Community Health Nursing Essay

Identification of CommunityNestled in Southern Indiana safe west of Louisville, Kentucky and south of Indianapolis, Indiana is Dubois County, Indiana. Dubois County is comprised of the townships of Birdseye, Ferdinand, Holland, Huntingburg and Jasper. Of those towns, Jasper is the largest and is the county seat (Kelly inculcate of disdain, 2014). Over cardinal percent of the creation consists of adults ranging from 25-64 years of age (Kelly inform of Business, 2014). The leading set out of mortality in this county is content complaint, crabmeat, suicide and injuries (Memorial infirmary and wellness mete out sharpen & Dubois County wellness subdivision, 2011). According to the 2011 wellness rankings of the county, Dubois County was higher in the benchmark of poor health, adult obesity, adult smoking, excessive drinking, motor vehicle jam death tell and teen birth rate than the national benchmarks (Memorial infirmary and wellness C atomic function 18 gist & Dubois County wellness Department, 2011).Industry overview consists of manufacturing, transportation/w arhousing, health cargon, and finance/insurance with manufacturing providing the majority of the seams at an average wage per job of $54,000 in 2010(Memorial Hospital And wellness Care Center & Dubois County wellness Department, 2011). obesity in the county grew to 28.9% in 2008 compared to 26.8% in 2006(Memorial Hospital and Health Care Center & Dubois County Health Department, 2011). Physical inactivity overly change magnitude in the twain year span festering from 20.9% in 2006 to 24.5% in 2008(Memorial Hospital And Health Care Center & Dubois County Health Department, 2011). Summary of hammersPopulation Economic post AssessmentThe Population Economic Status Assessment of the county was utilized to find out the population estimates, cultural diversity, income levels, poverty among children and unemployment rates. In 2013 the population estimates of 42, 361 were found in Dubois County (United States Census Bureau, 2014). Ofthese, the cultural demographics of 98% were white and 6.4% were Hispanic or Hispanic (United States Census Bureau, 2014). In 2011, Dubois County supplyd only 0.6% of the births in Indiana and 0.7% of the deaths (Kelly School of Business, 2014). The normal household income was $54,168 and 7.9% were below poverty level wen the span of 2008-2012 was examine (United States Census Bureau, 2014). The rate of poverty among children in Dubois County was under 10% in 2010(Memorial Hospital and Health Care Center & Dubois County Health Department, 2011). A 7.5% unemployment rate in 2010 was seen as well as an increase in families receiving acting(prenominal) assistance (Memorial Hospital and Health Care Center & Dubois County Health Department, 2011). nearness/Community Safety InventoryEnvironmental safety hazards present in Dubois County range from course pollution, invasive animal species, climate, and resources. Air pollution is a bypro duct of the manufacturing industry. The Particulate Matter flierment in 2010 was 27.2ug/m3 which contrisolelyes to the asthma attack and cancer rates in the society (Air Quality, 2012). Another surroundingsal concern is the assertable conversion of a coal- exculpated dress into an incinerator of bio people which also threatens to worsen the respiratory issues of the population (Healthy Dubois County, 2014). Invasive animal species of the county implicate the Emerald Ash Borer and Gypsy moth who could deforest the trees and shrubs thereby threatening our environment (Dubois County Soil and Water saving District, 2014). The climate is humid and the annual precipitation is spread finishedout the year (Federal hint oversight Agency, 2014). The soil is flat and provides poor drainage thus placing the county at risk for flooding (Federal Emergency Management Agency, 2014).Cultural Assessment ToolThe old cultural groups of Dubois County are whites with German ancestry and a gr owing Latino population. The numbers of females to males of both cultures is approximately 5050(Dubois County, n.d.) Religious affiliations of the residential area include Catholics, Lutheran, Methodist and Mormon with Catholics macrocosm approximately 71% of the population (Onboard Informatics, 2013).Disaster Assessment & Planning GuideDubois Countys disaster cooking plans and resources are retained by the county health section. The four major areas of focussing include acts of nature, such as floods and tornados disease outbreaks, such as grippe and Hepatitis accidents, including chemical spills and terrorist acts (Dubois County Health Department, 2012). With such disasters the about vulnerable populations are the preteen and old, who are the most likely to be affected by a disaster. Public agencies such as the Red Cross, Memorial Hospital and Health Care Center, Dubois County Health Department are a a few(prenominal) of the topical anesthetic agencies that can offer re sources and aid to those several(prenominal)ones during times of crisis. Ethnicity issues related to disaster are language barriers of those who have recently traveled to the area.Windshield SurveyThe environment of Dubois County is a mix of urban and rural areas that are rich in history. In Jasper, IN there are eighteen parks regain in this county seat of Dubois County. They are well maintained by the position and Recreation Department of the town. The homes in Jasper over any are well maintained and landscaping includes a mix of trees, shrubs and flowers. The home lot size ranges from midget to large as you progress away from the downtown area. Older homes are more focused in the downtown area and newer homes are being developed in the outer areas of town. Not all of the homes have recover to sidewalks or walking trails deep down walking distance. The Patoka River flows by the town and a recreational railway also passes finished the town. Residents take advantage of the r iver social movement area with a river walk pathway that passes 2.1 miles along the river. The river walk and marquee area along the river and parks provide common areas for families and fitness enthusiast. some other gathering places include a number of restaurants and bars in town. These restaurants are fast food, fast-casual and bar/grill type establishments. Transportation includes personal vehicles and prevalent transportation. Schools include five primary education civilises, one high school and one club college. There are over 50 dentists, 18 family practice, 5 pediatricians and 38 nursing homes/skilled/assisted living agencies in Jasper. The fellowship short letter owners work hard to build up the town and county done such organizations as Dubois Strong and great Downtown Jasper Business Association. Dubois Strongs focus is to support business growth through marketing to access to capital to help newand existing business to thrive. Diversity can be seen in the growt h of Hispanic churches/mass times, Hispanic food stores, and restaurants.Population Health Scavenger HuntThe Dubois County Health Departments target population is the residents of Dubois County and to support the health of the county. The county website promotes the health department and the health department advertises in the local anesthetic news media with regards to future events and programs. The Jasper Chamber of Commerce promotes local businesses, new resident information, recreation activities, cycle programs, and more. The director of the chamber is also active in promoting the expediency and activities within the city through news media and working with various(a) committees. Both the fire and police department are housed within the city center of Jasper and both provide programs for children in addition to cargo areaing our city safe. The police department provides schools with the DARE program for drug legal corporation. The City of Jasper, through the service of various agencies, houses a club food bank, energy assistance program, foreclosure legal profession run and health family promotion program for those who qualify.Description of Selected CommunityDubois County is a community built with German ancestry that has diversified over the years to include a Hispanic/Latino population. Individuals within the population are proactive in keeping the community thriving in this ever changing environment. Growth of the various cultures can be seen in the development of Hispanic churches and food stores. Cardiovascular disease was the leading cause of mortality in 2006-2008(Memorial Hospital and Health Care Center & Dubois County Health Department, 2011). Health disease prevention is provided through programs through the hospital and availably of outside activities found in the river walk and parks in the area.Interpretation of DataWhen comparing the number of births and deaths in Dubois County to Indiana as a whole, the numbers are even, in co mparison. Yet in international migration, the county ranks 23 out of 92 counties (Kelly School of Business, 2014). In examination of the leading causes of death in the county, most spring chicken people clog due to injury and older people die from either cancer or heart disease. Conclusions could be made from this data. A population who is primarily employed by manufacturing facilities could be the source of the accidents in the young and the environmental agents from these plants may cause death in the antiquated after multiple years of exposure. Also, another causative factor to realise is the availability of fast food linked to the increased mortality from heart disease.Problems in the Selected CommunityWhen the leading causes of mortality in Dubois County with regards to the Healthy pot 2020 goals are examined, the topics of Heart Disease and Stroke, Nutrition and angle Status and cancer appear to be the top three problems for this community. Heart disease and stroke are leading causes of mortality in America and therefore make for themselves to an increase in healthcare cost (U.S. Department of Health and humane Services, 2013). Prevention of these events can start with control of blood pressure, cholesterol, tobacco use, meliorate diet and increase in physical activity (U.S. Department of Health and homophile Services, 2013). Controlling these risk factors is therefore one of the goals of Healthy race 2020 as they attempt to ameliorate the health of the nation through health promotion and prevention.Not only does improving ones livelihood and weight decrease the risk of heart disease and stroke, but it leave alone also aid in the prevention of other diseases including cancer. The Healthy muckle 2020 goal of Nutrition and Weight Status not only looks at an individuals diet, but increasing household food security and eliminating hunger (U.S. Department of Health and human race Services, 2013). With the accessibility of fast food, increased physical inactivity and environmental safety concerns over the past few years, these goals for health promotion and prevention are applicable to this community. The resources in the community along with the communitys desire to care for its members should help this community thrive.Problem in Relation to GoalsHealthy People 2020 are acquisition based goals for improving the health of all Americans (U.S. Department of Health and Human Services, 2012). It established benchmarks and monitored progress over time in order to get along collaboration across communities and sectors, empower individualstoward making informed health decisions, and measure the impact of prevention activities over a ten year period( U.S. Department of Health and Human Services, 2012). Through the identification of a communitys health needs, a community can determine the health priorities and opportunities for improvement (U.S. Department of Health and Human Services, 2012). This process helps the community t o live lifelong lives free of preventable disease, disability, injury and premature death (U.S. Department of Health and Human Services, 2012).Therefore looking at the Dubois County communitys health concerns for heart disease and stroke, the goal of nutrition and weight status is a great starting point for improving the health of the community. As the individual lives of the community members improve so will the county. A sound community is a thriving community. Poor nutrition has been linked to heart disease, diabetes and some cancers. Not only is nutrition an individuals choice, but resources mustiness be accessible for proper nutrition and exercise. Fresh produce through Farmers trades, health promotion through work, and accessible healthy activities for the public are a few solutions to support the community as they strive to ameliorate their lives.Availability of Community ResourcesA variety of organizations throughout the community provide services to improve the nutrition and health of those it serves. The Greater Downtown Business Association hosts a Farmers Market every Saturday morning from May through October. Not only does this provide locally grown produce to the community, but it also offers a controlling social gathering for families and those interested in improving their nutrition. Many of the local churches and organizations offer 5K run/walk opportunities throughout the county as well. Memorial Hospital and Health Care Center offers fitness and nutrition classes for the community as part of their mission to Be for others.Primary Prevention TopicMy primary prevention topic is the prevention of overweight and obesity by path of healthy nutrition and physical activity. Amelioration of health will invalidate the disease risk for heart disease, stroke, diabetes and cancer in our community. A happy community starts with healthy individuals.Use of QuestionsThe largest contributor to morbidity and mortality in Dubois County is poor nutrition either through lack of education or resources. The businesses and organizations are trying to improve the nutrition/physical fitness of the community by offering classes, walk/runs and other means of health promotions through media promotion. The local physicians have discussed services on local radio programs, through seminars at the hospital and in articles in the local papers. There is also a community food bank and farmers market. The most recent controversial community health concern published by the news media is that of the proposed biomass plant to be initiated in the old power plant location. There has been community involvement by community leaders and individuals to keep this from happening due to the concern of air quality. As it stands, the company that was difference to initiate the transition to biomass has recently revoked their commitment to the project.Most people in the community are concerned about staying healthy for a bring out quality of life, but they may just not realize all the free or low cost resources operable to them. Local news media advertise the hospital programs available and promote the local fitness activities available. teaching needs to remain a constant to inform the community of the opportunities available to them. As mentioned antecedently, most of the emergency room visits are due to injuries/accidents, but cardiology issues is the top hospital inpatient discharge diagnosis (Memorial Hospital and Health Care Center & Dubois County Health Department, 2011). Therefore focus on prevention and treatment of heart disease is of paramount importance. Focusing on prevention will improve the longevity of this community. Quality of life in the community is reduced by the prevalence of multiple factories in the area. As previously mentioned, the air quality has impacted the communitys rate of asthma and cancer. Improving quality of life needs to include improving air quality.References2011 Dubois County Health Needs Assessme nt (Memorial Hospital and Health Care Center & Dubois County Health Department, 2011) Retrieved from www.duboiscountyin.org/stories/2011dchealthassess.pdf Air Quality. (2012). Indiana County of Dubois Government Website. Retrieved fromwww.duboiscountyin.org City Data Dubois County, Indiana. (Onboard Informatics, 2013). Retrieved April 22, 2014 from www.city-data.com/county/Dubois_County-IN.html Dubois County. (n.d.). In Wikipedia. Retrieved April 22, 2014 from http//enwikipedia.org/wiki/DuboisCounty,Indiana Dubois County Health Department (2012). Indiana County of Dubois Government Website. Retrieved from www.duboiscountyin.org Dubois County Indiana Profile (Kelly School of Business, 2014). Retrieved from www.stats.indiana.edu Flood Insurance Study Dubois County, Indiana and Incorporated Areas (Federal Emergency Management Agency, 2014). Retrieved from in.gov Healthy Dubois County (Healthy Dubois County, 2014). Retrieved from www.healthyduboiscounty.org Invasive Animal Species Infor mation (Dubois County Soil and Water Conservation District, 2014). Retrieved from www.duboisswcd.org State & County Quick Facts Dubois County, Indiana (United States Census Bureau, 2014). Retrieved from www.quickfacts.census.gov. U.S. Department of Health and Human Services. (2012). About Healthy People. HealthyPeople.gov. Retrieved from http//www.healthypeople.gov/2020/about. U.S. Department of Health and Human Services. (2013). Nutrition and Weight Status. HealthyPeople.gov. Retrieved from http//www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=29 U.S. Department of Health and Human Services. (2013). Heart Disease and Stroke. HealthyPeople.gov. Retrieved from http//www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=21