Nursing Discussion Essay Sample Paper.
Part A-1: Use the table in Chapter 12, Table 12-3 to guide your observations. Include the 15 categories from the table. (See below document for categories and descriptions from your textbook.) This is a two part assignment. Describe your initial conclusions about the community by developing a chart listing the categories (elements) and your research (descriptions). This should be completed in column format.
Part A-2 (after table): Identify four organizations in your assigned zip code that deliver primary health care. THESE MUST BE 4 DIFFERENT ORGANIZATIONS AND NOT ONE AGENCY OFFERING 4DIFFERENT SERVICES. Based on the objective material that you can obtain, determine:
- whom each organization serves (e.g. ages)
- what services each provides (e.g. physicals, urgent care, immunizations, etc.)
- where each organization gets its funding (e.g. private insurance, governmental assistance, Medicaid, grants, donations, etc.)
- This can be written in a section after the table in paragraph format for each organization, or in table format addressing the above points.
Part B: Complete a community assessment (see Chapter 12, Checklist for a Community Assessment as your guide) by writing a paper in APA format with references. This paper should include a summary of your findings, community strengths and weaknesses, and identified problem/issue/topic. Following APA format, use the subheadings listed below and include an Introduction as well as a Conclusion.
* Summary of Findings: Summarize items listed in Checklist for a Community Assessment.
Include the following as subheadings under Summary of Findings section: There should be a paragraph pertaining to your zip code for each section. See below subheadings and examples.
- Population (number, age ranges/median age, gender distribution, etc.)
- Socioeconomic status (average/median income, employment/unemployment rate, housing values/costs, poverty levels, etc.)
- Ethnicity (distribution of ethnic groups)
- Educational resources (education completed by population, number/types of schools, grading of schools, etc.)
- Access to primary care (summary of number of physician offices, other healthcare facilities, hospitals, etc.)
- Police and fire stations (number in zip or where nearest are located, etc.)
- May address other areas of importance (crime types and rates, types of common rescue or police calls, historic information, something outstanding, etc.)
*Community Strengths: Summarize positive areas in the community.
*Community Needs: Summarize areas of weaknesses
* Problem, Issue, or Topic: Identify a problem/issue/topic that, as a nurse, you can address in this community related to health or safety. This will be discussed later with your group members (same assigned zip code) for planning your health project/education. Topic chosen by your group will be the focus for the community project by your group to educate this community about health or safety.
This should be written using APA format with at least 5 current references.
Requirements: At Least 8 Pages
Windshield Survey of the City of Belleview, Florida
Windshield Survey of the City of Belleview, Florida
The purpose of this survey is to assist in building a picture of the persons who reside or may wish to reside in the neighborhood of Belleview. This is a realistic way to evaluate the community and its inhabitants and understand them better. The Windshield survey offers visual insight into the community, living circumstances, and the usage of open spaces, enterprises, schools, transit modes, human services, and other elements of the everyday fundamental existence of the community.
|Boundaries||The City of Belleview is located in Marion County, Florida. There were 4,492 individuals at the time of the 2010 census. According to the 2018 U.S. Census projections, the city has a population of 5,022. It is included in the Ocala Metropolitan Statistical Area.|
|Housing and zoning||You’ll find that significant roads link numerous subdivisions as you reach the region. The majority of the houses and the bulk of the homes were developed in the early 1990s. Landscapes are well maintained in most subdivisions, and new projects should begin soon. When you drive around, you will observe those business buildings, generally inhabited, are near together and carry several parking spaces for disabled people.|
|Open space||A considerable number of new properties still have to be developed in Belleview. Belleview has various business spaces, including office, retail, service, industry, and revenue assets.|
|Commons||There are several Latin restaurants in the neighborhood that meet a range of ethnic groups. One of Central Florida’s largest hotels, the Gaylord Palms Resort & Convention Center boasts 400,000 square feet of event space. In contrast, the hotel at Celebration offers several options to the nearby Meliá Orlando Suite Hotel. Following the conference, participants can visit adjacent Disney and Orlando theme parks or play golf on the Club Bay & Belleview Golf Course.|
|Transportation||The traffic is quite packed during the rush hour, and speeding has caused many car insurance residents to shock up. It has been established long before the expansion of the area that its existing infrastructure (roads) and the region’s growing population have been disregarded. Every day, they have too much traffic on the roadways to handle. Next to Valencia College is a new complex of townhouses and new residences. The lenient service does not make public transit accessible but is widely utilized.|
|Social service centers||A baseball ground, basketball courts, a soccer field, and a small children’s playground are about 2.6 miles distant from the nearest park. Public areas of the park are properly maintained, and families in neighboring communities most of the park use this park. The most immediate public service in the neighborhood is a fire station on the main road and public daycare services.|
|Stores||There are three shopping malls nearby; the store signage is in Spanish and English and fulfills people’s expectations; and there are Publix, Ross, CVS, and Walgreens within three blocks, all with fast food and Latin restaurants.|
|Streets, people, and animals||The main route connecting several towns was landscaped with clean walkways and vegetation. The path is hardly utilized, but in the mornings, a guy, in particular, walks his dog and goes over to cars, and the road is lit up at night.|
|Condition of the area||This recreation of a historical Florida town is well preserved and transfers travelers into a simpler age with less congestion, shorter lines, and much easier to enjoy. It is a familiar attraction, with absolute pleasure, a realistic pace, and unforgettable encounters in Orlando.|
|Race and ethnicity||Belleview’s top five ethnic groupings are white (88.1%), black (5.95%) or African (2.23%), white (Hispanic) (1.5%), black (2.0%), black (non-Hispanic) (1.5%) and black (African (Non-Hispanic) (30%)).). (1.5 percent). (0.3%). (0.30%). 0% of Belleview’s F.L. households are U.S. citizens in the home, and 100% of Belleview speak English as their main language. Belleview’s biggest college is Taylor College (66 degrees awarded in 2019). The average valuation for Belleview, FL in 2019 was $88,900, with a 60.3% share of ownership.|
|Religion||There are four churches in a radius of three miles: two Protestant churches, one Catholic, and one Muslim mosque. Belleview, Florida Religion Belleview’s religious population, is 35.4%: – 6.6% for baptizers, 0.4% for the episcopal, 9,8% for the Catholics, and 1.1% for the Lutherans, 3.6% for the Methodists, 2.4% for the Pentecostals, and 1.2% for the Presbyterians, and 0.7% for the churches. – Lutherans represent 1.1%, Presbyterians 1.2%, the Church of Jesus Christ 0.7%. 0.1% of persons practicing Jewishness, and 0.1% are practicing the East.|
|Health Indicators||The nearest hospitals are two small hospitals, both around six miles apart. A medium-sized hospital around 20 minutes away and a small hospital about 255 minutes from the farthest facility.|
|Politics||A ‘Council Manager’ system rules Belleview City. This popular system of government brings together the leadership of elected politicians and the administrative competence of a town manager, who serves as CEO of the city. In 12 departments, Belleview has a staff of 700.|
|Media||Due to Belleview T.V. and Radio’s vast range of genres, including Christian, Latin, Spanish, Talk, and Tropical, it has become Belleview’s most popular radio and television station.|
|Business and Industry||Disney is one of Belleview’s most prominent businesses and also one of central Florida’s largest employers. Three retail malls are nearby; the shop’s signage in both English and Spanish serves the needs of the area; Publix, Ross, CVS, and Walgreens are all within three blocks, as are all fast and Latin meals.|
Four Organizations in Belleview City That Deliver Primary Health Care
Ocala Regional Medical Center
Ocala Regional Medical Center is a Level II Trauma Center and a Complete Stroke Center. Orthopedics and joint replacements, robot operations, cardiac and vascular services, Intervention Operations, Neurological, Emergency, and Rehabilitation Services are just a few of the high-quality, award-winning hospital services. Ocala Health is Marion County’s sole cancer-certified cancer hospital commission (Bae, Curtis & Hernandez, 2020). Ocala’s outpatient facilities include Family Care Specialists, a primary health care network with six Marion County locations, Advanced Imaging Centers, an autonomous Center for Wound and Hyperbarics, and Senior Wellness Community Center, as well as three operating and doctor’s departments. The organization is mainly funded by the government, donors, and the community through payment for services through insurance and card payments.
The AdventHealth Ocala is a community hospital in Ocala, Florida, formerly known as Florida Hospital Ocala and the Munroe Regional Medical Centre. For the treatment and emergency aid, Advent Health Ocala is the basis for all children in the eastern part of Belleview, located on the east side (Bae, Curtis & Hernandez, 2020). Ocala AdventHealth is located in Ocala, Florida, at 1500 SW 1st Ave. Medical services, heart, and vascular facilities, stroke centers, home health, and pediatrics are available. The United States federal government supplies the hospital district with the majority of financing.
West Marion Community Hospital
In 2002, West Marion Community Hospital opened its doors to fulfill the rising healthcare requirements of West Marion County. All private rooms and the Marion County Joint Care Centre, the full-service Department of Emergencies and Quick Care, are available in our 172-bed facilities (Bae, Curtis & Hernandez, 2020). The hospital offers hospital and ambulatory treatment to Belleview residents and the surrounding region. Traditional surgery, radiographic therapies, and a variety of ambulatory procedures are also available. While insurance is a crucial contribution to the operational expenditures of the hospital, the West Marion Community Hospital relies significantly on government expansion financing, significant projects, and vaccines. The hospital accepts several modes of payments from customers that allow the facility to meet its operational costs.
Leon Medical Center
In 1996, Leon hospital was started in Miami, Florida, which later opened its subsidiary Leon medical center in Belleview. Leon medical center serves all Medicare patients in Belleview and all around Florida. Patients can receive physical exams, laboratory tests, surgery, obstetric care, female services, hearing screening, cardiovascular risk evaluation, x-rays, ECG, and DEXA-scan (Bae, Curtis & Hernandez, 2020). Minor operation procedures are provided at the clinic, such as moles, toenails and lipomas, suture insertion, lacerations, and vasectomy removal. The hospital is primarily financed throughout the treatments by Medicare and individual patient payments.
Summary of findings
Despite being a small city, Belleview’s population is fast increasing, increasing the city’s potential to attract investors. Its strategic location also positions the city as one of the largest cities within three counties. The town also seems to face a fair share of challenges that any resident or potential resident should be made aware of. The average household income of Belleview is relatively low as compared to other cities in the State. The healthcare situation of Belleview remains questionable due to the long distances that patients have to travel to get medical attention.The following is a summary that presents the status of residents of Belleview city.
Belleview is a tiny semi-rural city in Marion County, Florida. In terms of land size, Marion County is one of the biggest districts in Florida. Belleview is a small city with 4,681 inhabitants (City-Data.com, 2017). In 2020 the gender of Belleview comprised 52.85% female, with the male comprising 47.15% of the population. The age of below four years was represented by 6.52% of the population, and 15.72% represented between 5 and 17 years. The age of 18 to 64 years was 58.13, and above 64 years represented 19.63% of the overall population.
This area is one of Florida’s financially most disadvantaged areas, with typical household revenues of $28,322, $21,104 less than the State’s average revenue (City-Data.com, 2017). Out of the entire population, 20% of this area lives in or close to poverty. Unemployment stands at 6.2%, while 1,821 households with an average occupancy of 2.51 and 48.49 of these are rentals.
The city is already 41% ethnically diverse in terms of population, but that’s only the tip of the iceberg. In Belleview schools, over 80 languages are spoken, 48% of which are Caucasian (City-Data.com. 2017). Furthermore, every three inhabitants of Belleview are foreign-born, and the number of seniors rose from 13% in 2000 to 14% in 2010.
In 2015 almost two-thirds of Belleview’s adults at 25 and older had a bachelor’s degree or above, while 20% had a bachelor’s degree or college, 10% had a high-school degree, and fewer than 5% had a high school diploma (City-Data.com. 2017). Belleview, FL, has three schools: two primaries, one secondary, and zero alternative schools.
Access to primary care
There are over 40 doctor offices in Belleview that specialize in various medical fields. There are 19 hospitals and seven medical centers evenly distributed across the city of Belleview. Marion County is in the lower half to third place in Florida’s health rating (City-Data.com. 2017). Here, those with lesser income are more likely to be in bad health and are more vulnerable.
Police and fire stations
There are nine stations in the Belleview Fire Department and at least 48 at any time fire department. With a total of 185 commissioned officers and a total workforce of 232, the Belleview Police Department provides professional policing to the whole population of Belleview, Florida’s 5th biggest city, businesses, and visitors.
The crime rate in Belleview is 28.28 per 1,000 people per year. The western portion of Belleview is usually regarded as the safest (City-Data.com. 2017). In Belleview, the odds of becoming a victim of crime are one in every 26 in the East and one in every 51 in the West.
Due to its extensive land and people resources, Belleview has one of the most significant commercial possibilities in the area. Compared to other regions of Florida, living costs are pretty inexpensive to the low-earning residents. Belleview recently passed a school tax that allows the city to build a new primary school and secondary school for state funding. With a clothes closet and a food bank, the community is always willing to aid the needy (City-Data.com. 2017). Based in Belleview, the United Selective Fund supports community groups. They have a cutting-edge community theater that offers performances and music courses to children, adolescents, and young people from a neighboring college. They include activities in the recreational area for people of all ages, from newborns to the elderly. Their library is in the Clevnet system and offers residents of all ages a broad choice of activities. In their areas, Kiwanis, Rotary, Lions are all engaged. Their religious group is involved in the community and helps the disadvantaged.
The City Council is working relentlessly to revive the town. The City Development Organisation Rte.20, 269, 4, 113, and 18 are the five essential roads across Belleview. Norfolk and Southern RR have a central hub (City-Data.com. 2017). The cities of Erié, Sandusky, Huron and Seneca are the only ones with such a hub in the State. All popular sites include the Historic Village of Lyme, the Museum of the Railway, the Mother’s Distant Hill, and the Tremont House. Belleview is an excellent location for visiting and residing. Ethnic diversity is an attraction to visitors in that the town is open to anybody who wants to stay or see.
As a result of the poor socioeconomic position, many people with lesser purchasing power are at increased risk of getting health issues. Many are impoverished or on the brink of being deficient in this area. This location is more excellent than the rest of the State in terms of public support (Price, Khubchandani & Webb, 2018). The quality of its education is another measure of the economic health of a country. Schools in this district receive C or D from A to F. This is less than the other local schools (Florida Department of Education, 2017). Most of the houses are down and in a bad state in this neighborhood. There is not an exceptionally high crime rate in the region. No significant jobs or industries exist in this community. You must travel one way for work an average of 20 minutes (County Health Rankings & Roadmaps, 2017). Public transit is not available to residents in this region. The many shops on the main road give the impression that this is a failing region.
Some Residents of Belleview don’t have hospital access, and some of them are 20 minutes from the nearest medical facility. In the field of urgent care, there are several walk-in clinics. Heart disease is the primary cause of mortality in this place. A third of the population is affected by obesity, with a population of 21% obese.
Several health concerns affect the disadvantaged population chosen. First of all, their lower socioeconomic level has a significant impact on access and quality of health treatment. Due to their lesser salaries, they spend much of their money on food and shelter. As a result, relatively few funds for preventive health care are available. Those with lower earnings often have poorer health (Price, Khubchandani & Webb, 2018).
Transport is a barrier to receiving health treatment for many people in this group. There is no public transit, which makes it difficult to access health services for people without their mobility. Transport is a crucial problem for people with less income (County Health Rankings & Roadmaps, 2017). The local government health agency provides minimal services that are not enough to meet the population’s needs. Patients must pay Co-payment insurance in advance in walk-in clinics and emergencies, and un-insured patients must pay in advance before providing services is provided.
Various risk factors must be considered while working with the vulnerable population. A low income impairs the capacity of one individual to buy healthy meals. Low-cost foods are usually lower in nutrient levels and higher in carbohydrates and fats. The leading cause of death in this region is cardiovascular disease (County Health Rankings & Roadmaps, 2017). Smoking is another risk factor for this population, with 21% smokers (County Health Rankings & Roadmaps, 2017).
Problems that a nurse can address
An increased risk of non-diagnosed heart disease in people in or near poverty levels is demonstrated by a higher incidence of cardiac disease deaths than the national average and a higher percentage of smokers due to lack of knowledge of the disease, poor community resources, and lack of preventive services.
People living in this area with less socioeconomic conditions are more likely to get heart disease for several reasons; health care facilities are lacking, preventive therapies are limited, and lack of funding, and many treatments are unavailable (HealthyPeople, 2016). The detrimental consequences of their lifestyle choices on their health will probably be ignorant and uninformed. This group has a substantial rate of obesity, a high incidence of smoking, and, according to statistics, a high number of heart disease deaths. One of the goals of Healthy People is to reduce heart disease and stroke. Cigarette smoking, poor nutrition, physical inactivity, and overweight and obesity are all risk factors which citizens may avoid, according to Healthy People. The early treatment of these disorders is crucial to prevent persistent difficulties and other consequences, according to Healthy People. Primary and secondary preventive methods include smoking cessation guidance and treatment and physical activity information, dietary information, and obesity information (Eva, Cristina, & Stephen, 2014).
In this region, there are few communities. The local department of public health is small and mainly offers WIC and health information. Clinical services may be accessed at Marion County’s other locations in around 25 minutes by car. In an emergency, patients must be transferred by ambulance, about a 20-minute trip, to one of the closest hospitals. There is restricted access to services for low-income persons (City-Data.com. 2017). For example, Shepherd’s Lighthouse offers women and children shelter and assistance. School lunches provide free and reduced meals, and lunches are packed for children who are poor and sent home for the weekend. The food shops are given for the nutritional needs of that community by St. Theresa’s Catholic Church and the Ramah Baptist Church. The soup kitchen of St. Theresa is open daily. The food cupboards are open to everybody, irrespective of faith.
The government can tackle a variety of problems in this area. The most vulnerable are the poor or on the verge of poverty. Their access to community services and health prevention efforts is restricted. They are also concerned about a lack of possibilities for health education (HealthyPeople, 2016). Focusing on cardiac illness and avoiding changing risk factors will significantly influence this group’s health. Finally, it might be highly beneficial to give community health services to equip this population with resources to address risks and offer instruments for helping lifestyle adjustments. There are several chances for a community health care provider to make a difference and enhance people’s lives in this area.
Bae, J. A., Curtis, L. H., & Hernandez, A. F. (2020). National hospital quality rankings: Improving the value of information in hospital rating systems. Jama, 324(9), 839-840.
City-Data.com. (2017). Retrieved from http://www.city-data.com/city/Belleview-Florida.html
County Health Rankings & Roadmaps. (2017). Retrieved from http://www.countyhealthrankings.org/app/florida/2017/rankings/marion/county/outcomes /overall/snapshot
Florida Department of Education (2017). Retrieved from http://www.fldoe.org/accountability/accountability-reporting/school-grades/index.stml
HealthyPeople (2016). Retrieved from https://www.healthypeople.gov/2020/topics-objectives
Price, J. H., Khubchandani, J., & Webb, F. J. (2018). Poverty and health disparities: what can public health professionals do?. Health promotion practice, 19(2), 170-174.