Wednesday, May 22, 2019

Community Nursing Hat 1 Essay

I chose as my community El Dorado County in the foothills of northern California. I hump in this community. We are a very hale and active community with a large retirement sort out. I will go through the quaternion assessments next. The commonwealth Economic Status Assessment shows our population to be around 181,000. We are made up of 80% white Christian, with the next largest ethnic group being about 15% Mexican. The average household income is around $70,000 with 7.9% of mess being at or under the poverty take aim. The Mexican population makes up the biggest percentage of the poor. El Dorado Countys median household income has been higher than the state average since 2000, indicating that its residents hold back a bun in the oven more spending power than the average Californian (El Dorado Co). The un job direct is 11.8%. El Dorado Countys unemployment rate has been consistently lower than the California average since 1990. At some(prenominal) given time, in that loc ation are 600+ homeless people in this community.Around 9000 people receive food stamps & another 3000 receive cash aid. On an average, we have much fewer people on existence help than the national average. According to the discipline I gathered in the Cultural Assessment Tool, the population in this community has slightly more females than males which is very true in these rural areas. There are 80% white people living here with about a 15% Mexican population (El Dorado Co). 27% of the populous are affiliated with a church, mostly Catholic Christian, compared to the 50% in the USA (Religions). About 85% of the people are covered by health insurance, which is very high compared to the rest of California. Cancer is the leading cause of death, with heart disease being second. The birth rate is 10.1 per 1000.County birth rates are consistently below average compared to the state, which is attributed to the higher senior population of the county (El Dorado Co). There is a high preva lence of medicine and alcohol abuse in this community, connect to poor or ineffective coping skills in the populous. There is areal powerful stigma against the homeless community here, which really could benefit from some(prenominal) community teaching and outreach. The Neighborhood Community Safety Assessment shows that the air and urine quality is very good in this community. Carbon monoxide levels are below the US average. They do usually have a few bad air days a year due to fires. There is some eternal rest mercury left over from the mining days, but in low levels (El Dorado Co). During the winter snow, flooding and the cold pose health supposes. During the summer, fires are a hazard to in the public eye(predicate) safety. However, there is magnificent fire and police response here in this community. numerous rivers and lakes in this community pose a risk for drowning however, there are very few documented drownings here per year. There is quite a bit of poison oak & i vy here, and grass and hay fever irritants. Last, I will discuss the possibility Assessment & Planning in this community.Through my research, I found that this community does follow federal guidelines for happening management (OES). There is a County Operational Area fate Operations Plan that was adopted in 2007 (City of Placerville). This plan has four parts that cover administrative, an taking into custody operations center plan, a recovery plan, & plans specific to a type of emergency (terrorism, multi-casualty incidents, hazard mitigation plan, etc.). This plan meets needs for rescue, medical take, food, shelter, clothing, temporary housing, and employment should an emergency arise. This community also uses the CDCs Public Health Emergency Response draw off for emergency preparedness & response. I found all this instruction on line, but it took considerable research and was not easy. In my research, I found that most residents in this community are not aware of any disast er preparedness plan, nor do they know where to find one. There needs to some community wide teaching on disaster preparedness, and where to find information regarding this. The following is my community genogram and diagnosis.Community DiagnosisWithin the parameters assessed above, El Dorado County California is a healthy community. The areas that need improvements are discovering a way to help people respond in healthy ways to painful manner events other than drugs & alcohol, to shit & implement a plan to help the homeless community, to educate the public regarding the causes and preventativemeasures for Cancer & Coronary Artery Disease, and to educate the public regarding emergency & disaster preparedness through community outreach programs.Community DiagnosisWithin the parameters assessed above, El Dorado County California is a healthy community. The areas that need improvements are discovering a way to help people respond in healthy ways to painful life events other than drug s & alcohol, to create & implement a plan to help the homeless community, to educate the public regarding the causes and preventative measures for Cancer & Coronary Artery Disease, and to educate the public regarding emergency & disaster preparedness through community outreach programs.El Dorado County, CaliforniahhhhEl Dorado County, CaliforniahhhhPopulation Economic StatusLocated in Northern CaliforniaPopulation 181,058Mostly whiteNext largest ethnic group MexicanMedian household income 70,0007.9% households at or below poverty level11.8% unemployment rate600+ homeless9,000 receive food stamps3,000 families receive cash aidPopulation Economic StatusLocated in Northern CaliforniaPopulation 181,058Mostly whiteNext largest ethnic group MexicanMedian household income 70,0007.9% households at or below poverty level11.8% unemployment rate600+ homeless9,000 receive food stamps3,000 families receive cash aidCultural Assessment roughly more females than malesMostly white ChristiansSubcultu res small Mexican & AsianMany know how to achieve good health-60% put forth effort85% have health coverageMost know how & where to obtain medical careHigh prevalence of alcohol & drug abuse due to a cast of stressors Stigmas of homelessness coarse variety of outdoor recreational activitiesCultural AssessmentSlightly more females than malesMostly white ChristiansSubcultures small Mexican & AsianMany know how to achieve good health-60% put forth effort85% have health coverageMost know how & where to obtain medical careHigh prevalence of alcohol & drug abuse due to a variety of stressors Stigmas of homelessnessVast variety of outdoor recreational activitiesNeighborhood/ Community SafetyHealth dept very heterogeneous in providing health services, education & information genuinely good air qualityVery good water quality capability for wildlife diseaseVast amounts of rivers & lakes potential for drowningSevere weather events potentialPotential for fires due to vast forestryExcellent fi re & police responseDomestic violence calls 10.5 per 1000Neighborhood/ Community SafetyHealth dept very involved in providing health services, education & information Very good air qualityVery good water qualityPotential for wildlife diseaseVast amounts of rivers & lakes potential for drowningSevere weather events potentialPotential for fires due to vast forestryExcellent fire & police responseDomestic violence calls 10.5 per 1000Disaster Assessment/PlanningEl Dorado County Operational Area Emergency Operations PlanCalifornia Emergency circumspection Agency & national Emergency Management Agency preparedness plan Following federal guidelinesRescue, medical care, food, shelter, clothingTemporary housing, food stamps, employmentPublic Health Emergency Response Guide by CDC for emergency preparedness and response Most residents unaware of any planDisaster plan not readily functional or easily foundDisaster Assessment/PlanningEl Dorado County Operational Area Emergency Operations Pl anCalifornia Emergency Management Agency & Federal Emergency ManagementAgency preparedness plan Following federal guidelinesRescue, medical care, food, shelter, clothingTemporary housing, food stamps, employmentPublic Health Emergency Response Guide by CDC for emergency preparedness and response Most residents unaware of any planDisaster plan not readily available or easily foundThe community genogram shows a relatively healthy mostly white community. As a whole, the people here make a good living, with unemployment below the national average. A small percentage receives food stamps and public cash benefits, also below the national average. Most people have health coverage, and about 60% of the population is proactive with their health. The leading causes of death are cancer and then cardiac disease occurring in the high 80s of age, due to the large retirement population. The public health department is very involved in providing health services here (CDHP). The air and water qualit y is good here, with pollution below the national average. There is some potential for bad weather and fires, however, our fire and police response are excellent here. There is a good disaster preparedness plan, however, it is difficult to find, and few know about it. There is a high incidence of alcohol and drug use here, with poor and inadequate coping skills to handle difficult life events. The homeless population is really looked down upon here. Within the parameters assessed above, El Dorado County is a healthy community. The areas that need improvement are discovering a way to help people respond in healthy ways to painful life events other than drugs & alcohol, to create & implement a plan to help the homeless community, to educate the public regarding the causes and preventative measures for Cancer & Coronary Artery Disease, and to educate the public regarding emergency & disaster preparedness through community outreach programs.BibliographyCDHP. Retrieved from http//www.cdp h.ca.gov/programs/Pages/HealthyCommunityIndicators.aspx City of Placerville. Retrieved from http//www.cityofplacerville.org/ El DoradoCounty Economic and Demographic Profile. Retrieved from http//www.eldoradocounty.org/ Office of Emergency Services (OES). Retrieved from http//www.edcgov.us/Government/Sheriff/Divisions/Support/Office_of_Emergency_Services_

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