Wind Shield Survey Community Assessment of a Community in Queens - Term Paper Example

Wind Shield Survey Community Assessment of a community in Queens in New York Introduction The community asa client refers to the several groups comprising individuals, families groups and communities at large with a focus of providing nursing services (Glanz, Rimer & Viswanath, 2008). The Wind Shield survey is a health client community that conducts surveys on continuing and comprehensive practices that are preventive, curative and rehabilitative. It also assesses the method in which a series of questions are used to collect data for analysis of specific group or area. The philosophy of care is based on the belief that health cares are directed to individual, family and the communities contribute to the health care of a population as a whole (Kressel, De Leon, Palij & Rubin, 2008). Community parameters and history of community client The involvement of consumers of health care is encouraged in the development of community activities that contribute to the promotion of education and maintenance of good health (Rooney, Ryan, Bloniarz & Kane, 2005). In order to achieve these activities, a comprehensive health programs are required that pay a special attention to social and ecological influences and specific population that is at a risk. As a community client, nurses should focus on environmental features such as physical, cultural, psychosocial and political features that ensure good health of the population. As a matter of fact, Rooney et al, (2005) adds that community client is not restricted to provision of health care to a particular age or diagnostic group but the health nurse is practicing their profession to all people without any biases. A healthy community is one that makes wise use of its resources and is prepared to meet the dangers and threats that may arise as a result of factors encountered when dealing with health problems. This has been the mandate and the aim of the community client over a quite a long time to ensure a mutual relationship between the community and the location (Rooney, Ryan, Bloniarz & Kane, 2005). Community client and Windshield Survey assessment As Glanz et al (2008) put it that in assessing the performance of Wind Shield survey in New York, a close examination of the original survey data on beneficiary is needed. According to our expectations, the general satisfaction with the WindShield survey intervention should be high. However, the evidence was found that the endeavor of the WindShield survey to redress the balance between the rich and the poor communities was fairly satisfactory (Kressel, De Leon, Palij & Rubin, 2008). There was a neglect of the isolated communities possibly due to cost reasons and that the accessibility of the WindShield Survey to beneficiary communities is lower in poor communities. As asserted by Kressel et al (2000), these factors significantly reduced the client community satisfaction with Windshield survey. The levels of Windshield survey induced community participation in decision making which also varied with some evidence that participation has an effect on community satisfaction. (Glanz, Rimer & Viswanath, 2008) Among the dissatisfaction that the members of the Windshield survey were accused of were self-serving, unresponsive and less than good in whatever they were doing. Assessment of Windshield Survey workers was also done. This was obtained through evaluation of the physicians and other professionals caring for the client (Glanz, Rimer & Viswanath, 2008). With the principles of continuity of care in mind, the nurses’ assessment on condition of care and treatment was done. Also all individuals receiving Medicare were also assessed using the OASIS guidelines. OASIS is an assessment tool developed to measure the outcomes of persons receiving the home health care. After this, assessment of the family was carried out as asserted by Rooney at. el. (2005). This is because community based care is provided in the context of the client’s family and community. Assessment of both the family and community is an essential ingredient to the success of home care. After consideration of the importance of community dynamics, the community health nurse then determines the community needs. Assessment involved two activities that included the collection of data and the other one is the analysis and interpretation of data. After this has been done the real or perceived community needs are determined. However this type of assessment depends on the needs that exist, the goals to be achieved and the resources available to be deployed (Glanz, Rimer & Viswanath, 2008). One of the concepts of epidemiology is a descriptive epidemiological study which examines the amount and description of disease or health condition in a population of a person. It puts into consideration three major components that are, the person involved, the place where the condition occurs and finally the time when the cases occurred. Epidemiology is the science that underpins health and health care in which it is concerned with the pattern, frequency and disease causes (Rooney, Ryan, Bloniarz & Kane, 2005). The interdependence of epidemiological concepts and other units within theoretical, technical and ethical frameworks provides a platform that describes the health status in the community. Another term used in epidemiological concept is the population at risk. This usually a subset of the original defined population and comprises the total number of individuals considered capable of contracting a particular disease. In this case, the concept focuses on a single dimension of a particular concept of time but ensures that all the concepts are exhausted (Glanz, Rimer & Viswanath, 2008). There is the use of professional recourses such as academic resources to discuss the community health status. This discipline is concerned with the study and movement of health characteristics of biological characteristics. Also, health community status has been checked using geographical information system (GIS) software and public health datasets (Kressel, De Leon, Palij & Rubin, 2008). Academic resources allow community health status to be studied in three broad categories. The first one includes primary health care which refers to interventions that focus on the individual or family for example administering immunization. The second healthcare refers to secondary healthcare which are those activities which focus on the environment which when not attended to may act as a channel through which community health status may deteriorates such as spraying of insecticides to control vectors like mosquitoes (Rooney, Ryan, Bloniarz & Kane, 2005). Lastly, are tertiary health care which are those activities that aims managing the health status once it has occurred. Nursing diagnosis requires application of detailed assessment skills, critical thinking and decision making. The formulation of nursing diagnosis is related to competency in diagnostic reasoning and therefore diagnosis is a statement that synthesizes by bringing together assessment data (Glanz, Rimer & Viswanath, 2008). Some of the formulations of nursing diagnosis include a family nursing diagnosis which is an extension of a nursing diagnosis of the family system and is the outcome of family assessment. It includes the actual health problems that nurses are capable of and are licensed to treat by virtue of their education and experience. Another one is the community diagnosis which focuses on an aggregate or community as opposed to an individual. It requires a multidisciplinary action to address or treat and therefore the outcome of an action may not be visible for a long time (Glanz, Rimer & Viswanath, 2008). Lastly we have a wellness diagnosis which describes human responses to levels of wellness in an individual, family or community that have the potential for enhancement to a higher state. As asserted by Rooney et al (2005), there is generic and specific intervention to support attitude and behavior change. It involves pro-active thinking; effective partnership and risk taking towards creating a goal of better health care provision that reflect mission statement. Intervention directed at practice change, system changes or the aggregate changes may lead to the delineation of a diagnostic statement and its validation (Kressel, De Leon, Palij & Rubin, 2008). Resources are important factors to consider and their impacts on families. Transitional issues related to diagnosis helps nurses to seek protection and advocacy agency on behalf of the community welfare. Kressel et. al. (2000) assert that factors implicated in the etiology of health may reproduce a retrieval system of health information which may impact on the delivery and effectiveness of care services. Contributing factors in the actual diagnostic statement can be used to critically make decisions and formulate an independent diagnostic statement. Community assessment is a useful way for a team to conduct a more thorough community assessment (Rooney, Ryan, Bloniarz & Kane, 2005). For example a five member nursing agency can divide up the ten systems in the community and each person does an assessment of two systems, then they could share their findings to create a more comprehensive picture of the community and its needs. Therefore more information is needed to guide the efforts and identify community assets and the degree to which they are accessible. Major health issues encountered and their resolution One major issue encountered in health is the problem of acute exposure to extremely hazardous substances that are released due to accidental emissions (Glanz, Rimer & Viswanath, 2008). These substances are emitted from chemical spills, industrial explosions, fires or accidents during transport or as a result of terrorist actions. This issue is dangerous because it is behind many acute infections especially those complications that are associated with respiratory. During diagnosis, it is confirmed that this issue is behind many deaths that occur when not given the right attention it deserve (Rooney, Ryan, Bloniarz & Kane, 2005). In order to resolve this problem fully, many interventions have been put in place in order to address this problem fully. The Acute Exposure Guideline Level (AEGL) program has been put in place in order to manage this problem. AEGL provides crucial information to emergency response, emergency preparedness, homeland security personnel regarding adverse health effects and safe limits of short-term exposure should release occur (Glanz, Rimer & Viswanath, 2008). This has been a milestone for AEGL since other than providing emergency information it has been also achieved provision of public access to basic health requirement such as drugs. Kressel et. al. (2000) add that the other health problem encountered was socio-cultural practices in the areas where Windshield Survey conducted their survey. Women did seek access to care for obstetric emergencies but because of a variety of problems encountered in the hospitals this was not possible. There were also a variety of reproductive health issues which also became a problem to put under control (Rooney, Ryan, Bloniarz & Kane, 2005). This was caused by remote location settings this health offering institution were. The patients also visited three levels of practitioners which include physician, nurse practitioners and minimally trained health aides. The resolution employed to curb these problems includes upgrading the health institutions with modern facilities that meet the right standards that ensure the provision of high quality health services (Glanz, Rimer & Viswanath, 2008). Many reports of Windshield survey were analyzed and necessary recommendations were employed. The physicians medically diagnosis with sophisticated conditions was done more frequently. This ensured the provision of a high quality health services to the people as a community client. There was effectuated in the cost of acute respiratory illness medical care provided by physicians and algorithm-assisted physicians. This ensures provision of good health care services to the community. References Glanz, K., Rimer, B. K., & Viswanath, K. (Eds.). (2008). Health behavior and health education: theory, research, and practice. Jossey-Bass. Kressel, D., De Leon, G., Palij, M., & Rubin, G. (2000). Measuring client clinical progress in therapeutic community treatment: the therapeutic community Client Assessment Inventory, Client Assessment Summary, and Staff Assessment Summary. Journal of Substance Abuse Treatment, 19(3), 267-272. Rooney, C. J., Ryan, H. D. P., Bloniarz, D. V., & Kane, B. C. P. (2005). The reliability of a windshield survey to locate hazards in roadside trees. Journal of Arboriculture, 31(2), 89-94. Read More