Functional Health Patterns Community Assessment Essay

scheming Healthc be offers groups for breastfeeding m opposites, postpartum depression, grieving for loss of a child, obesity, eating disorders etc. Do the company members value health promotion measures? What is the evidence that they do or do not (e.g., involvement in education, fundraising events, etc.)? Fundraising events for topical anaesthetic anaesthetic kids with Neuroblastoma (Pediatric) Cancer Fundraise for companionship sports deal footb every last(predicate) and cheerleading Whatdoes the society value? How is this evident?Religion- Church on Sundays with familyFamily Values- galore(postnominal) family functions the like concerts in the local park, movie darkness at the Lake On what do the community members spend their m aney? Are funds adequate? CarsHomes, rent- cost of life sentence is high in CAEating issueShopping warmheartedness Class majority, funds preempt get tightHealth acquaintance/ManagementPredominant health problems comparison at least one hea lth problem to a credible statistic (CDC, county, or state). Obesity33% in San Diego argon overweight, 26% argon obese30% of kids grades 5/7/9 are overweight/obese in San Diego County ( partnership profile county, 2013) Immunization grade (age appropriate).4.5% of Kindergarteners are missing one or more than vaccinesOut of 43,000 kindergarteners in the county, 1900 are not fully immunize Not all families in San Diego are immunizing their children due to things they hear close to vaccines- EX vaccines causing autism Parents do not do their research and lots listen to hear-say or false news reports Appropriate death rates and wees, if applicable.Top 10 causes of death in San Diego Malignant neoplasms, unsoundnesss of the heart, Alzheimers, chronic cut back respiratory diseases, cerebrovascular disease, accidents ( unknowledgeable injuries), diabetes, intended self-harm (Suicide), chronic liver disease (cirrhosis), hypertension/hypertensive renal disease and influenza/pneumoni a (San Diego County, n.d.) In 2012, in San Diego only when there were 20,018 deaths3,684 in eastmost County San Diego1,806 were Male1,876 were Female377 Hispanic3,015 blanched130 Black88 Asian70 Other get a presbyopic with 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 plans (dental, force out, fitness, safety, etc.) Does the community think these are sufficient? dose Abuse prevention chopines, Delinquent and school failure prevention programs CAL discharge teaches a fire prevention program locally in San Diego, CA Safe Kids San Diego which teaches prevention of unintentional accidents much(prenominal)(prenominal) as drowning, child passenger safety, sports and recreation safety and pedestrian safety (Safe Kids San, 2014) Western alveolar provides services for large number who no insuranc e for a cheaper rate turgideminal gym facilities such as 24 mo Fitness, Crunch and Chuze are virtually of the biggest gyms out here Available health professionals, health resources deep down the community, and use of well(p)s and services. 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 procurableSan Diego habitual HealthLanguage Specific healthcare such as Arabic, Spanish, Tagalog etc. Common referrals to outside agencies.WIC- Women, Infants and ChildrenBlack Women, Infants and ChildrenFood Stamps first-class honours gradation Cost medical and dental careHabitat for Humanity bread and solelyter/MetabolicIndicators of nutrient deficiencies.Vitamin deficiencies such as Vitamin D and Ironunexplained fatigue, brittle, run dry hair, ridged or spoon shaped nails, mouthprobl ems, diarrhea, crabbiness or lack or appetite can all record nutrient deficiencies San Diego has one of the largest homeless populations in the country, especially homeless veterans. Malnutrition is normal in this group of muckle Obesity rates or percentageages Compare to CDC statistics.This bullet was answered up above in a previous question.Affordability of provender/available discounts or fodder programs and usage (e.g., WIC, forage boxes, soup kitchens, meals-on-wheels, pabulum 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 atomic number 20 Project Homeless ConnectAvailability of water (e.g., number and spirit of drinking fountains). Water fountains in all stores and schoolsDrinking water (Tap water) meets more or less government standards but needs to be more thoroughly treated Water comes from 3 attributes Northern calcium from snow and rain, the carbon monoxide gas river and local rain water runoff Fast regimen and junk food nettleibility (vending machines).Vending machines at most all high schoolsCalifornia trying to change contentednesss to offer healthier choices Fast food on almost every(prenominal) corner- very accessible designate of well-in mixtureed food consumption or unhealthy food consumption (trash, long lines, observations, etc.). Always long line as fast food placesGyms perpetually crowed, protein/ doout drinks always in kick inBeaches 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 shekels sweetened drinks and are replacing them with water, let out fat milk for 50% or greater natural harvest juices Provisions for special diets, if applicable.Items containing specific allergies have them stated on the sound out like nuts, shellfish or specific fruits For schools (in addition to above)Nutritional content of food in cafeteria and vending machines Compare to ARS 15-242/The Arizona Nutrition Standards (or other state standards based on residence) Fruit/veggie based drinks with no less than 50% fruit juiceMilk 2% fat, non-fat, soya bean or rice milkNot more than 35 percent of its total 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 whitethorn 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 single food item (Middle schools and Jr High Schools, High Schools) No more than 175 per individual food item for elemen tary schools Amount of impeccant or reduced lunch60% free or reduced lunch in schools in San Diego, CAElimination (Environmental Health Concerns)Common air contaminants seismic disturbance on the community.Smog, wholeergies- Pollen, MoldNoise.Major Airport, major Military bases, heavy barter noisesWaste disposal.Miramar LandfillPest control Is the community notified of pesticides usage? Yes, individual residences crap care of their own pest problems Hanta Virus- In mouse poop in our areaHygiene practices (laundry services, hand washing, etc.).Laundry mats are in abundance, dry cleaners and individual washer and dryers in some residences Singing the dexterous Birthday song twice while washing hands was on the local news to help people wash their hands more efficiently Toilet seat covers in most mankind pot servicesSigns stating Must wash hands before returning to carry in all restaurant bathrooms Bathrooms Number of bathrooms inspect for cleanliness, supplies, if possible. M ost public bathrooms have signs for employees to sign when they have checked and maintained the restroom Public bathrooms are broadly speaking clean and well stocked, if not commonly an employee of the place is easily notified Universal precaution practices of health providers, teachers, members (if applicable). Protective gowns, gloves, shields when handling physical fluids for health providers when in facilities Teachers usually do not have access to all of the equipment necessary but generally 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 temperatures resort (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 t heft and crime Trolley GuardsVolunteer police police (Elderly men and women)Activity/ExerciseCommunity fitness programs (gym discounts, P.E., recess, sports, access to YMCA, etc.). YMCAsGyms 24 hour fitness, crunch, chuzeAYSO (local soccer leagues for kids)T-ball/ baseball/ softball fields at Cactus unwashedalty (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, pedal 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 well(p) 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 Injury statistics or most common injuries.In San Diego, unintentional injuries were the sixth leading cause of death in 2009 dearly 1000 people died that year of unintentional injuries with 30% of those ca employ by poisoning including overdose Every 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 chief(a) 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 day get along withs 15-19 spend read for an average of 4 minutes per hebdomadend da y and 52 minutes playing a game on the computer Ages 75 and over spend an average of 1 hour of reading per workweekend day and 20 minutes playing games or using a computer Employed adults with no children spend rough 4.5 hours per day doing leisure activities and employed adults with a child/children spend intimately 3.5 hours doing leisure activities per day Means of transportation.Trolley, Bus, Cars, Bikes, Walking and park and ride for carpool peace/RestSleep routines/hours of your community Compare with sleep hour standards (from field 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 24/7Sleeping anyplace from 6-9 hoursIndicators of general restedness and energy levels.Lack of bags or dark circles down the stairs eyeballHair, sufficeup and outfit appropriate for environmentLess caffeine involveFactors affecting sleepShift work preva lence of community membersAll shifts, mostly 12 hour shifts in the healthcare field,Mainly anyplace from 7am-6pm for most full time employed people Environment (noise, lights, crowding, etc.)Near main airport, military bases, lights and crowds climb up football and baseball stadiums, colleges, living near freeways Consumption of caffeine, nicotine, alcohol, and drugsA least 3 major Universities in San Diego (Caffeine pulmonary tuberculosis) Average age in San Diego is 20s-30s and large nightlife crowd downtown San Diego (Alcohol and drugs) 2012 drug stats Heroin increase, crack/cocaine drop, methamphetamines increase, marijuana increase, prescription opioids decrease, ecstasy decrease (Drug abuse patterns, 2014) Homework/Extracurricular activitiesHigh school assimilator average 3 hours of homework per nightAnywhere from 6.8 to 17.5 hours of homework per week for high school schoolchilds 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 expression Is this a communication barrier? face/ Spanish, Arabic, Vietnamese (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 % (State and county, 2014) Opportunities/ProgramsEducational religious offerings (in-services, continuing education, GED, etc.) Many 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 fore igners learn 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., learning disabled, emotionally disabled, physically disabled, and gifted) GATE- gifted and talented education programChildrens outreach project subroutine library 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 domiciliate 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 savant bring repayment 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 the community). San Diego City College peer mentoring programMAD (mothers against drunk driving)Big Brothers/Big Sisters program (Mentoring adolescents)Peer leaders (high school program- students give other students counseling when they feel like they cannot blither 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 War One of the original counties of CaliforniaSan Diego used to be a very large county including all of Los Angeles and extended to the Colorado river Pride indicators Self-esteem or caring deportments.San Diego is o ne of the most sought-after(a) out cities to visit and/or live Very expensive because they submit is thereA lot of plastic surgery in San Diego atomiser tans, fake nails, fake hair, people are in shape (wears bikinis) San Diego residents oblige a lot of charities and cancer/disease foundations Donating money to a good cause is common among this communityPublished description (pamphlets, Web sites, etc.).San Diego magazine publisherSandiego. 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 coarse event in SDVery large interracial community, not a lot of prejudicesPrograms to prevent in-school bullyingVulnerable populationsWhy are they unsafe? 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 gangs) Mexican MafiaLogan Heights GangHells AnglesPTAs in elementary schools churchmans witnessMormonsHow do they hold power?Influential fill a lot of people under them or following themPTA helps make decisions for schoolsPositive or negative influence on community?Gangs usually a negative influenceHells Angels used to have more of a negative influence but now are more supreme towards the community and support local charities like pediatric cancer ones torment policies/discrimination policies.Under the California Department of Public Health all employees have a right to work in an environment free from all forms of discrimination, including sexual torment, intimidation, retaliation or coercion. The CDPH is committed to p roviding a work environment free from sexual harassment. sexual harassment is a form of sex discrimination that is illegal under bothstate and federal law The Fair Employment and Housing Act defines sexual harassment as harassment based on sex 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 also protects an individuals true or comprehend gender identity, whether or not different from the individuals actual gender at birth The CDPH endorses a zero tolerance form _or_ system of government aimed at preventing all such inappropriate behavior. As a result, CDPH may take corrective actions, up to and including formal 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 notify/EMS (response time)Generally called from the City in which the Emergency isResponse time is good- generally under 10 minutesFire departments all work unneurotic from all surrounding cities when needed Large fire in Escondido/ San Marcos fair 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 Blood 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 womanish relationships and visa-versaMany relationships with more than 10 y ear gapsYoung marriages/pregnancies common matrimonial Population 45.15%Single Population 54.85%Now Married 43.16%Married but Separated 1.99%Never Married 40.39%Widowed 4.58%Divorced 9.88%Married, w/children 35.54%Married, no children 37.34%Single, w/children 16.27%Single, no children 10.86% (People in San, 2014)Educational offerings/programs (e.g., growth and development, STD/acquired immune deficiency syndrome education, contraception, abstinence, etc.). Planned Parenthood- teachings and prevention methods of STDs and Pregnancy, prenatal care Access to birth control.