Social Determinants of Health: Englewood community - Research Paper Example

? Social Determinants of Health al affiliation Social Determinants of Health The community is Englewood area of Chicago, Illinois, alongside a nurse who has lived and worked in the Englewood community at a health center known as the “Englewood Community Health Center.” Community Health is biggest health facility in Illinois. Englewood is a densely urban neighborhood grounded on population density situated in the city of Chicago. The people of Englewood community are ethnic diverse but vary in their physical location. Nevertheless, the community shares a common goal of societal development that can be accomplished through community development, employment, health indemnity and interaction (Dell, Whitman, Shah & Silva, 2008, p. 1036). Proven by an analysis, the per capita income was revealed to be lower than that discovered in 97.2% of the neighborhoods in the United States. Additionally, 77.4% of the kids in this region live in poverty, an extraordinarily high percentage in comparison with other neighborhoods in the United States (Lundy & Janes, 2009, p. 31). In a country where an estimated one in four kids grows up in poverty, this neighborhood is prominent for the complexity of the health issue manifested in the Englewood Community Health Center. Englewood community has features that stand out in its neighborhood structure. The northern region is mainly occupied by whites who are mainly long-term settlers dating back to the nineteenth century. The southern region of the community is mainly occupied by minority communities who migrated to the region during the early forties in search of employment and a new source of livelihood. The cultures of the people living on both ends of the community vary. The Englewood community has a superior proportion of government workers thriving in it than 95.7% of the neighborhoods in America (Mitchell, 2011, p. 110). In accordance with the Neighborhood Scout's limited analysis, this stands out as a one of a kind characteristic because of its ability to outline the community’s character. The culture of the Englewood community shapes the functions of the town and health facility because of its collective nature and learned behavior. Residents have been known to learn majority of behaviors from parents, churches and culture from ancestors. Ancestry and ethnicity is supremely interesting and significant to comprehend. The population of the community was nearly completely white until the influx of blacks who immigrated from the south during the fifties. Within two decades, the population of the blacks increased from 10 to 96% and crime and joblessness rates rose (Lundy & Janes, 2009, p. 38). The real estate of Englewood community is mainly comprised of small (studio to two bedroom) to average sized (three to four) small apartment structures and apartment multiplexes or multistory apartments. The Majority of residential real estate is tenant occupied. Most of the houses in the Englewood neighborhood are aged and firm since they were built before the forties. Every neighborhood in Englewood has a varying combination of jobs represented and jointly, they can inform an analyst a lot concerning the neighborhood. Whilst the full spectrum of professional services accessible in Englewood is not fully accessible to all residents, the Englewood Community Health Center and some resources will be accessible to all patients. An exclusive conglomerate with the Chicago Unit of Public Health assures the variety of CDPH services immediately accessible are also voluntarily available to patients in Englewood Community Health Center. The Englewood Community Health Center is not entirely reliable upon the confidential segment for support with presents and grants from specific people, practicalities and companies responsible for the additional 90% of the clinic’s income (Dell, Whitman, Shah & Silva, 2008, p. 1037). Health behaviorists have access to patient and treatment information entailing healthcare services, social care, medicament drug use, communal trust, psychological health and civic participation. All these details are included in the CHIP’s third Englewood Community Health Center Review of Englewood. The review was recently conveyed to randomly chosen households in different counties within the town. Information collected this effort will be shared with residents, community firms and frontrunners and will be utilized to assist in guiding Englewood Community Health Center development planning efforts. For patients who need psychotropic treatment, unpaid medical students, residents and attendances from leading medical schools and different medical units carry out a mental clinic thrice a month and an unpaid psychiatric practitioner. Additionally, the social work unit of the community carried out a program that gives individual assistance on a wide range of wellness requirements (Dell, Whitman, Shah & Silva, 2008, p. 1038). These requirements comprise of referrals for permanent psychotherapy or behavioral services, employment and housing assistance and assistance with public entitlement or disability benefits. My community has a new disclosed space project for the community’s envisions towards the creation of novel room assets for recreation, health, beautification and development. My community represents a product of expansion towards a wider quality of life developed from support from the local initiative support corporation (Ms. Johnson, personal communication, February 04, 2012). The main health problem of the community is alcohol abuse. Englewood community has had high levels of existing alcoholics. Some of these alcoholics in my community are in the mandate of twice as high as national and Illinois standards (Ms. Johnson, personal communication, February 04, 2012). I have witnessed a prevalence of diagnosed asthma that was nearly twice the national standard of 11% in the entire community (Ms. Johnson, personal communication, February 04, 2012). High percentages of kids in some counties within my community have been diagnosed with asthma (Ms. Johnson, personal communication, February 04, 2012). A third of residents and patients admitted to my workplace had either before or current experience with depression (Ms. Johnson, personal communication, February 04, 2012). The percentages of people who are overweight were high in the frequently minor communities from my hometown (Ms. Johnson, personal communication, February 04, 2012). Nearly 65% of kids I have treated aged between 2 to 12 years of age were either obese or weighty. In comparison with simply 26% of kids nationwide and 23% of kids in Englewood, my community is heavily populated with minorities suffering from Pediatric obesity (Ms. Johnson, personal communication, February 04, 2012). I believe that the population mainly consisting of minorities in Englewood faces the most risk of majority of alcoholic abuse. The percentage of residents with any kind of health care insurance in either private or public was considerably lower than the nationwide standard in five of the six communities in my community (Ms. Johnson, personal communication, February 04, 2012). Community Health nurses can assist in protecting, preventing, reducing, or eliminating these health problems through responsiveness, respect and modesty. These virtues are the leading means of handling these illnesses. Responsiveness is widely recognized as the opening step in the improvement of cultural sensitivity and competence. Respect and modesty will also allow nurses to take the role in advising and counseling residents and patients about the illnesses caused by bad diets and stressful lifestyles (Ms. Johnson, personal communication, February 04, 2012). We have to realize the numerous communal determinants of health: We have to develop the health of families and societies to respond to the expressions of sickness or the effects of the risk. Instead, the nursing risks involved require public health aims at the underlying causes of diseases, injuries and premature demises (Ms. Johnson, personal communication, February 04, 2012). We have to exploit strengths of the society: A strengths-grounded strategy assures that resources inside a society are involved with assisting communities contribute towards health development (Ms. Johnson, personal communication, February 04, 2012). We have to achieve cultural proficiency: Ethnicity and verbal proficiency is a set of corresponding behaviors, attitudes, and strategies that converge in a system, organization, or amongst specialists that enables effectual work in cross-cultural circumstances (Ms. Johnson, personal communication, February 04, 2012). The problems or risks based on your summary of the community assessment include cultural and ethnic differences. Inequalities exist across Chicago communities and ethnic groups. Englewood is the largely populated town in this review that recorded tremendously well on the health actions examined in the review. At the same time, Englewood also holds the two poorest and mostly minor community zones that consistently recorded the worst in health measures and indemnity (Dell, Whitman, Shah & Silva, 2008, p. 1038). Alcoholic abuse creates a broad difference from society to society on self-reported health. Most importantly, people thriving in the southern parts of Englewood community were seven times more probable to report fair or poor health as those in northern parts of the state and community (Dell, Whitman, Shah & Silva, 2008, p. 1037). The main community problem is alcoholism. Lack the type of information at the community level essential for designing health promotion policies and efficiently target materials (Dell, Whitman, Shah & Silva, 2008, p. 1039). Nearly two out of every three adults varying from 58 to 68% in five heavily minority societies in Englewood are alcoholics. In comparison with the mostly white community, only 26% of adults and 23% of the children are alcoholics (Mitchell, 2011, p. 169). In four predominantly minority societies, high percentages of adults smoked varying from32 to 39%, in comparison with a nationwide standard of 23% (Dell, Whitman, Shah & Silva, 2008, p. 1039). An estimated 25% of kids in four of the six societies were more likely to have asthma in comparison with a nationwide average of 12% (Lundy & Janes, 2009, p. 67). Alcoholism affects the African-American society that makes up the majority of minorities in the southern parts of Englewood community. Alcoholism is a leading symptoms because the main objectives of the Healthy People 2020 includes the eradication of health differences such as obesity, and those particularly associated with substance abuse, violence and HIV/AIDS (Dell, Whitman, Shah & Silva, 2008, p. 1038). The main objective of the program plan is to endorse transformed focus to the function of health learning and communication in health advancement and illness avoidance. At the same time, the main purpose of the plan is to sponsor developments in the complication of current health education policies in Englewood. Three objectives to work toward achieving the goal or purpose are: To thoroughly evaluate if alcoholism is connected to the socioeconomic demerit amongst the blacks. To thoroughly evaluate if HIV/AIDS are connected to the socioeconomic demerit amongst the black population (Lundy and Janes, 2009, p. 71). To thoroughly evaluate if depression signs are connected to the socioeconomic demerit amongst the black population. A. Develop a teaching plan to address the health problem or risk. Make sure to include the following: The main goal of the teaching plan is to give the patient information regarding the details that can make it possible for him or her to make self-directed behavioral adjustments. These changes towards alcoholism can also be a cause for an improvement in the overall health of the patient and manage their alcoholic habits. The learning objectives of the teaching plan include: To make the patient able to define the therapy for alcoholics and alcohol related illnesses they are on and how to suitably administer the medication To make the patient able to exhibit appropriate skin and foot care To make the patient able to perform self-nursing blood glucose with the use of blood glucose meter as demonstrated by exhibition of the methodology to the nurse or doctor involved. Patients suffering from liver cirrhosis require constant reminding of the supplementary medication that assists in the treatment of their liver cirrhosis (Mitchell, 2011, p. 186). Therefore, an age appropriate teaching policy that can be used by a nurse teaching opposite sex students administering medication is oral hyperglycemic medications. The teaching plan is supposed to include a survey of the diverse kinds of oral hyperglycemic medications. Mixing the students of different ages and gender reduces the tension involved when administering this medication to a patient. The content of the teaching plan can be correspondent with teaching policies and leaner therapy activities. For instance, videos that demonstrate how to administer medication to patients suffering from liver cirrhosis can be used by the leaning nurses. Printed and filmed material can be used in arranged teachings within certain time limits. Brief and more regular sessions permit the patient to digest the new data and also hinder exhaustion and discomfort. Individual and group training can also make use of Printed and filmed material that will boost the quality of their therapy on the patients, alongside PowerPoint presentations that demonstrate the main points that ought to be known when administering medication to patients suffering from liver cirrhosis. Preparation of the physical surrounding involves collective effort from other nurses in Englewood Community Health Center. A non-risking surrounding should be free from interruptions, enough space and light, comfy chars, good aeration and confidentiality of the patients. Collaboration of the nursing staff makes it flexible to monitor patients for clues or extra evaluation information that can change the opening teaching plan. The organization of the delivery knowledge for the patient is supposed to be on collectively to encourage proper handling of any kind of news for a patient and their relatives. The teaching plan is supposed to highlight the significance of adhering to the prescribed therapy plan. This teaching plan should be made in a way that suits the medical needs, capabilities and development of the patients’ physical status. The teaching plan for a patient suffering from liver cirrhosis is supposed to include dietary notice, management, likely confrontational effects of medicine, working out and sanitation. The length of the program can pursue duration of 15 to 18 months to come up with a curriculum with the most optimistic competency-grounded experience. The curriculum commission board has offered a projection though the survey of Community Health medical facility in Englewood. A website-grounded projection will be able to provide the commission board with the current courses and teaching plans designed in the education plan. Possible barriers for learning may include the implementation of a fresh medical behavior by a clinician and healthcare structure is as a result of numerous facets, with research details being simple one of them. Research on the distribution or implementation of creativity implies that numerous subjects come into play (Mitchell, 2011, p. 198). Adequate time and staff can also be recommended from additional researches as a huge organizer that mirrors the limitations of Englewood Community Health Center. Time is very crucial for the education plan because of the room required for library research, reading material, courses involved, discussions with colleagues and the development of procedures that completely execute alterations made in practice. Possible community agency services that you would refer learners for more information may include decreasing nursing faculty scarcity: this agency service is accomplished through the implementation of policies that tackle faculty groundwork, jobs and payment. In order to fully establish extra capabilities at all levels of nursing learning, this education plan will alleviate the nursing faculty deficit. The pipeline for nursing faculty is supposed to be developing nursing curricular at each level. This agency service could be present in Community Health to provide studentship and loan reimbursement plans for nursing faculty and graduate programs aimed at arranging medicine educators from Englewood. The implementation of policies could amplify the ethnic and cultural variety and faculty in Englewood. Work done to boost the percentage of nurses from underrepresented ethnic and cultural minorities needs to be interlaced into all facets of the implementation plan. All members in this protocol need to be aware of the significance of office variety and the effects of its nonexistence (Lundy and Janes, 2009, p. 83). The implementation of the commendations of this education plan can be presented to Englewood Community Health Center’s committee board and WCN from the capital state in search of funding. The Englewood Community Health Center’s committee board and WCN are uniquely positioned and charged by legislation to facilitate the changing nature of nursing learning in Englewood. The Englewood Community Health Center’s committee board and WCN would also like to lead the existing concentrated discussions amongst members of learning, study and strategy required to notify students and doctors of these efforts. One of the methods that can efficiently assess whether students and scholars taking part in the education plan have met the plan’s goal and objective is through Competency Performance Assessments (CPAs). Competency Performance Assessments (CPAs) is a technique used to evaluate all class tasks and practical works for a course scoreboard like research papers, dissertations, projects, participation and presentations. CPAs can also specify precisely what is needed for acceptable performance in medical and non-medical courses (Mitchell, 2011, p. 212). References ASTDN. (2009). The Public Health Nurse’s Role in Achieving Health Equity: Eliminating Inequalities in Health. New York: Association of state and territorial directors of nursing Bastable, S. B. (2008). 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