Nursing related

Swamped with your writing assignments? We'll take the academic weight off your shoulders. We complete all our papers from scratch. You can get a plagiarism report upon request just to confirm.


Order a Similar Paper Order a Different Paper

I have attached the referenced power point slides needed to answer question # 1. 

 

Question #1: (200 word minimum)

 Select one of your classmates’ PowerPoint presentations from Unit 4 that are uploaded to Doc Sharing. From data gathered by your classmates through his or her Windshield Assessment, identify partnerships necessary to ensure quality health outcomes for that community. Explain why these partners are necessary. For more information on partnerships, see Stanhope and Lancaster (2012) pp. 989-990, or visit:

 

National Association of County and City Health Officials’ – Mobilizing for Action Through Planning and Partnerships (MAPP): Retrieved from http://www.naccho.org/topics/infrastructure/MAPP/index.cfm

Windshield Assessment:
City of Euharlee, GA

Jan Hartness

NU450 Unit 4

Welcome.

1

Introduction

Euharlee is a small little city in Georgia

Build in the 1880s

Euharlee was gets it’s name from the Cherokee name Eufaula

Eufaula means “She laughs as she runs”

Euharlee is a wonderful small little city in the country. It is less than 6 miles in area; however, has that mountain town feel. I have called Euharlee home for nearly 30 years and I would not want to live anywhere else. The average income in this area is approximately over 75,000 dollars annually according to Community Commons.org (2015). This area offers the little town charm with the ability to maintain financial stability with the surrounding businesses.

2

Disclaimer

I have no personal interests or financial gain from performing this assessment.

I have nothing to disclaim. I have no personal interests or financial gain from performing this assessment.

3

City of Euharlee Georgia

Retrieved from http
://
en.wikipedia.org/wiki/File:Euharlee_Covered_Bridge.jpg

The city of Euharlee has one of the oldest covered bridges in Georgia, currently known as Euharlee Covered Bridge. Initially, the bridge was named Lowry Bridge.

The city of Euharlee is named after the Euharlee Creek, which is from the Cherokee name Eufaula, meaning, “She laughs as she runs,” according to City of Euharlee (2014). My daughter got married on this very bridge, which is a common sight for weddings.

4

Birth Rate

Report Area Total Births Total Infant Deaths 2006-2010 Infant Mortality Rate (Per 1,000 Births by county)
Bartow County, GA 7,290 50 6.9
Georgia 716,420 5,445 7.6
United States 20,913,535 136,369 6.52
HP 2020 Target <= 6.0

Centers for Disease Control and Prevention, (2006-2010) National Vital Statistics System

Report Area Total Live Births Low Weight Births
(Under 2500g)
Low Weight Births, Percent of Total
City of Euharlee 337 28 81.99%
Bartow County, GA 10,367 850 8.2%
Georgia 1,004,780 95,454 9.5%
United States 29,300,495 2,402,641 8.2%
HP 2020 Target <=7.8%

US Department of Health & Human Services,(2006-2010) Health Indicators Warehouse. Centers for Disease Control and Prevention, National Vital Statistics System.

Infant mortality rate is higher than the national average of 6.52 according to the U.S. Department of Health and Human Services (2006-2010). We currently only have one area hospital in Bartow County that does not have a NICU. When a high risk mother goes to deliver her newborn she has to travel at least 1.5 to 2 hours away for treatment. The infant mortality rate is measured per 1,000 births by county according to Community Commons.org (2015).

5

Overall Mortality Rate

(Georgia Department of Public Health, 2013)

The overall mortality rate in Bartow County, Georgia is high for cancer, cardiovascular events, COPD and asthma. These events are elevated due to unhealthy choices leading to multiple comorbidities such as hypertension, hyperlipidemia, and diabetes. Here in Georgia we have a high population that smokes and enjoys recreational socializing. There is a high rate of alcohol and drug abuse that is stealing our young and old.

6

Mortality Bartow County, GA (GDPH, 2013)

Number of Deaths (2013) Cancers Cardiovascular Disease Respiratory Accidental Mental Health Nervous System Endocrine/Nutritional Gastrointestinal Infectious and Parasitic Diseases  Genitourinary/Reproductive Muscoskeletal Fetal/Infant Condition Birth Defects Blood Disorders Pregnancy Complication 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cancers Cardiovascular Disease Respiratory Accidental Mental Health Nervous System Endocrine/Nutritional Gastrointestinal Infectious and Parasitic Diseases  Genitourinary/Reproductive Muscoskeletal Fetal/Infant Condition Birth Defects Blood Disorders Pregnancy Complication Cancers Cardiovascular Disease Respiratory Accidental Mental Health Nervous System Endocrine/Nutritional Gastrointestinal Infectious and Parasitic Diseases  Genitourinary/Reproductive Muscoskeletal Fetal/Infant Condition Birth Defects Blood Disorders Pregnancy Complication 1637 1343 1339 1010 852 613 580 573 519 432 313 224 86 48 40

Life Expectancy

Life expectancy according to the Center for Disease Control and Prevention (2013) the average life expectancy is increasing in both males and females.

7

Incidence of Common Infectious Diseases

HIV/AIDS: 6 positive – 190.11(per100,000 Pop.)(CDC, 2012)

STDs: 12 positive – 282.81 (per 100,000 Pop.)(CDC, 2012)

TB: Bartow County < 5 positive cases in 2013 (Georgia Department of Public Health, 2013)

Georgia Department of Public Health(2005-2011)

According to the Georgia Department of Public Health (2005-2011) it appears that Pertussis is our largest preventable disease in Georgia. In 2006 we had 60 cases of mumps; however both Pertussis and Mumps has declined over the years. We have a high population of Latino ethnicity moving in to the surrounding communities for work near Atlanta and leaving near a large city there are many professionals that travel for business. I was pleasantly surprised to discover the HIV/AIDS is on the decline according to the Centers for Disease Control and Prevention (2012).

8

Immunization Rates

Report Area Total Population Age 65+ Estimated Population with Annual Pneumonia Vaccination Crude Percentage Age-Adjusted Percentage
City of Euharlee 225 162 72.3% 74.9%
Bartow County, GA 10,322 7,463 72.3% 74.9%
Georgia 1,006,109 654,977 65.1% 65.9%
United States 39,608,820 26,680,462 67.36% 67.51%

Immunization rates were obtained from the Community Commons.org (2015). According to the reflected reported our immunizations rates have improved considerably. There has been a huge community push to get as many people vaccinated as possible. At the hospital were I am employed we have gone to community health fairs, schools, and businesses to administer vaccines; it appears that the rewards of a healthier community are in sight.

9

Health Insurance

Report Area Total Population Age 18 – 64 Population with Medical Insurance Percent Population With Medical Insurance Population Without Medical Insurance Percent Population Without Medical Insurance
City of Euharlee 2,483 1,850 74.52% 633 25.49%
Bartow County, GA 62,212 46,358 74.5% 15,855 25.5%
Georgia 6,076,464 4,524,702 74.46% 1,551,761 25.54%
United States 191,640,968 151,849,368 79.24% 39,791,596 20.76%
Report Area Total Population
(For Whom Insurance Status is Determined)
Population with Any Health Insurance Population Receiving Medicaid Percent of Insured Population Receiving Medicaid
City of Euharlee 3,992 3,397 667 19.63%
Bartow County, GA 99,406 80,180 16,218 20.23%
Georgia 9,610,713 7,788,656 1,571,700 20.18%
United States 306,448,480 260,878,816 52,714,280 20.21%

Health insurance has been a hot topic discussion item over the last year due to the government movements to take an active role in assuring that all persons have health insurance coverage. According to the Community Commons.org (2015) we have a large population of Medicaid patients in Bartow County; however a lower amount in the City of Euharlee.

10

Boundaries

City of Euharlee

Land Area: 4.64 square miles

Elevation: 682 square feet

Water Area: 0.15 square miles or 2.83% is water

Etowah River

Euharlee Creek

The City of Euharlee is a small city that covers a land mass of 4.64 square miles. There are two water supplies that mover through the center of the city that are name the Etowah River and the Euharlee Creek. People float down the river nearly all summer. The elevation is 682 square feet. It is a beautiful green old town community.

11

Population & Land Area

Report Area Total Population Total Land Area
(Square Miles)
Population Density
(Per Square Mile)
City of Euharlee 3,999 4.64 861.04
Bartow County, GA 100,382 459.42 218.5
Georgia 9,810,417 57,498.67 170.62
United States 311,536,591 3,530,997.6 88.23

Female Population: 50.67% or 2,026

Male Population: 49.31% or 1,972

Data Source: US Census Bureau, American Community Survey. Source geography: Tract

 

According to the United States Census Bureau American Community Survey 2009 – 2013 a total of 3,999 people live in the 4.64 square mile area. The U.S. Census Bureau (2013) reports that the national average population density of 88.23 persons per square mile.

12

Housing and Zoning

Age of Houses: 17,446 were constructed between1980-1999 in Bartow County (no data for Euharlee)

Construction Materials: Visual survey is stone/brick

Housing: There are 1,324.77 housing units in Euharlee

Space Between – average less than 100 feet

General Appearance – clean

Condition – well kept

Central Heating – primary source

Air conditioning – central air

Modern Plumbing – yes

Average age of houses were constructed between 1980-1999 in Bartow County according to the U.S. Census Bureau (2008). Upon the visual survey this seems consistent with the Bartow County findings.

13

Open Space

Amount of open space is limited due to the population growth

Condition of open space is in a valley

Safe: it is a safe area with a low crime rate

Attractive: the area is beautiful with natural beauty

Is the space used: all available space is utilized in the City of Euharlee

The City of Euharlee has limited space due to the amount of the population for such a small city. Nonetheless, it has a nice park for children to play, a basketball court, tennis courts, and a scenic environment with the Euharlee River to play in. The area has a small town fill with a large population.

14

Commons

Neighborhood hangouts: Center of town which is where the park, tennis courts, creeks

Who hangs out there: People of all ages

Hours of day: Mainly observed on the weekend

The common areas are in the center of town with a park, tennis court, Euharlee River, and a basketball court. There is a green space to have a picnic or read a book. Many people go to this green space to study and hang out with friends.

15

Transportation

Personal autos – primary source

Bikes – leisure on weekends

Public Transportation: None

Report Area Total Population Employed Age 16+ Population Using Public Transit for Commute to Work Percent Population Using Public Transit for Commute to Work
City of Euharlee 1,652 1 0.04%
Bartow County, GA 41,725 146 0.35%
Georgia 4,210,796 89,098 2.12%
United States 139,786,640 7,000,722 5.01%

There is no public transportation in the City of Euharlee. Most people get around in cars, trucks, or SUVs. Bicycles are utilized for leisure time on the weekends.

16

Social Service Centers

Recreation Centers: 1 in Euharlee

Parks: 1in Euharlee

Library: 1 in Euharlee

Social Services: 1 office in Bartow County

Doctor Offices: 1 office in Euharlee

Dentists: 1 in Euharlee

Pharmacies: None in Euharlee

Report Area Total Population Number of Establishments Establishments, Rate per 100,000 Population
City of Euharlee 4,135 0 9.04
Bartow County, GA 100,157 8 7.99
Georgia 9,687,653 758 7.82
United States 312,471,327 29,511 9.44

US Census Bureau, County Business Patterns. Additional data analysis by CARES. Source geography: County

There no social service center in Euharlee; however there is one in Bartow County. There are plenty of physicians offices, pharmacies, and dentist in Bartow County; however there is only one physician office in Euharlee and one dentist.

17

Grocery & Fast Food Stores

Walmart

Grocery Stores

Shops

Fresh Produce: Weekly Farmers Market in the Square

Fishing and hunting are available

Food Deserts: None

Report Area Total Population Number of Fast Food Restaurants ( per 100,000 Population) Establishments, Rate per 100,000 Population
City of Euharlee 4,136 2 53.92
Bartow County, GA 100,157 54 53.92
Georgia 9,687,653 7,372 76.1
United States 312,471,327 224,877 71.97
Report Area Total Population Number of Grocery Stores Establishments, Rate per 100,000 Population
City of Euharlee 4,136 0 8.99
Bartow County, GA 100,157 9 8.99
Georgia 9,687,653 1,744 18
United States 312,471,327 66,047 21.14

Data Source: US Census Bureau, County Business Patterns. Additional data analysis by CARES. Source geography: County

The indicator reports the number of grocery stores per 100,000 population according to the U.S. Census Bureau (2012). A grocery story is defined as a place to by food such as canned goods, cereal, meat, and eggs.

18

Stores Continued

Report Area Total Population Population with Low Food Access Percent Population with Low Food Access
City of Euharlee 4,136 124 3.02%
Bartow County, GA 100,157 31,492 31.44%
Georgia 9,687,653 3,050,352 31.49%
United States 308,745,538 72,905,540 23.61%

Note: This indicator is compared with the state average. Data breakout by demographic groups are not available.

Data Source: US Department of Agriculture, Economic Research Service, USDA – Food Access Research Atlas. Source geography: Tract

Report Area Total Population Number of Liquor Stores Establishments, Rate per 100,000 Population
City of Euharlee 4,136 0 6.99
Bartow County, GA 100,157 7 6.99
Georgia 9,687,653 843 8.7
United States 312,471,327 32,327 10.35

Population with low food access is also known as a food desert. When a larger amount of people live in an area within limited to no access to grocery stores according to the USDA (2010). Nearly every assessment is determined by the “population proportions, which are determined for each census tract by dividing the sum of each census block’s population by the total census tract population” according to Community Commons (2013).

Although there are no liquor stores in Euharlee the community has plenty of access per the U.S. Census Bureau. This does standout as an indicator of potential health risk.

19

Street People & Animals

Euharlee appears to be a quiet little city

Upon observation there are small children playing in the park; teenagers playing tennis at the courts; men in there 20s playing basketball; parents jogging with strollers and dogs on leashes; seasoned adults sitting at the creek

A few older gentlemen getting their shoes shined at the old general store

The City of Euharlee appears to be a quiet little city; however it can be deceiving. Although, the community is small, less than 6 miles, the population is large and friendly. Walking down the street in the evening nearly everyone stops to say hello; it is a little piece of heaven.

20

Condition of the Area

The City of Euharlee is well kept and clean upon observation

There appears to be no abandoned houses in the small community

There is safety signage around the creeks and park

Directional signage has a rustic 1880’s appearance

The City of Euharlee is well kept and clean upon observation. There do not appear to be any abandoned houses in this small area with a large population. The signs are clear and modern while others are old an rustic to match the age of the city, which dates back into the 1880s.

21

Race & Ethnicity

Indices of ethnicity

Places of Worship: 1 Baptist Church

Restaurants – 1 country restaurant that serves southern comfort food

Food stores – No grocery stores

Language: English & Spanish

Report Area Total Population Non-Hispanic Population Percent Population Non-Hispanic Hispanic or Latino Population Percent Population Hispanic or Latino
City of Euharlee 3,999 3,887 97.2% 112 2.8%
Bartow County, GA 100,382 92,673 92.32% 7,709 7.68%
Georgia 9,810,417 8,934,568 91.07% 875,849 8.93%
United States 311,536,608 259,750,000 83.38% 51,786,592 16.62%

Data Source: US Census Bureau, American Community Survey. Source geography: Tract

According to the U.S. Census Bureau (2013) the national average of Hispanic, Latino, or Spanish residing within a population is 16.62%; however in the City of Euharlee there is only 2.8%. Ethnicity and race are two different survey questions in the American Community Survey (ACS) as set forth by the U.S. Office of Management and Budget (OMB) in 1997 according to the Community Commons (2015). Someone can say they are of Latino origin but be of a different race.

22

Population by Race & Age

Report Area White Black Asian Native American / Alaska Native Native Hawaiian / Pacific Islander Some Other Race Multiple Races
City of Euharlee 3,592 262 3 5 0 24 112
Bartow County, GA 83,685 10,248 736 666 23 3,513 1,511
Georgia 5,948,977 3,010,984 330,392 24,496 4,554 297,844 193,170
United States 230,592,576 39,167,008 15,231,962 2,540,309 526,347 14,746,054 8,732,333
Report Area Age 0-4 Age 5-17 Age 18-24 Age 25-34 Age 35-44 Age 45-54 Age 55-64 Age 65+
City of Euharlee 219 884 340 472 607 651 463 364
Bartow County, GA 6,807 19,510 8,745 12,921 14,769 14,842 11,480 11,308
Georgia 677,378 1,810,908 999,011 1,343,782 1,392,731 1,391,967 1,104,623 1,090,017
United States 20,052,112 53,825,364 31,071,264 41,711,276 40,874,160 44,506,268 37,645,104 41,851,040

The population in Euharlee is mainly Caucasians, then African Americans. We do have those that are a mixture of races, such as my precious grandson; however, I have not witnessed any prejudice within the community. The majority of the population in Euharlee are children ages 5 to 17 years old, which makes a joy if you love the sound of laughter.

23

Religion

Types of Religion & practices

Baptist

Catholic

The two main types of religions that I have observed in Euharlee are the Southern Baptist and Catholic. While there are many different religious beliefs and places to worship in Bartow County, there is only one Baptist Church in Euharlee.

24

Health Indicators

Clinics: None in Euharlee

Hospitals: 1 hospital in Bartow County

Mental Illness:

Substance Abuse: ETOH 13.8% – Smokers 21.2%

Health Center: None in Euharlee – 1 in Bartow County

Report Area Total Population, 2012 Primary Care Physicians, 2012 Primary Care Physicians, Rate per 100,000 Pop.
City of Euharlee 4,156 1 43.71
Bartow County, GA 100,661 44 43.71
Georgia 9,919,945 6,312 63.63
United States 313,914,040 233,862 74.5

US Department of Health & Human Services, Health Resources and Services Administration, Area Health Resource File. Source geography: County

Report Area Total Population, 2013 Dentists, 2013 Dentists, Rate per 100,000 Pop.
City of Euharlee 4,182 1 28.64
Bartow County, GA 101,273 29 28.64
Georgia 9,992,167 4,760 47.64
United States 316,128,839 199,743 63.18

There are no clinics in Euharlee. Depression is at a steady increase throughout the United States and is no different in Euharlee. Substance abuse is on the rise with ETOH at 13.8% and smokers at 21.2% according to the U.S. Department of Health and Human Services (2013). When calculating the rate the it is per 100,000 population. There is only one dentist in Euharlee.

25

Life Expectancy

According to the Center for Disease Control and Prevention (2013), the life expectancy of men and women is increasing steadily since the 1900s. This is due to the increase in a healthy environment and access to medical treatment.

26

Politics

Posters or political headquarters – None noticeable in the community

There is no observable politics in the City of Euharlee.

27

Media

What people read: Observation of people reading the newspaper while the younger generation has technology devices

Listen to on the radio: Observation of teenagers and young adults listening to music on their smartphones

Do they watch television: Observation yes they do and also on their smartphones and ipads

The media in Euharlee is expected to that of other places in the United States. Technology is the newest and greatest invention of the last decade. With the invention of the smart phones the entire world is at our fingertips. Teens and young adults are on technology to read, listen to music, watch television, and do homework; I do not foresee this changing in the future.

28

Business & Industry

Emergency Professionals

City Police force

Bartow County Fire Department Station 3

Small business owners

Museum -1

Public Library -1

Country stores – 3

Retail: None

Hospitality industry

Welcome Center

Military installation: None

People do not have to seek employment elsewhere

The business industry is small within the city of Euharlee; however on the borders there are industries and businesses to be gainfully employed. It is not difficult to have a career here; although, there are no retail stores, they are less than 20 miles down the road. We do have an EMS station that is centered in the heart of Euharlee along with a small police station.

29

Business & Industry

Climate – humid in summer averages 90 degrees – mild winters average low 30 degrees

Rainfall averages 4 ½ inches per year

Moderate industry

Large employers

Hospital in Bartow county employees over 800 people

Power plant (Georgia Power, 2015)

Began operations in 1975

Capacity: 3,376 megawatts of electricity

Energy to 1.9 million homes

Employees: Approximately 400

> 16 million dollars in tax revenue in 2013

According to the Georgia Power Website (2015), Plant Bowen is the 9th largest plant in the nation; observes and maintains strict environmental controls; monitors emissions of sulfa dioxide, nitrogen oxides and mercury. Plant Bowen is on the City of Euharlee boarder; therefore providing financial stability for families within the area. Plant Bowen also donates large amounts to the March of Dimes, local school systems, and The American Cancer Society’s Relay for Life. These charitably contributions are evident within the community by signs, banners, and T-shirts.

Plant Bowen holds annual employee health fairs, community 1 mile to 5 mile runs. At these events there are mothers & fathers with children of all ages. The entire community comes out to insure the safety of all with police escorts, physicians, nurses, EMS, and volunteers. Local business representatives are also present.

30

Environmental: Air Quality

Report Area Total Population Average Daily Ambient Particulate Matter 2.5 Number of Days Exceeding Emissions Standards Percentage of Days Exceeding Standards, Crude Average Percentage of Days Exceeding Standards, Pop. Adjusted Average
City of Euharlee 4,136 3.62 2.84 0.78 1.09%
Bartow County, GA 100,157 15.35 11.87 3.25 3.30%
Georgia 9,687,653 13.56 8.07 2.21 2.31%
United States 312,471,327 10.65 4.17 1.14 1.19%

Centers for Disease Control and Prevention, National Environmental Public Health Tracking Network.

Report Area Total Population Average Daily Ambient Ozone Concentration Number of Days Exceeding Emissions Standards Percentage of Days Exceeding Standards, Crude Average Percentage of Days Exceeding Standards, Pop. Adjusted Average
City of Euharlee 4,136 10.13 0 0% 0%
Bartow County, GA 100,157 42.69 0 0% 0%
Georgia 9,687,653 41.97 0.70 0.19% 0.20%
United States 312,471,327 38.98 1.59 0.44% 0.47%

“The National Ambient Air Quality Standard (35 micrograms per cubic meter) per year is the national standard by which air particulate matter is measured. Monitoring stations tract the percentage of days with particulate matter 2.5 levels above the National Ambient Air Quality Standard,” (CDC, 2008). This is important for all communities to monitor their air quality. Poor air can lead to numerous health risks to communities. I am pleasantly surprised that the percentage in my community is better than the national standard, given that I can view Plant Bowen from my front porch.

31

References

Center for Disease Control and Prevention (2012). Retrieved from http://
assessment.communitycommons.org/CHNA/report.aspx?page=5

City of Euharlee (2014). Welcome. Retrieved from http://www.euharlee.com
/

Community Commons (2015). Retrieved from http://
assessment.communitycommons.org/CHNA/report.aspx?page=6&id=615

Georgia Department of Public Health (2012-2013). 2013 Georgia tuberculosis report. Retrieved from http://
dph.georgia.gov/sites/dph.georgia.gov/files/2013%20GA%20TB%20Report%20FINAL.pdf

Georgia Department of Public Health (2005-2011). Vaccine preventable diseases. Retrieved from http://
dph.georgia.gov/vaccine-preventable-diseases

Georgia Power A Southern Company (2015). Plant Bowen. Retrieved from http://www.georgiapower.com/docs/about-us/1400756-.
PDF

U.S. Census Bureau (2012). County Business Patterns. Retrieved from http://
assessment.communitycommons.org/CHNA/report.aspx?page=1

Wikipedia. Euharlee Covered Bridge. Retrieved from http://en.wikipedia.org/wiki/File:Euharlee_Covered_Bridge.jpg

Writerbay.net

We offer CUSTOM-WRITTEN, CONFIDENTIAL, ORIGINAL, and PRIVATE writing services. Kindly click on the ORDER NOW button to receive an A++ paper from our masters- and PhD writers.

Get a 10% discount on your order using the following coupon code SAVE10


Order a Similar Paper Order a Different Paper