A windshield survey is a collection of subjective personal observations of what you see and experience in a specific environment. For this windshield survey, you are required to observe specific community core demographics. You will tour the city, record your observations, and submit a written response. You will conduct this survey through Sentinel City. Click on “Getting Started with Sentinel City” from the menu options under the course materials on the left side menu. Read through this module first so that you are set-up and ready to go. Then, you will access Sentinel City below this assignment. For this assignment: Enter the Sentinel City Community Health Simulation and get on the virtual bus. Because this is your first tour, select the slowest speed and stay on the bus the entire time. As you take the tour, write down your observations, and specifically those that align with the following demographics and/or subsystems: Describe the characteristics of the people you see in Sentinel City Community Health Simulation. What are the race and ethnicity distribution, age ranges, and gender mix? Are there signs of poverty or wealth? Describe these signs. Whom do you see on the streets: a parent with a child, teens, couples, or a person with a disability? Is there anyone in the city you would not expect to see? Are there people who are homeless, etc.? Are the dogs on or off leash? Are there other animals? Are there churches? Which denominations? Select a target population of interest and discuss relevant demographic data and health status indicators for this population group. Identify the major health concerns for this target population. Include a discussion of the major health concerns in relation to a global health issue. You are encouraged to add other relevant characteristics you observe.      For help on what to look for in your windshield survey, see the following video: https://www.youtube.com/watch?v=TGXMoQjXbUk&feature=youtu.be.

Case scenarioA previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.On physical examination the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics.The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.Written Assignment:Developing a list of possible conditions that might produce a patient's symptoms and signs is an important part of clinical reasoning.As an NP in primary care what would you have done differently?Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?If a serious diagnosis comes to mind based on a patient's symptoms:Ask yourself; Have you considered the likelihood of it and whether it needs to be ruled out by testing or referral?Because many serious disorders are challenging to diagnose, have you considered ruling out the worst case scenario?Ask yourself: Do you have sufficient understanding of the clinical presentation to offer an opinion on the diagnosis?What other diagnosis could it be? How might the treatment to date have altered the patient outcome?What other diagnostic and laboratory or imaging was needed in order to make a complete differential list? What support tools would you consider using in helping to create a differential diagnosis list?Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.Assignment Requirements:Before finalizing your work, you should:be sure to read the Assignment description carefully (as displayed above); consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and Utilize spelling and grammar check to minimize errors.Your writing Assignment should:follow the conventions of Standard English (correct grammar, punctuation, etc.); be well ordered, logical, and unified, as well as original and insightful; display superior content, organization, style, and mechanics; and use APA 6th Edition format as outlined in the APA Progression Ladder.