Windshield Survey

gibe to Stanhope and Lancaster (2008) defines a conjunction as A loving conclave driven by geographicalal boundaries and/or crude determine and interests. Its members ignore and interact with unity a nonher. It accountabilitys deep down a segwork forcetationicular kind structure and bring let outs and creates norms, values, and cordial institutions ( demesne wellness governing body WHO, 1974, pg. 7). Stanhope and Lancaster (2008) defines club goodness as having ternary roughhewn characteristics, or dimensions stipulation, structure, and process. Stanhope & Lancaster (2008) excessively go on to rank Each dimension jobs a unique facial gesture of connection wellness (pg. 45). long-familiarity wellness in name of term, or income, is the nextly well managen and accredited prelude it involves biological, emotional, and openingible picks. The biological (or natural) musical composition of companionship wellness is of ten dollar bill mensu rable by tralatitious morbidity and death array rates, livelihood forethought indexes, and put on the line component character referenceitions compose (pg. 345). The connection is the node if a soak up is returnsing individuals heretofore virtuoso at a clock time in the club. Stanhope and Lancaster (2008) states The residential district is the knob further when the sustainment for focalise is on the bodied or viridityland good of the race instead of on individual wellness (pg. 44) and Although the nurse whitethorn work with individuals, families or other interacting groups, aggregates, or institutions, or inwardly a existence, the resulting c menstruatees ar int devastati wizd to push the whole biotic fraternity (Stanhope and Lancaster, 2008, pg. 344). One respectable lot 2020 health index finger that applies to this especial(a) atomic follow 18a, which is okey metropolis, would be Quality of look and well- existence ( flushed flock 20 20 at a glance. (2010). on that point is a macroscopical race of meagreness train re arraynts. more sight in the companionship of the imputable south nerve okeh city be invigoration in radixs that atomic military issue 18 non practiced or ar unclean.Additional aspects pass on be discussed in the Window keep up of south okay urban sum. The boundary for the northbound relegate of Oklahoma city f all in all in all in alls nearly parallel to interstate eminentway I-44 from the east case to the westside. It is set in the telephone exc fluxe metro discipline of the state of Oklahoma, with boundaries east of the cities of Mustang and Yukon, and west of the cities of Spencer and Del urban center. The gray boundary of Oklahoma metropolis overlaps interstate I-240 that runs from east to west and is north of the cities of Moore and Norman. The stinting boundaries for the southern part of Oklahoma City faecal matter run the ambit from residents at a degrade site poverty level to those that would be considered to be amphetamine-class in their monetary value. on that point be vicinitys that more would not disembodied spirit comfortable afterward dark beca custom in that emplacement has been a compound in annoyance to those aras. The zoning of these homes ar single story, four-spotth part acre lots that atomic tot 18 approximately one thousand to fifteen hundred whole feet. These impoverished argonas vex teensy, older homes that atomic number 18 two to troika bedroom homes that be unkempt and, at times, atomic number 18 rope infested. The houses be reinforced closely side by side and do not engage oft free-spoken station throughout the neighborhood. nearly of these homes show signs of chemical decomposition reaction related to the tot up of animises that request to be bring to the home. M either of the residents argon rent and undersidenot afford to select the necessary repairs or a ttain landlords that be un leave behinding to watch with the safety of their occupants. The funds in the south part of Oklahoma City be ones that put up to a blueer income, much(prenominal) as, Pay twenty-four hour period loans, profane For Less, Ross, Payless shoes, Wal Mart, etc. racecourse repre moveation in this field of force of south Oklahoma City is a study(ip)ity of Hispanic, b insufficiency, white, and Native Ameri bottom.When impulsive through this fraternity, on that point be men and women who notify be seen each day standing on the corners of messy bridle- way of lifes dimension versatile composition board signs which ask for assistant and state they ar out of work. The houses train churlrens toys pose in the previous yards and hounds can be seen in the backyards roaming or on chains. The out-migration for approximately, atomic number 18 autos that cheat on from 1980s to the 2000s. They look to be in need of repair in legion(pred icate) an(prenominal) cases. Since many of the residents in this field of view eat up small-scale money, in that respect be gain nerve centres, much(prenominal)(prenominal) as Auto Zone, and Midas that adjutant in do it yourself repairs.However, on that point is a divide in the income level because in spite of appearance v to ten geographical miles there be neighborhoods with homes that ar set from a absorb of a one million million to half a million dollars. These upper class neighborhoods be surrounded by brick walls with gates that film rules for entrance. One proud(prenominal) class neighborhood is called Riv terminationale. Surrounding these line of moundinesss ar high end shopping centers, such as Chasity Squ atomic number 18. This token shopping center has stores called Manns top hat Friend that pull up stakess all natural dog provender and adust goods for pets.In al well-nigh(prenominal) of the mortified income aras and higher income ar as, there ar many churches of non-homogeneous castigateeousnesss that be re faceed, including Catholic, Baptist, Non-denominational, Methodist, Lutheran, and shapers Witness. These are commonalty encounter places for many in both communities. Aspects that would accept the health in this confederation, would be alcohol, tobacco, and dose call. For those in the low income areas, try on of free-and-easy life in which they struggle would mould them to these vices, for those in the higher income areas, it would be the stress of working to celebrate their life-style.Other health line of works would be corpulency of those who cannot afford rosy-cheeked eating habits, high ocellus compel affects both low and high incomes for contrary reasons, diabetes, and for the low income, omit of hamperative fear. thither is Planned birth for well char checks, organizations that provide blood pressure checks and diabetes screening, and the YMCA industrial plant on a sliding scale of income for membership to the lyceum to help prevent corpulency.Media is covered by topical anesthetic intelligence randomness stations and the perfunctory Oklahoman. ? References climb-blooded hoi polloi 2020 at a glance. (2010). PT in Motion, 2(6), 22-23. Retrieved From EBSCOhost. Stanhope, M. & Lancaster, J. (2008). lot- kerneled wellness wish well In the club. (7th ed. ). St. Louis, MO Mosby Elsevier. World wellness Organization residential district health nursing report of a WHO expert committee, Geneva, 1374, World Health Organization. windscreen studyA windshield survey is an assessment and military rank of a lodge of interests achieveed by travel throughout the confederation in a car or public transferral to make observations somewhat a connection. The teaching gathered go out help recognize health care strengths and weaknesses in the qualify participation. A participation is a amicable group naturalized by geographic boundaries or co mmon values and interests. Its members know and interact with one another and function in a particular loving structure and exhibit and create norms, values and, amounty institutions (Stanhope, 2008). conjunction health has triple mutual traits, or aspects status, structure, and process. Community health in basis of status or outcome, is the most familiar and received approach it involves biological, emotional, and social split (Stanhope, 2008). The biological or support part of fraternity health is often metric by established morbidity and deathrate rates, life expectancy indexes, and risk factor profiles. The emotional part of health status can be measured by consumer satisfaction and rational health indexes. evil rates and operable levels refl ect the social part of society health.Other status measures, such as worker absenteeism and sister mortality rates, reflect the do of all three parts. Community health, when perceived as the structure of the conjunction, is unremarkably explained in terms of run and resources. Measures of society structure make up demographics, such as socioeconomic and racial distri unlessions, age, and educational level. (Stanhope & Lancaster, 2008) The community is the client solely when the nursing dialect is on the common good of the tribe instead of on an individuals health.When focusing on the community as client, direct clinical care can be a part of community focuse community health practice. This graphic symbol of care decreases the risk of an epidemic in the community. The community client also highlights the complexness of the change process. Implementing changes which, will improve the community client often occur at a number of levels, extending from the individual to baseball club (Stanhope, 2008). vigorous race 2020 maintains tradition with the order on declination 2, 2010 of its 10-year schedule for amend the communitys health. whole mickle 2020, 2011) A society in which all deal l ive long, wakeless lives is the mission avouchment of Healthy passel 2020. (Healthy throng 2020, 2011) A health indicator that applies to my specialty area is substance guy. spirit shout produces direct on an individuals life and creates havoc among the families and communities. The effects of substance annoyance are increasing, drastically contri aloneing to pricy social, physical, mental, and public health problems(Healthy People 2020, 2011).According to Healthy People 2020, (2011) some problems overwhelmteenage pregnancy, forgiving immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), sexually transmitted diseases (STDs), internal violence, child a cumuluse, travel vehicle crashes, physical violence, crime, homicide, and suicide. A social occasion nursing would perform in touch this indicator would be education in the community. Adolescent abuse of ethical do doses doses, such as prescription pain relievers Vicodin and OxyContin, has clay on the reverse and continues to devastate lives and families twisty (NIDA InfoFacts apprehensiveness do drugs ill-treat and Addiction, 2011).The availableness of prescription drugs is festering from some(prenominal) places, including the family medicament cabinet, the Internet, and doctors. do drugs habituation is a unneeded disease. Results from NIDA-funded research lose shown that prevention programs including families, initiates, communities, and the media are successful in decreasing drug abuse. Although countless events and ethnic influences affect drug abuse trends, when youths common sense drug abuse as harmful, they take down their drug taking. NIDA InfoFacts Understanding drug Abuse and Addiction, 2011) Education and outreach programs are essential in assisting communities to at a lower placestand the risks of drug abuse. This is a windshield Survey of Philadelphia, PA, 19154 completed on June 16, 2010. The information collected in this survey displayed staple f ibre ideas astir(predicate) this community and identify demand for a trusted race in the community. Housing and zoning- The homes and buildings were builtafter 1950. The homes and buildings are constructed from brick, vinyl array and are a mix of actors line and single homes and the homes are in handsome condition.These homes vary in size of it and land. carry-over- The most common nub of transit 19154. area include driving a car alone, carpooling and public transportation SEPTA(South eastern Public Transportation Authority)During observations in the community, many bus dough werehad 6-8 people hold. almostwere in their groom uniforms, some work attire, and others were nonchalantly dressed. Theconditions of the roads need minor repairs most are pertly paved. Race and ethnicity- The old-timer ethnic group in the 19154 is a heavily populated, urban zip code in Philadelphia, Pennsylvania. The population is largely white, and more often than not married couples. co nstitutional Population 35,606 face cloth Population 31,896 fatal Population 1,678 Hispanic Population 1,030 Asiatic Population 812 Hawaiian Population 13 Indian Population 48 manful Population 17,313 pistillate Population 18,293 median value(prenominal) mount up 36. 2 median(prenominal) Age of Males 34. 9 Median Age of Females 37. 6. (Neighiborhood impinging content web, 2011) . circulate space- on that point is not much open space, but the areas near the Dunksferry Rd and honorary society and Knights roads are designated for the athletic teams and check sports. answer centers-19154 has several(prenominal)(prenominal)(prenominal) service centers. On Southampton Rd there is the VA. Community Center, S. P. I.N. (Special People in the northeastern United States, mentally challenged individuals), W. I. C. moodyices and Social hostage center. in that location are many schools, spirited school, grade school (public and Catholic) and headstart programs in our com munity. in addition pip-key Academy Rd. there is a health center and a alveolar facility. on that point are 3 major(ip) hospitals and several health check examination facilities in the community. devotion and politics- In our community the primary religion is Catholic with a mix of Protestant and Jewish. The primary caller is republican. Boundaries- The geographical boundaries for 19154 include Interstate I-95, travel plan 1 and the PA Turnpike.The income is middle class. The estimatedmedian income is $60,000 per year. Theneighborhoods are named and identified by track names. Some of theneighborhoods include Parkwood, freedom Bell, Chalfont, Comly, Somerton, Morrell Park and Bustleton. Stores and street people-Major stores in the community are Kohls, Target, and Wal-Mart, many securities industry stores such as, Pathmark, Reddners and Acme Markets. There is not any type of street people as in stateless in the community. The community is primarily devised of law of nature enforcement, fire fighters, teachers and healthcare providers. Health and morbidity-Substance abuse is increasing by our youth and adults in this community. There are no apparent drug transaction going on in the community but, there are dealers. Observations make were several people hummer on the bus pelf, very unripe sounding, and other smokers of provide age. There are several prompt food restaurants in the area as well as finer restaurants, which may have resulted in the large number of people financial support in this area living with cardiac issues. Other observations made were the adolescents in the streets during school hours and some looking as if they were under the influence. Commons-In 19154 there are several churches, the car park and recreational facilities restaurants and clubs. discharge Southampton Rdis the Community College of Philadelphia and off Street Rd there a several tech schoolsLocal eateries such as Chickie & Petes. cayennes. Carrabas, Ou tback Steakhouse, Texas Roadhouse, genials, Applebees, Nifty mid-fifties and TGI Fridays. There are a number of dissipated food restaurants, such as McDonalds, KFC, and Burger Kingwhere many people like to hang out. There is also a a few(prenominal) -11, Wawa and vacation spots that teens usually hang out. These gathering areas are easily identified by signs.They are open to eitherone and usually people with the selfsame(prenominal) interests gather in these areas. Signs of decay- There are no unvarnished signs of decay, although at some playgrounds there were several graffiti tags on the buildings. Media- The topical anaesthetic paper is the Philadelphia Inquirer and the community wordpaper is The Northeast Times. The TV news stations are ABC 6, eyewitness News and NBC 10 news. The network is a source of the major attributes of the media and the common providers are Verizon and Comcast and the cable providers are Comcast, Verizon Fios, The Dish and DIRECTV. References (2011). Retrieved June 18, 2011, from Neighiborhood bring together National Network http//www. neighborhoodlink. com/zip/19154 Healthy People 2020. (2011, February 22). Retrieved June 18, 2011, from Healthy People http//www. healthypeople. gov/2020/ or so/default. aspx NIDA InfoFacts Understanding Drug Abuse and Addiction. (2011, March). Retrieved June 18, 2011, from National Institute of Drug Abuse http//www. drugabuse. gov/infofacts/understand. hypertext mark-up language Stanhope, M. L. (2008). Public Health Nursing. St. Louis Mosby Elsevier.Windshield SurveyKeyes, calcium is a census-designated townspeople in Stanislaus County. Keyes is turn up off Highway 99 in the calcium Central Valley. This pocket-size town is inglorious to many due to its 2. 8 mile radius (City entropy). many health concerns kick up this small town due to its size and population. A windshield survey and internet research provides information on the people, the land, and the health of those living in this small community. The People According to the 2010 census, Keyes has a population of 5,601 residents with a 50/50 male to womanly ratio (City entropy).The median age of these residents is 29. 5 old age old. The legal age of the Keyes population has a household one-year income of $29,943 for a family of 4. yearbook income is just above or right at the poverty line. In 2011 it was preserve that 32. 1% of the population was living in poverty. A careen 12. 9% of Keyes residents are unemployed as of July 2013. About 18% of Keyes residents work in construction, agriculture, or retail. Keyes is a predominately Hispanic community accounting for 60. 9% of its residents.Whites honest 34. 3% of the population followed by 2% Asian and 0.4% Black. The residents of Keyes are 54% Catholic in faith followed by 5% Baptist and 5% Mormon. Keyes lacks a municipal government but is a part of Stanislaus County (City data). The Land Keyes, California is set(p) amongst Ceres and Turlock o ff Highway 99. The towns port is unattractive at first look. No landscaping or sidewalks are provided in most of the community. The bulk of homes are enfold by a fence and most do not have a driveway. Although the homes are hoary and tattered, many of them have nice yards with tokenish refuse.Homes in this location were built in the 1980s. The bonnie monetary value of a home find in Keyes, Ca is $89,952 (Zillow). a couple of(prenominal) people were out walking in the community. The residents of Keyes had a ample range of dogs in almost all(prenominal) yard. A large park is regain in the eastern part of the town. mean Park has a walking path and a playground for children. The park is comparatively new, according to its residents. arctic does not come forward to be an issue before dark. The park is open from daybreak to sunset, although, it is not patrolled by police.There is no police department locate in Keyes. Stanislaus county sheriff responds to calls for this sm all town. The fire department is dictated in the southern end of the city. According to paramedical Rhodes of the Keyes Fire Department, there are an average of 20 calls per hebdomad 85% being medical, 10% go vehicle accidents, and 5% fire. Most medical transports are sent to Emanuel Medical Center in Turlock located 5 miles southeastward of the town. There are no doctors powerfulnesss or urgent cares located within Keyes. There are no pharmacies or dentists located in the prompt area.Neighboring cities have these services within five to eight miles. Stanislaus regional Transport (START) provides bus services to Keyes (Stanislaus regional transport). There are four bus exposes in Keyes all located near the freeway and the schools. The buses stop about every two hours from 5 am to 9 pm (Stanislaus regional transport). The bus stops had several people waiting and appeared to be used in the community by non-homogeneous age groups. There is a topical anesthetic anesthetic post office with P. O. Boxes. Keyes does not have a arms carrier to deliver mail to individual homes (USPS).Stores located in this little community lie in of two entice stores and one mart store lie ining of a limited write out of fresh fruits and vegetables. The warm full service grocery store and pharmacy are located 3. 8 miles away in Turlock, California (Google maps). No chain fast food restaurants were mention during the survey nonetheless there are several greaser trucks located in the area. Minimal businesses are present. Local businesses consist of construction companies of various sorts. Schools are present in this community. The local anesthetic Elementary school teach students years K-8.Keyes to Learning pack School instructs students K-12. The Stanislaus County depository library has a complexify located in Keyes for students of all ages. The Health Overall health is a concern in this community. No chafe to medical, dental, or pharmacies directly affects these res idents. Locals may have bother to healthcare but they may not have coming to transportation to and from doctors appointments in neighboring cities. mild socioeconomic status prevents many from seek necessary preaching for medical conditions. The softness to pay for incontrovertible medication can lead to fall health conditions.Limited access to a full service grocery store can limit the amount of fresh fruits and vegetables consumed by these residents. In Stanislaus County the rate of diabetes is 1. 6% greater than the California average and the rate of obesity is 6. 7% greater (City data). Diet and ferment plays a piece in these statistics. Although there is a local park it is not widely used. A sedentary lifestyle is common in this community. It is concerning to have such high incidents of obesity and diabetes in a town where the average householder is younger than 30 years old.A large dower of the community is considered undefended (Cdc). The community health status i ndicators displays that Stanislaus County has a large unprotected population. A under fire(predicate) population includes 39% of individuals without a high school diploma and a 12. 9% unemployment rate. The county has a total of 23,378 people diagnosed with major depression and 38,337 conglomerate with drug use in the fail month (Cdc). umpteen other factors are affecting this towns health including smoking associated heart disease, cancer and respiratory illnesses (Cdc).As a goal, Healthy people 2020 is desire to improve maternal, infant, and child health. Education is a crucial aspect in improving health in all stages of life. Mothers who are educated about their health and the health of their families can in turn make choices that can positively affect their families future. Nurses in the community could suffice classes at the local schools after hours to provide education on diet, exercise, and disease prevention. These classes could be taught in incline and Spanish to discontinue meet the postulate of the community.Keyes, California is a small community with no access to many radical unavoidably. The health of the community is deteriorating due to the lack of proper viands and healthcare. This town is living at or below the poverty line. The needs of the community outweigh the resources made available by Stanislaus County. More research should be conducted within the central vale to determine the needs of this vulnerable population. Keyes can become a healthier place to live in the future with help from the surrounding cities, local governments, and healthcare providers.