“Caring for Populations Milestone1 Community Windshield Survey Form

Chamberlain College of Nursing NR443 Community Health Nursing

Caringfor Populations: Milestone1: Community Windshield Survey Form

Directions:Please refer to the Milestone 1: Community Windshield SurveyGuidelines and grading rubric for specific instructions in order tocomplete the information below. This assignment is worth 150 points.

Typeyour name, date, and observations directly on this form. Click Saveas and save the file with the assignment name and your last name forexample, NR443 Windshield Survey Form_Smith. When you are finished,submit the form to the Week 2 Caring for Populations: WindshieldSurvey Dropbox by the deadline indicated in your guidelines.”

YourX X


Your response

1. Introduction of Community (20 points)

Identify the city and state of your community and briefly describe the community you will be using for this assignment. It should be the area where you live or the area surrounding your work setting but must include a residential area. Demographic data are not needed.

The community of focus is Fort Washington, in the County of Prince George Maryland. Fort Washington borders Washington, the capital of US. Its population is mainly composed African-American. Based on the 2010 census, the Fort Washington population counted 23,717 people.

2. Windshield Survey (100 points)

a. Vitality: Use a majority of the questions from Box 6-2 in your text to describe your observations about the community vitality.

Driving through Fort Washington on a typical weekend morning, one will find several neighborhoods comprising of people that work in the yards, while others are standing at the yard edges conversing with neighbors or grilling. Children are engaged in play. Most of the population is African-American. A large percentage of people are overweight. Towns and relaxation centers are beaming with enjoyment, but dining is mostly fast foods.

b. Indicators of social and economic conditions: Use a majority of the questions from Box 6-2 in your text to describe your observations about the social and economic conditions.

A relatively large percentage of the population in Fort Washington lives in poverty. Many of the members have limited means of seeking healthcare to address obesity for themselves and their families. This can be considered as a risk to healthcare intervention. Disparities in healthcare delivery stems from differences in healthcare access, health illiteracy, biases in the providers and constrained patient-provider communication. Most of these differences associate with race, socioeconomic status, and ethnicity. Additionally, despite various developments areas such as preventive care, access to care and chronic care that have been met with successes in curbing disparities in certain priority populations, the intensity of disparities in some population have remained unaltered.

c. Health Resources: Use a majority of the questions from Box 6-2 in your text to describe your observations about the health resources.

The health resources present a challenge to equitable healthcare access. One of the challenges stems from the transportation to healthcare facilities. Most of reliable health facilities are located in town, which several miles from residential areas. Furthermore, the emergency services are also lacking. This presents a challenge in the case of emergencies. Despite the fact that voluntary emergency departments exist within the community, this will still take a little more time to access the emergency services.

d. Environmental conditions related to health: Use a majority of the questions from Box 6-2 in your text to describe your observations about the environmental conditions.

Non-healthy eating is cited as the main cause of obesity, this is accounted for by the following reasons. People consume food without considering the number of calories in the foods. Moreover, some underestimate the amount of calories in their diets. On the other hand, MacDonald’s meals are cited to be one of the heavily consumed foodstuffs in the current society. As a matter of fact, MacDonald’s meals comprise high amounts of calories that could, no doubt, result to obesity. For instance, Big Mac contains as significant as 500 calories, as well as 33 grams fat (Flegal, Ogden, Wei, Kuczmarski and Johnson, 2013). Even intriguing is the fact a large population of people are now consuming these kinds of foodstuffs. According to Flegal, Ogden, Wei, Kuczmarski and Johnson (2013), as significant as 80 percent of people in Fort Washington are overlooking the impact calories can have on their health by underestimating the amount of calories in their meals. This trend is attributable to the fact that many people prefer foodstuff with much sugar, fat and salt. People are taking as high amount of these substances as 5.3 grams of fat, 0.1 grams and 0.4 grams of salt. In most parties, it is not uncommon to see people taking these foodstuffs. The same is repeated in the restaurants. During free times, many people would still opt to taking cookies and snacks. Besides that, most people watch television while eating these snacks. This creates a worrying situation since watching television fosters overeating.

e. Social functioning: Use a majority of the questions from Box 6-2 in your text to describe your observations about the social functioning.

The community is characterized by busy schedules so that people do not get enough time to sleep. It is estimated that mechanization has deprived about 60% of the population of physical exercises. Mechanized transport has been cited as the most influential area as far as decreased physical exercising is concerned. There have also been the introduction of domestic technologies that save on labor the elevators, washing machines and TV remote controls. The level of children engagement in physical activities has also declined considerably due to reduced walking and dwindling physical education. People are persistently engaging in leisure activities that do not encompass physical activities. In both children and adults, leisure activities are now associated with leisure activities behind TV and computer internet

f. Attitude toward healthcare: Use a majority of the questions from Box 6-2 in your text to describe your observations about the attitudes toward healthcare.

The family is a present-oriented one and, therefore, cases of the family to neglect preventive healthcare is not uncommon. Additionally, it is also not uncommon for families to show up for medical appointments when late. A typical family gives preference to seeking help from family members and relatives, rather than social workers. Considering that most Catholics, they do not support family control methods. Birth control methods such as pills are perceived as unacceptable. Moreover, a typical family perceives fatness as ideal. In this regard, any advice from the nurse that recommends of on weight lose may not be heeded (Flegal, Ogden, Wei, Kuczmarski and Johnson, 2013). Undoubtedly, most of these practices are not as effective as the modern healthcare system.

3. Conclusion: (20 pts)

Provide a summary of your findings and your conclusion. What problems did you identify?

The presented scenario may prove challenging to the nursing practice. However, nursing could adopt various interventions. In the first place, the nurse ought to exercise cultural competence. Cultural competence begins with understanding the culture of the community. It is only then that the nurses can deal with clients from the family appropriately. In such a case, the nurses should not only treat the patients but also give some advice to the patients, such as the need to stick diet to address obesity. Nevertheless, there is also need to devise a plan to enhance the accessibility of healthcare, including emergency services by increasing healthcare resources.

4. References:

optional: List in APA format any references that you used. If you include any references here, you must also include an in-text citation (author, year).

Flegal K., Ogden C.L. Wei R., Kuczmarski R. L. and Johnson C.L. (2013). &quotPrevalence of overweight in US children: comparison of US growth charts from the Centers for Disease Control and Prevention with other reference values for body mass index&quot. Am. J. Clin. Nutr. 73 (6): 1086–93. PMID&nbsp11382664.

NR443 Windshield Survey Form 4/9/15 LS