Windshield Survey Report
|
|Selected County, State: |Tuscarawas County, Ohio |
Record the data you collect into the following tables. The tables will expand as you type.
Community Vitality: Describe the following people that you see in the community.
|Briefly describe the selected community in terms of area, location, boundaries, etc: |
|I completed the windshield survey in Tuscarawas County, Ohio. I surveyed the community I live in as well as the surrounding county seat of New |
|Philadelphia, Ohio. The area I reside in is a more rural area with less occupants than the cities surrounding …show more content…
it. Tuscarawas County is made of of |
|mostly rural farming areas with small cities. The county seat in the area, New Philadelphia, Ohio is a larger city in the area with more occupants |
|along with more businesses and factories. |
|Describe community members including demographic info: age, sex, race and ethnicity (i.e. what sorts of people do you see: young, old, male, female, |
|single families, multiple families, generational families, etc?) |
|During the windshield survery I saw generational families outside of grocery stores. Mothers with young children that appeared to also be with their |
|mother. I passed families with children in car seats. I passed 2 female teenagers jogging on the sidewalk through a downtown area. An older adult |
|couple was seen exiting a car parked in a handicapped space with a walker. Middle aged females walking their dogs on sidewalks through town. While |
|turning off an exit from the freeway I passed a middle aged homeless male holding a sign asking for donations. |
|Does the population in the surrounding community seem to be homogeneous or diverse (as evidenced by – for example – hair styles, clothing, signs in |
|languages other than English, restaurants, festivals, etc.)? |
|Many of the individuals I noticed seemed homogeneous in appearance. I did notice some community stores with the store name posted in English and in |
|Spanish. Going through New Philadelphia I passed a Mexican, Chinese, Italian, and 4 American restaurants. |
|Describe healthy lifestyle behaviors observed (i.e. exercise, relaxation, healthy eating, wearing helmets when biking, seat belt usage, etc.). Note |
|the age, ethnicity, and race of persons observed participating in healthy lifestyle behaviors. |
|When noticing passing vehicles I did observe a family with a young child in a car seat. I was able to see that many of the passengers of vehicles I |
|passed were wearing seatbelts. I passed 2 teenagers jogging on sidewalks through the city. I did not directly observe any individuals relaxing I did |
|pass a park with benches and a massage therapist organization. |
|Describe any health and/or safety risk behaviors observed (i.e. what are the lifestyle risk behaviors of people). Do you see drinking, smoking, |
|fighting, etc.? Do you see overweight/underweight people? Are there indications of safety concerns including: signs of violence, gang, graffiti, |
|drug, and/or criminal activities, bars on windows, etc.? Note the age, ethnicity, race of persons observed. |
|I did pass vehicles with individuals smoking in them, no windows appeared to be down.There was a large group of male and female adults outside of a |
|business that all appeared to be overweight. I did not observe any graffiti or signs of violence. |
|Describe any indicators of people living in poverty: |
|Many of the houses I passed were dilapidated and many cars were parked outside which may lead to overcrowding. I passed a homeless shelter in the |
|middle of downtown New Philadelphia while completing the windshield survey. The homless man that I passed while exiting the freeway, I know from |
|traveling I have passed many times indicates that there is poverty in the area. I passed a Head Start bus while driving through the area. |
Social and Economic Conditions: Describe the following conditions that you see in the community.
|Describe the housing (i.e. what type of houses –single family, multifamily) do you see? What is the condition of these homes? |
|Most home I passed were well kept with manicured lawns and screened in windows. Many other houses appeared dilapidated with broken windows and unkept|
|yards with many belongings laying in the front yard. The majority of homes I observed were single family homes, other homes with multiple vehicles |
|appeared to be multifamily homes. I observed small apartment buildings throughout the area. I did not notice any public housing during my |
|observation. |
|Describe indicators of growth or decline (i.e. is this a “thriving” community? or does it feel “run down?”) and what evidence supports this? Is there|
|new or ongoing construction? Are buildings, roadways, and public areas clean and well-kept, or do you see dirt, trash and debris or graffiti? What |
|are the places for employment in this community? What industries exist in the area? |
|I think Tuscarawas County is a thriving community. I saw new construction along roadways and a new store being built near a community center. |
|Buildings I observed appeared to be well-kept. One large building that used to a grocery store is left unoccupied and appears to need renovation. |
|Large areas for employment in the community include grocery stores, factories, and farming. The hospital in the area does seem to be a large employer|
|for the community as well. I passed an industrial park with 4 large factories enclosed in the area. |
|Is there public housing? What is its condition? |
|I did not see any public housing during my observation except for the homeless shelter. The shelter appeared to be well-kept, no graffiti or trash |
|was noticed in the area.
|
|Are there any indicators of the kind of work available? Are there job opportunities within the community? Factories? Small Business? Military |
|Installations? Are there unemployed people visible? Are there homeless persons? |
|Many indicators of work were visible during my observation. There is a mall in the area with small community centers located around it. 2 large |
|grocery stores are located close to the mall and within walking distance from the town square. There are many small community businesses grouped |
|together throughout the main road in New Philadelphia. |
|Do you observe any women, children, or adolescents? Are children out of school during the daytime? |
|I did observe women with children outside of a grocery store but none of the children were school aged children. …show more content…
|
|Do you observe any interest in political activities or campaign signs? Do you see any evidence of health education on signs or billboards? Do these |
|methods seem appropriate for the people you observed? |
|I did not observe any political activity signs throughout the community. There is a large billboard with education on preventing drug use near the |
|freeway.
I also observed a billboard with information on lung cancer and a physician picture and number to reach to the physician. The billboard that|
|have information on preventing drug use did feature a victims name and I feel this is appropriate for the area and makes community members aware of |
|what the consequences are from drug use. |
Health Resources: Describe the following services that you see in the community
|Describe Health, Mental and Social services available (i.e. types of health, mental and social services). If none in are the area, how far must |
|individuals travel to access these services? |
|There is one main hospital in the area with many doctors office and community resources surrounding the building. There is a mental health building |
|located behind the hospital and the health department is off to the side of the building. A large nursing home and community country club also are |
|situated in this area.
|
|Describe Fire and Police services (i.e. Do you see any fire and police services/equipment/officers?). Where are the closest fire and/or police |
|stations? |
|The fire and police station are located near the courthouse. I did not see any fireman in the area but did pass a police cruiser while completing the|
|observations. |
|Describe Educational Resources in the community (i.e. Where is the nearest public library? What about Schools, Universities, and Community Colleges, |
|etc). |
|The public library is located in the centralized downtown area. The main school is located only a few blocks from the public library. A community |
|college is located on the outer area of the city with a career school located next to it. |
|Describe Public Transportation services and Private Transportation Modes (i.e. How do people travel: on foot, bicycle, car, bus, taxi, other?). What |
|access is available to disabled persons? What is the condition of streets and sidewalks? How does transportation status in this community help/hinder|
|access to employment/healthcare education services? |
|I did not observe any public transportation in the community. The majority of people I observed used cars for transportation. I did pass 2 park and |
|ride areas where people can park their car and ride with another individual. I did not observe any options for disabled persons in need of help with |
|transportation. Potholes were present on most roads, drainage systems were present throughout the area. When sidewalks were present they appeared to |
|be cracked and uneven. Transportation in this community appears to hinder both employment and healthcare especially for workers living in poverty. |
|More public transportation is needed to make transportation available for disabled persons. Also public transportation is needed to help workers |
|without vehicles be able to attend work. |
|Describe Religious services offered (i.e. what signs of religions do you see including churches, mosques, temples?). Are there services offered by |
|these churches (i.e., mother’s time out, etc.). |
|I observed 6 churches while doing my observation, all were located within the main downtown areas. I did not observe any churches outside of the main|
|city. A Methodist church I passed had a sign in front of it advertising for a food drive they were having in the next week. |
|Describe stores and shops available in the community (i.e. what grocery, gas, department stores, etc are nearby?). |
|There is a mall located in the downtown area with smaller shops and stores surrounding that same area. On the main road downtown there are 2 gas |
|stations along with banks and smaller community owned stores. In the rural areas I only noticed one small convenience store which appeared to be less|
|well kept than the stores located in the city. |
Environmental Conditions: Describe the following conditions that you see in the community.
|Do you see evidence of anything that might make you suspicious of ground, water, or air pollutants? |
|The large number of factories in the area all release smoke from the building which contributes to air pollution. Also the large amount of farms in the|
|rural areas could contribute to ground and water pollution from the run off. |
|What is the sanitary condition of housing? Is housing overcrowded, dirty, or in need of repair? |
|Most houses I observed in the city were well cared for with well manicured lawns. In certain areas home were situated closer together and appeared to |
|be overcrowded with obvious things that needed fixed on the outside of the houses. |
|What are the conditions of roads? Are potholes present? Are drainage systems in place? Are there adequate traffic signs and lights? Is this a heavily |
|trafficked area? Are there features that might make the roads hazardous? |
|Potholes were present on most of the roads with plenty of drainage systems in place. Adequate traffic lights were available throughout the city. Many |
|of the rural areas had only stop signs at busy intersections. Areas around the city were heavily trafficked including the areas around the hospital and|
|the grocery stores. Downtown roads were better lit and less curvy than the rural locations I observed. Railroad crossings in town had lights and |
|barriers while crossings in rural areas only had signs and lights. |
|Describe Park and Recreational Facilities and services. What parks, sports centers, and green areas do you see in this community? Who is using these |
|facilities and services? What are they doing? Note the age, ethnicity, race of persons observed. |
|A large park with a football and baseball field are situated downtown in the city and include small rides for children. A skate park is located near |
|the mall and surrounded by 3 other baseball fields. In the rural areas I observed a small baseball field which appeared to need repair. I passed only 2|
|adults females walking their dogs in the park during my observation. |
|Do you see restaurants? Are people eating in public areas? Are there trash receptacles? Are public restrooms available? |
|There are 3 restaurants surrounding the mall in the city. Also multiple fast food restaurants are located throughout the town and close to the main |
|school. I did not observe anyone eating in public areas. Trash receptacles were placed throughout the park and outside of many of the stores in the |
|area. Public restrooms were located at the larger park, at the smaller park port-a-jons were placed in the area. |
Social Functioning: Describe the following social conditions that you see in the community.
|Do you observe families in the neighborhoods? Can you observe their structuring? Who is caring for children? What kind of supervision do they have? |
|I observed families entering and exiting the grocery stores in the area. A mother I observed was with her young children and appeared to also have her |
|mother with her. The mother and grandmother appeared to be caring for the children and were holding the childrens hands as they walked to their car. |
|Other children I saw were in car seats with a male and female in the front seat of the car. |
|What evidence of neighborliness do you observe? Community cohesiveness? |
|In the city their were parts of the neighborhood that I observed that had neighborhood watch signs posted throughout the area. Community cohesiveness |
|could be seen in the church holding a food drive to help out others in the area. |
|Can you observe anything that would make you suspicious of social problems such as gang activity, juvenile delinquency, drug or alcohol abuse, or |
|adolescent pregnancy? |
|The only sign of juvenile delinquency in the area was a small amount of graffiti noted on the skate park in the area. |
Attitudes towards Health or Health Care: Describe the following elements that you see in the community.
|Do you observe any evidence of folk medicine? Are there any alternative medicine practitioners? Curanderos? Herbalists? Palm readers? Acupuncturists? |
|Chiropractors? Psychic Readers? |
|A store named Healthy Alternatives is located in one of the community centers in the area. Surrounding the hospital is a chiropractors office. I |
|observed a large house that had been turned into a psychic reader business. |
|Do health services and resources appear to be over-utilized or under-utilized? |
|Many of the physicians offices in the area surround the hospital. While observing this area I found it to be heavily trafficked and all parking lots |
|were heavily occupied. |
|Is there evidence of preventive or wellness care? |
|There is little preventive care in the area. I passed a small gym located near the mall and there is also a YMCA located downtown in the city. |
|Do you notice efforts to improve the neighborhood’s health? Health fairs? Health-related events? |
|I did not see any evidence of health fairs or health-related events in the area at the time of my observation. |
Analysis:
Reflect on the ways the information you obtained relates to the county where you live and the National Health Objective you have selected to study.
|Write a two paragraph summary of the key risks and concerns that you can support based upon the data you observed. You may want to look up some |
|additional data that specifically pertains to the National Health Objective that you have selected if additional information is still needed. |
| The main concern I observed in Tuscarawas County is obesity. I noticed a large number of the people I passed on the streets and around businesses |
|were overweight. The city does has large parks and green areas for exercise but many of the rural areas did not seem to have recreational areas for |
|community members to exercise. Also community members that live in the rural areas have less ability to walk, run, or bike to work or community |
|centers. For the size of the city, I found there to be a large number of fast food organizations many placed around frequently visited areas including |
|malls, businesses, and schools. If schools in the area allow students to leave school for lunch this could allow them to make unhealthy lunch choices. |
|There is a lack of preventative or wellness care centers in the area as well. For those community members wanting to make good choices or changes they |
|may have difficulty doing so because of the lack of support in the community. |
|Increased rates of obesity along with unhealthy eating habits and school aged children making unhealthy meal decisions can increase the risk of |
|diabetes for the area. Tuscarawas County does seem to have adequate physicians offices available with a local health department to provide community |
|members with diabetes well check ups and can also provide education on caring for diabetes. Community transportation with access to the rural |
|communities could increase the use of available resources for those in that area. Although there are no farmers market in the area at this time, during|
|the summer months the city holds a farmers market at the local fairgrounds.There are also 2 large grocery stores that can offer ways for community |
|members to make their own healthy meals at home. I found there to be many health risks in Tuscarawas County that can lead to an increase in diabetes |
|but that there are many resources available to community members if they take advantage of the. |
In addition, write two priority community health nursing diagnoses. Use the correct format for your diagnoses: Health Risk/problem of (specific injury, illness, or potential of, complications of, etc) among (specific population) related to (supporting evidence).
For example: Consider risks of asthma complications among children in a southeast Ohio County related to poor air quality, overcrowded living conditions, inability to access health care, high number of animals living in homes, lack of knowledge regarding treatment options, and lack of access to medications.
|Priority Community Health Nursing Diagnoses #1 |
|Risk of developing diabetes among children and adults in Tuscarawas County related to inability to access parks, high number of fast food restaurants, |
|lack of wellness care centers, and lack of knowledge regarding obesity. |
|Priority Community Health Nursing Diagnoses #2 |
|Risk of injury from road conditions among adults in Tuscarawas County related to potholes, curvy roads, areas of decreased visibility, and lack of |
|stop-lights. |
|Selected County, State: |Tuscarawas County, Ohio |
Record the data you collect into the following tables. The tables will expand as you type.
Community Vitality: Describe the following people that you see in the community.
|Briefly describe the selected community in terms of area, location, boundaries, etc: |
|I completed the windshield survey in Tuscarawas County, Ohio. I surveyed the community I live in as well as the surrounding county seat of New |
|Philadelphia, Ohio. The area I reside in is a more rural area with less occupants than the cities surrounding …show more content…
it. Tuscarawas County is made of of |
|mostly rural farming areas with small cities. The county seat in the area, New Philadelphia, Ohio is a larger city in the area with more occupants |
|along with more businesses and factories. |
|Describe community members including demographic info: age, sex, race and ethnicity (i.e. what sorts of people do you see: young, old, male, female, |
|single families, multiple families, generational families, etc?) |
|During the windshield survery I saw generational families outside of grocery stores. Mothers with young children that appeared to also be with their |
|mother. I passed families with children in car seats. I passed 2 female teenagers jogging on the sidewalk through a downtown area. An older adult |
|couple was seen exiting a car parked in a handicapped space with a walker. Middle aged females walking their dogs on sidewalks through town. While |
|turning off an exit from the freeway I passed a middle aged homeless male holding a sign asking for donations. |
|Does the population in the surrounding community seem to be homogeneous or diverse (as evidenced by – for example – hair styles, clothing, signs in |
|languages other than English, restaurants, festivals, etc.)? |
|Many of the individuals I noticed seemed homogeneous in appearance. I did notice some community stores with the store name posted in English and in |
|Spanish. Going through New Philadelphia I passed a Mexican, Chinese, Italian, and 4 American restaurants. |
|Describe healthy lifestyle behaviors observed (i.e. exercise, relaxation, healthy eating, wearing helmets when biking, seat belt usage, etc.). Note |
|the age, ethnicity, and race of persons observed participating in healthy lifestyle behaviors. |
|When noticing passing vehicles I did observe a family with a young child in a car seat. I was able to see that many of the passengers of vehicles I |
|passed were wearing seatbelts. I passed 2 teenagers jogging on sidewalks through the city. I did not directly observe any individuals relaxing I did |
|pass a park with benches and a massage therapist organization. |
|Describe any health and/or safety risk behaviors observed (i.e. what are the lifestyle risk behaviors of people). Do you see drinking, smoking, |
|fighting, etc.? Do you see overweight/underweight people? Are there indications of safety concerns including: signs of violence, gang, graffiti, |
|drug, and/or criminal activities, bars on windows, etc.? Note the age, ethnicity, race of persons observed. |
|I did pass vehicles with individuals smoking in them, no windows appeared to be down.There was a large group of male and female adults outside of a |
|business that all appeared to be overweight. I did not observe any graffiti or signs of violence. |
|Describe any indicators of people living in poverty: |
|Many of the houses I passed were dilapidated and many cars were parked outside which may lead to overcrowding. I passed a homeless shelter in the |
|middle of downtown New Philadelphia while completing the windshield survey. The homless man that I passed while exiting the freeway, I know from |
|traveling I have passed many times indicates that there is poverty in the area. I passed a Head Start bus while driving through the area. |
Social and Economic Conditions: Describe the following conditions that you see in the community.
|Describe the housing (i.e. what type of houses –single family, multifamily) do you see? What is the condition of these homes? |
|Most home I passed were well kept with manicured lawns and screened in windows. Many other houses appeared dilapidated with broken windows and unkept|
|yards with many belongings laying in the front yard. The majority of homes I observed were single family homes, other homes with multiple vehicles |
|appeared to be multifamily homes. I observed small apartment buildings throughout the area. I did not notice any public housing during my |
|observation. |
|Describe indicators of growth or decline (i.e. is this a “thriving” community? or does it feel “run down?”) and what evidence supports this? Is there|
|new or ongoing construction? Are buildings, roadways, and public areas clean and well-kept, or do you see dirt, trash and debris or graffiti? What |
|are the places for employment in this community? What industries exist in the area? |
|I think Tuscarawas County is a thriving community. I saw new construction along roadways and a new store being built near a community center. |
|Buildings I observed appeared to be well-kept. One large building that used to a grocery store is left unoccupied and appears to need renovation. |
|Large areas for employment in the community include grocery stores, factories, and farming. The hospital in the area does seem to be a large employer|
|for the community as well. I passed an industrial park with 4 large factories enclosed in the area. |
|Is there public housing? What is its condition? |
|I did not see any public housing during my observation except for the homeless shelter. The shelter appeared to be well-kept, no graffiti or trash |
|was noticed in the area.
|
|Are there any indicators of the kind of work available? Are there job opportunities within the community? Factories? Small Business? Military |
|Installations? Are there unemployed people visible? Are there homeless persons? |
|Many indicators of work were visible during my observation. There is a mall in the area with small community centers located around it. 2 large |
|grocery stores are located close to the mall and within walking distance from the town square. There are many small community businesses grouped |
|together throughout the main road in New Philadelphia. |
|Do you observe any women, children, or adolescents? Are children out of school during the daytime? |
|I did observe women with children outside of a grocery store but none of the children were school aged children. …show more content…
|
|Do you observe any interest in political activities or campaign signs? Do you see any evidence of health education on signs or billboards? Do these |
|methods seem appropriate for the people you observed? |
|I did not observe any political activity signs throughout the community. There is a large billboard with education on preventing drug use near the |
|freeway.
I also observed a billboard with information on lung cancer and a physician picture and number to reach to the physician. The billboard that|
|have information on preventing drug use did feature a victims name and I feel this is appropriate for the area and makes community members aware of |
|what the consequences are from drug use. |
Health Resources: Describe the following services that you see in the community
|Describe Health, Mental and Social services available (i.e. types of health, mental and social services). If none in are the area, how far must |
|individuals travel to access these services? |
|There is one main hospital in the area with many doctors office and community resources surrounding the building. There is a mental health building |
|located behind the hospital and the health department is off to the side of the building. A large nursing home and community country club also are |
|situated in this area.
|
|Describe Fire and Police services (i.e. Do you see any fire and police services/equipment/officers?). Where are the closest fire and/or police |
|stations? |
|The fire and police station are located near the courthouse. I did not see any fireman in the area but did pass a police cruiser while completing the|
|observations. |
|Describe Educational Resources in the community (i.e. Where is the nearest public library? What about Schools, Universities, and Community Colleges, |
|etc). |
|The public library is located in the centralized downtown area. The main school is located only a few blocks from the public library. A community |
|college is located on the outer area of the city with a career school located next to it. |
|Describe Public Transportation services and Private Transportation Modes (i.e. How do people travel: on foot, bicycle, car, bus, taxi, other?). What |
|access is available to disabled persons? What is the condition of streets and sidewalks? How does transportation status in this community help/hinder|
|access to employment/healthcare education services? |
|I did not observe any public transportation in the community. The majority of people I observed used cars for transportation. I did pass 2 park and |
|ride areas where people can park their car and ride with another individual. I did not observe any options for disabled persons in need of help with |
|transportation. Potholes were present on most roads, drainage systems were present throughout the area. When sidewalks were present they appeared to |
|be cracked and uneven. Transportation in this community appears to hinder both employment and healthcare especially for workers living in poverty. |
|More public transportation is needed to make transportation available for disabled persons. Also public transportation is needed to help workers |
|without vehicles be able to attend work. |
|Describe Religious services offered (i.e. what signs of religions do you see including churches, mosques, temples?). Are there services offered by |
|these churches (i.e., mother’s time out, etc.). |
|I observed 6 churches while doing my observation, all were located within the main downtown areas. I did not observe any churches outside of the main|
|city. A Methodist church I passed had a sign in front of it advertising for a food drive they were having in the next week. |
|Describe stores and shops available in the community (i.e. what grocery, gas, department stores, etc are nearby?). |
|There is a mall located in the downtown area with smaller shops and stores surrounding that same area. On the main road downtown there are 2 gas |
|stations along with banks and smaller community owned stores. In the rural areas I only noticed one small convenience store which appeared to be less|
|well kept than the stores located in the city. |
Environmental Conditions: Describe the following conditions that you see in the community.
|Do you see evidence of anything that might make you suspicious of ground, water, or air pollutants? |
|The large number of factories in the area all release smoke from the building which contributes to air pollution. Also the large amount of farms in the|
|rural areas could contribute to ground and water pollution from the run off. |
|What is the sanitary condition of housing? Is housing overcrowded, dirty, or in need of repair? |
|Most houses I observed in the city were well cared for with well manicured lawns. In certain areas home were situated closer together and appeared to |
|be overcrowded with obvious things that needed fixed on the outside of the houses. |
|What are the conditions of roads? Are potholes present? Are drainage systems in place? Are there adequate traffic signs and lights? Is this a heavily |
|trafficked area? Are there features that might make the roads hazardous? |
|Potholes were present on most of the roads with plenty of drainage systems in place. Adequate traffic lights were available throughout the city. Many |
|of the rural areas had only stop signs at busy intersections. Areas around the city were heavily trafficked including the areas around the hospital and|
|the grocery stores. Downtown roads were better lit and less curvy than the rural locations I observed. Railroad crossings in town had lights and |
|barriers while crossings in rural areas only had signs and lights. |
|Describe Park and Recreational Facilities and services. What parks, sports centers, and green areas do you see in this community? Who is using these |
|facilities and services? What are they doing? Note the age, ethnicity, race of persons observed. |
|A large park with a football and baseball field are situated downtown in the city and include small rides for children. A skate park is located near |
|the mall and surrounded by 3 other baseball fields. In the rural areas I observed a small baseball field which appeared to need repair. I passed only 2|
|adults females walking their dogs in the park during my observation. |
|Do you see restaurants? Are people eating in public areas? Are there trash receptacles? Are public restrooms available? |
|There are 3 restaurants surrounding the mall in the city. Also multiple fast food restaurants are located throughout the town and close to the main |
|school. I did not observe anyone eating in public areas. Trash receptacles were placed throughout the park and outside of many of the stores in the |
|area. Public restrooms were located at the larger park, at the smaller park port-a-jons were placed in the area. |
Social Functioning: Describe the following social conditions that you see in the community.
|Do you observe families in the neighborhoods? Can you observe their structuring? Who is caring for children? What kind of supervision do they have? |
|I observed families entering and exiting the grocery stores in the area. A mother I observed was with her young children and appeared to also have her |
|mother with her. The mother and grandmother appeared to be caring for the children and were holding the childrens hands as they walked to their car. |
|Other children I saw were in car seats with a male and female in the front seat of the car. |
|What evidence of neighborliness do you observe? Community cohesiveness? |
|In the city their were parts of the neighborhood that I observed that had neighborhood watch signs posted throughout the area. Community cohesiveness |
|could be seen in the church holding a food drive to help out others in the area. |
|Can you observe anything that would make you suspicious of social problems such as gang activity, juvenile delinquency, drug or alcohol abuse, or |
|adolescent pregnancy? |
|The only sign of juvenile delinquency in the area was a small amount of graffiti noted on the skate park in the area. |
Attitudes towards Health or Health Care: Describe the following elements that you see in the community.
|Do you observe any evidence of folk medicine? Are there any alternative medicine practitioners? Curanderos? Herbalists? Palm readers? Acupuncturists? |
|Chiropractors? Psychic Readers? |
|A store named Healthy Alternatives is located in one of the community centers in the area. Surrounding the hospital is a chiropractors office. I |
|observed a large house that had been turned into a psychic reader business. |
|Do health services and resources appear to be over-utilized or under-utilized? |
|Many of the physicians offices in the area surround the hospital. While observing this area I found it to be heavily trafficked and all parking lots |
|were heavily occupied. |
|Is there evidence of preventive or wellness care? |
|There is little preventive care in the area. I passed a small gym located near the mall and there is also a YMCA located downtown in the city. |
|Do you notice efforts to improve the neighborhood’s health? Health fairs? Health-related events? |
|I did not see any evidence of health fairs or health-related events in the area at the time of my observation. |
Analysis:
Reflect on the ways the information you obtained relates to the county where you live and the National Health Objective you have selected to study.
|Write a two paragraph summary of the key risks and concerns that you can support based upon the data you observed. You may want to look up some |
|additional data that specifically pertains to the National Health Objective that you have selected if additional information is still needed. |
| The main concern I observed in Tuscarawas County is obesity. I noticed a large number of the people I passed on the streets and around businesses |
|were overweight. The city does has large parks and green areas for exercise but many of the rural areas did not seem to have recreational areas for |
|community members to exercise. Also community members that live in the rural areas have less ability to walk, run, or bike to work or community |
|centers. For the size of the city, I found there to be a large number of fast food organizations many placed around frequently visited areas including |
|malls, businesses, and schools. If schools in the area allow students to leave school for lunch this could allow them to make unhealthy lunch choices. |
|There is a lack of preventative or wellness care centers in the area as well. For those community members wanting to make good choices or changes they |
|may have difficulty doing so because of the lack of support in the community. |
|Increased rates of obesity along with unhealthy eating habits and school aged children making unhealthy meal decisions can increase the risk of |
|diabetes for the area. Tuscarawas County does seem to have adequate physicians offices available with a local health department to provide community |
|members with diabetes well check ups and can also provide education on caring for diabetes. Community transportation with access to the rural |
|communities could increase the use of available resources for those in that area. Although there are no farmers market in the area at this time, during|
|the summer months the city holds a farmers market at the local fairgrounds.There are also 2 large grocery stores that can offer ways for community |
|members to make their own healthy meals at home. I found there to be many health risks in Tuscarawas County that can lead to an increase in diabetes |
|but that there are many resources available to community members if they take advantage of the. |
In addition, write two priority community health nursing diagnoses. Use the correct format for your diagnoses: Health Risk/problem of (specific injury, illness, or potential of, complications of, etc) among (specific population) related to (supporting evidence).
For example: Consider risks of asthma complications among children in a southeast Ohio County related to poor air quality, overcrowded living conditions, inability to access health care, high number of animals living in homes, lack of knowledge regarding treatment options, and lack of access to medications.
|Priority Community Health Nursing Diagnoses #1 |
|Risk of developing diabetes among children and adults in Tuscarawas County related to inability to access parks, high number of fast food restaurants, |
|lack of wellness care centers, and lack of knowledge regarding obesity. |
|Priority Community Health Nursing Diagnoses #2 |
|Risk of injury from road conditions among adults in Tuscarawas County related to potholes, curvy roads, areas of decreased visibility, and lack of |
|stop-lights. |