Windshield Survey free essay sample

I certify that the attached paper is my original work and has not previously been submitted by me or anyone else for any class. I further declare I have cited all sources from which I used language, ideas, and information, whether quoted verbatim or paraphrased, and that any assistance of any kind, which I received while producing this paper, has been acknowledged in the References section. I have obtained written permission from the copyright holder for any rademarked material, logos, or images from the Internet or other sources. I further agree that my name typed on the line below is intended to have, and shall have, the same validity as my handwritten signature. Students signature (name typed here is equivalent to a signature): Carletta Pope, Terra Wheeler Windshield Survey A windshield survey is conducted from a car and provides a visual overview of a community. Conditions and trends in the community that could affect the health of the population are documented and provide background and context for working in the community or for conducting a community survey of Charlotte, NC. We will write a custom essay sample on Windshield Survey or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page For Community Health Nurses to be able to knowledgeably plan services for a community, it is essential to know a specific community, identify health-related resources that may be helpful to members, and learn about gaps in services. The boundaries for Charlotte, NC zip code 28216 include highway 16, state road 24 and interstates 77,277, 85, and 485. The economical status of 28216 contains lower class through middle class with an estimate median income of $45,000 per year. The buildings were mostly built between the years of 1950-1989. Homes are constructed from brick, wood, and vinyl siding. This area contains both single family and ultifamily homes. The conditions of these homes range from old and abandoned, well kept older homes, homes that need work and reconditioning, homes that have already been reconditioned, and new homes. 28216 are mostly well maintained. As with many other areas, there are areas that have garbage and trash scattered about, abandoned autos, open fields for rodents and other wildlife to live and hide, and vacant lots. There are both old and new homes in this area and some of these homes and buildings have been around for decades. Some areas are being developed quickly. Mecklenburg County Park and Recreation is on Highway 16 and s for children and adults. 28216 also have a YMCA, a track and field at the Johnson C. together. There is one park, the Biddleville Park, which is also in the area that is well maintained but does not appear to be used. 8216 contain churches, restaurants, and clubs as well as the previously mentioned parks and recreation areas. Some of the restaurants include Nikkis, Mr. Cs, and Club Excelsior. There are also fast food restaurants such as McDonalds, KFC, and Burger King where people can get together and hang out. Teens and young adults also like to hang out at the many corner stores hich are eas ily identifiable by building signs. There are many services for the community and many of them are right off Beatties Ford Rd. These service areas include the public library of Charlotte and Mecklenburg County, Beatties Ford Road Branch, Prime Care Medical Center, Professional Career Center and many others. The schools in the area include a high school, four elementary schools, and a middle school. 28216 have quite a few stores as well. They have grocery stores, retail shops, drug stores, dry cleaners, and of course gas stations. Residents can travel by car or public transportation. Some people drive a car alone (76%). Others carpool (14%) and then there is the bus or trolley bus (5%). The CATS (Charlotte Area Transit System) is the main mode of transportation. On the observation of 28216, many bus stops were seen with three to four waiting passengers. Some were dressed for work whereas others were dressed casually. There are two main newspapers that are delivered to the 28216 area, the Charlotte Observer and the Mountain Island Weekly. There are billboards promoting local schools, businesses, and public awareness. The busses also have advertisements in the form of posters on them. These posters can also be found in the local university, in small shopping centers, and in health care facilities. The people of the 28216 area code vary. Some were unemployed, others were students, and then there were the workers out on their lunch break. Dress style also varied in this area. Some wore work uniforms and others were casually dressed. There were no animals seen during observations, but when speaking with some of the residents many spoke of having dogs. Cars and up keep of homes showed the individuals class and as previously mentioned class ranges from lower to middle class. The Education and Health field consists of 11% of the workforce and Retail/ Wholesale consists of 9% of the workforce in 28216. Other industries in the area include Manufacturing and Finance/Real Estate. There are also employees at the local stores, banks, restaurants, university, and health care facilities. The fire station and the two police departments also are places for employment even though the fire station appeared to be rather small. The most common ethnic group in 28216 is African American (60%). Only 30% of the community are white with the remaining 10% of the residents being other races such as Pacific Islander/Asian, Hispanic and ixed races. Johnson C. Smith University is considered a HBCIJ (Historical Black College or University). Another option is Another Choice for Black Children which is a charlotte based adoption agency for African-American children and other children with special needs. 28216 contain a variety of religious facilities and denominations to go along with the variety of religions and cultures. The dominant religion in the area is Baptists. The high number of fast food restaurants and eateries may attribute to chronic disease. Individuals were observed smoking, but no one was seen using drugs or drinking alcohol. While observing the community there wasnt predominantly Democratic. Many car bumpers were decorated with Obama car decals, one small boy was wearing a mies We Can t-shirt, and some homes had Obama flags visible. The university, Johnson C. Smith, openly affiliates with both the Democratic and Republican parties but the majority is Democratic. Boundaries Are the boundaries geographical, political, or economic? How is this seen? Do neighborhoods have names? Are there sub-communities? How are these identified? Housing and Zoning What is the age of the buildings? What are the construction materials? Are the esidences single family or multifamily dwellings? What is the size and condition of the lots (repaired or damaged)? Signs of Decay Is the area well maintained or in disrepair? Is there garbage strewn? Are there trashed/abandoned cars, places for rodents or other wildlife to hide, vacant lots? Parks and Recreational Areas Are there playing areas for children and adults? Are they safe and maintained? Who uses them? Common Areas Where do people collect for social gatherings of all sorts; where do they hang out? Are they for particular groups or are they open to all? Are there signs posted? Service Centers Where the services for the community are located health care, social services, schools, employment offices etc.? Stores What stores (grocery, retail, drug, dry cleaning, etc. ) are in the area? How do residents travel to them? Transportation How do most people get around the area? Is there public transportation? If so what kind and does it appear to be used? Who uses it? What is the condition of the streets, roads, highways? Communication Is there evidence of local and national newspapers to other media? Are there informational posters on streets, busses, billboards, etc.? People in the Community ith them or in the area? What evidence is there of particular. Classes of people upper, middle, working, lower? Industries What are the major industries? What types of occupations are evident? Protective Services Where are fire and police stations located? Is there evidence of police and fire protection in the area? Is it more in one region than another? Ethnicity What is the predominant ethnic group? Are there residents from a variety of ethnic backgrounds or is the community mostly one group? Which one? Are there stores, restaurants, churches, schools, or languages that indicate a particular ethnic roup(s)? Religion What churches and church-run schools are in the area? Who apparently uses them and when? How many are there? Health and Morbidity Is there evidence of any health problems such as drug abuse, communicable diseases, chronic diseases, mental illnesses etc.? Politics Is there evidence of any political activity? Are there any signs that indicate predominant political parties and political concerns? The geographical boundaries for 28216 include highway 16, state road 24, interstate 77, interstate 277, interstate 85, and interstate 485. Political affiliation appears to include non-affiliated, onservative, and democratic. The economic status of 28216 in general ranges from lower class middle class. The estimated median income is $45,000 per year. The neighborhoods are named and identified by entrance signs. There are also sub- communities which are identified by signage. Some of the neighborhoods include Biddleville-smallwood Community, Claiborne Woods, Fox Chase Community, Hoskins Community, Historic Washington Heights, and University Park. There are homes and buildings that were built before 1950, but majority of the homes and buildings were built between 1950-1989. The homes and buildings are onstructed from brick, wood, and vinyl siding. Specifically in the Beatties Ford Rd. area there are both single and multifamily homes, as well as low-income housing. These homes vary in size. The condition of the homes also varies in the Beatties Ford area. There are abandoned homes, well-kept older homes, homes in need of reconditioning, homes that have been reconstructed, and new homes. there is garbage scattered, trashed and abandoned cars, field areas for rodents and other wildlife to hide, as well as vacant lots. The residents and city seem to do a great Job of maintaining most areas. The area consists of old and new. There are homes and buildings that have been around for decades, such as in the Beatties Ford Rd. area. Then there are areas that are being developed and quickly growing like Mount Holly-Huntersville and the Northlake Mall area. There are parks and recreational areas for children and adults. Mecklenburg County Park and Recreation is on Highway 16. Specifically in the Beatties Ford Rd. area the parks and facilities include the YMCA, the track and field at Johnson C. Smith University, Firestone Neighborhood Park, and Hornets Nest Park. These areas appear afe and well maintained. Biddleville Park is also in the Beatties Ford Rd. area. It appears to be maintained, but not used. All of these facilities are used by the residents of the area. There are many areas for social gatherings in the 28216 area code. There are churches, the park and recreational facilities (as previously mentioned), restaurants, and clubs. In the Beatties Ford Rd. area there is Johnson C. Smith University (which is a common area for the student population), many churches, parks, local eateries such as Nikkis, Mr. Cs, The Original Chicken-N-Ribs, Club Excelsior. There are a number of ast food restaurants, such as McDonalds, KFC, and Burger King where many people like to hang out. There are also a number of corner-stores where the teens and young adult population like to gather. These gathering areas are easily identified by building signs. They are open to all, but those that socialize together may share a similar culture and lifestyle. The majority of the services for the community in the 28216 area are located immediately off Beatties Ford Rd. These services include the Public Library of Charlotte and Mecklenburg County, Beatties Ford Road Branch, Prime Care Medical Center, Professional Career Center, Mecklenburg Health Department, Adult Day Care, Family Counseling Services and Another Choice for Black Children. Schools located around the area include West Charlotte High School, Bruns Elementary School, Hornets Nest Elementary, Mountain Island Elementary School, Lincoln Heights Elementary School and University Park Middle. The 28216 zip code consists of numerous grocery stores, retail shops, drug stores, dry cleaners, and gas stations. This includes Wal-Mart, Food Lion, Harris Teeter, Circle K, and North Lake Mall. Residents travel by car or public transportation. In the Betties Ford Rd. area there is Food Lion, Two-Way (gas station), Biddleville Pharmacy, corner-stores, meat markets, and a number of beauty salons and barbershops. The most common means of transportation in the Beatties Ford Rd. area include driving a car alone (76%), carpooling (14%) and traveling by bus or trolley bus (5%). The CATS (Charlotte Area Transit System) is the main mode of public transportation. While observing the community, many bus stops were occupied with 3-4 awaiting casually dressed. The conditions of the roads range from roads that need minor repairs to roads that have been newly paved. The Charlotte Observer and Mountain Island Weekly are delivered to the 28216 area. There are numerous billboards advertising and promoting local schools, businesses, and public awareness. Informational posters are located on busses, around the university, in small shopping centers, and health care facilities in the areas. The posters contain information about Johnson C. Smith, local events and services around the community. During the day on Beatties Ford Rd. there was a variety of people, ranging from those that were unemployed and Just hanging out, students, and workers on their lunch reaks. The style of dress in the area also varied. Some were in their work uniform, some casually dressed (business casual, so to speak), others were dressed in urban wear. While conducting the windshield survey no animals were observed, but after speaking with some residents in the Beatties Ford Rd. area, many of them noted having dogs. Class is evident in the area by the types of cars that are drive, the up keep of the homes and the surrounding facilities, the appearance of the residents etc. Depending on which end or area of Beatties Ford Rd (or surrounding) that you re on, may help to better determine the class of people. As previously mentioned, it ranges from lower class to middle class. The two major industries based upon employment are the Education and Health field which consists of 11% of the workforce and Retail/Wholesale that consists of 9% of the workforce in the 28216 community. Other industries noted are Manufacturing and Finance/Real Estate. Employers in the area include fast food restaurants, numerous banks, and Johnson C. Smith University and health care facilities. Fire Station 15 is located on Keller Avenue, off of Beatties ford road in Charlotte. The fire department was rather small and didnt compare to the largely populated area, in case of an emergency it is likely that other fire departments would be contacted for assistance. There are two police stations on Beatties ford road that are located approximately 2 miles from each other. While observing the area numerous officer vehicles were spotted around the community. One officer was sitting in a school parking lot, another officer appeared to be talking to a group of young men in the park and another one was spotted sitting in the middle ofa common intersection on Beatties Ford Rd. The predominant ethnic group in the 28216 area is African American population, which consists of 60% of the community. 30% of the residents are White and the remaining 10% consists of other races including Pacific Islander/Asian, Hispanic and mixed races. Johnson C. Smith University is considered an HBCIJ (Historical Black College or University) and Another Choice for Black Children is a Charlotte-based adoption agency that works to find homes for African-American children and other children with special needs. The area consists of numerous religious facilities and denominations. After talking to some residents around the area, the dominant religion in the area is Baptist. Residents attending the local services range from lower to middle class community members. Some of the bigger churches in the area include University Park Baptist are also held in the Family Life and Wellness Center and Thursday evenings, Bible Study begins. In addition to traditional services, The Park offers organized recreational events and professional catering for banquets and receptions. It also encourages physical health by providing a weight room and an aerobics room with cheduled fitness classes. The church has a Prayer Room, counseling services for members and non-members, a childrens nursery, a Mothers Morning Out and a Kingdom Kids After School program. Williams Memorial Presbyterian Church holds Sunday Services weekly, bible study held daily, and summer camp for children. Wilson Heights Church of God holding services on Sunday, Wednesday Night Bible Study and Cub scouts weekly. The religious based school in the area is the Salem Christian Academy; there are 34 Students who attend daily ranging from kindergarten to 6th grade. On Betties Ford Rd. d the surrounding area the number of fast food restaurants and eateries may attribute to chronic disease. Individuals were observed smoking, while conducting the survey, but no one was seen using drugs or drinking alcohol. While riding around the community there wasnt any active political activity but there were many signs supporting and indicating the community was predominantly Democratic. Windshield Survey free essay sample Assessment and Diagnosis July 24, 2011 Chamberlain College of Nursing NR443: Community Health Nursing S. Cleveland Summer 2011 Session A Community The city of Cheyenne is the capital and the largest city in the state of Wyoming. Located in the southeastern most part of the state and considered the northern terminus of the extensive and fast-growing Front Range Corridor. According to the 2010 U. S. Census Bureau Cheyenne had a population of 59,466 with a growth rate of 12. 2% since the 2000 census. The community that was observed is that of South Cheyenne. This area has the most diversity within the city limits. South Cheyenne has an unfounded image of being the slums, poverty side of town, Northside/Southside division, reputation. South Greeley Highway does not present a positive image for the community. The amount of junkyards, garbage, and abandon buildings create an â€Å"eye sore† presenting an uninviting appearance. This area has multiple trailer parks that are rundown and there is a sense of some lack of pride in ownership for both homes and businesses. We will write a custom essay sample on Windshield Survey or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page There is one grocery store, a half dozen of food establishments, ranging from fast food to dining in. A few liquor stores, several bars, an elementary and high school. There appears to be minimal recreational opportunities for the community. There is Romero Park with the youth activity center, and the Boys and Girls club relocation to South Cheyenne. However, these have yet to be completed. There still remains the need for additional recreation opportunities such as a golf course, more pathways, ball fields, and parks. Noted is an incomplete greenway that could serve as a means of recreation for all age groups once completed. Medical services in South Cheyenne are limited and what services that are available are not centrally located but dispersed throughout the community. South Cheyenne does house the City County Health Department which provides minimal medical care for a minimum fee. Accessibility to such services is further complicated by minimal public transportation options. Problem Being a community with obesity, lack of medical care, healthy food choices, and recreation whether indoors or outdoors, places this community at a high risk to developing diabetes. According to the Wyoming city data in 2010, there is a population of 7. 9% with diabetes. With the high diversity of Hispanics, black, and Asian peoples living within this community, research has shown them to have a higher prevalence to this disease (Sherard, 2010). Increasing prevention behaviors in persons at high risk for diabetes with pre-diabetes is just one of many objectives stated by Healthy People 2020. Within this objective, the goal is to: 1). Increase the proportion of persons at high risk for diabetes with pre-diabetes who report increasing their levels of physical activity. ). Increase the proportion of persons at high risk for diabetes with pre-diabetes who report to lose weight. 3). Increase the proportion of persons at high risk for diabetes with pre-diabetes who report reducing the amount of fat calories in their diet. A. Historical Significance: According to the article The Causes, Complications and Impact of Diabetes on Wyoming and and its Residents by Brent Sher ard, MD, more than 7% of Wyoming’s adult population has diabetes. In 2007, diabetes was the 6th leading cause of deaths in Wyoming. Just in a year’s time-frame, 50 lower extremity amputations occurred, there were 625 hospitalizations where the primary diagnosis was diabetes at a cost of $7. 5 million. Wyoming’s small population and lack of diabetes-related specialists present problems treating individuals with diabetes. With Cheyenne being a community of military and retired vets, the estimation of increased population aging is estimated to be 113% by 2020 and with age being a significant risk factor, the increased burden of diabetes in the community will be a direct result (Sherard, 2010). C. History of Diabetes: Prepathogenesis of diabetes lies in the risk factors such as obesity, increased girth circumference, hypertension, hypercholesteremia, lack of physical activity. If the risk factors are not eliminated, the risk increases for the patient to develop diabetes. According to Bardsley Want, pathogenesis of diabetes of both IDDM and NIDDM are heterogeneous diseases with environmental and genetic determinants. Diabetes mellitus is a syndrome with disordered metabolism and inappropriate hyperglycemia due to either a deficiency of insulin secretion or to a combination of insulin resistance and inadequate insulin secretion to compensate (Bradsley Want, 2004). Type 1 diabetes is due to pancreatic islet B cell destruction predominantly by an autoimmune process, and these patients are prone to ketoacidosis. Type 2 diabetes is the more prevalent form and results from insulin resistance with a defect in compensatory insulin secretion. The resolution for diabetes is to take steps towards healthy places for physical activity such as incorporating health into local planning decisions, increasing access to parks and green spaces, offering incentives for employers to provide workplace wellness programs, improving the access to nutritious produce and products, and involve schools in creating models of healthy behavior for the community. Summary Diabetes is part of the Healthy People 2020 chronic diseases and is number five of the twenty-eight focus areas. http://www.city-data.com/city/Cheyenne-Wyoming.html https://www.healthypeople.gov/