Functional Health Patterns Community Assessment Essay

lemonlike Healthcare offers groups for breastfeeding mothers, postpartum depression, grieving for loss of a child, obesity, eating disorders etc. Do the residential district members value health advancement measures? What is the evidence that they do or do not (e.g., involvement in education, fundraising events, etc.)? Fundraising events for local kids with Neuroblastoma (Pediatric) Cancer fund raise for community sports alike(p) footb each and cheerleading Whatdoes the community value? How is this evident?Religion- Church on Sun twenty-four hour periods with familyFamily Values- many family functions like concerts in the local park, movie night at the Lake On what do the community members spend their property? Are funds adequate? CarsHomes, rent- cost of living is gamy in CAEating bulgeShoppingMiddle Class majority, funds can get tightHealth Perception/ commissionPredominant health problems match at least one health problem to a believable statistic (CDC, county, or state). Obesity33% in San Diego are every last(predicate) overweight, 26% are obese30% of kids grades 5/7/9 are overweight/obese in San Diego County (Community profile county, 2013) Immunization place (age appropriate).4.5% of Kindergarteners are missing one or to a greater extent vaccinesOut of 43,000 kindergarteners in the county, 1900 are not full immunized non all families in San Diego are immunizing their children due to things they hear about vaccines- EX vaccines causing autism Parents do not do their research and often listen to hear-say or false news reports allot death rates and causes, if applicable.Top 10 causes of death in San Diego Malignant neoplasms, diseases of the heart, Alzheimers, chronic lower respiratory diseases, cerebrovascular disease, accidents (unintentional injuries), diabetes, intended self-harm (Suicide), chronic liver disease (cirrhosis), hypertension/hypertensive renal disease and influenza/pneumonia (San Diego County, n.d.) In 2012, in San Diego alone there were 20,018 deaths3,684 in eastward County San Diego1,806 were Male1,876 were Female377 Hispanic3,015 gaberdine130 Black88 Asian70 OtherAge groups 0-4 (28 deaths), 5-14 (6 deaths), 15-24 (42 deaths), 25-24 (68 deaths), 35-44 (90 deaths), 45-54 (278 deaths), 55-64 (474 deaths), 65-74 (587 deaths), 75-84 (863 deaths), 84+ (1,248 deaths) (San Diego County, n.d.) Prevention programs (dental, run off, fitness, base hit, etc.) Does the community think these are sufficient? Drug Abuse streak programs, Delinquent and check failure measure programs CAL Fire teaches a fire nixion program locally in San Diego, CA unspoiled Kids San Diego which teaches prevention of unintentional accidents such as drowning, child passenger safety, sports and recreation safety and pedestrian safety (Safe Kids San, 2014) Western Dental provides services for citizenry who no insurance for a cheaper rate Multiple middle train facilities such as 24 hour Fitness, Crunch and Chuze are slightly of the biggest gyms out here gettable health professionals, health resources within the community, and usage. Planned Parenthood- health care for pregnancy and STD prevention Local hospitals- Kaiser Permanente, Sharp Grossmont Hospital, Scripps Hospital, Sharp Memorial Hospital are a few big hospitals in San Diego, CA urgent Care clinics like Doctors Express are usableSan Diego earth HealthLanguage Specific healthcare such as Arabic, Spanish, Tagalog etc. Common referrals to outside agencies.WIC- Women, Infants and ChildrenBlack Women, Infants and ChildrenFood StampsLow Cost health check examination and dental careHabitat for HumanityNutrition/MetabolicIndicators of nutrient deficiencies.Vitamin deficiencies such as Vitamin D and IronUnexplained fatigue, brittle, dry h shine, ridged or spoon shaped nails, mouthproblems, diarrhea, irritability or lack or appetite can all indicate nutrient deficiencies San Diego has one of the largest homeless communitys in the country, especially ho meless veterans. Malnutrition is prevalent in this group of people Obesity rates or percentages Compare to CDC statistics.This bullet was answered up above in a previous question.Affordability of viands/available discounts or food programs and usage (e.g., WIC, food boxes, soup kitchens, meals-on-wheels, food stamps, senior discounts, employee discounts, etc.). Food StampsWIC (Women, Infants and Children)BWIC (Black Women, Infants and Children)Meals on wheelsSenior discounts offered at some restaurants like Soup Plantation. 55 plus is considered senior citizen here in calcium Project homeless person ConnectAvailability of water (e.g., number and quality of drinking fountains). water supply fountains in all stores and schools intoxication water (Tap water) meets nigh government standards but needs to be to a greater extent thoroughly treated Water comes from 3 places Northern California from snow and rain, the Colorado river and local rain water runoff stiff food and junk food ac cessibility ( sell machines).Vending machines at intimately all high schoolsCalifornia difficult to change contents to offer healthier choices Fast food on almost both corner- very accessibleEvidence of healthy food aspiration or unhealthy food consumption (trash, long lines, observations, etc.). Always long line as fast food placesGyms ceaselessly crowed, protein/workout drinks always in handBeaches are full of people in bathing suits (fit and unfit)Farmers markets on Wednesdays crowdedA lot of people do special programs like Weight Watchers, Opti-Fast, Medi-Fast, Nutri-System, Jenny Craig etc Re-think your Drink this program is trying to eliminate sugar sweetened drinks and are replacing them with water, low fat milk for 50% or greater natural fruit juices Provisions for special diets, if applicable.Items containing specific allergies have them stated on the grade like nuts, shellfish or specific fruits For schools (in addition to above)Nutritional content of food in cafeter ia and vending machines Compare to ARS 15-242/The Arizona Nutrition Standards (or other state standards ground on residence) Fruit/veggie base drinks with no less than 50% fruit juiceMilk 2% fat, non-fat, soy or sift milk non more than 35 percent of its make out calories can come from fat (excluding nuts, seeds, eggs, cheese, fruit, vegetables and legumes) Not more than 10 percent calories from sat fat (Excluding eggs and cheese) Not more than 35% of its total weight may be composed of sugar, including naturally occurring and added sugar (excluding fruits and vegetables that have not been deep fried) Not more than 250 calories per various(prenominal) food item (Middle schools and Jr High Schools, High Schools) No more than 175 per various(prenominal) food item for unsubdivided schools Amount of publish or reduced lunch60% free or reduced lunch in schools in San Diego, CAElimination (Environmental Health Concerns)Common air contaminants impact on the community.Smog, Allergies - Pollen, MoldNoise.Major Airport, major soldiery bases, heavy traffic noisesWaste disposal.Miramar Landfill fella control Is the community notified of pesticides usage? Yes, individual residences take care of their own pest problems Hanta Virus- In pilfer poop in our areaHygiene works (laundry services, hand airstreaming, etc.).Laundry mats are in abundance, dry cleaners and individual washer and dryers in some residences Singing the Happy Birthday song twice bandage washing hands was on the local news to help people wash their hands more efficiently Toilet seat covers in most public bathroom servicesSigns stating Must wash hands before returning to work in all restaurant bathrooms Bathrooms Number of bathrooms inspect for cleanliness, supplies, if possible. almost public bathrooms have signs for employees to sign when they have checked and maintained the restroom Public bathrooms are broadly clean and well stocked, if not usually an employee of the place is easily notified Universal precaution practices of health providers, teachers, members (if applicable). preventative gowns, gloves, shields when handling bodily fluids for health providers when in facilities Teachers usually do not have access to all of the equipment necessary but in general have gloves on hand Temperature controls (e.g., within buildings, outside shade structures). Temperatures generally in the 70-75 ranges in controlled areas such as schools and stores Shades provided at local parksCommunity pools and beaches available for hot temperaturesSafety (committee, security guards, crossing guards, badges, locked campuses). Most day cares are locked facilitiesCrossing guards at most elementary and middle schoolsSecurity guards at stores and hospitals to prevent theft and crime Trolley GuardsVolunteer constabulary force patrol (Elderly men and women)Activity/ExerciseCommunity fitness programs (gym discounts, P.E., recess, sports, access to YMCA, etc.). YMCAsGyms 24 hour fitness, crunc h, chuzeAYSO (local association football game leagues for kids)T-ball/ baseball/ softball fields at Cactus Park (name of play park) P.E in middle school/high school for 2 yearsRecess at elementary schoolsZumba and Jazzercise programs locallyRecreational facilities and usage (gym, playgrounds, cycle per second paths, hiking trails, courts, pools, etc.). Playgrounds at most local parksMission Trails- hiking, bike trailsCowles Mountain, Iron Mountain- Hiking trailsCommunity pools- YMCAsSafety programs (rules and regulations, safety training, incentives, athletic trainers, etc.). Lifeguards at local community pools and beachesSafe drivers incentives with Allstate InsuranceDiscounts on car insurance with unspoilt grades and no troubleCrime Stoppers, Mc Gruff Crime Dog, Kidzwatch Academy, Safety Sam are police station programs that kids and other community members can participate in to ensure community safety stigma statistics or most super C injuries.In San Diego, unintentional inj uries were the sixth leading cause of death in 2009 Nearly 1000 people died that year of unintentional injuries with 30% of those caused by poisoning including overdose both hour in San Diego, an average of 19 people are hospitalized or treated in the ER because of injuries Car accidents, drowning, falls, assault, struck by an object, burns, overexertion and suffocation are some of the most common causes of injury in all age groups Evidence of sedentary leisure activities (amount of time watching TV, videos, and computer). Computers used as capital resource for schoolsInternet used as primary resource for communityDriving short distances that could be walkedT.V takes up, on average, 2.8 hours of most peoples dayAges 15-19 spend read for an average of 4 transactions per weekend day and 52 minutes playing a game on the computer Ages 75 and over spend an average of 1 hour of reading per weekend day and 20 minutes playing games or using a computer Employed liberals with no children spend about 4.5 hours per day doing leisure activities and employed adults with a child/children spend about 3.5 hours doing leisure activities per day Means of transportation.Trolley, Bus, Cars, Bikes, walking and park and ride for carpoolSleep/RestSleep routines/hours of your community Compare with sleep hour standards (from issue Institutes of Health NIH). Eating heavy dinners, caffeine, smoking and exercise late in the day is effecting sleep of people in SanDiego Graveyard shifts are common due to places being open 24/7 quiescence anywhere from 6-9 hoursIndicators of general restedness and energy levels.Lack of bags or dark circles low eyesHair, makeup and equipage appropriate for environmentLess caffeine neededFactors affecting sleepShift work preponderance of community membersAll shifts, mostly 12 hour shifts in the healthcare field,Mainly anywhere from 7am-6pm for most full time employed people Environment (noise, lights, crowding, etc.)Near main airport, military bases, lights and crowds near football and baseball stadiums, colleges, living near freeways Consumption of caffeine, nicotine, alcohol, and drugsA least 3 major Universities in San Diego (Caffeine consumption) Average age in San Diego is 20s-30s and large nightlife crowd downtown San Diego (Alcohol and drugs) 2012 drug stats Heroin increase, crack/ cocain decrease, methamphetamines increase, marijuana increase, prescription opioids decrease, ecstasy decrease (Drug abuse patterns, 2014) Homework/Extracurricular activitiesHigh school student average 3 hours of homework per nightAnywhere from 6.8 to 17.5 hours of homework per week for high school students Elementary schools 2.9 hours per weekMiddle school 3.2 hours per weekAfter school sports- up to 3 hours of practice for some like football Health issuesStress, common colds/flu, pediatric cancers, diabetes types 1 and 2, obesity, hypertensionCognitive/perceptualPrimary language Is this a communication barrier?English/ Spanish, Arabic, Vie tnamese (possible communication barriers) 37.1 % of San Diegos population speaks a different language than Englisheducational levels For geopolitical communities, use http//www.census.gov and compare the city in which your community belongs with the national statistics. San Diego County High school graduates 85.4 %Bachelors degree or higher 34.4 % ( cite and county, 2014) Opportunities/ProgramsEducational offerings (in-services, continuing education, GED, etc.) more programs offering GED programs and prep classes including community colleges All hospitals and healthcare centers provide in-servicesGrossmont college, Grossmont adult night schoolROP (Regional Occupation Program)Learn English (program in El Cajon, CA to help foreigners visualise English) Educational mandates (yearly in-services, continuing education, English learners, etc.) CEUs for nurses- 30 hours every 2 years for RNsSpecial education programs (e.g., knowledge disabled, emotionally disabled, physically disabled, and gifted) GATE- gifted and talented education programChildrens outreach projectLibrary or computer/Internet resources and usage.El Cajon libraryInternet on all phones, ipadsComputers at most schools including elementary schoolsFunding resources (tuition reimbursement, scholarships, etc.). Scholarships offered through the Chamber of Commerce for academics up to $3,000. Many colleges offer academic scholarships and sports scholarships (Full and partial rides) UCSD and Radys Childrens Hospital both have tuition reimbursement and student loan deliverment programs UCSD will repay two thirds of the tuition or student loansBoard of Governors Fee waverMilitary discountsSelf-Perception/Self-ConceptAge levels.Many families in El CajonMainly 20s and 30s in San Diego County such as downtown San Diego Kids under age 5= 6.5% of populationPeople under age 18= 22.6 % of populationPeople 65 and over= 12.3 percent of populationPrograms and activities related to community building (strengthening th e community). San Diego City College peer mentoring program activated (mothers against drunk driving)Big Brothers/Big Sisters program (Mentoring adolescents)Peer Leaders (high school program- students give other students advocate when they feel like they cannot talk to an adult) Community history.The area now known as San Diego County has been inhabited for over 10,000 years by the Kumeyaay Indians San Diego became part of the United States by the Treaty of Guadalupe Hidalgo on 1848 ending the U.S. Mexican state of war One of the original counties of CaliforniaSan Diego used to be a very large county including all of Los Angeles and elongated to the Colorado river Pride indicators Self-esteem or caring behaviors.San Diego is one of the most sought out cities to scream and/or live Very expensive because they demand is thereA lot of plastic military operation in San DiegoSpray tans, fake nails, fake hair, people are in shape (wears bikinis) San Diego residents put forward a lot of charities and cancer/disease foundations Donating money to a good cause is common among this community publish description (pamphlets, Web sites, etc.).San Diego MagazineSandiego. org for local media (Website)Union Tribune San Diego (News Paper)Role/RelationshipInteraction of community members (e.g., friendliness, openness, bullying, prejudices, etc.). East San Diego is more friendly than West or North San Diego (More money in those areas) Very accepting of Gays and Lesbians in SanDiego ( Hill Crest is a city known for an abundance population) Gay Pride Parade is a huge event in SDVery large interracial community, not a lot of prejudicesPrograms to prevent in-school bullyingVulnerable populationsWhy are they vulnerable?Homeless population downtown San DiegoLack of medical insuranceHow does this impact health?Increase spread of diseaseIncreased severity of diseaseNo access to medication or medical treatmentsPower groups (church council, student council, administration, PTA, and ga ngs) Mexican MafiaLogan Heights annulusHells AnglesPTAs in elementary schoolsJehovahs witnessMormonsHow do they hold power?Influential control a lot of people under them or following themPTA helps make decisions for schoolsPositive or ostracize influence on community?Gangs usually a negative influenceHells Angels used to have more of a negative influence but now are more positive towards the community and support local charities like pediatric cancer ones Harassment policies/discrimination policies.Under the California section of Public Health all employees have a right to work in an environment free from all forms of discrimination, including sexual harassment, intimidation, retaliation or coercion. The CDPH is committed to providing a work environment free from sexual harassment. knowledgeable harassment is a form of sex discrimination that is illegal under bothstate and federal official law The Fair Employment and Housing Act defines sexual harassment as harassment base on s ex or of a sexual nature gender harassment and harassment based on pregnancy, childbirth, or related medical conditions. The definition includes harassment based on sexual orientation, and likewise protects an individuals actual or perceived gender identity, whether or not different from the individuals actual gender at birth The CDPH endorses a zero tolerance policy aimed at preventing all such inappropriate behavior. As a result, CDPH may take corrective actions, up to and including established discipline, when policy violations occur, even if they are not so serious as to be unlawful ( sexual Harassment Prevention, 2008) Relationship with broader communityPoliceSan Diego has had allegations of inappropriate behavior of police officers such as groping and sexual favors CHP, Sheriffs department, Police in each city such an San Diego Police Department Fire/EMS (response time)Generally called from the City in which the Emergency isResponse time is good- generally under 10 minutesFi re departments all work together from all surrounding cities when needed Large fire in Escondido/ San Marcos just happened in San Diego County, fire departments from all around came to help Cedar fire in El Cajon more than 10 years back, fire departments from out of state came and helped Other (food drives, blood drives, missions, etc.)San Diego declination Bank- always has blood drives in parking lots of big stores like walmarts and businesses Local food drives at schools and healthcare clinics/facilitiesSexuality/ReproductiveRelationships and behavior among community members.Have had many allegations of teacher/student relationshipsMany older male/young female relationships and visa-versaMany relationships with more than 10 year gapsYoung marriages/pregnancies commonMarried Population 45.15%Single Population 54.85%Now Married 43.16%Married but Separated 1.99% neer Married 40.39%Widowed 4.58%Divorced 9.88%Married, w/children 35.54%Married, no children 37.34%Single, w/children 16.2 7%Single, no children 10.86% (People in San, 2014)Educational offerings/programs (e.g., growth and development, STD/AIDS education, contraception, abstinence, etc.). Planned Parenthood- teachings and prevention methods of STDs and Pregnancy, prenatal care Access to birth control.