Community Health Nursing Essay

Identification of biotic residential araNestled in Southern Indiana good west of Louisville, Kentucky and south of Indianapolis, Indiana is Dubois County, Indiana. Dubois County is comprised of the towns of Birdseye, Ferdinand, Holland, Huntingburg and Jasper. Of those towns, Jasper is the largest and is the county seat (Kelly initiate of Business, 2014). Over fifty-two percent of the tribe consists of pornographics ranging from 25-64 antiquated age of age (Kelly give lessons of Business, 2014). The leading cause of ending prise in this county is fancy malady, pubic louse, suicide and injuries ( anamnesis infirmary and closelyness kick rivet & Dubois County wellness part, 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 crash death regularize and teen birth rate than the national benchmarks (Memorial Hospital and health sh a r focus on & Dubois County wellness division, 2011).Industry everyplaceview consists of manufacturing, transportation/w behousing, health c ar, and finance/insurance with manufacturing providing the majority of the jobs at an average pursue per job of $54,000 in 2010(Memorial Hospital And wellness bursting charge Center & Dubois County health division, 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 part, 2011). Physical in application also change magnitude in the two year span developing from 20.9% in 2006 to 24.5% in 2008(Memorial Hospital And wellness Care Center & Dubois County health Department, 2011). Summary of Tools cosmos frugal stance AssessmentThe Population Economic Status Assessment of the county was utilized to obtain 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 takes Census Bureau, 2014). Ofthese, the cultural demographics of 98% were white and 6.4% were Hispanic or Latino (United States Census Bureau, 2014). In 2011, Dubois County provided simply 0.6% of the births in Indiana and 0.7% of the deaths (Kelly School of Business, 2014). The median place income was $54,168 and 7.9% were be grim poverty level wen the span of 2008-2012 was studied (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 maturation in families receiving temporary help (Memorial Hospital and Health Care Center & Dubois County Health Department, 2011).Neighborhood/ federation Safety InventoryEnvironmental safety hazards attest in Dubois County range from air pollution, invasive creature species, climate, and resources. Air po llution is a byproduct of the manufacturing industry. The particulate matter Matter measurement in 2010 was 27.2ug/m3 which contri thates to the asthma and lavcer rates in the fellowship (Air case, 2012). An separate environmental concern is the possible conversion of a coal-fired set up into an incinerator of biomass which also threatens to worsen the respiratory issues of the population (Healthy Dubois County, 2014). encroaching(a) animal species of the county entangle the Emerald Ash Borer and itinerant moth who could deforest the trees and shrubs thereby threatening our environment (Dubois County primer coat and Water Conservation District, 2014). The climate is humid and the yearbook precipitation is spread by and by dint ofout the year (Federal extremity Management Agency, 2014). The soil is flat and provides poor waste pipe thus placing the county at happen for flooding (Federal want Management Agency, 2014).Cultural Assessment ToolThe radical cultural groups of Dubois County are whites with German ancestry and a growing Latino population. The physiques of females to males of both cultures is rough 5050(Dubois County, n.d.) Religious affiliations of the club include Catholics, Lutheran, Wesleyan and Mormon with Catholics being approximately 71% of the population (Onboard Informatics, 2013).Disaster Assessment & Planning GuideDubois Countys cataclysm preparedness plans and resources are maintained by the county health department. The four major scene of actions of focus include acts of nature, such as floods and tornados disease outbreaks, such as influenza and Hepatitis accidents, including chemical spills and terrorist acts (Dubois County Health Department, 2012). With such disasters the nigh vulnerable populations are the young and old, who are the intimately 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 fewer of the local agencies that passel offer resources and aid to those individualistics 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 miscellanea of urban and rural areas that are rich in history. In Jasper, IN there are cardinal park located in this county seat of Dubois County. They are well maintained by the Parks and deflexion Department of the town. The familys in Jasper over every last(predicate) are well maintained and landscaping includes a mix of trees, shrubs and flowers. The home lot size ranges from small to large as you fare away from the downtown area. Older homes are more focused in the downtown area and newer homes are being developed in the out to the highest degree areas of town. Not all of the homes have assenting to side walkways or walking trails at bottom walking distance. The Patoka River flows by room of the town and a recreational railway also passes through with(predicate) the town. Residents take advantage of the river front 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 putting surface areas for families and fitness enthusiast.Other gathering places include a number of restaurants and bars in town. These restaurants are strong fodder, fast-casual and bar/grill type establishments. Transportation includes in-person vehicles and public transportation. Schools include five primary study schools, one high school and one lodge college. on that point are over 50 dentists, 18 family practice, 5 pediatricians and 38 nursing homes/skilled/ assist living agencies in Jasper. The corporation calling owners transaction hard to build up the town and county through such organizations as Dubois Strong and Greater downtown Jasper Business Association. Dubois Strongs focus is to stand-in business offset throu gh marketing to access to capital to help newand existing business to thrive. Diversity put forward be seen in the growth 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 crusades in the local password media with regards to upcoming events and chopines. The Jasper Chamber of duty promotes local businesses, new resident information, recreation activities, recycle programs, and more. The director of the chamber is also active in promoting the modifyment and activities within the city through news media and working with confused committees. Both the fire and constabulary department are housed within the city bosom of Jasper and both provide programs for children in addition to guardianship our city safe. The police depar tment provides schools with the DARE program for drug prevention. The City of Jasper, through the service of various agencies, houses a community food border, energy assistance program, foreclosure prevention service and health family forward motion program for those who qualify.Description of Selected partnershipDubois County is a community build with German ancestry that has diversified over the old age to include a Hispanic/Latino population. Individuals within the population are proactive in guardianship 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 fatality rate in 2006-2008(Memorial Hospital and Health Care Center & Dubois County Health Department, 2011). Health disease prevention is provided through programs through the infirmary 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 verse are even, in comparison. Yet in planetary 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, well-nighyoung people die due to wound and older people die from either malignant neoplastic disease or soreness 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 whitethorn cause death in the elderly aft(prenominal) multiple years of exposure. Also, a nonher causative chemical element to consider is the availability of fast food link up to the increased mortality from heart disease. troubles in the Selected CommunityWhen the leading causes of mortality in Dubois County with regards to the Healthy lot 2020 goals are examined, the abstractics of Heart Disease and Stroke, Nutrition and freight 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 thence lend themselves to an increase in healthcare hail (U.S. Department of Health and compassionate Services, 2013). Prevention of these events can start with control of blood pressure, cholesterol, tobacco use, amend diet and increase in physical activity (U.S. Department of Health and Human Services, 2013). Controlling these risk factors is therefore one of the goals of Healthy People 2020 as they attempt to ameliorate the health of the nation through health promotion and prevention.Not only does change ones food and weight flow the risk of heart disease and stroke, but it impart also aid in the prevention of other diseases including cancer. The Healthy People 2020 goal of Nutrition and incubus Status not only looks at an individuals diet, but increasing household food security and eliminating hunger (U.S. Department of Health and Human Services, 2013). With the accessibility of fast food, increased physical inaction and environmental safety concerns over the past few years, these goals for health promotion and prevention are relevant 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 science based goals for meliorate 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 aid collaboration across communities and sectors, empower individualstoward making certain 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 determin e the health priorities and opportunities for improvement (U.S. Department of Health and Human Services, 2012). This process helps the community to live longstanding lives free of preventable disease, disability, injury and premature death (U.S. Department of Health and Human Services, 2012).Therefore spirit at the Dubois County communitys health concerns for heart disease and stroke, the goal of nutrition and weight place is a great starting point for meliorate the health of the community. As the individual lives of the community members improve so will the county. A healthy community is a thriving community. Poor nutrition has been cogitate to heart disease, diabetes and some cancers. Not only is nutrition an individuals choice, but resources must be accessible for proper nutrition and exercise. Fresh arrive through Farmers Markets, health promotion through work, and accessible healthy activities for the public are a few solutions to support the community as they strive to a meliorate their lives.Availability of Community ResourcesA variety of organizations throughout the community provide serve to improve the nutrition and health of those it serves. The Greater business district Business Association hosts a Farmers Market every Saturday morning from May through October. Not only does this provide locally vainglorious produce to the community, but it also offers a dictatorial 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. firsthand Prevention TopicMy primary prevention field of study is the prevention of overweight and obesity by office of healthy nutrition and physical activity. Amelioration of health will reduce the disease risk for heart disease, stroke, diabetes and ca ncer in our community. A successful 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 debatable 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 link by community leaders and individuals to keep this from occurrent due to the concern of air quality. As it stands, the social club that was going to initiate the transition to bi omass has recently revoked their lading to the project.Most people in the community are concerned about staying healthy for a violate quality of intent, but they may just not realize all the free or low cost resources available to them. Local news media advertise the hospital programs available and promote the local fitness activities available. Education needs to remain a uninterrupted 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 give-and-take 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 a ir 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 Assessment (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 administration 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 integrate Areas (Federal Emergency Management Agency, 2014). Retrieved from in.gov Healthy Dubois County (Healthy Dubois County, 2014). Retrieved from www.healthyduboiscounty.org Invasive wight Species Information (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