -Gas stations are the same everywhere with mini marts attached. -The business climate are mixed in the area -Manufactures in the area include the Bud Light beer company, Scrap Metal Yards which are to two main manufactures in the area closest to me. They are also the largest employers as well in the area -There was a book store less than 1 block for me, however the owner closed his doors. Other small business owners are smoke shops, clothing and beauty supply store with in a 5 block radius. -Hospitality industry in my area include the Renaissance Hotel, The Westin, Omni, The Embassy suites, Hyatt regency and the Residence Inn, The Sheraton, Hilton and also the Crowne Plaza -I am unsure if people seek employment elsewhere this is not considered a bedroom community. PoliticsWhat indicators do you see about politics Posters Headquarters -The only indication of politics seen in my area are seen when walking near the county court buildings in the down town area. Other than this, there are no posters hanging up in the area. All other indications are only seen on TV or read in the local news paper. MediaDo you see indicators of what people read Listen to the radio Watch TV Are there any signs of media language other than English -I do not, nor have Ive seen any indicators of this topic Key InformantsInterview a fireman or police office. -I have interviewed a fireman who feels that I stay in one of the safest area, where response is immediate Also interview a librarian, school teacher, instructor or administrator. -I have interviewed a librarian concerning the importance of public support for their doors staying open. She believes with so many books offered online, the public library with become a thing of the past. Analysis of Windshield SurveyAnalyze and summarize your observations and the input from key informants. Write a 2 paragraph summary of community health and safety issues for this community and strengthens of the community. Based on my observations of my community and input from professional individuals I have interviewed, concerns such as community health and safety are major issues in the Saint Louis, Missouri down town area. One of the biggest concerns is the increase of homelessness in the down town area. Per conversation with fire fighter Dyrle Wilson who is part of fire house 8 and a paramedic for the fire department states that with the increase of homeless individuals on the streets brings a boat load of health and safety concerns. When asked for Mr. Wilson to explain, he stated That the health issues were related to most of the homeless population, which he has been called to provide medical aid to. He also stated that most are dependent on drugs, most common alcohol. For the most part these homeless individuals have been living on the streets for years with not much food, clothing or medical attention. This not only is a growing concern for the individuals health, but safety for the persons providing aid to such persons. Without a clear understanding of the individual health issues or drug dependency it may be harmful to render aid to such persons without the fear of knowing if the individual uses drugs by way of injections, creating a fear of contracting aids, or if the individual will be combative due to the use of alcohol. As the homelessness continues to grow it has also caused a growing concern for business owners in the area. Some of the main concerns are loitering, pan handling and theft. Most business owners believe that their customers and business image are most affective by these people. Although the homelessness issue is a concern, the city of Saint Louis has begun to provide resources to aid with food, clothing, bathing, free healthcare and housing. One such resource center is the Saint Patrick Center which helps with all of the above. However the primary function, first and foremost for Saint Patrick is to find housing for the homeless. Through free educational programs most homeless individuals are able to secure jobs thus making it possible to obtain healthcare as well. Also by using the train the trainer method once homeless individuals are able to reach out and help other homeless persons to secure the same means in which they have achieved themselves. This is due to the fact that they once were in the shoes of the very person they are now helping. With everyone from city to government officials to communities helping to raise funds to keep such programs going shows the strength of the community and nation. Grade 88. Overall, you did a nice job. Need to cite personal interviews using proper apa formatplease see comments. Module 2 (Week 2) Part Two Statistical Analysis of Community Health Problem Please complete the following information on this template. Make sure you are using the template that has your coachs feedback from Week 1 otherwise 10 points will be taken off from this assignment. You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers Name of Community or Zip Code Demographics Total population age distribution gender distribution family characteristics (single parent, multi-family, etc.). Remember compare objective data for your community with local (city), state, and national data. -Total population between 2010 to 2013 is 318,416 for the county and 6,044,171 for the state of Missouri -Gender distribution The Asian at 2.9, Black 49.2, Whites 43.9, Hispanic/Latino 3.5, American Indians/Alaska Native 0.3 and White only not Hispanic or Latino 42.2. These percentage are solely based off the 2010 Census report for Saint Louis County Population decreased at a rate of , -(0.3) for county and 0.9 for the state of Missouri year 2013. - The percentage of other than English spoken in the home has been recorded as 9.3, county and 3.9 for state. The rest of households in Missouri speaks English at home. It is not clear to me at this time if Missouris population is projected to grow by 2014 or beyond, based off the current decreased recorded for year 2013.In the younger age groups persons under 5 year of age the percentage is 6.2 for county and 6.3 for state. For persons under 18 years of age the percentage is 23.1 county and 23.3 state Persons 65 year and over are 15.0 county and 14.1 state. Female persons were recorded at 51.0 county and 50.8 state. All percentages are based on the year 2013 as well substantial decrease in the older age groups. These changes will influence the overall age composition of the state. AGE- Population statistics (St. Louis County) Under 15 years 16.1, 5 - 24 years 16 25 - 44 years 22.4 45 - 64 years 29.4 65 and older 15.8 -Gender Distribution The overall gender distribution for St. Louis County in 2013 was 51 female, 49 male. Variations appear when the data are viewed by age range Age Range Male Female Under 15 49 51 15 to 24 52.3 47.7 25 to 44 51.8 48.2 45 to 64 50.6 49.4 65 and older 43.2 56.8 Family Characteristics (single parent, multi-family, etc) Housing Unit for 2013, 2,719,001 county, 132,802,859 state. -Living in same house 1 year over, percent, reported must recent years 2008-2012 were 78.0 county and 87.2 state. -Housing units for 2010, 176,002 county, 2,712,729 state. -Housing units in multi-unit structures for 2008-2012, 52.9 county, 19.7 state -Households, 2008-2012, 139,840 county, 2,358,270 state -Person per household 2008-2012, 2.20 county, 2.46 state Employment -According to 2006-2013 American Community Survey estimates, 53.3 of the population 16 years of age and over in St. Louis County were employed. For current, quarterly unemployment data, visit the Missouri Department of Employment of Economic Development. -Employment and lack of employment influence a variety of social and health risks, including access to health care insurance and physical and psychological needs. For example, individuals in office-based occupations are at risk for repetitive stress injuries and musculoskeletal disorders due to the sedentary nature of this work -Individuals who are unemployed or experience job insecurity may face health risks such as increased blood pressure and stress. Racial/Ethnic Characteristics Remember compare objective data for your community with local (city), state, and national data. -Gender distribution The Asian at 2.9, Black 49.2, Whites 43.9, Hispanic/Latino 3.5, American Indians/Alaska Native 0.3 and White only not Hispanic or Latino 42.2. These percentage are solely based off the 2010 Census report for Saint Louis County Population decreased at a rate of , -(0.3) for county and 0.9 for the state of Missouri year 2013. Economy poverty rate, unemployment rates, median income. Remember compare objective data for your community with local (city), state, and national data. -Income level influences an individuals access to health insurance and health care. Rates of uninsured can be difficult to measure. Wide variability across racial and ethnic groups exists. Historically, white populations have been the most likely to be insured and Hispanic/Latino populations have been the least likely to be insured. -Income level is also used to determine poverty status, which can determine eligibility for various assistance programs. Poverty status is based on a minimum level of income necessary to achieve an adequate standard of living. Poverty is on the rise in Missouri. According to federal poverty guidelines, the poverty threshold in Missouri in 2012 equaled 23,050 for a family of four. Families whose income falls near or below this amount may be eligible for medical assistance and other social service programs. -Median Income per capita money income in the past 12 months (2012 Dollars) 22,551 county, 25,546 state -Person below poverty level, percent, 2008-2012, 27.0 county, 15.0 state. Education High school completion rates higher education statistics. Remember compare objective data for your community with local (city), state, and national data. -The number of high school graduates in Missouri is projected to decline from 65,073 in 2010 to 59,727 by 2017. From 2017 to 2023 the number of graduates is expected to increase slightly, but will remain below the 2010 number of graduates. As Missouris population continues to become more diverse, students of color will comprise a larger share of high school graduates in the future. The percentage of nonwhite graduates is projected to grow from 16 in 2010 to 23 of all graduates in 2023. For all races, St. Louis County data indicate a higher percentage of individuals receiving at least a high school diploma, 30.5 compared with state level rates of 27.8. Attainment of a Bachelors degree in St. Louis County, at a rate of 17.6, was lower than state level rates of 21.3. All above information was resourced from the following web site listed below HYPERLINK http//www.culturecareconnection.org/documents/StLouisCounty http//www.culturecareconnection.org/documents/StLouisCounty Identify two Morbidity and Mortality/Risk Problems (Based on your observations from Week 1 subjective assignment, windshield survey and key informants provide Morbidity, Mortality (MM) and risk data for your community Example 1 if you observed obesity in your community then present obesity rates and health conditions associated with obesity i.e. CVD, HD, Depression, etc.). Example 2 smoking/drinking rates and health conditions associated with smoking i.e. Lung Cancer, COPD, etc. These variables may include the following gender (who does this problem affect the most, men or women) age distribution ethnicity or racial group(s) mostly-affected morbidity and mortality rates any data related to life-expectancy in light of the health issues is there a geographic area where the health problems mainly exist is there a relationship between the health issue(s) and environmental health hazards are these life-threatening health issues Remember compare objective data for your community with local (city), state, and national data. Homelessness Morbidity -Health status data concerning Homelessness and factors contributing to the incidence of disease drug abuse and depression revealed the following Homelessness Morbidity A need exists for increased efforts to provide health care, housing and resource centers in the general population, as well as an awareness of homelessness trends in populations of color. -Another Morbidity of concern is the vast majority of smokers in the city limits. -Behaviorial risk factors, such as use of alcohol and tobacco, diet, exercise, and preventive health practices play an important role in determining a persons overall health status. Control over such factors can reduce a persons risk for illness, disease, and premature death According to the latest available data from the Missouri Department of Health (2009), St. Louis County residents are at higher risk for behavioral factor such as hypertension than any other areas in general. In Missouri, the top three behavioral risk factors are obesity, hypertension and binge drinking. HYPERLINK http//www.culturecareconnection.org/documents/StLouisCounty http//www.culturecareconnection.org/documents/StLouisCounty Other data as needed (air, water quality, crimes rates) Crime Rate -Estimated in Missouri Crime rate per 100,000 population, Violent Crime, 2011-2012 2011 Population Violent Murder Forcible rape Robber Aggravated Assault 6,008,984 447.5 6.1 24.4 104.4 312.5 2012 6,021,988 6.5 6.5 25.1 96.0 323.4 National 2011 311,587,816 387.1 4.7 27.0 113.9 241.5 2012 313,914,040 386.9 4.7 26.9 112.9 242.3 HYPERLINK http//www.ucrdatatool.gov/Search/Crime/State/RunCrimeStatebyState.cfm http//www.ucrdatatool.gov/Search/Crime/State/RunCrimeStatebyState.cfm Air and Water Quality for Saint Louis, Missouri zip 63101, Data from 2006-2008 -Current finding are 68.7 Moderate Air Quality Water Quality -I was not able to get this information at the time of my research due to a web site error code of 404. HYPERLINK http//www.epa.gov/myenv/myenview2.htmlminx-90.21621miny38.62284maxx-90.16857maxy38.63994ve14,38.63136,-90.19237pSearch63101,20MO http//www.epa.gov/myenv/myenview2.htmlminx-90.21621miny38.62284maxx-90.16857maxy38.63994ve14,38.63136,-90.19237pSearch63101,20MO Analysis of Data Based on your subjective and objective review of your findings what conclusions have you arrived at What impressions from your subjective observations were unfounded/invalid Given the objective data, what impressions were validated/substantiated My objective date was not only based off the interviews conducted, but researched using various websites to validated and substantiate my proof. The impressions were taken from the most current 20122013 census report. What cause-and-effect relationships did you discover/identify As stated before, all cause and effect were solely due to the high poverty in the state relating to poor healthcare. Problem Analysis for Community/Zip Code Problem List two problems within your community (i.e. Infant Malnutrition, CVD, Lung Cancer, Obesity, Alcoholism, Violence) NOTE These problems need to be something the Community Health Nurse can impact (i.e. A CHN cannot build a sidewalk, repair a street, implement a new bus route, etc.) Homelessness_______________________________ Smoking____________________________________ Select one of these problems and complete the Problem Analysis chart Problem CorrelatesRelationship of Correlate to ProblemData Supportive of Relationship Smoking/second hand smoke/Lung CancerLarge number of restaurants and areas downtown that are not smoke-free as well as several tobacco bars/smoke shopAlmost every restaurant downtown has smoking available which cause health risk to those who smoke and those who do not have to dal with second hand smoke. Downtown community stay crowded and someone is alwaysThese are factors that contribute to problem and outcomes. Refer to appropriate sections of the database and relevant research of the findings in current literature. Data in the third column could be local, state, or national statistics. Refer to text (pg. 420-423) for additional examples. Community Health Nursing Diagnoses Based on your subjective and objective assessment findings above for both Weeks 1 and 2, write TWO priority community health nursing diagnoses. You must use this format as outlined in your text page 413 (do NOT use NANDA) Health Risk/problem of (specific injury, illness, or potential of, complication of, etc) among (specific population) related to (supporting evidence from your assessment findings). Your CHN Dx MUST be something that a community/public health nurse can do something about. See example below. Note Poverty is NOT a CHN dx Remember do NOT use NANDA Nursing Dx For example Risk of asthma complications among children in SE Dallas County related to observations of overcrowded living conditions, lack of public transportation (may result in inability to access health care), high number of animals observed living in homes, poverty indications (may result in lack of access to medications).
Community Health Nursing Diagnoses 1 Risk of spread of infections disease like Hepatitis, among the homeless community, related to the large homeless people population being drug users and sharing needles and not having the ability to obtain clean needles. Saint Louis has a large population of people with some form of hepatitis. Community Health Nursing Diagnoses 2 Risk for malnutrition, among the homeless community, related to the large population of homeless population seen getting food out of the local restaurants trash cans, as well as digging out of the trash cans on almost every corner. There are several homeless shelters, however the overwhelming homeless population in my community makes it difficult for the shelters to adequately feed everyone. Reference Module 3 (Week 3) Part Three Community Health Nursing Intervention Directions Please complete the following information on this template. Make sure you are using the template that has your coachs feedback from Weeks 1 and 2 otherwise 10 points will be taken off from this assignment. You may increase …show more content…
the size of the block by continuing to type. Use as much space as necessary to provide your answers Introduction Purpose of the paper, synopsis of community, two CHN dx with supporting evidence (i.e. Observations, reports from Key Informants and Statistical data) Based on the 2 CHN Dx you developed in Assignment 2 or modified, select ONE problem and develop a CH Nursing intervention CHN Dx/Problem you selected Why did you select this problem Provide your rational for selecting this problems in 1-2 comprehensive paragraphs (Consider the problem priority criterion on page 415 Box 18-7).
Provide supporting community and scientific/authority evidence (i.e. Healthy People 2020, CFC, AHA, etc.) for this Dx Two Goals (i.e. goals are where you want to go) and two to three Objectives (i.e. how you will get there) per goal of Community Health Nursing Intervention Goal 1 Objective Objective Objective Goal 2 Objective Objective Objective Intervention Objectives Timeline Present DateObjective( Number and Statement)Anticipated Competition DateEx. August 2014 Ex. Eighty-percent (80) of infants seen by health department, neighborhood health center, and private physicians will have developmental levels assessed,Ex. August 2015Refer to text (pg. 420-423) for additional examples. Plan of Intervention and Evaluation Date Intervention Activities Responsible Agency/PersonEvaluation MeasuresTarget Date of CompletionEx. 8/11/14Ex. 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 metEx. Lay advisor training completed by 10/17/2014Refer
to text (pg. 420-423) for additional examples. 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. Reference What about other buildings/homes in the area besides the one you live in (-1) (-0.5) (-0.5) Is this what you saw or did you find this in a source If so, need to cite. fined Nice details Need to cite personal interviews using correct apa format (-10) Need to cite correctly tucn/z91UxL3S,humlAGD9_2puop9AsjvPXSUy_wu/UIOOM.Z Qwu FxD_iNvksGgSO,la(EEPdhD4qZ67v_bNk7nTc2SjLu_I0U5cz98PEO8nqLt ,u,vAGQY0_W gsSa4i23(GgzyWe T8RR7J-mMvml6nX z.GS qas2S4u.nLTJLDvwD gxz 27uQS7eYuTtfmPbtx 9V-wal AerRgMHa9/cw--MGYnMZ83k37_4t4Yy)quowol 4nqaTy8Ljg6ndhyiMllnOiAybkvjK/WWZZyVOuDO-FQvFGvTj6eMGG36Su(Zp Cjgs@CxenVonNnMDt-6Fsye1clR 3Mp0iJ6sIhj Qv f/ iHjEUE 4zVpoHVFP b_PVr
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and other businesses in the area. As well college students from St. Louis college and Washington University. -The hours vary on the week days, but on the weekends from Saturday to Sunday are from 12pm noon to 4am. -There is new and ongoing construction near the St. Louis Arch area as the city has removed part of the I70 bridge to convert a straight away national park leading the Arch from the down town area. This will prevent tourist from have to cross the freeway and waiting at a stop light. There are also construction the most of the city streets in the area. -All areas in the down town area are kept clean at all times -Due to the high presence of St. Louis Police patrolling in cars, bike and on foot prevents any dirt, trash or graffiti in the down town area. -The majority of racial group represented in the area are 85 whites, 10 Blacks and 5 Other -The cultural similarities or differences Ive observe are all western influenced. -Primary languages spoken is English, however I have heard some Turkish, Korean, and Spanish. -Clothing is primarily casual to business dress in the area -Ethnic eating places are western style, Irish, Greek and Turkish style foods and restaurants -The only culturally based celebration Ive witness in the down town area has been Cinco De Mile. -All signs are in English -Ive witness most individuals wearing proper head gear when operating bikes and other two wheels devices. -The use of seat belts while operating a car in St. Louis is the law. -The use of trash cans for garbage is find if not used -The unhealthy lifestyle behaviors I have observed has been centered around the homeless that also share the area -I have witness individuals smoking in public area only -I have not seen any signs of violence, gang activity, drug use not criminal activity. NO bars on doors and/or windows -I have not seen any signs of unattended children playing in the streets as I live in the down town area St. Louis. -Ive seen evidence of obesity in the area but really no underweight person - Persons observed have been primarily Blacks and Whites. Ages appear to be between 2mo -70 years of age -Person observed also appears to be in poor health due to no health care, lack of enough food and poor hygiene. Services in the Community -There are many social services in the area provided by the city and government. Such as homeless shelters, clothing and food closets. Shower points for the homeless, County general assistant offices and much more. -There is evidence of health, and mental health services in the area due to the homelessness in the area. -Such services are provided by St. Patrick, local churches all located in the central down town area. There is an urgent care located in the area as well who caters the homeless population. -There is no sign of alternative services in the area that Im aware from my research. -There are two public libraries one is the old post office which is only 1 block from my resident, the second is the main library due east of me, which is 4 blocks from my resident. -The closest school would be Gateway middle school, Gateway high school Clarks middle school and Humboldt elementary, all less than a 5 mile radius -The closet universities are St. Louis University, Washington University, Missouri State University and Webster University again within a 5-8 mile radius -There is only on community college close to the area and that is St. Louis Community College located 4 miles from the down town area -There are other colleges locations in the area, however these are considered nontraditional or online based school located in 3-6 mile radius -All churches offer morning and evening services, food and clothing, day care and summer camps. -Some offer marriage counseling, male and female support groups and AA classes as well. Business Industry Describe stores and shops available in the community, e.g., grocery stores, gas stations, department stores. What type of business climate exists Manufactures Light or heavy industry Large employers Small business owners Retail Hospitality industry Do people have to seek employment elsewhere Is this considered a bedroom community- where people work outside this community but live here -Store varies from community grocery store which has the same as any other grocery store you may be use to going. -Gas stations are the same everywhere with mini marts attached. -The business climate are mixed in the area -Manufactures in the area include the Bud Light beer company, Scrap Metal Yards which are to two main manufactures in the area closest to me. They are also the largest employers as well in the area -There was a book store less than 1 block for me, however the owner closed his doors. Other small business owners are smoke shops, clothing and beauty supply store with in a 5 block radius. -Hospitality industry in my area include the Renaissance Hotel, The Westin, Omni, The Embassy suites, Hyatt regency and the Residence Inn, The Sheraton, Hilton and also the Crowne Plaza -I am unsure if people seek employment elsewhere this is not considered a bedroom community. PoliticsWhat indicators do you see about politics Posters Headquarters -The only indication of politics seen in my area are seen when walking near the county court buildings in the down town area. Other than this, there are no posters hanging up in the area. All other indications are only seen on TV or read in the local news paper. MediaDo you see indicators of what people read Listen to the radio Watch TV Are there any signs of media language other than English -I do not, nor have Ive seen any indicators of this topic Key InformantsInterview a fireman or police office. -I have interviewed a fireman who feels that I stay in one of the safest area, where response is immediate Also interview a librarian, school teacher, instructor or administrator. -I have interviewed a librarian concerning the importance of public support for their doors staying open. She believes with so many books offered online, the public library with become a thing of the past. Analysis of Windshield SurveyAnalyze and summarize your observations and the input from key informants. Write a 2 paragraph summary of community health and safety issues for this community and strengthens of the community. Based on my observations of my community and input from professional individuals I have interviewed, concerns such as community health and safety are major issues in the Saint Louis, Missouri down town area. One of the biggest concerns is the increase of homelessness in the down town area. Per conversation with fire fighter Dyrle Wilson who is part of fire house 8 and a paramedic for the fire department states that with the increase of homeless individuals on the streets brings a boat load of health and safety concerns. When asked for Mr. Wilson to explain, he stated That the health issues were related to most of the homeless population, which he has been called to provide medical aid to. He also stated that most are dependent on drugs, most common alcohol. For the most part these homeless individuals have been living on the streets for years with not much food, clothing or medical attention. This not only is a growing concern for the individuals health, but safety for the persons providing aid to such persons. Without a clear understanding of the individual health issues or drug dependency it may be harmful to render aid to such persons without the fear of knowing if the individual uses drugs by way of injections, creating a fear of contracting aids, or if the individual will be combative due to the use of alcohol. As the homelessness continues to grow it has also caused a growing concern for business owners in the area. Some of the main concerns are loitering, pan handling and theft. Most business owners believe that their customers and business image are most affective by these people. Although the homelessness issue is a concern, the city of Saint Louis has begun to provide resources to aid with food, clothing, bathing, free healthcare and housing. One such resource center is the Saint Patrick Center which helps with all of the above. However the primary function, first and foremost for Saint Patrick is to find housing for the homeless. Through free educational programs most homeless individuals are able to secure jobs thus making it possible to obtain healthcare as well. Also by using the train the trainer method once homeless individuals are able to reach out and help other homeless persons to secure the same means in which they have achieved themselves. This is due to the fact that they once were in the shoes of the very person they are now helping. With everyone from city to government officials to communities helping to raise funds to keep such programs going shows the strength of the community and nation. Grade 88. Overall, you did a nice job. Need to cite personal interviews using proper apa formatplease see comments. Module 2 (Week 2) Part Two Statistical Analysis of Community Health Problem Please complete the following information on this template. Make sure you are using the template that has your coachs feedback from Week 1 otherwise 10 points will be taken off from this assignment. You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers Name of Community or Zip Code Demographics Total population age distribution gender distribution family characteristics (single parent, multi-family, etc.). Remember compare objective data for your community with local (city), state, and national data. -Total population between 2010 to 2013 is 318,416 for the county and 6,044,171 for the state of Missouri -Gender distribution The Asian at 2.9, Black 49.2, Whites 43.9, Hispanic/Latino 3.5, American Indians/Alaska Native 0.3 and White only not Hispanic or Latino 42.2. These percentage are solely based off the 2010 Census report for Saint Louis County Population decreased at a rate of , -(0.3) for county and 0.9 for the state of Missouri year 2013. - The percentage of other than English spoken in the home has been recorded as 9.3, county and 3.9 for state. The rest of households in Missouri speaks English at home. It is not clear to me at this time if Missouris population is projected to grow by 2014 or beyond, based off the current decreased recorded for year 2013.In the younger age groups persons under 5 year of age the percentage is 6.2 for county and 6.3 for state. For persons under 18 years of age the percentage is 23.1 county and 23.3 state Persons 65 year and over are 15.0 county and 14.1 state. Female persons were recorded at 51.0 county and 50.8 state. All percentages are based on the year 2013 as well substantial decrease in the older age groups. These changes will influence the overall age composition of the state. AGE- Population statistics (St. Louis County) Under 15 years 16.1, 5 - 24 years 16 25 - 44 years 22.4 45 - 64 years 29.4 65 and older 15.8 -Gender Distribution The overall gender distribution for St. Louis County in 2013 was 51 female, 49 male. Variations appear when the data are viewed by age range Age Range Male Female Under 15 49 51 15 to 24 52.3 47.7 25 to 44 51.8 48.2 45 to 64 50.6 49.4 65 and older 43.2 56.8 Family Characteristics (single parent, multi-family, etc) Housing Unit for 2013, 2,719,001 county, 132,802,859 state. -Living in same house 1 year over, percent, reported must recent years 2008-2012 were 78.0 county and 87.2 state. -Housing units for 2010, 176,002 county, 2,712,729 state. -Housing units in multi-unit structures for 2008-2012, 52.9 county, 19.7 state -Households, 2008-2012, 139,840 county, 2,358,270 state -Person per household 2008-2012, 2.20 county, 2.46 state Employment -According to 2006-2013 American Community Survey estimates, 53.3 of the population 16 years of age and over in St. Louis County were employed. For current, quarterly unemployment data, visit the Missouri Department of Employment of Economic Development. -Employment and lack of employment influence a variety of social and health risks, including access to health care insurance and physical and psychological needs. For example, individuals in office-based occupations are at risk for repetitive stress injuries and musculoskeletal disorders due to the sedentary nature of this work -Individuals who are unemployed or experience job insecurity may face health risks such as increased blood pressure and stress. Racial/Ethnic Characteristics Remember compare objective data for your community with local (city), state, and national data. -Gender distribution The Asian at 2.9, Black 49.2, Whites 43.9, Hispanic/Latino 3.5, American Indians/Alaska Native 0.3 and White only not Hispanic or Latino 42.2. These percentage are solely based off the 2010 Census report for Saint Louis County Population decreased at a rate of , -(0.3) for county and 0.9 for the state of Missouri year 2013. Economy poverty rate, unemployment rates, median income. Remember compare objective data for your community with local (city), state, and national data. -Income level influences an individuals access to health insurance and health care. Rates of uninsured can be difficult to measure. Wide variability across racial and ethnic groups exists. Historically, white populations have been the most likely to be insured and Hispanic/Latino populations have been the least likely to be insured. -Income level is also used to determine poverty status, which can determine eligibility for various assistance programs. Poverty status is based on a minimum level of income necessary to achieve an adequate standard of living. Poverty is on the rise in Missouri. According to federal poverty guidelines, the poverty threshold in Missouri in 2012 equaled 23,050 for a family of four. Families whose income falls near or below this amount may be eligible for medical assistance and other social service programs. -Median Income per capita money income in the past 12 months (2012 Dollars) 22,551 county, 25,546 state -Person below poverty level, percent, 2008-2012, 27.0 county, 15.0 state. Education High school completion rates higher education statistics. Remember compare objective data for your community with local (city), state, and national data. -The number of high school graduates in Missouri is projected to decline from 65,073 in 2010 to 59,727 by 2017. From 2017 to 2023 the number of graduates is expected to increase slightly, but will remain below the 2010 number of graduates. As Missouris population continues to become more diverse, students of color will comprise a larger share of high school graduates in the future. The percentage of nonwhite graduates is projected to grow from 16 in 2010 to 23 of all graduates in 2023. For all races, St. Louis County data indicate a higher percentage of individuals receiving at least a high school diploma, 30.5 compared with state level rates of 27.8. Attainment of a Bachelors degree in St. Louis County, at a rate of 17.6, was lower than state level rates of 21.3. All above information was resourced from the following web site listed below HYPERLINK http//www.culturecareconnection.org/documents/StLouisCounty http//www.culturecareconnection.org/documents/StLouisCounty Identify two Morbidity and Mortality/Risk Problems (Based on your observations from Week 1 subjective assignment, windshield survey and key informants provide Morbidity, Mortality (MM) and risk data for your community Example 1 if you observed obesity in your community then present obesity rates and health conditions associated with obesity i.e. CVD, HD, Depression, etc.). Example 2 smoking/drinking rates and health conditions associated with smoking i.e. Lung Cancer, COPD, etc. These variables may include the following gender (who does this problem affect the most, men or women) age distribution ethnicity or racial group(s) mostly-affected morbidity and mortality rates any data related to life-expectancy in light of the health issues is there a geographic area where the health problems mainly exist is there a relationship between the health issue(s) and environmental health hazards are these life-threatening health issues Remember compare objective data for your community with local (city), state, and national data. Homelessness Morbidity -Health status data concerning Homelessness and factors contributing to the incidence of disease drug abuse and depression revealed the following Homelessness Morbidity A need exists for increased efforts to provide health care, housing and resource centers in the general population, as well as an awareness of homelessness trends in populations of color. -Another Morbidity of concern is the vast majority of smokers in the city limits. -Behaviorial risk factors, such as use of alcohol and tobacco, diet, exercise, and preventive health practices play an important role in determining a persons overall health status. Control over such factors can reduce a persons risk for illness, disease, and premature death According to the latest available data from the Missouri Department of Health (2009), St. Louis County residents are at higher risk for behavioral factor such as hypertension than any other areas in general. In Missouri, the top three behavioral risk factors are obesity, hypertension and binge drinking. HYPERLINK http//www.culturecareconnection.org/documents/StLouisCounty http//www.culturecareconnection.org/documents/StLouisCounty Other data as needed (air, water quality, crimes rates) Crime Rate -Estimated in Missouri Crime rate per 100,000 population, Violent Crime, 2011-2012 2011 Population Violent Murder Forcible rape Robber Aggravated Assault 6,008,984 447.5 6.1 24.4 104.4 312.5 2012 6,021,988 6.5 6.5 25.1 96.0 323.4 National 2011 311,587,816 387.1 4.7 27.0 113.9 241.5 2012 313,914,040 386.9 4.7 26.9 112.9 242.3 HYPERLINK http//www.ucrdatatool.gov/Search/Crime/State/RunCrimeStatebyState.cfm http//www.ucrdatatool.gov/Search/Crime/State/RunCrimeStatebyState.cfm Air and Water Quality for Saint Louis, Missouri zip 63101, Data from 2006-2008 -Current finding are 68.7 Moderate Air Quality Water Quality -I was not able to get this information at the time of my research due to a web site error code of 404. HYPERLINK http//www.epa.gov/myenv/myenview2.htmlminx-90.21621miny38.62284maxx-90.16857maxy38.63994ve14,38.63136,-90.19237pSearch63101,20MO http//www.epa.gov/myenv/myenview2.htmlminx-90.21621miny38.62284maxx-90.16857maxy38.63994ve14,38.63136,-90.19237pSearch63101,20MO Analysis of Data Based on your subjective and objective review of your findings what conclusions have you arrived at What impressions from your subjective observations were unfounded/invalid Given the objective data, what impressions were validated/substantiated My objective date was not only based off the interviews conducted, but researched using various websites to validated and substantiate my proof. The impressions were taken from the most current 20122013 census report. What cause-and-effect relationships did you discover/identify As stated before, all cause and effect were solely due to the high poverty in the state relating to poor healthcare. Problem Analysis for Community/Zip Code Problem List two problems within your community (i.e. Infant Malnutrition, CVD, Lung Cancer, Obesity, Alcoholism, Violence) NOTE These problems need to be something the Community Health Nurse can impact (i.e. A CHN cannot build a sidewalk, repair a street, implement a new bus route, etc.) Homelessness_______________________________ Smoking____________________________________ Select one of these problems and complete the Problem Analysis chart Problem CorrelatesRelationship of Correlate to ProblemData Supportive of Relationship Smoking/second hand smoke/Lung CancerLarge number of restaurants and areas downtown that are not smoke-free as well as several tobacco bars/smoke shopAlmost every restaurant downtown has smoking available which cause health risk to those who smoke and those who do not have to dal with second hand smoke. Downtown community stay crowded and someone is alwaysThese are factors that contribute to problem and outcomes. Refer to appropriate sections of the database and relevant research of the findings in current literature. Data in the third column could be local, state, or national statistics. Refer to text (pg. 420-423) for additional examples. Community Health Nursing Diagnoses Based on your subjective and objective assessment findings above for both Weeks 1 and 2, write TWO priority community health nursing diagnoses. You must use this format as outlined in your text page 413 (do NOT use NANDA) Health Risk/problem of (specific injury, illness, or potential of, complication of, etc) among (specific population) related to (supporting evidence from your assessment findings). Your CHN Dx MUST be something that a community/public health nurse can do something about. See example below. Note Poverty is NOT a CHN dx Remember do NOT use NANDA Nursing Dx For example Risk of asthma complications among children in SE Dallas County related to observations of overcrowded living conditions, lack of public transportation (may result in inability to access health care), high number of animals observed living in homes, poverty indications (may result in lack of access to medications).
Community Health Nursing Diagnoses 1 Risk of spread of infections disease like Hepatitis, among the homeless community, related to the large homeless people population being drug users and sharing needles and not having the ability to obtain clean needles. Saint Louis has a large population of people with some form of hepatitis. Community Health Nursing Diagnoses 2 Risk for malnutrition, among the homeless community, related to the large population of homeless population seen getting food out of the local restaurants trash cans, as well as digging out of the trash cans on almost every corner. There are several homeless shelters, however the overwhelming homeless population in my community makes it difficult for the shelters to adequately feed everyone. Reference Module 3 (Week 3) Part Three Community Health Nursing Intervention Directions Please complete the following information on this template. Make sure you are using the template that has your coachs feedback from Weeks 1 and 2 otherwise 10 points will be taken off from this assignment. You may increase …show more content…
the size of the block by continuing to type. Use as much space as necessary to provide your answers Introduction Purpose of the paper, synopsis of community, two CHN dx with supporting evidence (i.e. Observations, reports from Key Informants and Statistical data) Based on the 2 CHN Dx you developed in Assignment 2 or modified, select ONE problem and develop a CH Nursing intervention CHN Dx/Problem you selected Why did you select this problem Provide your rational for selecting this problems in 1-2 comprehensive paragraphs (Consider the problem priority criterion on page 415 Box 18-7).
Provide supporting community and scientific/authority evidence (i.e. Healthy People 2020, CFC, AHA, etc.) for this Dx Two Goals (i.e. goals are where you want to go) and two to three Objectives (i.e. how you will get there) per goal of Community Health Nursing Intervention Goal 1 Objective Objective Objective Goal 2 Objective Objective Objective Intervention Objectives Timeline Present DateObjective( Number and Statement)Anticipated Competition DateEx. August 2014 Ex. Eighty-percent (80) of infants seen by health department, neighborhood health center, and private physicians will have developmental levels assessed,Ex. August 2015Refer to text (pg. 420-423) for additional examples. Plan of Intervention and Evaluation Date Intervention Activities Responsible Agency/PersonEvaluation MeasuresTarget Date of CompletionEx. 8/11/14Ex. 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 metEx. Lay advisor training completed by 10/17/2014Refer
to text (pg. 420-423) for additional examples. 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. Reference What about other buildings/homes in the area besides the one you live in (-1) (-0.5) (-0.5) Is this what you saw or did you find this in a source If so, need to cite. fined Nice details Need to cite personal interviews using correct apa format (-10) Need to cite correctly tucn/z91UxL3S,humlAGD9_2puop9AsjvPXSUy_wu/UIOOM.Z Qwu FxD_iNvksGgSO,la(EEPdhD4qZ67v_bNk7nTc2SjLu_I0U5cz98PEO8nqLt ,u,vAGQY0_W gsSa4i23(GgzyWe T8RR7J-mMvml6nX z.GS qas2S4u.nLTJLDvwD gxz 27uQS7eYuTtfmPbtx 9V-wal AerRgMHa9/cw--MGYnMZ83k37_4t4Yy)quowol 4nqaTy8Ljg6ndhyiMllnOiAybkvjK/WWZZyVOuDO-FQvFGvTj6eMGG36Su(Zp Cjgs@CxenVonNnMDt-6Fsye1clR 3Mp0iJ6sIhj Qv f/ iHjEUE 4zVpoHVFP b_PVr
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