Community Health Nursing Assessment

participation health Assessment of 78382 Chamberlain College of Nursing NR-443 Fall Session, November 2012 Audrey L. Hendrix residential argona Health Assessment of 78382 ingress In an driveway to encourage the health studys within a confederation, a successful participation health tr wipe out (CHN) must focus on the wide universe of discourse. In order to accomplish this task, the CHN utilizes a scientific flack to determine the precession nation focused health needs for the fellowship. consort to Nies & McEwen (2011), a population focus involving an saga city of the community is a primary tool utilize in order to develop planning, interventions, and evaluations for the community at freehanded. The purpose of this paper is to determine a priority health problem of a specific community based on demographic data, epidemiological data, and a windshield survey of the community. Community Data naught code 78382 is the official postal identification for the city of Rockport, Texas. Rockport is the county seat of Aransas County.Rockport is a Texas Gulf Coast community located on Live Oak Peninsula mingled with Copano and Aransas Bay on State Highway 35. Named for the field of studyion ledge that lies underneath the coastal shore, Rockport was founded after the courtly War as a cattle slaughtering, packing, and cargo ships port. This exertion continued until the late 1800s when boatbuilding and angle began to develop into important industries. After the railroad came to Rockport, touristry and the resort business began to thrive (Shukalo, 2005). After the knead of the century, a major hurricane close destroyed the entire community.Recoery from this devastating natural disaster was slow tho by the late 1920s the community at a time again began to thrive. At that time, shrimping became a major industry within the community. Throughout the next four decades, the community continued to grow with the main sources of commerce be in the a rgonas of fishing, shrimping, and tourism. Today Rockport is a favorite pass spot known as the Texas Riviera. Major sources of commercial life immediately in Rockport ar the eating house and motel industries (Shukalo, 2005). Demographic and Epidemiological DataThe estimated population of Rockport is 8,846 comp bed to 25,674,681 for the state of Texas. The mount up breakdown for the population is 5% under the ripen of 5, 17. 9% under the advance of 18, 28. 3% over the shape up of 65 and 51. 7% female. The state of Texas is 7. 7% under the eld of 5, 27. 3% under the age of 18, 10. 3% over the age of 65 and 50. 4% female (U. S. Census Bureau, 2012). Caucasic is the largest ethnic gathering in Rockport at 88. 7%, African-American at 1. 5%, American Indians at 0. 7%, Asiatic at 2. 4%, Native Hawaiian at 0. 1% and Hispanics at 20. 8%. The state of Texas lists Caucasians at 70. %, African-Americans at 11. 8%, American Indians at 0. 7%, Native Hawaiian at 0. 1% and Hispanics at 45. 3% (U. S. Census Bureau, 2012). Currently 14. 7% of the population over the age of quint in Rockport does not speak English in the home setting, 87% of the population over the age of 25 is a exalted school graduate, and 32. 3% over the age of 25 has a bachelors stage. In comparison, the state of Texas lists 34. 2% over the age of five that do not speak English in the home, 80% over the age of 25 with a heights school diploma, and 25. 8% over the age of 25 with a bachelors degree (U. S. Census Bureau, 2012).Per capita income in Rockport is $30,513 compared to $24,870 for the state of Texas. The median income per theater is $44,487 and the state of Texas is $49,646. Individuals live below the poverty take aim in Rockport are 17. 6% of the population compared to 16. 89% for the state of Texas (U. S. Census Bureau, 2012). Current infant mortality in Rockport is 4. 2 per 1000 live births compared to sixer per 1000 live births for the state of Texas. Adult fleshiness is 26. 6% of the population in Rockport and 10. 7% of the population is diabetic. Childhood corpulency is 23. 3% of the Rockport population compared to 32. % in the state of Texas (Kaiser Health News, 2012). In 2002, Aransas County was listed as superstar of the top 10 dirtiest counties in Texas due to institutionalize pollution from a local chemical base (Scorecard, 2012). Windshield Survey Within the community, a large descend of individualists are glaring. numerous are entryway convenience stores and some are standing in the position lot areas talking. A variety of ages is far-famed and the two major ethnic groups in the community, Caucasian and Hispanic, are the two that are the most panoptic. Many of the individual are overweight or obese. near are well dressed succession others are disheveled in appearance.Pregnant women are visible as well as women with small children. The general agree of the homes in Rockport is diverse. Many of the homes are multi-million dollar st ructures while others are dilapidated and in need of sound repair. People seen in the downtown area are walking but away from that area, most batch are travelling in cars. Some pot are travelling on bicycles or play carts in designated areas. Three areas of frequent housing are celebrated but in that respect are no visible signs of everyday transportation. legion(predicate) campaign signs are visible throughout the entire community.One adult day deal out and two child day centers are noted during the survey. ii grade schools, one meat school, two private church schools, and one high school are seen during the survey. Many of the homes in the neighborhoods in the area are dirty and in need of repair. The yards are full of garbage and items much(prenominal) as old appliances, empty beer cans, and cars on blocks. Some of the roads are in need of repair and almost too narrow for two cars to traverse safely. intimately of the business buildings have handicapped ramps leadi ng up the sidewalks. Parking lots have handicapped parking and the doors have handicapped buttons.One large park is noted during the survey but the park was sparsely dwell during the survey. Very few children are visible during the survey. Numerous full service restaurants as well as steady food facilities are seen throughout the community. Rockport has no hospital but there is one requirement headache clinic. Two dialysis centers, one assisted living facility, and three long-term care centers are noted. Two physical therapy facilities are also seen during the survey as well as three dentist offices. plot of land driving throughout the neighborhoods, very few children are seen outside playing.No neighborhood watch signs are visible in any of the neighborhoods. Numerous churches are seen throughout the entire community. No evidence of gang activity, dose abuse or alcohol abuse is visible during the survey. One herbal shop is located in the downtown area. Next door to the herbal store, there is an advertisement for massage therapy sessions. Signs advertising health clinics, lectures, or health fairs are not visible during the survey. problem Assessment data clearly defines obesity as a focus health area. The combined constituent totals for the adults and children within the Rockport community that suffer from obesity is 49. %. According to the Center for Disease Control and measure (2012) obesity is one of the most common and most costly health problems facing the unite States. One of the objectives of hearty People 2020 is to improve nutritional status and promote weight loss. When individual are overweight or obese, they are also at a high risk for numerous other medical checkup complications such as hypertension, Type II diabetes, cardiovascular disease, dyslipidemia, osteoporosis, and many more diseases (U. S. Department of Health and Human Services, 2012). historic SignificanceBefore the 1900s being overweight was considered a assay-mark symbol of wealth and health. The additional weight indicated that the individual had the financial imaginativenesss to obtain a vast amount of food. Today, however, obesity is indicative of current and future medical problems. Prior to the many modern day comforts that most individuals use today, people toiled at discriminating labor to make a living. Meals were prepared from rag and microwave meals were not available. In addition, food was dear(predicate) and difficult to acquire. Walking was common and until the late 1980s obesity was not a problem in the United States (Wiley, 2012).Summary Obesity is a medical health problem that has becoming an increasing health care dilemma for minorities, low-income populations, and immigrants. These populations are compromising to these health care issues due to a variety of factors such as cultural diet choices, genetics, lack of funds to resource more nutritious foods and lifestyle choices. Throughout the United States, obesity and diabetes are reaching epidemic levels (Candib, 2007). Individuals today live a more sedentary lifestyle. They eat more fast foods, fried food and eradicate drinks high in sugar content.Children in the public school system consume meals high in carbohydrates and often engage in little or no physical activity. Lack of income reduces consumption of seraphic fruits and vegetables and parents often purchase cheaper luncheon meats such as hot dogs rather than the more expensive cuts of meat. When the fast food giants introduced the super sizing concept to the world, thus began the super sizing of the population. References Candib, L. (2007) Obesity and diabetes in vulnerable population Reflections on proximal and distal causes. Retrieved online from http//annfammed. org/content/5/6/547. ull Centers for Disease Control and Prevention (2012) Obesity. Retrieved online from http//www. cdc. gov/obesity Kaiser Health News (2012) Texas. Retrieved online from http//www. statehealthfacts. org Nies, M. A . , & McEwen, M. (2011) Community public health nursing Promoting the health of populations (5th ed. ). St. Louis, MO Saunders/Elsevier Onboard information processing (2010) Aransas County, Texas (TX). Retrieved online from http//www. city-data. com/county/Aransas-County-Tx. html Scorecard (2012) Pollution report card. Retrieved online from http//scorecard. goodguide. com Shukalo, A. 2005) enchiridion of Texas online. Retrieved online from http//tshaonline. org/handbook/online/articles/hgr05 U. S. Census Bureau (2012) QuickFacts. Retrieved online from http//www. census. gov/ U. S. Department of Health and Human Services (2012) Healthy people 2020 nutriment and weight status. Retrieved online from http//www. healthypeople. gov/2020/topicobjectives2020/overview. aspx? topicid=29 Wiley, S. (2012) Obesity history in the America. Retrieved online from http//www. livestrong. com/article/359624-obesity-in-america/ Community Health Assessment of Rockport, Texas Introduction