'Functional Health Patterns Community Assessment Essay\r'

' nifty Healthc be offers sorts for breastfeeding mothers, postpartum depression, grieving for loss of a child, obesity, eating disorders etcetera Do the lodge members honor wellness procession measures? What is the evidence that they do or do non (e.g., involvement in teaching method, fundraising events, etc.)? Fundraising events for local kids with Neuroblastoma (Pediatric) Cancer fund-raise for companionship sports analogous footb whole and cheerleading What does the partnership value? How is this evident?\r\nReligion- Church on Sun mean solar daytimes with family\r\nFamily Values- many family functions identical concerts in the local park, movie night at the Lake On what do the community members shake off their currency? Are funds adequate? Cars\r\nHomes, rent- cost of financial backinging is towering in CA\r\nEating step up\r\nShopping\r\nMiddle Class studyity, funds give the axe get tight\r\nHealth Perception/ forethought\r\nPredominant health problems: Comp atomic number 18 at least(prenominal) one health problem to a reasonable statistic (CDC, county, or posit). Obesity\r\n33% in San Diego ar oerweight, 26% are grievous\r\n30% of kids grades 5/7/9 are overweight/obese in San Diego County (â€Å" participation profile: county”, 2013) Immunization order (age appropriate).\r\n4.5% of Kindergarteners are missing one or much vaccines\r\nOut of 43,000 kindergarteners in the county, 1900 are not fully immunized not every(prenominal) families in San Diego are immunizing their children collect to things they hear about vaccines- EX: vaccines causation autism Parents do not do their research and frequently listen to hear-say or false news program reports charm finis rates and causes, if applicable.\r\nTop 10 causes of death in San Diego: Malignant neoplasms, sicknesss of the heart, Alzheimer’s, chronic lower respiratory diseases, cerebrovascular disease, accidents ( unk nowadaysing injuries), diabetes, intended s elf-harm (Suicide), chronic liver disease (cirrhosis), hypertension/hypertensive renal disease and grippe/pneumonia (â€Å"San Diego County”, n.d.) In 2012, in San Diego alone there were 20,018 deaths\r\n3,684 in eastbound County San Diego\r\n1,806 were Male\r\n1,876 were Female\r\n377 Hispanic\r\n3,015 snow-covered\r\n130 Black\r\n88 Asian\r\n70 Other\r\nAge 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) (â€Å"San Diego County”, n.d.) Prevention political programs (dental, dismiss, fitness, rubber, etc.): Does the community think these are sufficient? drug curse measure programs, Delinquent and teach failure bar programs CAL Fire teaches a conflagration encumberion program loc eachy in San Diego, CA arctic Kids San Diego which teaches go alongion of unintentional accidents such as drowning, child rider saf ety, sports and recreation safety and pedestrian safety (â€Å" expert Kids San”, 2014) Western Dental provides services for volume who no insurance for a cheaper rate Multiple secondary teach facilities such as 24 second Fitness, calf love and Chuze are around of the biggest gyms out here operational 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 pressing Care clinics like Doctors Express are for sale\r\nSan Diego habitual Health\r\nLanguage Specific health care such as Arabic, Spanish, Tagalog etc. Common referrals to outdoor(a) agencies.\r\nWIC- Women, Infants and Children\r\nBlack Women, Infants and Children\r\nFood Stamps\r\nLow Cost checkup checkup and dental care\r\nHabitat for Humanity\r\n provender/Metabolic\r\nIndicators of nutrient deficiencies.\r\nVitamin deficiencies such as Vitamin D and Iron\r\nUnexplained flesh outigue, brittle, dry h carry, ridged or spoon shaped nails, mouth problems, diarrhea, irritability or lack or appetite can in all indicate nutrient deficiencies San Diego has one of the man-sizedst homeless races in the country, e finickyly homeless veterans. Malnutrition is prevalent in this group of population Obesity rates or pctages: compare to CDC statistics.\r\nThis bullet was answered up above in a previous question.\r\nAffordability of pabulum/ lendable discounts or solid food programs and usage (e.g., WIC, food boxes, soup kitchens, meals-on-wheels, food stamps, old discounts, employee discounts, etc.). Food Stamps\r\nWIC (Women, Infants and Children)\r\nBWIC (Black Women, Infants and Children)\r\nMeals on wheels\r\nSenior discounts offered at some restaurants like Soup Plantation. 55 plus is considered old citizen here in calcium Project roofless Connect\r\nAvailabili ty of water (e.g., number and prime(prenominal) of drinking fountains). piddle fountains in all stores and schools\r\nboozing water (Tap water) meets close government standards but postulate to be much thoroughly treated Water comes from 3 spotlights: northwardsern California from snow and rain, the carbon monoxide gas river and local rain water runoff refrain food and junk food accessibility ( peddling machines).\r\n peddling machines at more or less all high schools\r\nCalifornia arduous to change contents to offer better choices Fast food on al well-nigh both corner- very accessible\r\nEvidence of healthy food inspiration or unhealthy food consumption (trash, long lines, observations, etc.). Always long line as fast food places\r\nGyms perpetually crowed, protein/workout drinks always in flip\r\nBeaches are full of pack in bathing suits (fit and unfit)\r\nFarmers markets on Wednesdays labored\r\nA lot of deal do special programs like Weight Watchers, Opti-Fast, Medi-Fast, Nutri-System, Jenny Craig etc â€Å"Re-think your Drink” this program is trying to eliminate sugar sweetened drinks and are replacement them with water, low fat milk for 50% or greater natural fruit juices Provisions for special diets, if applicable.\r\nItems containing specific allergies have them stated on the nock like nuts, shellfish or specific fruits For schools (in admittance to above):\r\nNutritional content of food in cafeteria and vending machines: Compare to ARS 15-242/The Arizona Nutrition Standards (or other state standards base on residence) Fruit/veggie establish drinks with no less than 50% fruit juice\r\nMilk 2% fat, non-fat, soy or strain milk\r\n non more than 35 percent of its innate 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 soul food item (Middle schools and Jr postgraduate Schools, High Schools) No more than 175 per person food item for simple(a) schools Amount of unloose or reduced lunch\r\n60% innocuous or reduced lunch in schools in San Diego, CA\r\nElimination ( environmental Health Concerns)\r\nCommon air contaminants’ impact on the community.\r\nSmog, Allergies- Pollen, Mold\r\nNoise.\r\nMajor Airport, major forces bases, heavy traffic noises\r\nWaste disposal.\r\nMiramar Landfill\r\n oath control: Is the community notified of pesticides usage? Yes, individual residences exact care of their own pest problems Hanta Virus- In pussyfoot poop in our champaign\r\nHygiene blueprints (laundry services, hand cleanseing, etc.).\r\nLaundry mats are in abundance, dry dry cleaners and individual washer and dryers in some residences interpret the â€Å"Happy Birthdayà ¢â‚¬Â song twice plot of land washing hands was on the local news to help people wash their hands more efficiently Toilet seat covers in most public bathroom services\r\nSigns stating â€Å"Must wash hands before returning to work” in all restaurant bathrooms Bathrooms: Number of bathrooms; inspect for cleanliness, supplies, if possible. nearly public bathrooms have signs for employees to sign when they have analyze and maintained the restroom Public bathrooms are loosely clean and well stocked, if not unremarkably an employee of the place is easily notified Universal precaution practices of health providers, teachers, members (if applicable). protective 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 primarily have gloves on hand Temperature controls (e.g., within buildings, outside shade structures). Temperatures generally in the 70-75 ranges in contro lled areas such as schools and stores dark glasses provided at local parks\r\nCommunity pools and beaches available for hot temperatures\r\nSafety (committee, security guards, crossing guards, badges, locked campuses). roughly day cares are locked facilities\r\nCrossing guards at most elementary and middle schools\r\nSecurity guards at stores and hospitals to prevent theft and crime Trolley Guards\r\nVolunteer practice of law patrol (Elderly men and women)\r\n displaceivity/Exercise\r\nCommunity fitness programs (gym discounts, P.E., recess, sports, access to YMCA, etc.). YMCAs\r\nGyms: 24 bit fitness, crunch, chuze\r\nAYSO (local association football game leagues for kids)\r\nT-ball/ baseball/ softball fields at Cactus greenness (name of play park) P.E in middle school/high school for 2 years\r\nRecess at elementary schools\r\nZumba and Jazzercise programs locally\r\nRecreational facilities and usage (gym, playgrounds, ride paths, hiking trails, courts, pools, etc.). Playgr ounds at most local parks\r\n electric charge Trails- hiking, bike trails\r\nCowles Mountain, Iron Mountain- Hiking trails\r\nCommunity pools- YMCAs\r\nSafety programs (rules and regulations, safety training, incentives, athletic trainers, etc.). Lifeguards at local community pools and beaches\r\nSafe drivers incentives with Allstate Insurance\r\nDiscounts on car insurance with acceptable grades and no trouble\r\nCrime Stoppers, Mc curmudgeonly Crime Dog, Kidzwatch Academy, Safety Sam are constabulary station programs that kids and other community members can introduce in to ensure community safety dent statistics or most rough-cut injuries.\r\nIn San Diego, unintentional injuries 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 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 park causes of injury in all age groups Evidence of sedentary empty activities (amount of time watching TV, videos, and computing device). Computers used as primitive resource for schools\r\n net profit used as primary resource for community\r\nDriving short distances that could be walked\r\nT.V takes up, on average, 2.8 hours of most people’s day\r\nAges 15-19 spend read for an average of 4 proceedings per calendar weekend day and 52 proceedings vie 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 heavy(p)s 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.\r\nTrolley, Bus, Cars, Bikes, travel and park and ride for carpool\r\n residual/ Rest\r\nSleep routines/hours of your community: Compare with sleep hour standards (from interior(a) Institutes of Health [NIH]). Eating heavy dinners, caffeine, smoking and practise late in the day is effecting sleep of people in San\r\nDiego Graveyard shifts are common due to places being open 24/7\r\ndormancy anywhere from 6-9 hours\r\nIndicators of general â€Å"restedness” and energy levels.\r\nLack of â€Å"bags” or â€Å"dark circles” at a lower place eyes\r\nHair, makeup and rig appropriate for environment\r\nLess caffeine call for\r\nFactors affecting sleep:\r\nShift work prevalence of community members\r\nAll shifts, mostly 12 hour shifts in the healthcare field,\r\n chiefly anywhere from 7am-6pm for most full time employed people Environment (noise, lights, crowding, etc.)\r\nNear main airport, military bases, lights and crowds near football and baseball stadiums, colleges, living near freeways Consumption of caffeine, nicotine, alcohol, and drug s\r\nA least 3 major Universities in San Diego (Caffeine wasting disease!) 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 decrease, methamphetamines increase, marijuana increase, prescription opioids decrease, ecstasy decrease (â€Å"Drug abuse patterns”, 2014) Homework/Extracurricular activities\r\nHigh school student average 3 hours of homework per night\r\nAnywhere from 6.8 to 17.5 hours of homework per week for high school students Elementary schools 2.9 hours per week\r\nMiddle school 3.2 hours per week\r\nAfter school sports- up to 3 hours of practice for some like football Health issues\r\nStress, common colds/flu, pediatric cancers, diabetes types 1 and 2, obesity, hypertension\r\nCognitive/perceptual\r\nPrimary language: Is this a communication roadblock?\r\n English/ Spanish, Arabic, Vietnamese (possible communication barriers) 37.1 % of San Diego’s populati on speaks a different language than English\r\neducational 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 %\r\n unmarried man’s degree or higher 34.4 % (â€Å" solid ground and county”, 2014) Opportunities/Programs:\r\neducational offerings (in-services, continuing education, GED, etc.) some(prenominal) programs offering GED programs and readiness classes including community colleges All hospitals and healthcare centers provide in-services\r\nGrossmont college, Grossmont adult night school\r\nROP (Regional Occupation Program)\r\nLearn English (program in El Cajon, CA to help foreigners hold in English) Educational mandates (yearly in-services, continuing education, English learners, etc.) CEUs for nurses- 30 hours every 2 years for RNs\r\nSpecial education programs (e.g., learnedness disabled, emotionally disabled, physic ally disabled, and gifted) GATE- gifted and talented education program\r\nChildren’s outreach project\r\nLibrary or computer/Internet resources and usage.\r\nEl Cajon library\r\nInternet on all phones, ipads\r\nComputers at most schools including elementary schools\r\nFunding resources ( cultivation reimbursement, scholarships, etc.). Scholarships offered through the Chamber of Commerce for academics up to $3,000. legion(predicate) colleges offer academic scholarships and sports scholarships (Full and partial rides) UCSD and Rady’s Children’s Hospital both have tuition reimbursement and student loan reinforcement programs UCSD will repay two thirds of the tuition or student loans\r\n add-in of Governor’s Fee waver\r\nMilitary discounts\r\nSelf-Perception/Self-Concept\r\nAge levels.\r\nMany families in El Cajon\r\nMainly 20s and 30s in San Diego County such as downtown San Diego Kids below age 5= 6.5% of population\r\nPeople under age 18= 22.6 % of popu lation\r\nPeople 65 and over= 12.3 percent of population\r\nPrograms and activities related to community building (strengthening the community). San Diego City College peer mentoring program\r\n demented (mothers against drunk driving)\r\nBig Brothers/Big Sisters program (Mentoring adolescents)\r\n ally Leaders (high school program- students give other students â€Å" discuss” when they feel like they cannot talk to an adult) Community history.\r\nThe area now know 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. â€Mexican warfare One of the original counties of California\r\nSan Diego used to be a very large county including all of Los Angeles and elongated to the Colorado river Pride indicators: Self-esteem or lovingness behaviors.\r\nSan Diego is one of the most sought out cities to look and/or live Very expensive because they nec essary is there\r\nA lot of plastic surgery in San Diego\r\nSpray tans, fake nails, fake hair, people are in shape (wears bikinis) San Diego residents support a lot of charities and cancer/disease foundations Donating money to a good cause is common among this community\r\n published description (pamphlets, Web sites, etc.).\r\nSan Diego Magazine\r\nSandiego. org for local media (Website)\r\n concretion Tribune San Diego (News Paper)\r\nRole/Relationship\r\nInteraction 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 San\r\nDiego ( Hill Crest is a city known for an abundance population) Gay Pride Parade is a huge event in SD\r\nVery large interracial community, not a lot of prejudices\r\nPrograms to prevent in-school bullying\r\nVulnerable populations:\r\nWhy are they undefended?\r\nHomeless population downtown San Diego\r\ nLack of medical insurance\r\nHow does this impact health?\r\nIncrease pervade of disease\r\nIncreased severity of disease\r\nNo access to medication or medical treatments\r\n business office groups (church council, student council, administration, PTA, and gangs): Mexican Mafia\r\nLogan Heights mob\r\nHells Angles\r\nPTAs in elementary schools\r\nJehovah’s declare\r\nMormons\r\nHow do they hold power?\r\nInfluential\r\n realize a lot of people under them or following them\r\nPTA helps make decisions for schools\r\nPositive or ostracise influence on community?\r\nGangs usually a negative influence\r\nHells 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 anguish policies/ inequality policies.\r\nUnder the California discussion section of Public Health all employees have a right field to work in an environment free from all forms of discrimination, including cozy haras sment, intimidation, retaliation or coercion. The CDPH is committed to providing a work environment free from sexual harassment. in full-dress harassment is a form of sex discrimination that is illegal under both state and national law The Fair Employment and Housing Act defines sexual harassment as harassment found on sex or of a sexual nature; gender harassment; and harassment based on pregnancy, child support, or related medical conditions. The translation includes harassment based on sexual orientation, and too protects an individual’s actual or comprehend gender identity, whether or not different from the individual’s actual gender at birth The CDPH endorses a â€Å"zero tolerance” policy 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 (â€Å" inner Harassment Prevention”, 200 8) Relationship with broader community:\r\n practice of law\r\nSan Diego has had allegations of inappropriate behavior of police officers such as groping and sexual favors CHP, Sheriff’s department, Police in each city such an San Diego Police Department Fire/EMS (response time)\r\nGenerally called from the City in which the touch is\r\nResponse time is good- generally under 10 minutes\r\nFire departments all work in concert 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.)\r\nSan Diego crinkle Bank- always has blood drives in parking loads of big stores like walmarts and businesses Local food drives at schools and healthcare clinics/facilities\r\nSexuality/Reproductive\r\nRelationships and behavior among community member s.\r\nHave had many allegations of teacher/student relationships\r\nMany older male/young female relationships and visa-versa\r\nMany relationships with more than 10 year gaps\r\nYoung marriages/pregnancies common\r\nMarried Population 45.15%\r\nSingle Population 54.85%\r\n straight off Married 43.16%\r\nMarried but Separated 1.99%\r\n neer Married 40.39%\r\nWidowed 4.58%\r\nDivorced 9.88%\r\nMarried, w/children 35.54%\r\nMarried, no children 37.34%\r\nSingle, w/children 16.27%\r\nSingle, no children 10.86% (â€Å"People in San”, 2014)\r\nEducational offerings/programs (e.g., growth and development, STD/AIDS education, contraception, abstinence, etc.). Planned Parenthood- teachings and prevention methods of STDs and Pregnancy, antenatal care Access to birth control.\r\n'