B1. Community
I did my study for this assignment in Stokes County, North Carolina which is where I recently moved to from Iowa. Stokes County is made up of several small towns but King, which is where I live, is the largest town. Stokes County is in the middle northern part of the state near the Virginia border, a mountain chain, and a lot of wilderness. Some of the towns are incorporated and some are not and a few only claim to be villages. Using the Population Economic Status Assessment, I looked at the State & County Quick Facts last revised: Feb-2015 and found that the county population is at about 46,588. The Caucasian population makes up 93.8% of the population, African American 4.4%, Hispanic 2.7%, and the remainder is 1.1%. The
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The area is pretty rural and many of the housing structures appear to be modular or mobile homes. Several of the “stick-built” structures are in varied levels of disrepair. There is a lot of open space and land used for agriculture. The roads are mostly paved, but narrow and winding; especially in the northern part of the county. There are occasionally homes with evidence of solar panels and/or windmills, but they are not often seen. There are many churches of different denominations, but mostly Christian, seen all over the county. There are very few examples of public transportation in Stokes County. There are parks available in the town centers, but they are small. There is Hanging Rock State Park offering hiking trails and camping with plenty of streams and ponds for fishing and outdoor activities. The following were issues that I found based on concepts of epidemiology. 1) The county is medically underserved as it is a more rural area with hard to access areas. 2) Dentists are not staying in the area and we have fewer dentists than the NC state average per 10,000 people. 3) There is a lack of public transportation and 4) there is a lack of mental health care services. These things make Stokes County residents be at higher risk overall for poverty related issues like unemployment, malnutrition, lack of
Although most people think they can get away with picking an easy topic for their senior projects it turns out to be a little more complex than that. Growing up my ideas and passions would always seem to be changing but when I finally became set in my ways at least in knowing what I would like to pursue the Nursing Program was up to par. I chose to do mine on Nursing in the ED (emergency department) because this is a field I would love to go into so I can be of service to those in need of any medical care, to always have a stable job to rely on, and further more to be able to excel in the field of medicine. I would love to be one of the people on call to respond to the needs of another individual in their time of need. Anyone could only
The facility my change project has potential impact upon is a teaching hospital which is known for promoting, supporting, and encouraging clinical research and implementing latest evidence-based practice. Erlanger serves as the region's only academic teaching hospital and strives to employ healthcare professionals who are knowledgeable in the latest skill, technique, and evidence based practice (EBP) (Erlanger Health System, 2017). This serves as both a strength and opportunity for the facility. A major strength for the hospital is the support that is has for research and implementation of all change processes. In 2013 the Institute for Clinical Research (EICR), was developed to solidify unity of two objectives, providing patients’ access
This paper focuses on an in depth community assessment of the past, present, and future of Shelby, Mississippi. Shelby was once a banner cotton center of Bolivar County. Shelby residents were once referred to as some of the most hospitable and happy people in the state. Shelby, Mississippi was also considered as one of the wealthiest towns per capita of the entire Mississippi Delta. Throughout the years, Shelby has changed from being a place of prosperity to a place needing revitalization. Many businesses have opened and closed in Shelby. Community development in Shelby would allow the town to compete with other small towns in the Mississippi Delta.
There are many major impacts of what poverty can do to health, are caused by the absence of;
Along the northern-end of Utah’s Wasatch Front is a scenic region of land known as Weber County. This county ranges from the peaks of the Wasatch Mountains into a portion of the Great Salt Lake of the lower valley. The Weber and Ogden rivers and their tributaries run through its valleys (Weber County, 2015). Weber County is the second smallest county in land mass and has the fourth largest population in the state. County population in 2012 was 236,000 (94% urban, 6% rural), comprised of the communities of Ogden, Farr West, Harrisville, Hooper, Huntsville, Marriot-Slaterville, North Ogden, Plain City, Pleasant View, Riverdale, Roy, South
Close contact with anyone who is experiencing a fever, cough or shortness of breath and has traveled from the Arabian Peninsula within the past fourteen days should monitor their health beginning with last day of exposure and seek medical attention if they become ill (U.S. Department of Health and Human Services, 2015).
In early April 2013 a measles outbreak was discovered in North Carolina. By mid-May the outbreak had been identified in Stokes and Orange Counties via 23 active cases. Every case was linked back to a family that had spent 3 months in India and had not been vaccinated. By the 16th of April the state laboratory of Public Health was able to confirm the diagnosis, with the last known case being confirmed on May 7th. The investigation of this outbreak revealed 4 patients with a confirmed diagnosis that had received one of vaccination of the two part series. The other 19 cases had not ever been vaccinated.
The purpose of this paper is to provide insight on health disparities seen within DeKalb County. The residents of DeKalb County are diverse in race, ethnicity, and income. Since the county is so diverse there are many health disparities seen amongst its residents. Health disparities occur within a county when one group of a population has noticeably better or worse health than another group within the same population. These groups of people can differ by income, education, sex, race, location, and even sexual orientation. This Paper will discuss the health disparities that exist within DeKalb County, and explain why these disparities exist from a historical, political and social aspect. Furthermore, this paper will give background information on health outcomes from national, state, and local epidemiological perspective in order to support the claims that disparities actually exist within this county.
The community identified its priority health needs by doing Community Health Status Assessment(CHSA). The aim of this was to obtain feedback from residents regarding their health status, access to healthcare and their perception of community services. The study included residents of Atlantic County and surrounding areas in Camden and Cape May counties that are serviced by Atlantic County hospitals in2002. The first research component was a secondary data collection. This secondary data profile contained health and wellness statistics collected from New Jersey, the Department of Health and Senior Services NJDHSS, CDC, and U.S. Census Bureau data. The profile identified the health status of area residents compared to those in other parts of the state and the nation. The same data profile was used in the
North Carolina has always been a much more complicated place than its publicists have claimed. If Raleigh, Greensboro, Winston-Salem and Charlotte
County Health Rankings & Roadmaps. (n.d.). County Health Rankings & Roadmaps. Retrieved August 1, 2014, f
The community chosen for this fieldwork practicum is Pasadena, California. Pasadena is a city in Los Angeles County, California. As of 2015, the estimated population of Pasadena was 140,881, making it the 183rd largest city in the United States (City Data, 2015). Pasadena is the ninth-largest city in Los Angeles County.
An issue that Charlotte has is poverty. There is a growth of poverty in Charlotte. Poverty makes it much harder for families to escape poverty. Between 200 and 2008-20012, the number of people living in distressed neighborhoods grew by 5 million. Poverty has increased and spreader during the 2000s. The concentrated poverty rate had remained the highest in the big cities, where almost 1 in 4 poor residents(23%) lived in distress neighborhoods. Between 2000 and 2008-20012, the number of suburban poor living has grown by 138%, that's 3 times the pace of growth in cities. Of poor residents living in concentrated poverty in the nation's 100 largest metro areas, that's 26% living in the suburbs in 2008-2012, up from 18% in 2000.
Public health nursing focus on a community that the nurse identifies the health issues facing that population and try to figure out ways to find a solution to those health problems for the community 's population. Although areas in public health such as having access and cost still pose a great problem, community based care has made an impact on the contemporary practice of nursing. One of the leaders of public health nursing was Lilian D. Wald. Lilian Wald was a nurse, social reformer, and advocate that made a significant impact on public health services. Dieckmann (2015), explains that she convinced American Red Cross to initiate health nursing services across the country. Eventually, this progressed into local governments to develop public health nursing within the counties and their health departments (Dieckmann, 2015). All these developments then supported a service called Town and Country Nursing that developed a framework of home nursing care in the public area and provided instructions to the community on hygiene and sanitation (Dieckmann, 2015). Overall, Lilian Wald made a significant influence on numerous services that turned into providing effective care for the community. These services have influence a great deal in public health nursing within local areas around the country.
A generalist community health nurse (CHN) provides population-level assistance to health care agencies through a variety of means. This assignment is meant to provide an overview of potential generalist CHN community interventions. Types of clinical projects can include data analysis/tracking for trending purposes; on-going clinical project evaluation; educational intervention for clients, staff, and students; surveying needs of clients or staff for future programs; developing policies or procedures; and/or developing educational materials, such as posters, pamphlets or handouts. This assignment is 20% of your overall grade. Your proposal for this project is due Week 6, Saturday, 11:59 PM. Implementation and Evaluation of this project are due on your assigned clinical day, Week 8. See the Course Schedule and Due Dates. If necessary, however, you may secure permission from your Clinical Faculty and approval by your Preceptor to select another date for implementation. However, all projects must be concluded by the date noted above.