
NURS FPX 6218 Assessment 2 Assessing Health Needs of Community justification behind a neighborhood assessment is to recognize the necessities of the neighborhood. It can go about as a system for securing significant information to seek informed choices about the neighborhoods (Ravaghi et al., 2023). A windshield outline does definitively that. Information about the neighborhood is gathered based on genuine evaluations made, and data, such as people, economics, and monetary status, are collected. All of the information amassed can help prosperous caring providers recognize security and chance factors that may be associated with any likely openings in the sufficiency of the neighborhood. A SWOT (characteristics, deficiency, open entryways, and risks) examination from the windshield outline can help with perceiving internal and outside factors that can be either advantages or obstructions.
General Condition and Public Health Needs
The city of Alice has a general population of barely short of 18,000 (U.S. Enrollment Office, 2020). A more humble city is seen as a familiar locale. The closest, more excellent city is 60 miles away. Alice is involved or a central city district with little sub-networks on the edges of town. There are similarly more humble advancements in the city that are perceived by different names.
Neighborhoods and Homes
The city of Alice has an all-inclusive community of scarcely shy of 18,000 (U.S. Enlistment Office, 2020). A more modest city is viewed as a typical district. The nearest more prominent city is 60 miles away. Alice is involved in a focal city region with little sub-networks on the edges of town. There are correspondingly more unassuming headways of the city that are seen by various names.
Safety and Risks. The amount of old, run-down buildings could place residents near those locations at risk for asbestos and injury related to decay in structures. NURS FPX 6218 Assessment 2 Assessing Health Needs of Community could also increase the risk of squatting and crime-related activity in any abandoned buildings, as well as vermin and wild animals that carry diseases (Fleet & Francescutti, 2021).
NURS FPX 6218 Assessment 2 Community Recreational
There is one enormous and three more modest park regions. The vast park is generally where you will see kids playing and other sporting games being played on the fields, like baseball or kickball. Admittance to the recreation area is consistently accessible; however, it is watched by police continually all through the night time, and the recreation area is very sufficiently bright around evening time. The vast park has strolling trails as well as an 18-opening fairway. The recreation area is very much kept, with the exception of a few little areas of spray paint on the structure and a few regions of the jungle gym region that are harmed. This park is typically where huge, outside local areas or get-togethers are held. There is a bowling alley with an arcade situated in the city.
Safety and Risks. Being that the park areas are always open, this could increase the incidence of criminal activity. The outdated and damaged playground structures place those who utilize this area for injury (Kennedy et al., 2024). If essential handwashing is not practiced, there can be an increased risk for disease transmission as well due to the many shared surfaces in a park area (Volenec et al., 2021).
Transportation
While there is just a single transportation organization for people in general, rides should be planned and do not have customary courses over the day. Walkways exist just in a few fundamental regions around, for example, more current working-class areas and down the central avenue where some drive-through eateries are found. Since there is no open transportation, many individuals get around by vehicle, foot, or bicycle. More established individuals are seen using their electric bikes or rollators to travel all over.
Safety and Risks. Since there is no reliable public transportation for the community, NURS FPX 6218 Assessment 2 Assessing Health Needs of Community can make getting to work, doctor’s appointments, and school difficult at times for members of the community (Coughlin et al., 2019). With only a few areas existing with sidewalks, this poses a danger to many in the city who travel by foot, bike, or other means besides a vehicle for traffic-related accidents (Rajaee et al., 2021).
Environmental Quality
There are no treatment facilities around the area, yet there are a few oilfield rigs situated on the edges of town that incidentally produce some brown haze or smell of consuming oil. During occupied parts of the day, because of traffic, there is a regular smell of vehicle exhaust in the occupied region of the city. There are many oil field organizations situated in the town, so the smell of gas and hardware fumes can be areas of strength for exceptional times in specific regions of the city. There is an enormous artificial lake beyond the town, yet it is not very much kept, and litter is dispersed all through the external lake region and tracked down and tossed in the lake on occasion.
Safety and Risks. The chemicals and exhaust released into the air can pose a health risk to those within proximity (Johnston et al., 2019). The litter and trash in the lake can lead to infectious diseases for those who may be exposed to the water or ingest fish from the lake.
Health Care and Emergency Services
There is a small not-for-profit hospital. There are also four adult care clinics, three pediatric clinics, a mental health services clinic, a cardiologist clinic, and an urgent care clinic. There is a fire station and a police station located in the middle of the city.
Safety and Risks. The hospital is often overutilized due to the fact that many in the community do not have insurance. Being that there are many sub-communities located in outlying rural areas, it may be difficult for some to receive medical care without a reliable means of transportation, and a delay in response for emergency services due to geographical location (Coughlin et al., 2019; Rural Health Information Hub, 2022).
Environmental Analysis
Many inquiries emerged from the windshield study. Table 1 in the Reference section records a few inquiries from various classifications, including, but not restricted to, populace socioeconomics and medical care administrations. Table 1 likewise recognizes which conceivable SWOT classification would connect to every class from the information accumulated, whether it very well might be a strength, shortcoming, opportunity, or danger. There were a few limits to the windshield review, including predisposition, misinterpretations, and missed highlights.
NURS FPX 6218 Assessment 2 Assessing Health Needs of Community
Two central points stood apart after every piece of information was assembled: geological area and monetary status. For instance, as per the U.S. Enumeration Department (2022), the middle family pay was $74,580 in 2022, while the middle family pay for Alice was $43,017. Research has shown that individuals in rustic regions frequently disapprove of getting medical services access and often disregard their medical care, particularly in the event that they do not have the means monetarily or a method for solid transportation (Coughlin et al., 2019). While there are a few accessible well-being suppliers that individuals can see, many individuals frequently have persistent diseases and need the administration of an expert who is ordinarily not accessible nearby. (((text))) with table in addendum.
Qualities remember the commitment to the local area of neighborhood medical services suppliers and other medical services administrations for the local area. Shortcomings incorporate the powerlessness to pay for the development and upkeep of walkways and sporting facilities. An open door suppliers have for individuals locally is to give available medical services by means of specific advancements through the impending government extended web drive. Dangers incorporate the worth-based repayment. The gigantic patient heaps of the suppliers in this little city can significantly influence the nature of well-being and repayment.
Social Determinants of Health
Sound Individuals 2030 (2020) thinks about friendly determinants of well-being (SDoH) as the circumstances in the climate where individuals reside, work, play, and love. The five fundamental gatherings are monetary solidness, training access and quality, medical care access and quality, neighborhood and fabricated climate, and social and local area setting. SDoHs can significantly affect well-being, prosperity, and personal satisfaction. They can likewise prompt well-being aberrations and imbalances. As previously mentioned, data from the U.S. Enumeration Department (2022) uncovered that the middle family pay is essentially lower than that of the public normal. Just 52% of the populace in Alice is utilized, and a fourth of the populace is uninsured. Care for uninsured people prompts higher copayments and higher deductibles for the guaranteed to make up for the misfortune (Galvani et al., 2020).
Instances of social factors that can impact change can incorporate the actual climate, monetary elements, social developments, mechanical changes, and populace development (Milella et al., 2021). Intercessions are the best procedures to develop everybody’s prosperity further and diminish imbalances. Better medical care on the board, extended instruction, and work possibilities should be energized. Endeavors and further developed strategies made here can assist with defeating social well-being imbalances. Well-being freedoms ought to be given to all individuals, which can urge them to use the administrations to forestall sickness and work on quiet results and personal satisfaction. From that, the populace can be made better and more practical (Chelak & Chakole, 2023).
Executive Summary
A windshield survey was conducted in the city of Alice, Texas. In doing so, information about the community is gathered based on physical assessments made, and data such as population, demographics and socioeconomic status are collected to support data. With the information gathered, safety and risk factors related to possible gaps in the health of the community were identified. With further research on social factors that can influence change, change can be made, and healthcare inequality can be achieved.
References
Chelak, K & Chakole, S. (2023) The Role of Social Determinants of Health in Promoting Health Equality: A Narrative Review. Cureus. 2023 Jan 5;15(1):e33425. doi: 10.7759/cureus.33425. PMID: 36751221; PMCID: PMC9899154.
City of Alice. (2021a). Communities. https://www.cityofalice.org.
City of Alice. (2021b). Health Care Resources. https://www.cityofalice.org. City of Alice. (2021c). Public Safety. https://www.cityofalice.org.
Coughlin, S.S., Clary, C., Johnson, J.A., Berman, A., Heboyan, V., Benevides, T., Moore, J. & George, V. (2019). Continuing Challenges in Rural Health in the United States. J Environ Health Sci. 2019;5(2):90-92. Epub 2019 Dec 16. PMID: 32104722; PMCID: PMC7043306.
Galvani, A.P., Parpia, A.S., Foster, E.M., Singer, B.H. & Fitzpatrick, M.C. (2020). Improving the prognosis of health care in the USA. Lancet. 2020 Feb 15;395(10223):524-533. doi: 10.1016/S0140-6736(19)33019-3. PMID: 32061298; PMCID: PMC8572548.
Healthy People 2030. (2020) Social Determinants of Health (SDoH). U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants- health
Johnston, J.E., Lim, E. & Roh, H. (2019). Impact of upstream oil extraction and environmental public health: A review of the evidence. Sci Total Environ. 2019 Mar 20;657:187-199. doi: 10.1016/j.scitotenv.2018.11.483. Epub 2018 Dec 4. PMID: 30537580; PMCID: PMC6344296.
Kennedy, E.A., Filchner, D.A., Patterson, Z.D. & Olsen, H.M. (2024) Epidemiological Characteristics of School Playground Injuries. Clin Pediatr (Phila). 2024 Jan;63(1):135-doi: 10.1177/00099228231172482. Epub 2023 May 22. PMID: 37212493; PMCID: PMC10696909.
Milella, F., Minelli, E.A., Strozzi, F. & Croce, D. (2021) Change and Innovation in Healthcare: Findings from Literature. Clinicoecon Outcomes Res. 2021 May 19;13:395-408. doi: 10.2147/CEOR.S301169. PMID: 34040399; PMCID: PMC8141398.
Rajaee, M., Echeverri, B., Zuchowicz, Z., Wiltfang, K. & Lucarelli, J.F. (2021) Socioeconomic and racial disparities of sidewalk quality in a traditional rust belt city. SSM Popul Health. 2021 Nov 19;16:100975. doi: 10.1016/j.ssmph.2021.100975. PMID: 34917745; PMCID: PMC8666347.
Ravaghi, H., Guisset, A.L., Elfeky, S., Nasir, N., Khani, S., Ahmadnezhad, E. & Abdi Z. (2023) A scoping review of community health needs and assets assessment: concepts, rationale, tools and uses. BMC Health Serv Res. 2023 Jan 17;23(1):44. doi: 10.1186/s12913-022- 08983-3. PMID: 36650529; PMCID: PMC9847055.
Rural Health Information Hub. (2022). Rural Emergency Medical Services and Trauma.
https://www.ruralhealthinfo.org/topics/emergency-medical-servicesn Hub Sleet, D.A. & Francescutti, L.H. (2021). Homelessness and Public Health: A Focus on Strategies and Solutions. Int J Environ Res Public Health. 2021 Nov 6;18(21):11660. doi: 10.3390/ijerph182111660. PMID: 34770173; PMCID: PMC8583397.
U.S. Census Bureau (2020). Census Bureau Profile: Alice city, Texas.
https://data.census.gov/pro昀椀le/Alice_city,_Texas?g=160XX00US4801852昀椀le.
U.S. Census Bureau (2023). Income in the United States: 2022. https://www.census.gov/library/publications/2023/demo/p60-279.html.
Volenec, Z.M., Abraham, J.O., Becker, A.D. & Dobson, A.P. (2021) Public parks and the pandemic: How park usage has been affected by COVID-19 policies. PLoS One. 2021 May 19;16(5):e0251799. doi: 10.1371/journal.pone.0251799. PMID: 34010353; PMCID: PMC8133454.