Windshield Survey

According to Stanhope and Lancaster (2008) defines a community as: â€Å"A social group determined by geographic boundaries and/or common values and interests. Its members know and interact with one another. It functions within a particular social structure and exhibits and creates norms, values, and social institutions† (World Health Organization [WHO], 1974, pg. 7). Stanhope and Lancaster (2008) defines community health as having: â€Å"three common characteristics, or dimensions: status, structure, and process. Stanhope & Lancaster (2008) also go on to say: â€Å"Each dimension reflects a unique aspect of community health: (pg. 45). Community health in terms of status, or income, is the most well known and accepted approach; it involves biological, emotional, and social parts. The biological (or physical) part of community health is often measured by traditional morbidity and mortality rates, life expectancy indexes, and risk factors profile† (pg. 345). The communit y is the client if a nurse is helping individuals even one at a time in the community. Stanhope and Lancaster (2008) states: â€Å"The community is the client only when the nursing focus is on the collective or common good of the population instead of on individual health† (pg. 44) and â€Å"Although the nurse may work with individuals, families or other interacting groups, aggregates, or institutions, or within a population, the resulting changes are intended to affect the whole community† (Stanhope and Lancaster, 2008, pg. 344). One Healthy People 2020 health indicator that applies to this particular area, which is Oklahoma City, would be â€Å"Quality of life and well-being† (Healthy People 2020 at a glance. (2010). There is a large population of poverty level residents. Many people in the community of the south side Oklahoma City are living in homes that are not safe or are unclean. Additional aspects will be discussed in the Window Survey of south Oklahoma City. The boundary for the north part of Oklahoma City runs almost parallel to interstate I-44 from the east to the west. It is located in the central metro area of the state of Oklahoma, with boundaries east of the cities of Mustang and Yukon, and west of the cities of Spencer and Del City. The southern boundary of Oklahoma City overlaps interstate I-240 that runs from east to west and is north of the cities of Moore and Norman. The economic boundaries for the southern part of Oklahoma City can run the ambit from residents below poverty level to those that would be considered to be upper-class in their monetary value. There are neighborhoods that many would not feel comfortable after dark because there has been a rise in crime to those areas. The zoning of these homes are single story, quarter acre lots that are approximately one thousand to fifteen hundred square feet. These impoverished areas have small, o lder homes that are two to three bedroom homes that are unkempt and, at times, are cockroach infested. The houses are built closely side by side and do not have much open space throughout the neighborhood. Most of these homes show signs of decay related to the amount of repairs that need to be made to the home. Many of the residents are renting and cannot afford to make the necessary repairs or have landlords that are unwilling to comply with the safety of their occupants. The stores in the south part of Oklahoma City are ones that cater to a lower income, such as, Payday loans, Buy For Less, Ross, Payless shoes, Wal Mart, etc. Race representation in this area of south Oklahoma City is a majority of Hispanic, black, white, and Native American. When driving through this community, there are men and women who can be seen each day standing on the corners of busy streets holding various cardboard signs which ask for help and state they are out of work. The houses have children’s toys laying in the front yards and dogs can be seen in the backyards roaming or on chains. The transportation for many, are cars that range from 1980’s to the 2000’s. They appear to be in need of repair in many cases. Since many of the residents in this area have little money, there are service centers, such as Auto Zone, and Midas that aide in â€Å"do it yourself† repairs. However, there is a divide in the income level because within five to ten miles there are neighborhoods with homes that are valued from a quarter of a million to half a million dollars. These upper class neighborhoods are surrounded by brick walls with gates that require codes for entrance. One higher class neighborhood is called Rivendale. Surrounding these areas are higher end shopping centers, such as Chasity Square. This particular shopping center has stores called Mann’s Best Friend that provides all natural dog food and baked goods for pets. In both of the low income areas and higher income areas, there are many churches of various religions that are represented, including Catholic, Baptist, Non-denominational, Methodist, Lutheran, and Jehovah’s Witness. These are common meeting places for many in both communities. Aspects that would affect the health in this community, would be alcohol, tobacco, and drug abuse. For those in the low income areas, stress of everyday life in which they struggle would draw them to these vices, for those in the higher income areas, it would be the stress of working to maintain their lifestyle. Other health concerns would be obesity of those who cannot afford healthy eating habits, high blood pressure affects both low and high incomes for different reasons, diabetes, and for the low income, lack of preventative care. There is Planned Parenthood for well woman checks, organizations that provide blood pressure checks and diabetes screening, and the YMCA works on a sliding scale of income for membership to the gym to help prevent obesity. Media is covered by local news stations and the Daily Oklahoman. ? References Healthy People 2020 at a glance. (2010). PT in Motion, 2(6), 22-23. Retrieved From EBSCOhost. Stanhope, M. & Lancaster, J. (2008). Population-Centered Health Care In the Community. (7th ed. ). St. Louis, MO: Mosby Elsevier. World Health Organization: Community health nursing: report of a WHO expert committee, Geneva, 1374, World Health Organization. Windshield Survey A windshield survey is an assessment and evaluation of a community performed by traveling throughout the community in a car or public transportation to make observations about a community. The data gathered will help identify health care strengths and weaknesses in the specified community. A community is a social group established by geographic boundaries or common values and interests. Its members know and interact with one another and function in a particular social structure and exhibit and create norms, values and, social institutions (Stanhope, 2008). Community health has three mutual traits, or aspects: status, structure, and process. Community health in terms of status or outcome, is the most familiar and received approach; it involves biological, emotional, and social parts (Stanhope, 2008). The biological or living part of community health is often measured by established morbidity and mortality rates, life expectancy indexes, and risk factor profiles. The emotional part of health status can be measured by consumer satisfaction and mental health indexes. Crime rates and functional levels refl ect the social part of community health. Other status measures, such as worker absenteeism and infant mortality rates, reflect the effects of all three parts. Community health, when perceived as the structure of the community, is commonly explained in terms of services and resources. Measures of community structure incorporate demographics, such as socioeconomic and racial distributions, age, and educational level. (Stanhope & Lancaster, 2008) The community is the client only when the nursing emphasis is on the common good of the population instead of on an individual’s health. When focusing on the community as client, direct clinical care can be a part of population focused community health practice. This type of care decreases the risk of an epidemic in the community. The community client also highlights the complexity of the change process. Implementing changes which, will improve the community client often occur at a number of levels, extending from the individual to society (Stanhope, 2008). Healthy People 2020 maintains tradition with the launch on December 2, 2010 of it’s 10-year agenda for improving the Nation’s health. Healthy People 2020, 2011) A society in which all people live long, healthy lives is the mission statement of Healthy People 2020. (Healthy People 2020, 2011) A health indicator that applies to my specialty area is substance abuse. Substance abuse produces control on an individuals life and creates havoc among the families and communities. The effects of substance abuse are increasing, drastically contributing to costly social, physical, mental, and public health problems(Healthy People 2020, 2011). According to Healthy People 2020, (2011) some problems include:teenage pregnancy, Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), sexually transmitted diseases (STDs), domestic violence, child abuse, motor vehicle crashes, physical violence, crime, homicide, and suicide. A role nursing would perform in affecting this indicator would be education in the community. Adolescent abuse of prescription drugs, such as prescription pain relievers Vicodin and OxyContin, has remains on the rise and continues to devastate lives and families involved (NIDA InfoFacts: Understanding Drug Abuse and Addiction, 2011). The accessibility of prescription drugs is growing from several places, including the family medicine cabinet, the Internet, and doctors. Drug addiction is a needless disease. Results from NIDA-funded research have shown that prevention programs including families, schools, communities, and the media are successful in decreasing drug abuse. Although countless events and cultural influences affect drug abuse trends, when youths sense drug abuse as harmful, they reduce their drug taking. NIDA InfoFacts: Understanding Drug Abuse and Addiction, 2011) Education and outreach programs are essential in assisting communities to understand 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 basic ideas about this community and identified needs for a certain population in the community. Housing and zoning- The homes and buildings were builtafter 1950. The homes and buildings are constructe d from brick, vinyl siding and are a mix of row and single homes and the homes are in excellent condition. These homes vary in size and land. | Transportation- The most common means of transportation 19154. area include driving a car alone, carpooling and public transportation SEPTA(Southeastern Public Transportation Authority)During observations in the community, many bus stops werehad 6-8 people waiting. Somewere in their school uniforms, some work attire, and others were casually dressed. Theconditions of the roads need minor repairs most are newly paved. | Race and ethnicity- The chief ethnic group in the 19154 is a heavily populated, urban zip code in Philadelphia, Pennsylvania. The population is largely white, and mostly married couples. Total Population: 35,606 White Population: 31,896 Black Population: 1,678 Hispanic Population: 1,030 Asian Population: 812 Hawaiian Population: 13 Indian Population: 48 Male Population: 17,313 Female Population: 18,293 Median Age: 36. 2 Median Age of Males: 34. 9 Median Age of Females: 37. 6. (Neighiborhood Link National Network, 2011) . | Open space- There is not much open space, but the areas around the Dunksferry Rd and Academy and Knights roads are designated for the athletic teams and school sports. | Service centers-19154 has several service centers. On Southampton Rd there is the VA. Community Center, S. P. I. N. (Special People in the Northeast, mentally challenged individuals), W. I. C. offices and Social Security center. There are many schools, High school, grade school (public and Catholic) and headstart programs in our community. Also off Academy Rd. there is a health center and a dental facility. There are 3 major hospitals and several medical facilities in the community. | Religion and politics- In our community the primary religion is Catholic with a mix of protestant and Jewish. The primary party is republican. | Boundaries- The geographical boundaries for 19154 include Interstate I-95, Route 1 and the PA Turnpike. The income is middle class. The estimatedmedian income is $60,000 per year. Theneighborhoods are named and identified by street names. Some of theneighborhoods include Parkwood, Liberty Bell, Chalfont, Comly, Somerton, Morrell Park and Bustleton. | Stores and street people-Major stores in the community are Kohl’s, Target, and Wal-Mart, many grocery stores such as, Pathmark, Reddners and Acme Markets. There is not any type of street people as in homeless in the community. The community is primarily devised of law 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 obvious drug dealings going on in the community but, there are dealers. Observations made were several people smoking on the bus stops, very young looking, and other smokers of appropriate age. There are several fast food restaurants in the area as well as finer restaurants, which may have resulted in the large number of people living 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 park and recreational facilities restaurants and clubs. off Southampton Rdis the Community College of Philadelphia and off Street Rd there a several tech schoolsLocal eateries such as Chickie & Pete’s. Chili’s. Carraba’s, Outback Steakhouse, Texas Roadhouse, Friendly’s, Applebee’s, Nifty fifties and TGI Fridays. There are a number of fast food restaurants, such as McDonald’s, KFC, and Burger Kingwhere many people like to hang out. There is also a few -11, Wawa and playgrounds that teens usually hang out. These gathering areas are easily identified by signs. They are open to everyone and usually people with the same interests gather in these areas. | Signs of decay- There are no evident signs of decay, although at some playgrounds there were several graffiti tags on the buildings. | Media- The local newspaper is the Philadelphia Inquirer and the community newspaper is The Northeast Times. The TV news stations are ABC 6, Eyewitness News and NBC 10 news. The internet 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 Link 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/about/default. aspx NIDA InfoFacts: Understanding Drug Abuse and Addiction. (2011, March). Retrieved June 18, 2011, from National Institute of Drug Abuse: ht tp://www. drugabuse. gov/infofacts/understand. html Stanhope, M. L. (2008). Public Health Nursing. St. Louis: Mosby Elsevier. Windshield Survey Keyes, California is a census-designated town in Stanislaus County. Keyes is located off Highway 99 in the California Central Valley. This small town is unknown to many due to its 2. 8 mile radius (â€Å"City data†). Numerous health concerns plague 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 female ratio (â€Å"City data†).The median age of these residents is 29. 5 years old. The majority of the Keyes population has a household annual income of $29,943 for a family of 4. Annual income is just above or right at the poverty line. In 2011 it was recorded that 32. 1% of the population was living in poverty. A staggering 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 average 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 (â€Å"City data†). The Land Keyes, California is located between Ceres and Turlock off Highway 99. The town’s appearance is unattractive at first look. No landscaping or sidewalks are provided in most of the community. The majority of homes are enclosed by a fence and most do not have a driveway. Although the homes are aged and tattered, many of them have nice yards with minimal refuse.Homes in this location were built in the 1980’s. The average price of a home located in Keyes, Ca is $89,952 (â€Å"Zillow†). Few people were out walking in the community. The residents of Keyes had a wide range of dogs in almost every y ard. A large park is located in the eastern part of the town. Hatch Park has a walking path and a playground for children. The park is relatively new, according to its residents. Safety does not appear to be an issue before dark. The park is open from sunrise to sunset, although, it is not patrolled by police.There is no police department located in Keyes. Stanislaus county sheriff responds to calls for this small town. The fire department is located in the southern end of the city. According to Paramedic Rhodes of the Keyes Fire Department, there are an average of 20 calls per week 85% being medical, 10% motor vehicle accidents, and 5% fire. Most medical transports are sent to Emanuel Medical Center in Turlock located 5 miles southeast of the town. There are no doctors offices or urgent care’s located within Keyes. There are no pharmacies or dentists located in the immediate area.Neighboring cities have these services within five to eight miles. Stanislaus Regional Transport (START) provides bus services to Keyes (â€Å"Stanislaus regional transport†). There are four bus stops in Keyes all located near the freeway and the schools. The buses stop about every two hours from 5 am to 9 pm (â€Å"Stanislaus regional transport†). The bus stops had several people waiting and appeared to be used in the community by various age groups. There is a local post office with P. O. Boxes. Keyes does not have a postman to deliver mail to individual homes (â€Å"USPS†).Stores located in this little community consist of two convince stores and one grocery store consisting of a limited supply of fresh fruits and vegetables. The nearest full service grocery store and pharmacy are located 3. 8 miles away in Turlock, California (â€Å"Google maps†). No chain fast food restaurants were note during the survey however there are several taco 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 Elementary school teach students years K-8.Keyes to Learning Charter School instructs students K-12. The Stanislaus County Library has a branch located in Keyes for students of all ages. The Health Overall health is a concern in this community. No access to medical, dental, or pharmacies directly affects these residents. Locals may have access to healthcare but they may not have access to transportation to and from doctors appointments in neighboring cities. Low socioeconomic status prevents many from seeking necessary treatment for medical conditions. The inability to pay for prescribed medication can lead to worsening 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 (â€Å"City data†). D iet and exercise plays a role 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 percentage of the community is considered vulnerable (â€Å"Cdc†). The community health status indicators displays that Stanislaus County has a large vulnerable population. A vulnerable 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 involved with drug use in the last month (â€Å"Cdc†). Many other factors are affecting this town’s health including; smoking associated heart disease, cancer and respiratory illnesses (â€Å"Cdc†).As a goal, Healthy people 2020 is seeking 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 arrange classes at the local schools after hours to provide education on diet, exercise, and disease prevention. These classes could be taught in English and Spanish to better meet the needs of the community.Keyes, California is a small community with no access to many basic needs. The health of the community is deteriorating due to the lack of proper nutrition 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 valley 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 he althcare providers.