COMMUNITY HEALTH DIAGNOSES
The primary focus of a community health nurse is to improve the health of the community. To do this involves using demographic and epidemiological findings to assess the community’s health and diagnose its needs. This assessment is aligned with the module objective “Assignment help – Discuss the elements of practice in community/public health nursing.”
This assignment is not a paper, so there is no cover page. All of the work is completed by completing the attached template. As part of the assignment, you will complete the following tasks: typing data, an analysis of the findings with four (4) references, and community health nursing diagnoses directly on the template.
Compile a range of relevant demographic and epidemiological data found on the community assessment rubric for this assignment. Use the websites listed below, as well as other websites (you can also do a Google search to find the health data you are looking for), gather information about your county and compare it with your state and national numbers.
Example Websites:
Healthy People 2030
U.S. Census Bureau
Quick Facts – U.S. Census Bureau
Morbidity and Mortality Weekly Report
U.S. Department of Health and Human Services
Bureau of Labor Statistics
National Center for Health Statistics
United Way Directory
Visit your local health department’s website for their annual report (some sites provide data by zip code whereas others may not)
World Health Organization Data and Statistics Center
City Data
The data you obtain may vary from source to source. **Be sure to include your source/reference!.
If you are unable to locate data, check with your peers to see where their information was located or you may record “no data available” in the provided assessment template.
Record the most recent data available; the data you record should be dated within the last 5 years;
Complete the assignment using the attached template on STEP 2.
Once you have obtained the required data, in the Analysis Section of the template, write a summary of findings in the space provided. Click on the analysis space and begin typing your summary. Identify actual and at risk health problems from the data that are relevant to your community.
How your community is doing in comparison with other communities
Community Statistics
Name: Date:
Student ID: Email:
Selected County, State: Franklin County, Ohio State
Number of population 1,316,756
Public Services and Access to Care:
Provider County State Nation Source/Reference of Data
Hospitals 7 189 6146
Physicians (both primary care and specialty) 19,973:1 14,969:1 NDA Healthy People 2030
Overdoses – heroin 11.7 17.4 21.6 Healthy People 2030
Public transportation NDA 80% 31.7% Quick Facts – U.S. Census Bureau
Demographic and Ethnic Data:
Demographic Variable County State Nation Source/Reference of Data
< 5 y.o. 7.0% 5.9% 6.0% U.S. Census Bureau
18 and younger 23.2% 22.1% 22.3% U.S. Census Bureau
65 and older 12.4% 17.5% 16.5% U.S. Census Bureau
Male 48.8% 49.0% 49.2% U.S. Census Bureau
Female 51.2% 51.0% 50.8% U.S. Census Bureau
White 66.8% 81.7% 76.3% U.S. Census Bureau
Black 23.8% 13.1% 13.4% U.S. Census Bureau
American Indian 0.3% 0.3% 1.3% U.S. Census Bureau
Asian 5.7% 2.5% 5.9% U.S. Census Bureau
Hispanic 5.8% 4.0% 18.5% U.S. Census Bureau
Single 56% 51% 50% Towncharts.com
Married 44% 49% 50% Towncharts.com
Health Statistics:
Rate County State Nation Data Source
Infant Mortality (Infants < 1 Y.O. Reported as per 1000 Live Births)
White 6.2 6.2 5.1 Healthy People 2030
Black 14.0 14.0 11.5 Healthy People 2030
Hispanic NDA 7.5 5.3 Healthy People 2030
Death Rates: (per 100000)
Motor Vehicle Accidents 9.6 9.63 11.65 LiveStories
Lung Cancer 45 42.9 34.8 CDC
Breast Cancer 23 19.9 19.8 CDC
Cardiovascular Disease 174.7 187.6 198.8 Healthy People 2030
AIDS NDA 15.7 12.6 Healthy People 2030
Diabetes 24.7 25.1 24.6 Healthy People 2030
Risk Indicators:
Prenatal Care (% of Mothers delivering live infants who did NOT receive prenatal care in the 1st trimester) NDA NDA NDA
Obesity 20.0% 22.0% 42.4% Healthy People 2030
Insufficient Physical Activity 22.5% 28.5% 25.3% Healthy People 2030
Economic Statistical Data:
Variable County State Nation Data Source
Income
Mean $61,305 $56,602 $62,843 U.S. Census Bureau
Poverty rate 13.5% 14% 15.1% U.S. Census Bureau
Unemployment Rate 4.9% 4.2% 6.1% U.S. Census Bureau
Educational Levels:
Variable City or County State Nation Data Source
< High school 7.5% 8.8% 10.5% Towncharts.com
High school 40% 33% 27% Towncharts.com
College degree 26.5% 29% 28.9% Towncharts.com
Analysis:
Key Risks and Concerns
The key risks and concerns based on the data gathered is that Franklin County community faces high deaths associated with cardiovascular disease and lung cancer. The data indicates that the death rate of cardiovascular disease in Franklin County per 100000 people is 174.7 being the highest cause of death followed by lung cancer at a rate of 45. The existence of the two concerns may be facilitated by other factors in the county. Some of the risk factors for cardiovascular disease and diabetes include poverty rate at 13.5% considered high in a county with unemployment rate of 4.9 percent. According to Healthy People 2030, 16 percent of Franklin County residents overall health is considered “fair” or “poor”, which is slightly lower than Ohio State and the National overall. Lung cancer is the common cause of death among Franklin County males while the most death for females is dementia. The County objective of reducing the lung cancer death, routine screening has been initiated with almost 65 percent of adults aged 50 to 75 undergoing screening in the past three years. The hospitals in the county has also enhanced emergency departments to handle cardiovascular disease
Priority Community Health Nursing Diagnoses #1
The risk of cardiovascular disease among residents of Franklin County community related to high poverty level, high number of education levels, insufficient physical activities, lower access to health facilities, lack of knowledge regarding treatment options, and high consumption of abusive drugs, such as heroine.
Priority Community Health Nursing Diagnoses #2
The risk of lung cancer among residents of Franklin County community related to high poverty level, poor living standards, insufficient physical activities, inability to access frequent screening, lack of knowledge regarding treatment options, high consumption of abusive substances, and high rate of obesity.
