Community Health Assessment

PURPOSE: This assignment is to orient the students to the community used for the community health nursing clinical. (16 hours) GROUP NAMES: Dainelis, Camelia, Adidley, Arisbel

The assessment is to be done individually and may require time other than the assigned clinical day for completion. Be prepared to present your findings, orally, in seminar. Date and time of presentation will be scheduled. The following guideline is to focus your assessment.

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1. On your way to the designated community: Community Health Assessment

a. Did you go through different small communities? The different types of towns around are Wynwood, allapattah, midtown, and overtown which is where Camillus house is located. How did they differ? Living in Allapattah offers residents an urban suburban mix feel, and most residents rent their homes. Based on pictures the neighborhood looks a bit poor and the crime rates are high. In comparison to Wynwood which is the new art district which is becoming quite famous. Wynwood is an outdoor art exhibit at city scale, unrivaled in its blend of well-known names and up-and-coming artists. Though its street life first grew through Second Saturday Art Walks, the neighborhood is lively every day of the week. There is plenty to see, eat, drink, and explore. There are new modern apartments around compared to allapattah which has a lot more of older homes. Midtown is much closer to the beach area and has a lot of newer buildings around. Overtown is a part of the historic heart of Miami and it is known for its metro rails, museum, and parks.

b. Could you identify boundaries for different communities? (i.e., were there obvious separations between communities?) Compared to overtown which has the availability of transportation from the metrorails it can become a bit difficult for other communities to have this since they are not as close. Other areas such as Wynwood have more activities and food options but not as much healthcare options compared to overtown which has Jackson hospital and other healthcare facilities. Each have their different things they are known for and different boundaries.

c. What sights, smells, sounds, etc., were identified with the different communities? The sights were completely different in each community for example Wynwood is surrounded by color, lights, people, music and activities. Some of the smells in Wynwood are of food since there are a lot of restaurants around. Allapattah have much older buildings with paint that is chipped around many of the streets and buildings. Midtown is filled with new buildings and structures as well as the smell of the beach and more of pure air since it is a lot closer to the ocean.

2. After arrival in the designated community: Community Health Assessment

a. What evidences of a minority culture do you see? – The Minority group presented in this area are white, Hispanics, but mostly Black African American. Some of this group are homeless with low income families.

How does this affect the environment? – The environment is affected due to low income families that live in this area. There are advertising billboards, graffiti, trash on the floor, and a lot of people living in the streets.

(Are there advertising billboards, graffiti, etc., that reflect ethnic characteristics of community?)

b. Who do you see on the streets: elderly, young males, children, and women? (Indications of unemployment, constituencies, etc.) – In the streets there are a variety of population presented, such as elderly, young males and females. These people seem homeless, without a job, and car. Most of them where under the influence or doing recreational drugs. The streets are usually busy, cluttered, and dirty from the people living on them and walking around which indicates unemployment.

c. What industries are represented in the community? -There are no big industries in this community. There private companies such as construction, convenience stores, hospitals and homeless shelter.

d. What would it be like to live in the community? – No, I wouldn’t like to be part of this community due to the high crime rates, low income status, and the numerous of people living in the streets. All those points make me feel unsafe in this area.

e. Is public transportation available? – Yes, in the area of over town public transportation is available for the community. It’s called Miami-Dade County Special Transportation Service; this service is very useful for the member of this community.

f. How far to supermarkets and shopping centers? – There are several supermarkets and convenience stores in over town. The disadvantage is that they are all situated in just one area. Which makes it difficult for people that live outside the area to go and buy their groceries.

g. What type of housing? –The types of housing, includes HUD apartments, Section 8 apartments, Public Housing apartments, Nonprofit senior and family low income apartments, Low income tax credit apartments (LIHTC)Community Health Assessment.

h. Where are “For Sale” signs? – No, I really didn’t see for sale signs.

i. Do you think people rent or own the housing? –In this community people usually rent their home.

j. What is the social-economic status of this community? -low income status

k. What recreational facilities are there in the area? –There are several recreational facilities they include, Overtown Youth Center, The Wynwood Building, and Williams park.

l. What kind of churches do you see in this area? – The church in this area is Overtown Parish Church.

m. What potential environmental hazards did you identify? – Environmental hazards in this area would be the waste products I found in the streets, such as trash, plastics, glass, mattresses and homeless belonging. This is a unsanitary area that can lead into contaminations.

3. What are the medical care facilities in this area? Doctors’ offices? Any evidence that physicians reflect the ethnic background of the population? How accessible are the medical facilities? Mount Sinai Medical Center Midtown, University of Miami Health system, Jackson Memorial Hospital, New Health community, Brave Health Corporate office, MD Urgent Care, Chistine E.Lynn Rehabilitation Center. Based on my research around Camillus House the population Race and Ethnicity is mainly Hispanic, African -American and a small percentage White. There are a variety of medical care facilities nearby the location with physicians, nurses from different ethnicity group which is really helpful and easier for the patients to communicate with them. The facilities are within 5 miles range, for example Jackson Memorial Hospital is within 14 minutes walking and 0.6 miles from Camillus House. Most of the one listed above are within that mile range or less.

4. Find a community center, Senior Citizens Center, Chamber of Commerce closest to the city you are assessing. Complete online research. What other community resources are available in the area? Community Health Assessment

CAMILUS HOUSE MIAMI.

*Little Havana Activities & Nutrition Center (Antonio Maceo)

Community center

*Gesu Senior Citizen Center

*Greater Miami Chamber of Commerce is the closest to Camilus House area.

Other community resources around this area:

Culmer Community Action Center (Social services organization)

Care Resource Community Health Centers (community health center )

Dade County Community Action (social service organization)

5. Develop five key questions of your own that you would ask an adult living in this neighborhood to learn more about the community. Be very specific to your community.

6. What would it be like to be elderly or homeless in this community? What resources are available to meet their needs

After doing some research I was able to gather information about resources in the community that would be beneficial for the elderly as well as homeless people. In fact, one of the centers I came across was Camillus House, another one was The Salvation Army. In this Centers, they provide the population with food, water, hygiene products and anything they could give to those in needs in order to survive, as well as a place to stay the night.

7. What would it be like to be a young single teenage mother in this community?

Pregnant and Parenting teens often are balancing their lives and being a parent. Ensuring that adolescent parents receive adequate social and emotional, medical, and academic support is essential to the parent and the baby’s future.

It is clear that being a child of a teenage mother often entails numerous risks: low birth weight, complications of the mother’s pregnancy and delivery, and health problems associated with poor perinatal outcomes; greater risk of perinatal death; lower IQ and academic achievement later on, including a greater risk of repeating a grade; greater risk of socio-emotional problems; a greater risk of having a fatal accident before age one; and finally, a greater probability of starting one’s own family at an early age.

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Since this community is a low-income community, those single teenager mother have biggest risk to have babies with malnutrition, lack of access to prenatal care, poverty and ignorance.

On the other hand, there many resources that single teenager mother can use like:

-Cap 4 kids The children’s Advocacy project

– TROY Community Academy (TCA)

– Young Girls to Young Ladies Club Program

– Family Planning in Miami Dade County

– The Mailman Center for Child Development

8. What resources are available for them? In overtown you have many resources such as libraries which are Overtown Public Library and Dorsey Memorial Library and it offers transportation through the Metrorail’s as well as shelters such as Camillus house for the homeless or those in need. It offers medical centers such as Jackson. Some of the other resources include Homeless Assitance center, salvation army Miami adult rehab center, Miami rescue mission which offers employment and housing as well as Miami rescue woman, eyes on god homeless shelter, and many religious centers.

9. Try to find out what the power structure is in the community.

a. Who or what community organizations are influential in the community and how they are influential?

b. Identify potential public health problems/high risk groups. What solutions do you recommend?

10. Discuss potential need for community education.

a. Identify potential target groups to teach.

References

National Research Council (US) Panel on Adolescent Pregnancy and Childbearing. (1987, January 01). THE CHILDREN OF TEEN CHILDBEARERS. Retrieved August 28, 2020, from https://www.ncbi.nlm.nih.gov/books/NBK219236/

CAP4Kids. (n.d.). Retrieved August 28, 2020, from https://cap4kids.org/miami/parent-handouts/ Community Health Assessment

PRESENTATION RUBRIC

 

CRITERIA 4 points 3 points 2 points 0-1 points Weight
Content · Information thoroughly and completely addresses all elements of the assignment. Ideas are pertinent, accurate, well formulated, and well supported. · Information is complete. Ideas are pertinent, accurate, well formulated and supported. · Information is pertinent, but minor elements of the assignment are not addressed, and/or ideas are not well formulated or supported. · Key elements of the assignment are not addressed, and/or some information is inaccurate. X3
References and Citations · Reference material is strong; current (within 3 years); and incorporated logically, insightfully, and elegantly to support ideas; and sources are documented accurately. · References material is adequate, current (within 5 years), and used proficiently; and sources are documented accurately. · Some reference material is weak, out of date (more than 5 years old), or not clearly pertinent. Sources are documented accurately, for the most part. · Reference material is inappropriate or lacking; and/or documentation is incorrect or lacking. X2
Organization · Organization of the content is logical with fluid transitions that capture and hold attention throughout entire presentation. · Organization of the content is consistently logical making it easy to understand, and transitions are evident. · Organization of the content is inconsistent, sometimes logical and sometimes not logical. Transitions are not always evident. · Organization of the content is not logical and/or some or all transitions are lacking. X2
Creativity · Highly creative, and original. Excellent use of audiovisual aids that captures the audience’s interest and engages them while clearly reflecting the purpose of the presentation. · Creative and original. Good use of audiovisual aids that holds the audience’s attention and clearly reflects the purpose of the presentation. · Demonstrates some creativity or originality. Use of audiovisual aids that holds the audience’s attention most, but not all of the time. · Lacking in creativity and originality. More audiovisual aids are needed. Does not hold the audience’s attention. X2
Communication · Language is memorable and felicitous. Voice is clear, loud, and articulate.

· Gestures and paralinguistic cues are used to reinforce important ideas and keep the audiences interest. There are no vocalized pauses.

· Language is memorable and appropriate. Voice is clear, audible, and articulate.

· Gestures and paralinguistic cues are used appropriately to reinforce important ideas. There are no or rare vocalized pauses.

· Language is just adequate, voice is difficult to hear or understand at times,

· gestures and paralinguistic cues to reinforce ideas are seldom used, and/or vocalized pauses (ah, um) occur occasionally.

· Language is mundane, voice is difficult to hear or understand much of the time, tone is inappropriate,

· gestures and cues are not used to reinforce ideas, and/or vocalized pauses (ah, um) occur frequently.

X2
Connection · Eye contact is well established and natural. Does not refer to written notes. Uses conversational style.

· Strong connection with the audience. Lively and meaningful interaction takes place.

· Eye contact is consistent. Refers to written notes only occasionally.

· Speaks to audience and has a clear connection with some meaningful interaction

· Eye contact is inconsistent, refers to written notes frequently, and/or

· has a weak connection to the audience with minimal pertinent interaction.

· Eye contact is hardly established, refers to notes constantly,

· lacks a connection with the audience, and/or no or inappropriate interaction takes place.

X2
Timing · Presentation completed in the allotted time. · Presentation completed no more than 1 minute over allotted time. · Presentation completed no more than 3 minutes over allotted time. · Presentation was more than 5 minutes over or under the allotted time. X1
Professionalism · Professionally dressed, polished appearance, with good posture and a confident but humble demeanor. · Professionally dressed, well groomed, with good posture and a secure demeanor. · Somewhat casually dressed, and/or posture and movement reflecting lack of confidence. · Extremely casually or provocatively dressed, unkempt, and/or inappropriate body language. X1
Handout · Well written, appealing, and interesting with proper grammar, and spelling.

· Excellent use of professional terminology and formatting.

· Well written, clear and easy to understand with proper grammar and spelling.

· Use of terminology consistent with university level expectations and the profession. Formatting adequate.

· Adequately written with minimal grammatical and spelling errors.

· Use of terminology sometimes not consistent with university or professional expectations, and/or poor formatting.

· Not well written, not pertinent, having many or major grammatical or spelling errors.

· Use of some inadequate or inappropriate terminology.

X3
Overall Scoring /72 = %

Also check: Health Services Finance