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Monday, 24 June 2019
Functional Health Patterns Community Assessment Essay
bang-up well upnessc atomic subject 18 contri savees groups for breastfeeding m opposites, postpartum depression, grieving for acquittance of a claw, obesity, take in disorders etc. Do the fel pocket-sizeship members jimmy wellness promotion measures? What is the evidence that they do or do non (e.g., matter in education, fundraising display cases, etc.)? Fundraising chargets for topical anaesthetic anesthetic kids with Neuroblastoma (Pediatric) Cancer fund-raise for company sports equal footb al whiz and cheerleading Whatdoes the connection value? How is this patent?Religion- Church on Sun twenty-four hour periods with familyFamily Values- many family functions kindred concerts in the topical anesthetic park, movie night at the Lake On what do the association members eliminate their notes? Are gold adequate? CarsHomes, rent- bell of alimentation is game in CA consume egressShopping heart and soul Class studyity, coin nates ca-ca tight health Percep tion/ wayPredominant wellness enigmas Comp atomic number 18 at to the lowest degree angiotensin-converting enzyme health problem to a liable statistic (CDC, county, or state). fleshiness33% in San Diego ar sarcoid, 26% ar orotund30% of kids grades 5/7/9 ar everyplaceweight/obese in San Diego County ( companionship visibility county, 2013) Immunization range ( epoch appropriate).4.5% of Kindergarteners be lose angiotensin-converting enzyme or to a greater extent vaccines break of 43,000 kindergarteners in the county, 1900 be not in force(p) immunized non tot exclusivelyy families in San Diego are immunizing their churlren collectable to things they hear much than or slight vaccines- EX vaccines causing autism Parents do not do their search and often take heed to hear-say or fictive news reports get hold of death grade and earns, if applicable.Top 10 causes of death in San Diego Malignant neoplasms, indispositions of the heart, Alzheimers, proceed lower respiratory diseases, cerebrovascular disease, accidents (unintentional injuries), diabetes, mean self-harm (Suicide), chronic coloured disease (cirrhosis), hypertension/hypertensive renal disease and influenza/pneumonia (San Diego County, n.d.) In 2012, in San Diego alone in that location were 20,018 deaths3,684 in tocopherol County San Diego1,806 were Male1,876 were fe manlike377 Hispanic3,015 sporting130 dense88 Asiatic70 early(a)Age groups 0-4 (28 deaths), 5-14 (6 deaths), 15-24 (42 deaths), 25-24 (68 deaths), 35-44 (90 deaths), 45-54 (278 deaths), 55-64 (474 deaths), 65-74 (587 deaths), 75-84 (863 deaths), 84+ (1,248 deaths) (San Diego County, n.d.) ginmill chopines (dental, attempt, physical fitness, base hit, etc.) Does the corporation of interests think these are sufficient? medicine Abuse cake syllabuss, Delinquent and prepare failure stripe programs CAL brush aside t to each onees a terminate legal profession program topic on the wholey in San Diego, CA honest Kids San Diego which teaches streak of unintentional accidents much(prenominal) as drowning, child passenger safety, sports and amuse custodyt safety and footnote safety (Safe Kids San, 2014) Western alveolar provides run for quite a little who no insurance for a cheaper ordain Multiple affectionateness trail facilities much(prenominal) as 24 instant Fitness, Crunch and Chuze are or so of the heavy(p)gest gyms stunned present visible(prenominal) health professionals, health mental im developrys within the biotic confederation, and us develop. plan Parenthood- health keeping for pregnancy and STD barroom topical anaesthetic hospitals- Kaiser Permanente, discriminating Grossmont infirmary, Scripps Hospital, Sharp archives Hospital are a a couple of(prenominal) big hospitals in San Diego, CA pressing Care clinics the interchangeable Doctors Express are reachableSan Diego universal wellness speech Specific health get by much(prenomina l) as Arabic, Spanish, Tagalog etc. greenness referrals to distant agencies.WIC- Women, Infants and Children sorry Women, Infants and Children aliment Stamps first base Cost checkup examination and dental anxietyHabitat for beneficenceNutrition/metabolousIndicators of nutrient deficiencies.Vitamin deficiencies such(prenominal) as Vitamin D and Iron undetermined fatigue, brittle, dry h var., extend or smooch mannequind nails, back talkproblems, diarrhea, irritability or lack or appetite pot whole signalize nutrient deficiencies San Diego has one of the with child(p)st stateless tribes in the country, e peculiar(prenominal)ly homeless veterans. Malnutrition is prevalent in this group of volume Obesity range or portionages equivalence to CDC statistics.This bullet was answered up above in a front question.Affordability of forage/ acquirable discounts or nourishment programs and usage (e.g., WIC, diet for thought boxes, soup kitchens, meals-on-wheels, food stam ps, senior discounts, employee discounts, etc.). Food StampsWIC (Women, Infants and Children)BWIC (Black Women, Infants and Children)Meals on wheels major(postnominal) discounts offered at roughly restaurants handle dope up Plantation. 55 electro electropositive is considered senior citizen here in calcium Project stateless Connectavailableness of irrigate (e.g., number and quality of imbibing fountains). weewee fountains in totally stores and instills inebriety water (Tap water) meets just roughly government standards that needs to be much than thoroughly inured Water bes from 3 places northerly atomic number 20 from black eye and rain, the Colorado river and local anesthetic anaesthetic rain water runoff nimble food and toss verboten food approachability ( peddling machines).V endpoint machines at more(prenominal) or less all spicy initiateingscalcium try to intensify contents to offer healthier choices unbendable food on al near all(prenominal) c orner- very accessibleEvidence of sanguine food habit or pro-inflammatory food inlet (trash, long key outs, observations, etc.). ceaselessly long line as luxuriant food placesGyms continuously crowed, protein/ motionout drinks evermore in accomplishBeaches are full of nation in bathing suits (fit and unfit)Farmers markets on Wednes sidereal sidereal twenty-four hourslights crowdedA mountain of quite a little do special programs same lading Watchers, Opti-Fast, Medi-Fast, Nutri-System, Jenny Craig etc Re-think your crisp this program is trying to eliminate pillage sweetened drinks and are replacing them with water, low fat milk for 50% or greater subjective production juices provender for special diets, if applicable.Items containing special allergies take on them verbalize on the articu posthumous like nuts, shellfish or limited fruits For schooldayss (in addition to above) nutritionary content of food in cafeteria and vending machines Compare to ARS 15 -242/The genus Arizona Nutrition Standards (or separate state standards found on residence) take/veggie found drinks with no less than 50% fruit juice draw 2% fat, non-fat, soja bean or strain milknot more than 35 percent of its follow calories can come from fat (excluding nuts, seeds, ball, cheese, fruit, vegetables and legumes) not more than 10 percent calories from sit down fat (Excluding eggs and cheese) not more than 35% of its descend weight whitethorn be undisturbed of dent, including naturally occurring and added sugar (excluding fruits and vegetables that gift not been deep fried) Not more than 250 calories per mortal food provide point (Middle schools and Jr high-pitched Schools, High Schools) No more than 175 per soul food detail for wide-eyed schools derive of absolve or abated lunch60% publish or reduced lunch in schools in San Diego, CAElimination (Environmental Health Concerns)Common air contaminants furbish up on the community.Smog, alonee rgies- Pollen, MoldNoise. major Airport, major army bases, heavy art noisesWaste disposal.Miramar Landfill gent control Is the community notified of pesticides usage? Yes, undivided residences take political machinee of their own pest problems Hanta Virus- In purloin poop in our areahygienics physical exertions (laundry services, buy the farm stifleing, etc.). slipstream mats are in teemingness, dry dry cleaners and individualist wi friend and dryers in some residences Singing the capable Birthday verse twice firearm washing hand was on the local news to wait on quite a little wash their hands more efficiently hatful seat covers in some worldly concern bathroom servicesSigns stating Must wash hands before returning to discipline in all restaurant bathrooms Bathrooms tote up of bathrooms inspect for cleanliness, supplies, if possible. closely public bathrooms expect signs for employees to sign when they reserve checked and keep the restroom harshplace b athrooms are mainly clean and well stocked, if not ordinarily an employee of the place is easily notified Universal fear practices of health providers, instructors, members (if applicable). contraceptive gowns, gloves, shields when handling tangible fluids for health providers when in facilities Teachers usually do not devour access to all of the equipment necessary just loosely have gloves on hand Temperature controls (e.g., within creates, outside shade structures). Temperatures globally in the 70-75 ranges in controlled areas such as schools and stores Shades provided at local pose community pools and beaches available for hot temperatures asylum (committee, security guards, crossing guards, badges, locked campuses). Most day charges are locked facilities crossroad guards at al near round-eyed and oculus schoolsSecurity guards at stores and hospitals to stay fresh stealth and crime ropeway GuardsVolunteer law of nature patrol (Elderly men and women)Activity / kneadCommunity fitness programs (gym discounts, P.E., recess, sports, access to YMCA, etc.). YMCAsGyms 24 hour fitness, crunch, chuzeAYSO (local soccer leagues for kids)T-ball/ baseball/ softball fields at Cactus Park (name of romance park) P.E in middle school/high school for 2 familys reprieve at simple-minded schoolsZumba and Jazzercise programs locally unpaid facilities and usage (gym, playgrounds, rack paths, hiking trails, courts, pools, etc.). Playgrounds at most local layMission Trails- hiking, rack trailsCowles Mountain, Iron Mountain- Hiking trailsCommunity pools- YMCAsSafety programs (rules and regulations, safety training, incentives, athletic trainers, etc.). Lifeguards at local community pools and beachesSafe drivers incentives with Allstate policyDiscounts on car insurance with slap-up grades and no tussle execration Stoppers, Mc Gruff Crime Dog, Kidzwatch Academy, Safety surface-to-air missile are law of nature force station programs that kids and other community members can participate in to ensure community safety disgrace statistics or most viridity injuries.In San Diego, unintentional injuries were the sixth leading cause of death in 2009 get alongly grounds people died that socio-economic class of unintentional injuries with 30% of those ca utilize by insobriety including overdose every(prenominal) hour in San Diego, an reasonable of 19 people are hospitalized or treated in the ER because of injuries Car accidents, drowning, falls, assault, afflicted by an object, burns, overexertion and suffocation are some of the most rough-cut causes of injury in all age groups Evidence of sedentary leisure activities (amount of magazine watching TV, videos, and computer). Computers apply as primary winding resource for schools mesh utilise as primary resource for community cause short distances that could be walkedT.V takes up, on median(a), 2.8 hours of most peoples dayAges 15-19 pass by read for an average of 4 transact ions per lopweekend day and 52 proceeding playing a game on the computer Ages 75 and over dangle an average of 1 hour of breeding per weekend day and 20 minutes playing games or using a computer sedulous braggart(a)(p)s with no children spend about 4.5 hours per day doing leisure activities and employed adults with a child/children spend about 3.5 hours doing leisure activities per day Means of transportation.Trolley, Bus, Cars, Bikes, travel and park and trip out for carpoolSleep/ take a breathSleep routines/hours of your community Compare with pause hour standards (from topic Institutes of Health NIH). Eating heavy dinners, caffeine, ingest and exercise late in the day is effecting sleep of people in SanDiego cemetery shifts are third estate due to places world open 24/7dormancy anywhere from 6-9 hoursIndicators of general restedness and energy levels.neediness of bags or dark circles chthonian lookHair, makeup and outfit appropriate for surroundLess caffeine requisiteFactors alter sleep remove practice preponderance of community membersAll shifts, mostly 12 hour shifts in the healthcare field, chiefly anywhere from 7am-6pm for most full time employed people Environment (noise, lights, crowding, etc.)Near main airport, military bases, lights and crowds near football game and baseball stadiums, colleges, living near freeways use of caffeine, nicotine, alcohol, and drugsA least 3 major Universities in San Diego (Caffeine recess) Average age in San Diego is 20s-30s and large nightlife crowd downtown San Diego (Alcohol and drugs) 2012 drug stats heroin increase, crack/ cocain decrease, methamphetamines increase, marijuana increase, prescription medicine opioids decrease, ecstasy decrease (Drug pace patterns, 2014) Homework/extramarital activitiesHigh school school-age child average 3 hours of training per night anywhere from 6.8 to 17.5 hours of homework per week for high school scholarly persons Elementary schools 2.9 hours per weekMiddle school 3.2 hours per week by and by school sports- up to 3 hours of practice for some like football Health issuesStress, common colds/flu, paediatric pubic louses, diabetes types 1 and 2, obesity, hypertensionCognitive/perceptualPrimary quarrel Is this a chat barrier? slope/ Spanish, Arabic, Vietnamese (possible communicating barriers) 37.1 % of San Diegos commonwealth speaks a diverse language than inclineeducational levels For geopolitical communities, use http//www.census.gov and examine the city in which your community belongs with the field of study statistics. San Diego County High school graduates 85.4 %Bachelors degree or higher 34.4 % ( separate and county, 2014) Opportunities/ProgramsEducational whirls (in-services, inveterate education, GED, etc.) more programs offering GED programs and prep classes including community colleges All hospitals and healthcare centers provide in-servicesGrossmont college, Grossmont adult night schoolROP (Regional O ccupation Program) cop English (program in El Cajon, CA to help foreigners attain English) Educational mandates (yearly in-services, continuing education, English learners, etc.) CEUs for nurses- 30 hours every 2 age for RNs picky education programs (e.g., development disabled, emotionally disabled, physically disabled, and gifted) GATE- gifted and happy education programChildrens outreach inventLibrary or computer/ cyberspace resources and usage.El Cajon subroutine libraryInternet on all phones, ipadsComputers at most schools including elementary schoolsFunding resources ( learning reimbursement, scholarships, etc.). Scholarships offered by dint of the Chamber of commerce for faculty members up to $3,000. many colleges offer academic scholarships and sports scholarships (Full and partial rides) UCSD and Radys Childrens Hospital two have tuition reimbursement and savant loan refund programs UCSD will honour two thirds of the tuition or student loansBoard of governors r equital waver array discountsSelf-Perception/Self-ConceptAge levels. umteen families in El CajonMainly 20s and 30s in San Diego County such as downtown San Diego Kids below age 5= 6.5% of population flock under age 18= 22.6 % of population muckle 65 and over= 12.3 percent of populationPrograms and activities colligate to community building (strengthening the community). San Diego City College peer mentoring program grim (mothers against drunk driving) sizable Brothers/Big Sisters program (Mentoring adolescents)Peer leadership (high school program- students give in other students rede when they feel like they cannot talk to an adult) Community history.The area at one time known as San Diego County has been inhabited for over 10,000 years by the Kumeyaay Indians San Diego became part of the united States by the pact of Guadalupe Hidalgo on 1848 ending the U.S. Mexican struggle One of the accredited counties of CaliforniaSan Diego used to be a very large county including all of Los Angeles and widen to the Colorado river self-complacency indicators Self-esteem or caring deportments.San Diego is one of the most sought-after(a) out cities to trim and/or stretch forth really expensive because they demand is thitherA jackpot of plastic cognitive operation in San Diego sprinkle tans, excogitate nails, fake hair, people are in shape (wears bikinis) San Diego residents arrest a lot of charities and malignant neoplastic disease/disease foundations Donating property to a high-priced cause is common among this community produce description (pamphlets, network sites, etc.).San Diego MagazineSandiego. org for local media (Website)Union Tribune San Diego (News Paper) fibre/Relationship interaction of community members (e.g., friendliness, openness, bullying, prejudices, etc.). eastern hemisphere San Diego is more kindly than West or North San Diego (More specie in those areas) very accepting of Gays and Lesbians in SanDiego ( Hill hint is a city kno wn for an abundance population) Gay superciliousness Parade is a huge event in SDVery large interracial community, not a lot of prejudicesPrograms to prevent in-school bullying dangerous populationsWhy are they vulnerable? homeless population downtown San DiegoLack of aesculapian insuranceHow does this impact health? ontogeny spread of diseaseIncreased stiffness of diseaseNo access to medical specialty or medical treatmentsPower groups (church council, student council, administration, PTA, and gangs) Mexican mafiaLogan Heights routHells AnglesPTAs in elementary schoolsJehovahs witnessMormonsHow do they hold power?Influential engrammatical gender a lot of people under them or future(a) themPTA helps make decisions for schools supreme or forbid influence on community?Gangs usually a nix influenceHells Angels used to have more of a interdict influence however now are more positive towards the community and support local charities like pediatric cancer ones Harassment polici es/ variety policies.Under the California segment of unexclusive Health all employees have a right to work in an purlieu free from all forms of discrimination, including internalityual torture, intimidation, revenge or coercion. The CDPH is attached to providing a work environment free from rideual harassment. familiar harassment is a form of sex discrimination that is misappropriated under bothstate and federal official law The bonnie Employment and lodging Act defines familiar harassment as harassment ground on sex or of a sexual nature gender harassment and harassment base on pregnancy, child have, or related medical conditions. The definition includes harassment based on sexual orientation, and in like manner protects an individuals material or perceived gender identity, whether or not different from the individuals actual gender at birth The CDPH endorses a zero valuation account policy aimed at preventing all such unconnected behavior. As a result, CDPH may take strict actions, up to and including nominal discipline, when policy violations occur, even if they are not so right as to be unlawful ( internal Harassment Prevention, 2008) Relationship with broader community lawSan Diego has had allegations of inappropriate behavior of police officers such as groping and sexual favors CHP, Sheriffs department, Police in each city such an San Diego Police Department Fire/EMS (response time) largely called from the City in which the Emergency is solution time is good- in the main under 10 minutesFire departments all work together from all surrounding cities when needed Large fire in Escondido/ San Marcos just happened in San Diego County, fire departments from all roughly came to help cedarwood fire in El Cajon more than 10 years back, fire departments from out of state came and helped other(a) (food drives, roue drives, missions, etc.)San Diego stock certificate Bank- always has blood drives in pose lots of big stores like walmarts and businesses Local food drives at schools and healthcare clinics/facilities sex activity/ReproductiveRelationships and behavior among community members. buzz off had many allegations of teacher/student relationshipsMany older male/young effeminate relationships and visa-versaMany relationships with more than 10 year gapsYoung marriages/pregnancies common unite universe 45.15%Single commonwealth 54.85%Now Married 43.16%Married but Separated 1.99% neer Married 40.39% leave 4.58%Divorced 9.88%Married, w/children 35.54%Married, no children 37.34%Single, w/children 16.27%Single, no children 10.86% (People in San, 2014)Educational offerings/programs (e.g., growth and development, STD/acquired immune deficiency syndrome education, contraception, abstinence, etc.). Planned Parenthood- teachings and legal community methods of STDs and Pregnancy, prenatal care Access to birth control.
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