NUR 4424 Rasmussen College Community Health Assessment Outline

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NUR 4424

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1. Data assessment (how you find your problem)

2. Priority health issue (that is evidenced in the data assessment)

3. Plan that discusses three interventions from the wheel that are aimed directly at the priority health issue.*Keep all the headings and tables. Please remove the colored notes/tips under each heading.

Introduce the reader to what this paper will cover: a community assessment of your city or county. Discuss the public health nurse roles and responsibilities working with community partners toward addressing a need in the community. See examples of Community Health Assessment:

Community Health Assessment and Improvement Plans

Sample Community-Oriented Care Plan

Community Health Assessment Toolkit

Community Tool Box

Assess


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Running head: TITLE OF PAPER 1 Community Health Assessment Your Name Rasmussen College TITLE OF PAPER 2 Introduction *Keep all the headings and tables. Please remove the colored notes/tips under each heading. Introduce the reader to what this paper will cover: a community assessment of your city or county. Discuss the public health nurse roles and responsibilities working with community partners toward addressing a need in the community. See examples of Community Health Assessment: Community Health Assessment and Improvement Plans Sample Community-Oriented Care Plan Community Health Assessment Toolkit Community Tool Box Assess Utilize local and county public health data including Policy Map Policy Map Insights for Public Health Here are other helpful websites to locate data:            http://www.countyhealthrankings.org/ http://www.census.gov/quickfacts/table/PST045215/00 http://www.cdc.gov/nchs/ http://www.census.gov http://cdc.gov/nchs http://seer.cancer.gov/ http://health.gov/nhic http://www.cdc.gov/nchs/nhanges.htm http://www.cdc.gov/aging/agingdata/index.html https://www.cdc.gov/healthyyouth/data/yrbs/results.htm https://www.cdc.gov/healthyyouth/data/yrbs/pdf/trends/2015_us_tobacco_trend_yrb s.pdf Revised 03/31/2020 TITLE OF PAPER 3 Check city, county, and state websites for information. State Health Departments, school district websites, Chamber of commerce and our Community Health Nursing textbook (Neis, 2019) chapter 6 on Community Assessment. Include reference citations for all sections below. Population Age, Gender and Race Distribution Include a short paragraph for each, followed by visual representations of data, such as charts and tables. Examples: Biology and Genetics Critical thinking: Include scholarly sources: What does literature/research indicate as disease risk factors per ethnic group? Discuss importance to know this data as a PHN. How does this relate to the population of your community? Mortality and Morbidity Rates Mortality and morbidity rates of the city/county compared to county, state statistics, compare current data to past years. Check city data or county health rankings or department of health sites. Include a short paragraph for each, followed by visual representations of data, such as charts and tables. Must address COVID-19 incidence in your area. 60 40 20 0 Will County State Of Illinois Revised 03/31/2020 TITLE OF PAPER 4 Social Factors Health Services Type of health care services available for broader population: primary care, rehab, LTC, assisted living, hospice, mental health, home care, dental, vision, chiropractor, alternative, low cost/free health care, patient to provider ratio) Discuss specific to the community of interest group also. Access to Health Care Social Services Discuss community resources (WIC, SNAP, food stamps, Homeless services, Head Start, Foster Care, Home visiting, PHN free services, programs for seniors, Military family services, programs for persons with disabilities, location, accessible, etc.) How do they help community? Safety and Transportation What types of transportation available? Is it accessible, affordable, Taxi, bus, Uber? Law enforcement, fire, EMS, etc. Economics and Housing: Workplace/Employment/Income, Leading industries in the broader community. Percent of employed/unemployed, compare the city to county to state and over time. What is the poverty level, homeless statistics, children in poverty vs. adults, etc.? Housing: Types, conditions, low-income section 8, disability-ready, homeless. Environment: What is the air quality like in your zip code? Water quality? What are the top toxins found in your zip code? Chemicals and pesticides? How does the environment impact health? Risks of floods, extreme weather, etc Environmental Protection Agency http://www3.epa.gov/ Revised 03/31/2020 TITLE OF PAPER 5 https://www3.epa.gov/enviro/myenviro/ https://www.airnow.gov/ State pollution control agency (Minnesota Pollution Control Agency) https://www.pca.state.mn.us/ Is your workplace safe? Check out: Health Care Without Harm video and explore their high integrity website https://noharm.org/. Are you exposed to toxic chemicals in your hospital, other industry workplace? https://youtu.be/vv5paSCTYAk Recreation What are the recreation options, fees or free, accessible to all? Check city and chamber of commerce sites. Education Services provided, graduation/dropout rates (how does recent rate compare to past rates), special education (what is provided, are rates increasing or decreasing?), wellness/health education, physical education for which age groups, school nurse/ programs for at-risk youth, before/after school support, free/reduced meal plans, College accessibility, etc Policies and Government Health Policies, disability laws, Seatbelt, car seat, public smoking, helmet use, immunization laws or other local specific policy impacts? Behavior Include High-risk behaviors or risk factors for community (smoking, inactivity, obesity, increased STIs, increased DUIs). Include tables showing statistics over time or compared to the state or national rates if indicated. Include positive behaviors (choices for healthy living: exercise, stress reduction activities, sleep and rest, healthy diet, wt loss support groups, etc.) Access Youth Risk Behavior Survey data for the school district or county or state for youth risk factors (obesity, teen pregnancy, unprotected sex, STIs, tobacco use, drug/alcohol use, bullying, etc.) Include tables showing statistics over time or compared to the state or national rates if indicated. Use national data trends tables if unable to find local district data. https://www.cdc.gov/healthyyouth/data/yrbs/results.htm Vulnerable Populations: Discuss who are at risk as vulnerable in the community population, the determinants of health, gaps in care, service, etc. Textbook unit 5 for several examples and discussion of vulnerable populations: people with disabilities, veterans, homeless, rural/migrants, people with mental illness, etc. Revised 03/31/2020 TITLE OF PAPER 6 Analysis of Community Assessment Analysis of data includes a summary of above assessment data, description of trends and patterns that surfaced within the community assessment and include a comparison to Healthy People 2020 data and health indicators. Priority community health issue One paragraph discussing the rationale for the priority community health issue. Support with a current research or EBP article. Plan Introduction paragraph to this section. Identify and robustly discuss 3 priority PHN interventions from the PHN Intervention Wheel for the community health issue above. Community Resources and Referrals Discuss and detail rationale for several appropriate community resources and referrals the public health nurse would provide to support at risk or vulnerable populations identified in the community assessment. Mobilize Which community partners will the Public Health Nurse collaborate with? Use textbook and HP2020 to help identify key partners to address potential needs in the community. Write a paragraph to introduce this section. Complete the table below with at least 3 contacts. Organization Revised 03/31/2020 Description of potential role on the team Rationale for selection TITLE OF PAPER 7 References Example if using the same site for different topics Pierce County Wisconsin. (2017a). Aging & Disability Resource Center. Retrieved from http://www.co.pierce.wi.us/Human%20Services/ADRC.html Pierce County Wisconsin. (2017b). Economic support programs. Retrieved from http://www.co.pierce.wi.us/Human%20Services/Economic%20Support/Economic_Suppo rt_Programs.html Pierce County Wisconsin. (2017c). Emergency management. Retrieved fromhttp://www.co.pierce.wi.us/Emergency%20Management/Emergency_Management_ Main.php Revised 03/31/2020
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Hey buddy, I am uploading an outline, I will mark it as final but I will send the compete answer after within the 24hrs.

Outline for Community Health Assessment
I.
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
X.
XI.

Introduction
Assess
-Local and county public health data
Policy Map Insights for Public Health
Population
-Age, Gender and Race Distribution
Social Factors
Analysis of Community Assessment
Priority community health issue
Plan
Community Resources and Referrals
Mobilize
References

Hi buddy, find attached.

Running head: COMMUNITY HEALTH ASSESSMENT
1

Community Health Assessment
Your Name
Rasmussen College

COMMUNITY HEALTH ASSESSMENT

2

Introduction
A community health assessment refers to systematic analysis of the health status of a
given group of people; this analysis is used to recognize the key problems and resources in a
community. This paper describes the community health assessment of Chicago city. Scientists
are consistent in conducting a Community Health Needs Assessment that can help the
community develop a calculated execution plan to improve the health of its residents. These
assessments are organized and data-driven to determine issues of greatest concern such as needs,
health status and behaviors of the community (Lear, et al 2007). The valuation guides to allocate
resources appropriately.
Public health nurse roles and responsibilities
The role of a public health nurse is to uphold the wellness of a community by creating
treatment plan and monitoring the health of patients (Philibin, et al 2010). They mostly focus on
helping individuals who are vulnerable and underserved get access to the care. The
responsibilities of a public health nurse include capturing and analyzing cumulative medical
data, enlightening patients about existing support services and guiding them on how to access
care, emphasizing the importance of primary prevention to avoid diseases (Philibin, et al 2010).
Assess
There are various approaches that can be used to assess a community such as surveys,
interviews, stakeholders’ meetings, community focus groups. Below is a population data table
for Chicago (Lear, et al 2007).
Population:

Revised 12/22/2020

COMMUNITY HEALTH ASSESSMENT

3

CHICAGO CITY, ILLINOIS
Total

Native

Foreign born

Foreign born;

Foreign born; Not

Naturalized citizen

a U.S. citizen

Label

Est

Err

Est

Err

Est

Err

Est

Err

Est

Err

Total

2,693,95

±61

2,146,254

±14,24

547,705

±14,2

270,0

±9,348

277

±11,804

population

9

39

61

7

,64
4

SEX AND AGE
Male

48.7%

±0.3

48.4%

±0.4

49.8%

±0.9

47.8

±1.5

%
Femal

51.3%

±0.3

51.6%

±0.4

50.2%

±0.9

e

52.2

6.0%

±0.2

7.4%

±0.2

0.6%

±0.2

0.1%

±1.5

±0.1

14.6%

±0.4

17.7%

±0.5

2.3%

±0.4

1.7%

±0.5

9.2%

±0.2

10.2%

±0.3

5.1%

±0.6

34.3%

±0.4

33.4%

±0.4

37.9%

±1.3

3.1%

±0.7

11.7%

±0.3

9.9%

±0.3

18.6%

±0.9

±1.8

3.0

±0.7

7.1

±1.0

19.5

10.8%

±0.3

9.7%

±0.3

14.8%

±1.0

19.1

±1.5

74 years

Revised 12/22/2020

±0.3

6.8%

±0.3

11.4%

±0.8

14.7
%

±2.0

17.

±1.4

7%
±1.5

%
7.7%

46.
5%

%

64 years
65 to

29.1
%

54 years
55 to

±0.5

%

44 years
45 to

1.1

%

24 years
25 to

±1.4

%

17 years
18 to

48.
3%

5 years
5 to

±1.4

7%

%
Under

51.

10.

±1.2

7%
±1.3

8.3
%

±1.1

COMMUNITY HEALTH ASSESSMENT
75 to 84

4.0%

±0.2

3.4%

±0.2

4
6.2%

±0.5

7.7%

±0.8

years

4.8

±0.7

%

85 years

1.8%

±0.2

1.5%

±0.1

2.9%

±0.6

4.9%

±1.1

and over
Median

0.9

±0.3

%
35.2

±0.3

31.8

±0.3

47.0

±0.9

52.8

±1.1

age (years)

41.

±1.0

9
RACE AND HISPANIC OR LATINO ORIGIN

One race

96.8%

±0.3

96.5%

±0.4

98.1%

±0.4

97.5

±0.5

%
White

50.8%

±0.7

50.6%

±0.7

51.5%

±1.7

51.5

29.0%

±0.6

34.9%

±0.7

6.0%

American

±0.8

6.7%

±0.5

6%
±2.4

%
African

98.

51.

±2.5

6%
±1.0

5.2

±1.1

%

Age and gender
The American Census Bureau population evaluation for 2017 suggest that nearly 22% of
the population in Cook County is below the age of 18 years while a 14% of the population is equal
or older than 65years (Barbosa, et al 2005). The percentage of male versus female in Cook County is
approximated to be equal. The gender non-conforming and transgender individuals is limited in
the county; estimated to be 10,500 people.

Revised 12/22/2020

COMMUNITY HEALTH ASSESSMENT

5

Race and ethnicity
In the year 2017, the bureau estimated that non-Hispanic white individuals were 42% of
the population in the county, where 24% were black or non-Hispanic African American, another
8% or the population identified as non-Hispanic Asian, other races occupied a 2%, and 26%
identified as Hispanic (Mays et al 2003).

Race and Ethnicity
Hispanic

26%

Asia

42%
8%

Black

24%
NonHispanic
White

Mortality and Morbidity Rates
COVID-19 pandemic arrived in the U.S and months later, it is still a part of our everyday
reality. Below graph shows the latest data on the status of the deadly disease COVID-19 in Illinois
and beyond (Wu, et al 2020).

Revised 12/22/2020

COMMUNITY HEALTH ASSESSMENT

6

Social Factors
Research shows that 60% of adults in the U.S suffer from chronic diseases where 40%
have reported at least 2 chronic diseases (Centers for Disease Control and Prevention, 2019b).
Between 2014 and 2016, records show that Chicago and Suburban Cook County reported 65% of
all deaths were attributed to chronic diseases. However, mortality from drug overdose has
considerably increased in Chicago over time (Mensah, 2004). Resources to address opioid
overdoses are greatly concerted in Chicago and remarkably less available in the suburban areas.
Health Services
School-based health services are a vital health care resource for the youth in the
community. School-based health centers result in reduced violence, improved learning
accomplishment and reduced drop out and suspension rates as well as higher, grade promotion
and GPA. Fewer admissions and emergency hospital visits and hospital admissions. Less cases
of alcohol consumption and illegal substance use (American Public Health Association, 2018).
Social Services
Programs such as SNAP, summer meal programs and shelters, provide significant
support to the low-income people and families that tussle to access sufficient nourishment.
Approximately 7% of families in Cook County are below the poverty level (Lear, et al 2007).
Safety and Transportation
Public transport is common in cook county. In Chicago and Suburban Cook County
research shows that violence is more intense in communities of color and low-income. The
causes include problems such as poverty, generational trauma, education inequities, mass
incarceration, and poor access to health services (Zayed, et al 2020).

Revised 12/22/2020

COMMUNITY HEALTH ASSESSMENT

7

Economics and Housing
Underemployment and Unemployment can cause financial insecurity. This directly
influences a few things like, quality housing, access to health care facilities, healthy foods,
among basic needs. The unemployment and underemployment in Chicago is often connected to a
history of economic exclusion and disinvestment (Margellos-Anast, 2012). Unemployment rate for
African American citizens is five times more than white people in Chicago and twice as high for
white people in Suburban Cook County.
Environment
According to World Health Organization, presence of particulate substance is an
indication that air is polluted which affects more people than any other pollutant. There is a doseresponse association between exposure to particles measure 2.5 microns (PM2.5) and untimely
mortality due to diseases such as cardiovascular disease, cancers and respiratory diseases.
Densely populated regions with low income earners, non-white individuals are likely to have a
high exposure to pollution. This may lead to asthma morbidity and chronic disease mortality
(World Health Organization, 2002).
Recreation
Analysis reveal that the low-income communities of color have less recreational
resources such as leisure programs and park space. The lack of recreational programs and lack of
access to parks and is associated with higher BMIs and lower physical among children (Fischer, et
al 2010).

Education
In Chicago, the Asians and non-Hispanic whites have higher percentage of high school
graduation and educational completion in overall. Adults with Hispanic or Latinx ethnicity are

Revised 12/22/2020

COMMUNITY HEALTH ASSESSMENT

8

not likely to have a high school education (Zayed, et al 2020). Approximately one third of the
population do not have a high school diploma or comparable by age 25years.
Policies and Government
Policies that punish lower-income earners are an overarching threat. The current
incarceration is a noteworthy risk factors for STIs where Hispanic/Latinxs and African
American/black individuals and families are unfairly impacted by mass imprisonment policies
(Hughes, et al 2016).
Behavior
Research has proven that exposure to community and interpersonal violence is strongly
connected to mental illness, drug abuse and Post Traumatic Stress Disorder (PTSD). Poverty
strongly influences health behaviors in a community (Margellos-Anast, 2012). Illinois’ Behavioral
Health Transformation Plan presents chances to reinforce and replicate homegrown projects at
state-level.
Alcohol and Other Drug Use

Question

Illinois 2019

United

p-

Illinois 2019 United States 2019 No difference

value More Likely
Than United

More Likely Than
Illinois 2019

States 2019

Had their first drink of alcohol before

12.8 (10.3–15.7)

15.0 (13.7–16.4)

age 13 years

2,983

13,186

(other than a few sips)

Revised 12/22/2020

0.14

No

No

Yes

COMMUNITY HEALTH ASSESSMENT

9

Currently drank alcohol

27.1 (24.2–30.3)

29.2 (27.3–31.2)

(at least one drink of alcohol, on at least

2,844

12,611

Currently were binge drinking

10.1 (8.2–12.4)

13.7 (12.3–15.2)

(four or more drinks of alcohol in a row

2,827

12,020

Usually obtained the alcohol they

35.7 (30.5–41.2)

40.5 (38.2–42.9)

drank by someone giving it to them

771

2,882

Reported that the largest number of

2.9 (2.1–4.1)

3.1 (2.5–3.8)

drinks they had in a row was 10 or

2,695

8,895

Ever used marijuana

36.7 (33.4–40.1)

36.8 (34.4–39.2)

(also called pot, weed, or cannabis, one

2,905

11,659

Tried marijuana for the first time

4.9 (3.6–6.6)

5.6 (4.9–6.5)

before age 13 years

2,971

13,246

0.25

No

No

0.01

No

0.10

No

No

Yes

0.77

No

No

Yes

0.95

No

No

Yes

0.40

No

No

Yes

Yes

1 day during the 30 days before the
survey)

Yes

No

for female students or five or more
drinks of alcohol in a row for male
students, that is, within a couple of
hours, on at least 1 day during the 30
days before the survey)

(during the 30 days before the survey,
among students who currently drank
alcohol)

more
(within a couple of hours, during the 30
days before the survey)

or more times during their life)

(also called pot, weed, or cannabis)

Revised 12/22/2020

COMMUNITY HEALTH ASSESSMENT

10

Currently used marijuana

21.8 (19.1–24.8)

21.7 (19.9–23.7)

(also called pot, weed, or cannabis, one

2,966

13,305



7.3 (6.4–8.4)

0.97

No

No

~

No

No

0.81

No

No

~

No

No

0.39

No

No

Yes

or more times during the 30 days before
the survey)

Ever used synthetic marijuana
(also called "Spice," "fake weed," "K2,"

No

12,398

"King Kong," "Yucatan Fire," or
"Skunk," one or more times during their
life)

Ever took prescription pain medicine

14.5 (13.0–16.2)

14.3 (12.8–15.9)

without a doctor's prescription or

3,021

12,983



7.2 (6.3–8.3)

Yes

differently than how a doctor told
them to use it
(counting drugs such as codeine,
Vicodin, Oxycontin, Hydrocodone, and
Percocet, one or more times during their
life)

Currently took prescription pain
medicine without a doctor's

No

8,677

prescription or differently than how a
doctor told them to use it
(one or more times during the 30 days
before the survey)

Ever used cocaine

4.7 (3.3–6.6)

3.9 (3.2–4.7)

(any form of cocaine, such as powder,

3,056

12,172

crack, or freebase, one or more times
during their life)

Revised 12/22/2020

Yes

COMMUNITY HEALTH ASSESSMENT

11

Ever used inhalants

7.1 (5.7–8.8)

6.4 (5.8–7.1)

(sniffed glue, breathed the contents of

3,054

10,655

Ever used heroin

2.8 (1.6–4.9)

...


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