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completed all of the ADPIE steps of program planning

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Unit 3: Community Assessment

Introduction

My survey will consider Jacksonville, North Carolina, situated in Onslow County in the United States. There is a huge military base located in the city; thus, the community’s security is enhanced. Jacksonville city has a presence of clean water from the new river and instant access to large water like the Atlantic Ocean (Phillips, 2022). The main economic activities of the people living in the city are water sports lovers and fisher. Living in Jacksonville society is full of fun and gives double the experience of living in other parts of the United States.

The value of the owner-occupied housing is approximated to be $ 153,200, while the median household income is approximated to be $40,918. The city’s income has been enhanced to effective ethnic background and diversity. The Jacksonville city is essential for business and personal experience since people can access entertainment experience, shopping, and unique dining that embrace culture and values of different communities. The security is enhanced due to many militaries based that include the New River Air Station, Camp Johnson Marine Corp base, and Camp Lejeune Corp Base.

People

Number and density of population

Jacksonville city has a population of 949,611 with different ethnic communities. The city is the 12th most populous city in the United States. It is also the fourth largest metropolitan in Florida. The city has freshwater also from the St. Johns River and other water bodies, thus providing the city with enough water to advance their agriculture and planting trees to conserve the environment and enhance fresh air in the city (Shuja, Harris, Aldridge, Malespin & De Melo, 2019). The population in the city is aggressive in planting trees to promote the eco-systems. The city is situated 528 km north of Miami and 40 km south of George city.

The city spans over 857 miles with 1,256 people per square mile. The population also contains the largest ancestry groups that may include Italian 3.5%, English 8.5%, Irish 9.0%, American 9.3%, and German 9.6%. Jacksonville is the tenth-largest Arabic-populated city in the United States. Most of the Filipino community is recruited in the military. There are various denominations in the city, where approximately 365,000 are Evangelical Protestants; the Mainline Protestants are about 76,000. The Black Protestants are the least with a 1,200 population. The Baha’is are 650, Buddhists are 3,500, Hindus are 4,500, Jews are 6,000, Muslims are 8,500, and a population of 15,000 members of LDS church.

The demographic structure of populations

The city embraces diversity; however, most of the population is a white population, consisting of approximately 67.7% of the entire population. The second-largest community living in Jacksonville is African American, with a population of 20%, the American Indian population is 0.7%, while 2.5% are Asian (Tertulien et al.,2022). The other large population is Latino or Hispanic, with a population of 13%. The Asian population is 2.5%, thus making Asian and American Indian the smallest group in the city.

The population growth rate has been approximately 2% every year. The growth rate will continue to grow due to major economic activities and political stability that attracts investors from across the globe. The city has already recovered from the recession and housing crisis. The quality of education has increased the job opportunities since most graduates are establishing their businesses and employing other people who might be jobless. More than 90% of the population above 25 years is high school graduates, while 22.2 percent of the population above 25 years is University graduates.

Community Health Status

Vital statistics

The vital healthcare statistic about health is that the city is more aggressive in providing care to the marine soldiers, thus providing less attention to the public. The outlying clinics located on the base and Hospital Camp Lejeune is fully equipped medical facilities that offer medications mainly to the marine soldiers. The healthcare facilities are designed to provide healthcare facilities to the soldiers and their dependents. The healthcare facilities have various departments to ensure soldiers are physically fit to fight any global battle. The previous statistics show that when soldiers are injured during wars in countries such as Iraq, Afghanistan, Kuwait, Vietnam, Korea, and Pacific Island access their critical medication from the military-based hospitals in Jacksonville city.

The most vital statistic is that many cases of chronic illnesses in the city. Approximately 66.2 % of adults above 65 years are obese, and 29% of universities, colleges, middle and high schools are obese. The ministry of health indicates that the main cause of obesity is lack of access to quality food, poor nutrition, and physical inactiveness. Obesity has increased vulnerability to stroke, hypertension, cancer, type 2 diabetes, and coronary heart disease.

Leading causes of mortality and morbidity

There are wide differences of diseases in Jacksonville city. The main cause of mortality is drug abuse, such as high intake of alcohol and chronic illnesses due to poor diet. A recent study shows that the healthcare disparity in the city is the main reason why minorities are more vulnerable to chronic illnesses. The employment rate is high among the whites; thus, they can subscribe to various private and public healthcare insurance policies. The minority groups are less likely to access decent jobs thus not able to subscribe to healthcare insurance policies (Winne, 2019). The minority are exposed to high out-of-pocket charges preventing them from accessing early medical intervention.

For instance, based on 2021 statistics is that 64.4% of total death occurred because of unintentional injuries, which amounted to 15 987 citizens in the city. The injuries resulted from road accidents, injuries of the marine soldiers during the war, and injuries from criminals in the streets. The second cause of mortality was a stroke of 44.4%, amounting to 15,356 deaths. The stroke was mainly caused by high blood pressure, diabetes, and obesity. Eleven thousand seven hundred eighty-six people died due to chronic lower respiratory diseases with a death rate of 34.2%, while the last cause of most deaths was diabetes 23.2% leading to 7,516.

Structure

Healthcare facilities

There are approximately twenty-two primary care medical facilities and hospitals in the city. The healthcare facilities’ value of assets is approximately $8 billion, and the healthcare personnel earns revenue of about $5 billion annually. The healthcare facilities in the city employ approximately thirty thousand and five hundred people. The general hospitals are nine and have revenue of about $4.5 billion annually. The community health and hospital systems are seven with a revenue of USD 200 Million, and the speciality hospitals have annual revenue of $3 million.

Additionally, special hospitals are set for marine soldiers and their dependents. The common marine hospitals include outlying clinics and Hospital Camp Lejeune. Therefore, the total revenue from the entire medical sector is approximately $10 billion. The healthcare facilities in Jacksonville city are mainly overwhelmed by chronic illness among the elderly. However, the elderly and vulnerable can access quality health from the facilities due to the federal healthcare insurance such as Medicaid and Medicare. Medicaid provides easier access to the vulnerable such as pregnant women, orphans, children, and low-income earners. On the other hand, Medicare provides accessible healthcare services to the elderly above 65.

Healthcare providers

The healthcare personnel are divided between the public, the marine, and their specialists. The marine hospitals are staffed by professional civilian and navy medical professionals (Li et al., 2022). The navy medical professionals mainly provide care to the marine soldiers when injured on the battlefield. The navy medical professionals are mobile personnel who move with the troops during the war. Although the navy medical professionals are not involved in the battle, they are situated in a place they can be accessed easily if there are some injuries. The navy medical professionals also take additional responsibilities to make the soldiers safe, fit, and healthy ready for any battle they are deployed to fit.

Most marine soldiers are always psychologically stressed after an operation. Some may develop suicidal thoughts, particularly when they have lost most of their co-workers during an operation. Therefore, the navy medical professionals also ensure that the marine soldiers are counselled and guided after an operation. Nurses mainly manage general hospitals to manage normal diseases such as T.B., common cold, and chronic illnesses (Kisacky, 2022). The speciality hospitals are established with full ICU infrastructure to cater for chronic illnesses at a critical stage, such as cancer in the 4th stage.

Significant themes or threads

The main theme at Jacksonville city is that good health is paramount, and the healthcare personnel should take proactive measures to minimize or eradicate chronic illnesses such as obesity, high blood pressure, cancer, and diabetes. Based on the increase in the population and high cases of chronic illnesses, the healthcare system at Jacksonville city is more likely to be overwhelmed in the future. Racial discrimination is another factor that haunts the city’s healthcare system. It is almost impossible for the minority to secure decent and permanent employment in the city.

The healthcare personnel should establish community-based programs to encourage the local and federal government to promote diversity and eradicate racial discrimination to ensure any person from any ethnic group has equal chances to get a good job and access enough resources to cater for their health. The other community programs should also aim to educate the local members to exercise their bodies and consume healthy food to eradicate chronic illnesses such as obesity. The local government should develop enough sports fields to ensure every person has the chance to exercise their body and eliminate calories that may lead to obesity, high blood pressure, stroke, and other critical illnesses (Jin & Sanders, 2022).

Conclusion

If Jacksonville city can take advantage of the available resources, they can enhance their health and live a more comfortable life. First, due to the accessibility of clean waters from various rivers that draws their waters from the Atlantic Ocean, the community can use the water to glow foods that reduce vulnerability to chronic illnesses. The city has grown more threes, thus promoting clean air that reduces the vulnerability to respiratory diseases. The other advantage of the city is the political stability and high security due to the military personnel; the city is conducive for businesses that can provide extra resources to buy healthy food and cater and medical expenses.

References

Jin, A. S., & Sanders, K. T. (2022). Analyzing changes to U.S. municipal heat response plans during the COVID-19 pandemic. Environmental Science & Policy128, 347-358.

Kisacky, J. (2022). Consequences of Migrating U.S. Contagious Facilities Into General Hospitals, 1900–1950. HERD: Health Environments Research & Design Journal15(1), 75-96.

Li, Y., Chen, S. H., Guniganti, R., Kansagra, A. P., Piccirillo, J. F., Chen, C. J., … & Starke, R. M. (2022). Onyx embolization for dural arteriovenous fistulas: a multi-institutional study. Journal of neuro-interventional surgery14(1).

Phillips, J. D. (2022). Geomorphic impacts of Hurricane Florence on the lower Neuse River: Portents and particulars. Geomorphology397, 108026.

Shuja, A., Harris, C., Aldridge, P., Malespin, M., & De Melo, S. W. (2019). Predictors of no-show rate in the G.I. endoscopy suite at a safety net academic medical centre. Journal of clinical gastroenterology53(1), 29-33.

Tertullian, T., Roberts, M. B., Eaton, C. B., Cene, C. W., Corbie-Smith, G., Manson, J. E., … & Breathett, K. (2022). Association Between Race/Ethnicity and Income on the Likelihood of Coronary Revascularization Among Postmenopausal Women with Acute Myocardial Infarction: Women’s Health Initiative Study. American heart journal.

Winne, M. (2019). Jacksonville, Florida. In Food Town, USA (pp. 131-160). Island Press, Washington, DC.

COMMUNITY ASSESSMENT 1

COMMUNITY ASSESSMENT 5

Unit 1 Assessment – Define Your Community

Introduction

Community assessment is considered to the analysis and the collection of the various data types which are related to the characteristics and the needs of the Head Start-eligible families and children in the manner of grantee service based on the geographical area. In general, the community assessment is noted to be having the program identification and the various community resources which are considered to be locally and readily available and thus able to meet the needs and the specification of the various personalities involved. The community within which I live is in a town which is having middle earning families but there are also low-income families, thus having behaviors that are highly associated with the middle-grouped families. In the city of North Carolina, the town in which the family I belong comes from the Jacksonville whereby there has been estimated a population of about 70% are the middles calls families and having other classes of the person is also found but in smaller populations (Mulroy, 2013).

Importance of Community Assessment

The community assessment entails carrying out the judgments which are made on what is desired to be the situation that is in the community which is needing an interest of its being assessed. There is also carrying out the evaluation processes on the current situation which is within the community which may include the disease outbreak awareness, safety precautions being taken, and many more thus assessing the community awareness of these healthcare measures put in place now and then. There is also done the comparison of the desired situation and the actual situation on the healthcare setting which is being needed on the community and thus having the prioritization of the major goals and the concerns which are there in the community. thus, the community needs assessment because it will help on strengthening and identifying the resources which are available in the community thus helping to meet the needs of all people who are found in that community (Prunuske & Remington, 2017).

Common Activities

There have been reported criminal activities in Jacksonville whereby these involved property crimes and violent activities according to the FBI and thus remaining a community which is not safest as the crime percentage is over 65% based on the size of the town and thus remaining a bigger change to be dealt with. Some of the major activities which are very common in this geographical area include, the tourist activities whereby there is a lot of nice places where the person can enjoy and have fun, business activities which are commonly from the businessperson like the one having the attraction sites and the tourist companies which person would use. Farming is also conducted in these regions whereby this is done by the person who is in a location having enough of land and having the materials needed and mentality of farming. The community also has city pools, walking trails on the roads, activities for teenagers and sports programs for the youths on helping reduce the crime rates, and many other things which are there which are noted to make the place much more comfortable (Prunuske & Remington, 2017).

The exist some limitations with the community which is living in this town whereby the issues of insecurity ash ben there due to the theft activities which happen on the stealing of properties and resources meaning that the security nature is low. Even though having the security features are low, the place is still conformable due to its environment being conducive for all types of a person whereby there can live all classes of families and thus meaning the cost of living has been favorable to all groups. There is also limitation into access to education on the danger or effects of theft activities which might be contributing much to increased crime rates as per the conclusion made by the FBI meaning that if community education was done on effects of stealing practices, then this would have been eradicated (Mulroy, 2013).

Certain things can be improved in the community which would include eradicating the poverty levels to the low middles class groups by having the employment opportunities being created which would prevent crimes such as stealing. Also, there can be improved the community education on the crime factor which would help on deterring a criminal person from committing any crimes because of the idea that all people would now be able to earn a living. In the healthcare sector, there can be an improvement in its access and the resources which are made available to the healthcare sectors which would help on having the whole sector working. The entertainment sector in the town has been noted to be higher rated whereby there are several entertainment halls, stages, and facilities which are there and thus helping on improving the sector through the highly improved recreational facilities (Stockman, 2018).

The healthcare sector has been noted to be having low operation rates due to the Medicaid programs which have been ensured to be there by the national government. This has helped on improving the quality of healthcare and thus make a huge population benefitting from these services being offered. The healthcare sector would be improved by having the healthcare professional being added which would ensure that the services are being delivered to the alleger community at higher efficiency (Prunuske & Remington, 2017).

Conclusion

In conclusion, the community assessment is very important as it helps on understanding the community on the various factors whereby these would include factors such as the healthcare setting, education, security, development, and many more.

References

Mulroy, E. A. (2013). Community needs assessment. Encyclopedia of Social Work
https://doi.org/10.1093/acrefore/9780199975839.013.73

Prunuske, J., & Remington, P. L. (2017). A community health assessment curriculum to develop population health competencies. PRiMER1
https://doi.org/10.22454/primer.2017.1.1

Stockman, D. (2018). Prelims – Community assessment. Community Assessment, i-4. 
https://doi.org/10.3362/9781780444666.000

Instructions

At the conclusion of Week 6, you will have completed all of the ADPIE steps of program planning. In this assignment, you combine it all into a community plan.

Inclusions:

· Introduction

· Integrate all previous assignments with revisions if necessary

· Definition of Community

· Windshield Survey

· Community Assessment

· Community Partners and Resources Community Health

· Diagnosis

· Objectives

· Identify the intervention activities and resources needed to achieve the objectives and accomplish the goal(s).  Describe what you did for your project.

· Interventions must be specific and indicate:

· Who will implement the intervention?

· What, how, and when it will be implemented?

· How will people be notified of this? 

· (Consideration should be given to education space needed, educational materials needing to be developed, advertising, and activity promotion through TV or radio)

· Describe the proposed implementation of a project or activity.  Include teaching, development of educational materials, etc.

· Include in an appendix any material you developed: pamphlets, pictures of posters, advertising material, etc.

· Propose an evaluation you would use to measure how you met the stated goal.

· How will the success of your interventions be evaluated?  

· State what you might change to better accomplish the goal if it were not met. As you may remember from care planning, unmet goals usually need a change in interventions, or a change in the goal to be more realistic.

· Conclusion

Additional Instructions:

· Reference page (minimum of 12 references)

· Final Paper 10 – 12 pages (not including title and reference page)

· APA format

· A title page and a reference page

Please upload your completed assignment to this assignment area.  This assignment is due by Sunday at 11:59pm.

Estimated time to complete: 6-8 hours

Rubric

NSG323 Unit 6 Paper Rubric

NSG323 Unit 6 Paper Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeTopic

10 pts

Level 5

Identifies a creative, focused, and manageable topic clearly addressing important points.

9 pts

Level 4

Identifies a manageable topic that addresses important points.

8 pts

Level 3

Identifies a focused topic that addresses important points.

7 pts

Level 2

Identifies a topic that while doable, is too narrowly focused.

6 pts

Level 1

Identifies a topic that is far too general and wide-ranging as to be doable.

0 pts

Level 0

Does not clearly identify a topic or identifies a topic that is not relevant to the assignment.

10 pts

This criterion is linked to a Learning OutcomeExisting Knowledge, Research, and/or Views

30 pts

Level 5

Uses in-depth information from relevant sources representing multiple points of views (3 or more) or research aspects (3 or more).

27 pts

Level 4

Describes in-depth information from relevant sources representing at least two points of view or research aspects.

24 pts

Level 3

Explains information from relevant sources representing at least two points of view or research aspects.

21 pts

Level 2

Relates information from relevant and irrelevant sources. No clear point of view(s) of approach(es) are identified.

18 pts

Level 1

Tells information from irrelevant sources representing a single point of view or does not identify points of view or approaches.

0 pts

Level 0

Information is irrelevant to the topic. No clear point of view/approaches.

30 pts

This criterion is linked to a Learning OutcomeContent

30 pts

Level 5

Demonstrates the ability to construct a clear and insightful problem statement/thesis statement/topic statement with evidence of all relevant contextual factors.

27 pts

Level 4

Demonstrates the ability to construct a problem statement, thesis statement/topic statement with evidence of most relevant contextual factors, and problem statement is adequately detailed.

24 pts

Level 3

Begins to demonstrate the ability to construct a problem statement/thesis statement/topic statement with evidence of most relevant contextual factors, but problem statement is superficial.

21 pts

Level 2

Demonstrates a limited ability in identifying a problem statement/thesis statement/topic statement or related contextual factors.

18 pts

Level 1

Demonstrates the ability to explain contextual factors but does not provide a defined statement.

0 pts

Level 0

There is no evidence of a defined statement.

30 pts

This criterion is linked to a Learning OutcomeAnalysis

25 pts

Level 5

Organizes and compares evidence to reveal insightful patterns, differences, or similarities related to focus.

22.5 pts

Level 4

Organizes and interprets evidence to reveal patterns, differences, or similarities related to focus.

20 pts

Level 3

Organizes and describes evidence according to patterns, differences, or similarities related to focus.

17.5 pts

Level 2

Organizes evidence, but the organization is not effective in revealing patterns, differences, or similarities.

15 pts

Level 1

Describes evidence, but it is not organized and/or is unrelated to focus.

0 pts

Level 0

Lists evidence, but it is not organized and/or is unrelated to focus.

25 pts

This criterion is linked to a Learning OutcomeConclusion

15 pts

Level 5

Assembles a conclusion that is a logical interpretation from findings.

13.5 pts

Level 4

Constructs a conclusion that is logical from inquiry findings.

12 pts

Level 3

Identifies a conclusion specifically from and responds specifically to the findings.

10.5 pts

Level 2

Produces a general conclusion that, because it is so general, also applies beyond the scope of the inquiry findings.

9 pts

Level 1

States an ambiguous or unsupportable conclusion from findings.

0 pts

Level 0

States an illogical conclusion from findings.

15 pts

This criterion is linked to a Learning OutcomeLimitations and Implications

5 pts

Level 5

Insightfully discusses in detail relevant and supported limitations and implications.

4.5 pts

Level 4

Examines relevant and supported limitations and implications.

4 pts

Level 3

Discusses relevant and supported limitations and implications.

3.5 pts

Level 2

Presents relevant and supported limitations and implications.

3 pts

Level 1

Presents limitations and implications, but they are unsupported.

0 pts

Level 0

Presents limitations and implications, but they are irrelevant.

5 pts

This criterion is linked to a Learning OutcomeWriting

3 pts

Level 5

The paper exhibits an excellent command of written English language conventions. The paper has no errors in mechanics, grammar, or spelling.

2.7 pts

Level 4

The paper exhibits a good command of written English language conventions. The paper has no errors in mechanics or spelling with minor grammatical errors that impair the flow of communication.

2.4 pts

Level 3

The paper exhibits a basic command of written English language conventions. The paper has minor errors in mechanics, grammar, or spelling that impact the flow of communication.

2.1 pts

Level 2

The paper exhibits a limited command of written English language conventions. The paper has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.

1.8 pts

Level 1

The paper exhibits little command of written English language conventions. The paper has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.

0 pts

Level 0

The paper does not demonstrate command of written English language conventions. The paper has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty discerning the meaning.

3 pts

This criterion is linked to a Learning OutcomeAPA

2 pts

Level 5

The required APA elements are all included with correct formatting, including in-text citations and references.

1.8 pts

Level 4

The required APA elements are all included with minor formatting errors, including in-text citations and references.

1.6 pts

Level 3

The required APA elements are all included with multiple formatting errors, including in-text citations and references.

1.4 pts

Level 2

The required APA elements are not all included and/or there are major formatting errors, including in-text citations and references.

1.2 pts

Level 1

Several APA elements are missing. The errors in formatting demonstrate limited understanding of APA guidelines, in-text-citations, and references.

0 pts

Level 0

There is little to no evidence of APA formatting and/or there are no in-text citations and/or references.

2 pts

1

2

Unit 5: Community Partner and Resources

Introduction

With increased challenges of life along with other disease predisposing factors, it has been identified that individual within assisted living community is more likely to acquire diseases and develop complications associated with health conditions when compared to a healthy middle-aged adult. Based on these facts, it, therefore, is the duty and responsibility of the government in collaboration with the community to work towards providing necessary resources and care for such residents (Myung & Lee, 2017). There are many alternatives in terms of resources and support programs that could be employed to help older adults in the community achieve optimum wellness and perhaps reduce the stress associated with old age. Given that senior people in the community are more vulnerable to a wide range of health conditions, the government and the community at large must provide services that will cater for older adults’ diet, clothing, physical activities and ensure that their wellbeing is prioritized with respect to promoting good health among the old population. Older adults are vulnerable to infectious diseases because of their age, reduced immunity, poor nutrition, lack of resources, poor housing, poor living standards, lack of protection and living in crowded areas.

Community Partners and Community Resources

With respect to the question and the project under consideration, it has been established that lack of adequate support from the government has been regarded as the primary reason why the elderly population’s health condition worsens every day. The selected region to undertake this project is California-based nursing homes (Giang & Devasahayam, 2018). Some of the health challenges that ought t be addressed by this project with respect to health promotion and support of older people living in California – based nursing care how include conditions such as diarrhoea, colds, skin illnesses as well as pneumonia. In order to identify major challenges elderly people, face with reference to the above mention’s conditions, it will require collaborative efforts of the community and the government, and through active participation of people from local pharmacies, local government units and non-governmental organizations, it will be easy to formulate better approaches that could be used to help older people in the society achieve their well0being despite health challenges they are facing.

Roles in The Project

Among the key groups and recourses that must be involved in this project will be; the department of social workers, local government, meal on the wheels and local pharmacies. In this regard, the role of the local pharmacies will be to procure and avail medications and other resources that will be used in treating various conditions. They will also educate the essence of cleanliness and hygiene among elderly people. The meals on the wheel will be bestowed with the responsibility of ensuring that the older people have their meals on time, as required and with the right nutrient content. As for the local government u it, it is good to note that this entity will provide support in terms of resources, programs and funds that could be used to facilitate elderly nursing programs and education about various health conditions that may influence their wee0ebing (Giang & Devasahayam, 2018). Lastly, local government social workers will also get active involvement in this project since social workers will serve as the primary instruments that could provide vital services for elderly people, especially the aged ones, to help raise and address major concerns that affect the elderly population our communities.

Conclusion.

Healthcare needs for our community are vital; the children and the elderly are the most vulnerable people in society. They need to be supported throughout to ensure their well being is prioritized and guaranteed. Local government, groups such as social workers, pharmacists and meal on wheal will provide essential services to the older adults.

References

FSU Online. (2020, August 19). The social worker’s role and impact on the community. Retrieved from https://onlinemsw.fsu.edu/blog/social-worker-role

Giang, L. T., & Devasahayam, T. W. (2018). Policy options for protecting the health rights of older people. Health Rights of Older People, 148-156. doi:10.4324/9781315147260-7

Myung, H., & Lee, H. (2017). Role of local government in responding to environmental health challenges: A case study of Chungnam. Environmental Health and Toxicology32, e2017023. doi:10.5620/eat.e2017023

Unit 4: Nursing Diagnosis

Community Nursing Diagnosis Template

Risk of:

Here you want to identify the problem or health risk faced by your community.

For example: If your community health project is focused on proper hand hygiene to combat the spread of COVID-19, then “Risk for infection” would be a good community diagnosis to correlate with your project.

Infection

Among:

Here you want to identify the specific community client with whom you will be working in relation to the identified and stated problem.

For example: If you are teaching 1st grade students at a local elementary school, “adolescents of Lake County” would be a good example of the community population you are trying to aid in.

The Resident of White oaks of Mchenry in Lake County.

Related to:

Here you will describe the characteristics of the community identified during the assessment phase. These may include motivation, knowledge, and skills of the community and its environment. Environmental characteristics include physical, cultural, psychosocial, and political characteristics.

Some of the identified characteristics may be strengths that you will build on to address the problem, while others contribute to the identified problem

For example:

Some age-related items you might find:

If working with first graders they are working at a disadvantage of an age-related knowledge deficit.

If working with high school students are known to partake in risk taking behaviors.

-Part of area considered to be High risk level of viral diseases.

-Lack of community support of mask usage during contact with an infected person.

-Low rate of educated residents.

-Unavailability of resources to those that are uninsured.

-Unused resources available to resident due to no or lack of communication from public servants to resident of the community.

The community portray low level of vaccinated resident due to high level of uneducated resident and no resources to enlighten resident of the community about the benefit of vaccination.

Evidence by:

This is a good section to display the data and supporting items you have found during your community assessment.

For example:

Strengths:

Community has great access to healthcare with a multiple hospitals, clinics, and providers to assist patients with their health-related needs.

Weakness:

Heart disease is number one cause of death in community.

Fast-food restaurants noted in all areas of city.

Strengths:

-Availability of programs to encourage wellness check and educate residents about how to care for themselves. And learning how to use precautions to reduce rate of infection.

Weakness:

-Low rate of resident of the community attending free wellness check-up. Which bring about the High rate of resident visiting hospital for infection and other illness that could have been prevented.

Diagnosis:

Here you will combine the information from “risk of”, “among“, “related to” and “evidence by” to form a nursing diagnosis. Make sure that the diagnosis addresses the problem at the aggregate level – this distinguishes it from nursing diagnosis inspired by individual patients.

For example:

Risk of infection, among adolescents living in Willard, MO, related to knowledge deficit on communicable disease transmission, as evidence by improper hand hygiene techniques and increase in COVID-19 positive cases in elementary schools.

Risk of Infection among senior residents living in the community related to knowledge deficit due to high rate of uneducated resident evidence by high rate of hospitalization for infection and lack of resource usage.

Objectives or Goals:

Here you will discuss the objectives that your community project will address.

You need to develop a minimum of 2 short term goals and 1 long term goal.

These need to be in a SMART goal format.

This means they need to be specific, measurable, achievable, relevant, and time-bound.

Short term goal example:

After the completion of the education session, students will verbalize 3 health snack options.

Long term goal example:

In 6 months after the education session, the elementary school will note a decrease in COVID-19 positive cases by 10%.

Short term goal example

-After completion of presentation, residents will demonstrate proper handwashing for 2 minutes.

-After the completion of the presentation, resident will know and able to verbalize the importance of handwashing.

Long term goal example

-In 10 months after the completion of presentation, will be used to using the 10 locations or will remember where hand washing can be performed with the help of poster.

In this section you will:

1. Discuss your community project in detail.

2. How it will address the nursing diagnosis

3. What progress you have made so far in meeting your goals/objectives

1. Will be doing a PowerPoint presentation to both staff and resident on the Importance of hand washing and proper or idle way of hand washing process. Including signs at various hand washing location to help resident while performing hand washing at various times.

2. It will bring awareness to residents that do not know the importance of handwashing and what handwashing could prevent. It will also make both staff and residents cultivate the habit of handwashing.

3. Met with the Lead Nurse to discuss about how and when I will be doing the presentation, what location would be the best to do it at, what time of the day would be the best, type of signs that would create the awareness of the presentation.

Reference:

Carpenito, L. J. (2016). Handbook of Nursing Diagnosis (15th ed.). Lippincott Williams & Wilkins (LWW). Vera, M. B. (2021). Nursing Care Plans (NCP): Ultimate Guide and Database. Nurseslabs. https://nurseslabs.com/nursing-care-plans/

1

Unit 2: Windshield Survey

Windshield Survey Assignment

Part I: For this assignment, students will take about an hour to explore a particular district/ or community. Drive around and look around the community to assess what resources are available. From your observations, complete the following form. If you were unable to locate answers visually, please research and find where these nearest resources are

Section I: Windshield Survey

What is the name of the community/city/county?

My survey will consider Jacksonville, North Carolina, situated in Onslow County (Phillips, 2022).

What are the boundaries of this city, or where is this community located? Is it obvious where the community starts and ends? And you know that how?

Jacksonville city is a military base where there are considerable military subcultures found in the city. It is an intercostals city that borders St. Johns River, Arlington, and Jacksonville Beaches. The city is located on the southeastern side of North Carolina. The city access reliable and instant water from the New River that draws its water from the Atlantic Ocean.

What kinds of services for families are available? Could a family find everything they need on a day-to-day basis within this neighborhood/community? (such as food, gas, healthcare, etc.) If not, how far would they have to travel to find such services?

Since Jacksonville is a military base, families available in the area can access what services and goods they require. The local government and the national government have invested a considerable number of resources in supporting business and improving the social amenities to make the lives of soldiers and the entire community comfortable. There are hospitals, clinics, grocery stores, shopping centers, and restaurants. Within less than twenty minutes, Jacksonville citizens can access the goods and services they require.

Is the city/community safe for children to play and walk to school? Describe.

Jacksonville city is safe for children to play and walk to schools. There are driving speed limits to indicate the presence of children, particularly in learning institutions. Many modern schools in the area, such as Sandalwood High School, Bartram Trail High School, and Oakleaf High School. Easier access to schools has improved the level of education where 22.2% of people above the age of twenty-five years are graduates. Additionally, 92.3% of the population above twenty-five years is high school graduates.

Are there any organizations like Boys and Girls Clubs, churches, or Head Start centers that provide activities for children? Describe.

Since the area has many military activities, boys and girls have the privilege to engage in various activities in clubs and scout groups. More than eighteen clubs in the city enhance skills among young boys and girls. For example, the youth development professional support sports and recreations among boys and girls. The boys and girls could attend churches from different denominations. The most famous churches include Excel Church, Southpoint Community Church, Impact Church, and the church of Eleven22.

What kinds of jobs would people have in this community? Any special industry or big employers present? Describe.

There are various job opportunities in Jacksonville city such as construction, grocery stores, farming, teaching in local schools, and selling at various local shops. Various major companies offer big employment. They include Coastal Enterprises of Jacksonville and Platinum Corral. People qualified in various nursing courses can access jobs in the healthcare sectors in large hospitals such as Onslow Memorial Hospital.

Do the schools appear inviting to students? Are the buildings in good condition, or are they run down? Are the playgrounds current or old? Describe.

There are different types of schools, both the traditional which were created more than ten decades ago but are inviting to students and look presentable. Most of the high schools have trees and good playing grounds for students. The middle and elementary schools are inviting and presentable to children since they have the modern equipment to support learning.

Are there lots of real estate for sale? Are they mostly houses, or is there evidence of closed-down businesses?

There is lots of real estate for sale in the city, and most houses range from $140,000 to $ 400,000. The real estate business is evident in the area, and it is not a closed-down business. The most predominate real estate companies include Engineering Firms, Upscale Homebuilders, and Top Small Residential Real Estate.

What type of stores/businesses are available (shopping centers, neighborhood stores, convenience stores, grocery stores, pharmacies?)Are they in one area or spread out within the community? Can people walk there? Describe.

The businesses and stores in Jacksonville city are evenly distributed, and people from every corner of the city can access essential goods and services. For instance, various car dealers such as G.W. Trucks, Lexus of Jacksonville, Autoline Preowned, Subaru of Jacksonville, and Duval Acura. Various private hospitals are well spread in the area, including Memorial Hospital Jacksonville and St. Vincent’s Medical Center Southside.

Any ethnic stores/markets? If not local, how far would residents have to travel?

During the survey, I noted several ethnic stores, including Sprouts Farmers Market and Dollar General, which are white-oriented businesses.

Are there churches present? Do those buildings appear to be well maintained, or are they run down? What is the predominant type of church building seen? Describe.

There are many modern and traditionally built churches in Jacksonville city in North Carolina. The buildings are well maintained and inviting to people to addend church services. The most common churches are modern with modern infrastructure. Examples of such churches include and predominant in the area include Excel Church, Southpoint Community Church, Impact Church, and the church of Eleven22.

Are there doctor offices/dental offices within the community/neighborhood? Are any alternative medicine services available? Any hospitals? Is medical care available within the community, or do the residents have to travel? How far away do they have to go for c

onsideration if they travel?

The city has dental and doctor offices, particularly at CBD (Kisacky, 2022). However, there are more other doctors’ offices in the rural areas of the city. Patients can access the medical services in their place and do not need to travel for long distances to access medical services.

Are there social agencies (welfare, WIC, social services) available? If not found locally, where are these nearest agencies found?

There are many women, Infants, and Children (WIC) that aim at providing services at no cost. The WIC aims at enhancing referrals for healthcare, counseling, and nutritional education. Arkansas is the main WIC program in the area. Other social services organizations such as Senior service provide financial and counseling services to the elderly above the age of sixty-five years.

Are any senior centers or child care centers available? Does it appear that the centers are utilized? Describe.

There are various senior centers, such as the City Of Jacksonville Senior Service Division which serves the older people. The mission of the programs is to ensure that the elderly are living active and independent lives in the city. The elderly are provided with platforms to enhance their education on avoiding chronic illness through proper diet.

Are there community organizations present (Elks, Masons, etc.)? If not seen locally, how far away are these organizations for residents?

Throughout my tour in the city, I did not come across any community organization mentioned on billboards or buildings. However, it does mean Jacksonville city lack such organizations. Various wildlife clubs aim and conserving the environment. The members of the clubs usually establish community-based education to protect forests and wild animals in the city.

Are there any restaurants or fast food in the community/neighborhood? Describe.

Various international fast-moving foods have established significant branches in the city. Such companies include Wendy’s, Waffle House, Sonic, Popeye’s, Burger King, and McDonald’s. Since many people in the city are busy in business are more likely to consume fast-moving to save time. Fast-moving foods are the leading cause of chronic illnesses, particularly in the white population.

Are there political signs present? What are most of the political signs about? Does the community appear to be Republican or Democrat? Describe.

Jacksonville city is a political environment since I could find billboards for clerk of courts Election. Since most of the population has been whites since the early 20th century, most whites shifted from the democratic to the republican party. In contrast, most of the black people remain in the democratic party.

What is the age of the houses? Are they all new or old or a mix of both? Are they made of bricks or painted? Are they mostly single-story or multistory homes? Describe.

In Jacksonville city, there are ongoing constructions to modern houses. Other houses seem less than five years old. Additionally, other houses were built before the 1950s. Most of the houses built before the 1950s were plantation houses. The new homes are built of siding, stucco, and bricks. The older houses are only made of siding and bricks.

Are there single-family homes, mobile homes, apartments, or duplexes? Describe.

In the rural areas of most of the homes are single-family homes and mobile homes; however, in the city, most of the houses are apartment houses.

Do the houses appear to be well maintained, or are they run down? Are the yards maintained? Is there junk on the porches/yard? Describe.

Most of the houses do not seem to run down; they are conducive and safe to reside in. Some of the residential houses are required to be maintained based on the city standard. The only challenge is junk on porches and yards since I could see old refrigerators outside many homes.

Are there sidewalks and stoplights in the community/neighborhood? Describe.

There are stop signs all over the areas where the police investigate and survey what a car might be carrying.

Are there any open public spaces? Recreations centers? Green spaces? Public gardens or parks? Are the parks in good repair, or are they run down? Are there lots of trees?

Various recreation areas are distributed evenly around the city. The most common ones are Baldwin Park, Stockton Park, Riverside Park Memorial Park, and James Weldon Johnson Park. The recreation centers are well maintained and equipped with modern facilities.

Are there any baseball fields soccer fields?

(The schools may have these)

There are various football fields where the youths can arrange small competitions during weekends.

Is the community/neighborhood clean, or is there litter? Are any abandoned cars or junk visible to the public? Describe.

The city CBD is well maintained, and hardly one can see litter. However, the less developed parts of the particularly where low-income people live it are not clean, and one could see litter.

What is the overall air quality appear to be? Any smog, stink? Does the water in lakes or ponds appear reasonably clear? Describe.

The air from the city is clean due to the presence of many trees. The New River provides clean water to the community. The ponds appear muddy, but there are no signs of smog in the area. The industries in the area have comprehensive programs to dispose of their waste without affecting the water bodies.

How do people get around in the neighborhood? Do the cars appear well maintained or are they old? Are there buses, sidewalks, any bicyclists? Is there a train? Are there bicycle lanes or bicycle racks in many places?

Most of the people are middle class and hence can afford vehicles. People get around the area by driving. There are also some public buses to cater to the population that cannot drive themselves. Most of the vehicles are well maintained although cars may appear rusty with some missing taillights but generally appear well maintained.

Are the roads in good repair or are they in poor condition? Describe.

The roads in the city CBD are well maintained and modern. However, some roads in the rural areas have some potholes.

How is the traffic? Is it mostly commercial traffic or local traffic? Describe.

There are traffics at specific times of the day. The traffic is bad during the morning when people are heading to work, during lunchtime when people are heading to restaurants and hotels, and during the evening since most people are getting back to their homes from work.

Do you see any law enforcement officers? Is their presence felt in the community? Describe.

There are many law enforcement agents on the roads, and once in a while, you will see troopers around the city and some parts of the city’s rural area.

Are there significant highways/roads through the neighborhood/community?

Major highways in the area range from La 190, La 51, La 22, La 16, and La 55. The major highways are found within the city.

Can you find a fire station? Notice any fire hydrants around the town/neighborhood? If not seen, where is the nearest fire station?

Through the research, I noticed various fire stations in the city, and one that attracted my attention due to the high technology integration was Jacksonville Fire Rescue.

Are any ambulance garages present? (The local hospitals or fire stations may have this if not seen separately)

There are ambulance garages that are near major hospitals in the area. The garages are seen separately, but the hospital executives manage them.

Any evidence of a neighborhood watch program? Are homes gated off? Do you see security system signs posted in yards/businesses? Describe.

There are signs of security systems in various gated communities, but I never came across other neighborhood watch programs. The simple security signs included SimpleSafe and Custom security.

What is the ethnicity of the neighborhood/community? Describe.

The U.S. Census Bureau shows that the white population is 67.7%, 20% of the population are black Americans, 4.7% mix mixed races, 2.5% are Indian, and 0.7% are American India.

Where do young people go to gather/hang out in the neighborhood/community? Where do the elderly go? Describe.

The young gather at the various movie theater, hang out at parks all walk around at the shopping centers. However, the elderly are supported by social programs where they are taken by the city bus to various casino clubs during the weekends.

Are there nursing homes/rehab centers present? If not found locally, how far away are these resources?

There are various nursing homes and rehabilitation centers in Jacksonville city. Some nursing homes include Moosehaven, River Garden Hebrew Home for the Aged, and Vicar’s landing home (Li, Chen, Guniganti, Kansagra, Piccirillo, Chen & Starke, 2022). The rehabilitation centers include Heartland Rehabilitation Services At Southside and Riverwood Center.

Any evidence of homelessness? Is there a homeless shelter? Describe.

Throughout the tour, I did not notice any sign of homelessness; however, some people on the roadsides begging for food and money with written boards indicating homeless.

Notice any stray animals? Describe.

There are various stray cars around fast food places and multiple hotels and restaurants.

Miscellaneous observations (here is where you describe the situation that led you to choose the community project you will be doing if the observations do not fall into one of the above categories.

The main reason I chose Jacksonville city is that it is one of the cities that has been aggressive and proactive to reduce racial discrimination while embracing workplace diversity in small companies and enterprises. The security is tight since it is a military-based area. Various opportunities are present due to effective policies to support entrepreneurship.

Section II: Data/Observation Analysis:

What is your overall impression of the community?

The area is impressive and safe to live in because it is a military base with the presence of many security agencies (Tertulien, Roberts, Eaton, Cene, Corbie-Smith, Manson & Breathett, 2022). It is an inviting area that embraces cultural diversity. Due to various ethnic groups, racial discrimination is not a very common practice. People in the area are clean and friendly to foreigners and visitors.

What are the neighborhood/community’s weaknesses or challenges, or problems?

There are various weaknesses among Jacksonville city. The first challenge is the presence of many fast-moving food stores. The elderly and the youths cannot maintain a healthy diet to prevent chronic illnesses such as obesity, diabetes, and cancers. Jacksonville citizens lack comprehensive knowledge on effective dietary, thus more likely to suffer from chronic illnesses. The other disadvantage in the area is the lack of recreation grounds for the elderly to enhance their body exercise.

What is the most pressing problem you identified, in your opinion?

I noted that the majority of the population are whites with a population of 67.7%, 20% of the population are black Americans, 4.7% mix mixed races, 2.5% are Indian, and 0.7% are American India. Based on what I saw in various markets, there is racial discrimination in many areas. The whites have discriminated against other ethnic groups, as evidenced by various job sites. For instance, I did not see any large organizations where the senior executive, like a CEO, was held by any other ethnicity than the whites.

Propose a solution to this problem that is realistic and relevant. Discuss who would address this and how.

The New River is the source of water for the entire community. I would propose that the local government develop various policies to prevent people who may find destroying the ecosystem. The other policy I would propose is to minimize the number of fast-moving food stores so that the general population would be able to prevent chronic illness among the population.

What is the most striking thing about this community?

The most striking thing in the area is dozens of well-adapted native trees that make the area suitable for breathing fresh air (Jin & Sanders, 2022). Since water is not a problem in the area, the general citizens have planted numerous trees in their homesteads.

What was most unexpected?

One surprising thing I did not expect was horses in the area, but I realized that the many horses were a result of many soldiers and law enforcers who use them for patrol during the day.

References

Jin, A. S., & Sanders, K. T. (2022). Analyzing changes to U.S. municipal heat response plans during the COVID-19 pandemic. Environmental Science & Policy128, 347-358.

Kisacky, J. (2022). Consequences of Migrating U.S. Contagious Facilities Into General Hospitals, 1900–1950. HERD: Health Environments Research & Design Journal15(1), 75-96.

Li, Y., Chen, S. H., Guniganti, R., Kansagra, A. P., Piccirillo, J. F., Chen, C. J., … & Starke, R. M. (2022). Onyx embolization for dural arteriovenous fistulas: a multi-institutional study. Journal of neurointerventional surgery14(1).

Phillips, J. D. (2022). Geomorphic impacts of Hurricane Florence on the lower Neuse River: Portents and particulars. Geomorphology397, 108026.

Tertulien, T., Roberts, M. B., Eaton, C. B., Cene, C. W., Corbie-Smith, G., Manson, J. E., … & Breathett, K. (2022). Association Between Race/Ethnicity and Income on the Likelihood of Coronary Revascularization Among Postmenopausal Women with Acute Myocardial Infarction: Women’s Health Initiative Study. American heart journal.

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