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Community Nursing Hat 1 Essay

 

I chose as my community El Dorado County in the foothills of Northern California. I live in this community. We are a very healthy and active community with a large retirement group. I will go through the four assessments next. The Population Economic Status Assessment shows our population to be around 181,000. We are made up of 80% white Christian, with the next largest ethnic group being about 15% Mexican. The average household income is around $70,000 with 7.9% of people being at or below the poverty level. The Mexican population makes up the biggest percentage of the poor. El Dorado County’s median household income has been higher than the state average since 2000, indicating that its residents have more spending power than the average Californian (El Dorado Co). The unemployment rate is 11.8%. El Dorado County’s unemployment rate has been consistently lower than the California average since 1990. At any given time, there are 600+ homeless people in this community.

Around 9000 people receive food stamps & another 3000 receive cash aid. On an average, we have much fewer people on public assistance than the national average. According to the information I gathered in the Cultural Assessment Tool, the population in this community has slightly more females than males which is very typical in these rural areas. There are 80% white people living here with about a 15% Mexican population (El Dorado Co). 27% of the populous are affiliated with a church, mostly Catholic Christian, compared to the 50% in the USA (Religions). About 85% of the people are covered by health insurance, which is very high compared to the rest of California. Cancer is the leading cause of death, with heart disease being second. The birth rate is 10.1 per 1000.

County birth rates are consistently below average compared to the state, which is attributed to the higher senior population of the county (El Dorado Co). There is a high prevalence of drug and alcohol abuse in this community, related to poor or ineffective coping skills in the populous. There is a real powerful stigma against the homeless community here, which really could benefit from some community teaching and outreach. The Neighborhood Community Safety Assessment shows that the air and water quality is very good in this community. Carbon monoxide levels are below the US average. They do usually have a few bad air days a year due to fires. There is some residual mercury left over from the mining days, but in low levels (El Dorado Co). During the winter snow, flooding and the cold pose health hazards. During the summer, fires are a hazard to public safety. However, there is excellent fire and police response here in this community. Many rivers and lakes in this community pose a risk for drowning; however, there are very few documented drowning’s here per year. There is quite a bit of poison oak & ivy here, and grass and hay fever irritants. Last, I will discuss the Disaster Assessment & Planning in this community.

Through my research, I found that this community does follow federal guidelines for disaster management (OES). There is a County Operational Area Emergency Operations Plan that was adopted in 2007 (City of Placerville). This plan has four parts that cover administrative, an emergency operations center plan, a recovery plan, & plans specific to a type of emergency (terrorism, multi-casualty incidents, hazard mitigation plan, etc.). This plan meets needs for rescue, medical care, food, shelter, clothing, temporary housing, and employment should an emergency arise. This community also uses the CDC’s Public Health Emergency Response Guide for emergency preparedness & response. I found all this information on line, but it took considerable research and was not easy. In my research, I found that most residents in this community are not aware of any disaster preparedness plan, nor do they know where to find one. There needs to some community wide teaching on disaster preparedness, and where to find information regarding this. The following is my community genogram and diagnosis.

Community Diagnosis
Within the parameters assessed above, El Dorado County California is a healthy community. The areas that need improvements are discovering a way to help people respond in healthy ways to painful life events other than drugs & alcohol, to create & implement a plan to help the homeless community, to educate the public regarding the causes and preventative measures for Cancer & Coronary Artery Disease, and to educate the public regarding emergency & disaster preparedness through community outreach programs.

Community Diagnosis
Within the parameters assessed above, El Dorado County California is a healthy community. The areas that need improvements are discovering a way to help people respond in healthy ways to painful life events other than drugs & alcohol, to create & implement a plan to help the homeless community, to educate the public regarding the causes and preventative measures for Cancer & Coronary Artery Disease, and to educate the public regarding emergency & disaster preparedness through community outreach programs.

El Dorado County, California

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El Dorado County, California

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Population Economic Status
Located in Northern California
Population 181,058
Mostly white
Next largest ethnic group Mexican
Median household income 70,000
7.9% households at or below poverty level
11.8% unemployment rate
600+ homeless
9,000 receive food stamps
3,000 families receive cash aid

Population Economic Status
Located in Northern California
Population 181,058
Mostly white
Next largest ethnic group Mexican
Median household income 70,000
7.9% households at or below poverty level
11.8% unemployment rate
600+ homeless
9,000 receive food stamps
3,000 families receive cash aid

Cultural Assessment

Slightly more females than males
Mostly white Christians
Subcultures small Mexican & Asian
Many know how to achieve good health-60% put forth effort
85% have health coverage
Most know how & where to obtain medical care
High prevalence of alcohol & drug abuse due to a variety of stressors Stigmas of homelessness
Vast variety of outdoor recreational activities

Cultural Assessment

Slightly more females than males
Mostly white Christians
Subcultures small Mexican & Asian
Many know how to achieve good health-60% put forth effort
85% have health coverage
Most know how & where to obtain medical care
High prevalence of alcohol & drug abuse due to a variety of stressors Stigmas of homelessness
Vast variety of outdoor recreational activities

Neighborhood/ Community Safety
Health dept very involved in providing health services, education & information Very good air quality
Very good water quality
Potential for wildlife disease
Vast amounts of rivers & lakes potential for drowning
Severe weather events potential
Potential for fires due to vast forestry
Excellent fire & police response
Domestic violence calls 10.5 per 1000

Neighborhood/ Community Safety
Health dept very involved in providing health services, education & information Very good air quality
Very good water quality
Potential for wildlife disease
Vast amounts of rivers & lakes potential for drowning
Severe weather events potential
Potential for fires due to vast forestry
Excellent fire & police response
Domestic violence calls 10.5 per 1000

Disaster Assessment/Planning
El Dorado County Operational Area Emergency Operations Plan
California Emergency Management Agency & Federal Emergency Management Agency preparedness plan Following federal guidelines
Rescue, medical care, food, shelter, clothing
Temporary housing, food stamps, employment
Public Health Emergency Response Guide by CDC for emergency preparedness and response Most residents unaware of any plan
Disaster plan not readily available or easily found

Disaster Assessment/Planning
El Dorado County Operational Area Emergency Operations Plan
California Emergency Management Agency & Federal Emergency Management
Agency preparedness plan Following federal guidelines
Rescue, medical care, food, shelter, clothing
Temporary housing, food stamps, employment
Public Health Emergency Response Guide by CDC for emergency preparedness and response Most residents unaware of any plan
Disaster plan not readily available or easily found

The community genogram shows a relatively healthy mostly white community. As a whole, the people here make a good living, with unemployment below the national average. A small percentage receives food stamps and public cash benefits, also below the national average. Most people have health coverage, and about 60% of the population is proactive with their health. The leading causes of death are cancer and then cardiac disease occurring in the high 80’s of age, due to the large retirement population. The public health department is very involved in providing health services here (CDHP). The air and water quality is good here, with pollution below the national average. There is some potential for bad weather and fires, however, our fire and police response are excellent here. There is a good disaster preparedness plan, however, it is difficult to find, and few know about it. There is a high incidence of alcohol and drug use here, with poor and inadequate coping skills to handle difficult life events. The homeless population is really looked down upon here. Within the parameters assessed above, El Dorado County is a healthy community. The areas that need improvement are discovering a way to help people respond in healthy ways to painful life events other than drugs & alcohol, to create & implement a plan to help the homeless community, to educate the public regarding the causes and preventative measures for Cancer & Coronary Artery Disease, and to educate the public regarding emergency & disaster preparedness through community outreach programs.

Bibliography

CDHP. Retrieved from http://www.cdph.ca.gov/programs/Pages/HealthyCommunityIndicators.aspx City of Placerville. Retrieved from http://www.cityofplacerville.org/ El Dorado
County Economic and Demographic Profile. Retrieved from http://www.eldoradocounty.org/ Office of Emergency Services (OES). Retrieved from http://www.edcgov.us/Government/Sheriff/Divisions/Support/Office_of_Emergency_Services_


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