Community Health Nursing Essay

fellowship description and data analysis orange County is located in the United States of America in the S step uphern region in the put up of calcium. In addition with Los Angeles to the north, San Diego County to the sulphur and Riverside and San Bernardino counties to the east. on that point are 84 cites within the county and several unorganized areas. The County has a total area of 789 square miles of land and 158.6 square miles or 16.6% of water. The average temperature is ab unwrap 68 degrees Fahrenheit (orange tree County, atomic number 20). at that place are likewise several beaches that are along the coastland that cover much than 40 miles. In addition to its popularity of being kinsfolk to Disneyland, this county is well cognize for being a tourist attraction. orange tree County was established later on the staring(a) drought in the 1860s.During this time cattle ranching collapsed leading the representation towards the boom in silver mining. This huge grow th in universe lead California legislatures to divide Los Angles county and created Orange county as a clear political entity in March 11th, 1889 (Orange County, California). The State of California and Orange County are in a severe water famine as the tell has implemented laws to discourage unnecessary water usage. universe of discourse and Economic Status From an epidemiologic viewpoint the U.S census in 2012 estimated the commonwealth in Orange County to be round 3,090,132 with a world niggardliness of 3871 stack per square mile. The average househ ancient size in Orange County is 2, in addition, the average gross adjusted income of non-migrant tax payers in this county in 2005 was $74,786. The median average contract for rent in 2009 for renting an flatbed is nearly $1,367 per month, while the average house value approximated to be nearly $530,000.The percentage of residents living in poverty in the form 2009 was slightly 10.7% with 5.8% being white non-Hispanic, 1 3.0% of black residents, 17.3% for Hispanic or Latino, and 18.6% for other travel rapidly residents. The median age of Orange County residents in 2010 was 36 days old with males having the median age of 34 years old and females 37. The birth station for live births per 1000 population from the year 2000 to 2006 was 15.4. Death rates showed or so lower rates per 1000 from the years 2000 to 2006 with 5.8%. Persons enrolled in hospital dekameterages and/or supplemental medical insurance (Medicare) in the year 2003 was 309,081 (281,334 aged, 27,747 were disabled) (Orange County, California).In comparison to residents without health coverage in the year 2000 was estimated at 15%. Unemployment rate is estimated at 143,026, while the amount of occupied is estimated at 1,445,477 in the 2010 census report (State & County vigorous Facts). Cultural Assessment From the biophysical considerations, the aging baby boomers make up 25.4% of the population in Orange County with more famili es caring for the elderly at home especi everyy among the Hispanic population. at that place are over 7,326 persons living in nursing homes in 2010. Coping with stress and adapting to change when the unemployment hit an all time low in 2010 with 10,000 jobs lost put residents in a crisis.Current unemployment rate in Orange County is 5.0% with and estimated 3 million mess homeless. There are 44.1% white non-Hispanic, 33.7% Hispanic or Latino, 17.7% Asian and 1.5% discolour non- Hispanics living in Orange County. There are slightly more females with 53.0% and males at 47.0%. The Republican society slightly out numbered the Democratic Party in 2012 by approximately 8,000 votes. In March of 2000 there is a recorded foreign- natural entry population of 165,344 people. The current population of college students is 230,749 and people 25 years of age and older with a high direct degree or higher is 79.5%. Religion statistics show the Catholic church Adherents has the highest p opulation of 61.2% with the Jewish ranking at 4.7% and the LDS Mormon Church 3.4%. The close to common place of birth other than Orange County among foreign born residents is Mexico at 46% with Vietnam coming in second at 13%.There are 56.6% of residents who speak English at home, compared with 25.3% residents who speak Spanish as their primary language. The government finances use of goods and services in 2006 for Orange County for economic aid and subsidies was $210,973,000 with public welfare and cash care programs paying out approximately $6,483,000 (Orange County California). Neighborhood/ Community safety There are approximately 18% of children living in poverty and with 26% living in single-parent households. Social and economic factors showed violent crime rates ranking at 230 and 37 injuries to death. There are no drinking water violations in comparison to 28% claims of severe housing problems among renters.There are a low percentage of people having limited access to f ood at 1% of the population with 15 homeless shelters found in and around Orange County that have access to food, clothing and shelter (Orange County health Department). probable weather faces include the high incidence for earthquakes. Orange County area has a historical earthquake activity high above the California state average and 2458% overall above the U.S average (Orange County California). Government finances expenditure for police protection for 2006 estimated over $276,955,000 and cost for correctional institutions was over $178,413,000 (Orange County California).There are 26 police departments and 12 fire departments through out Orange County with first responder medics on duty. The numbers for homicides between the years 2000-2006 have a less than state average with 27.8 per 1,000,000. Suicides are also at a below state average between 2000-2006 with 79.3 per 1,000.000. (Orange County California). duration Immigration is an ongoing debate in Orange County and Califor nia the states immigrant population only increased by 15% (1.3 million) in the year 2000s, compared to 37% (2.4 million) in the 1990s ( existence Policy institute of California). obesity and Alzheimers disease is on the rise in Orange County. There are 70% of adults who rate their health as either glorious or good compared with 30% who rate their health as fine or poor. The incidence for Alzheimers disease has increased 39% between 2005-2009. In 2009 there is a recorded 33.1% adults considered over weight by comparison to 17.3% being obese. In 2011 the California Department of Children and physical fitness test showed 37.8% of children tested as having an unhealthy body composition. This high incidence has been found to be contributed to sedentary lifestyles and being overweight. These statistics show evidence for the tending(p) nursing diagnosis of ineffective health maintenance as demonstrate by the unfavorable health disparities listed above. (Orange County Indicator s).Nursing actions for these disparities include more after school activity programs that include physical activities. Schools to be required to allow more fresh fruit and vegetables to be included in meals. whirl education for families and children about the potentiality risks for child obesity and ways to mitigate the numbers by offering nutrition counseling at school. Educating the conjunction of health risk and signs and symptoms of Alzheimers disease and where to seek medical oversight specifically for this illness in their partnership. Provide resources from organizations specially designed to assistance families with special needs for people battling Alzheimers disease much(prenominal) as respite care and hospice.Disaster Assessment and Planning During a accident such as a nuclear power plant fate or earthquake, tsunamis, terrorism and acts of war the Sheriff Coroner is designated as the director of tinge services. The counties emergency operations center (EOC) is located at Loma Ridge. In the event of a natural hap such as a flood, storm, dam failure or coastal oil spill the County executive ships officer is the director of emergency services (DES). (Orange County Sheriff). The County of Orange also collaborates with the California of Public Health and also with other entities to safeguard a consistent disaster and preparedness plan through out this region and nation long (Orange County, California Disaster and preparedness training). Most Orange County residents are insensible of the disaster planning in their community although there is an overall sense impression of safety as they put their full trust in community officials. Although there are several safety issues throughout Orange County such as unsafe side walks for the elderly and non- handicap accessible. The County has funded grants and bonds to improve the potential hazards.ReferencesOrange County, California. (n.d). Retrieved fromhttp//www.city-data.com/county/Orange_Cou nty-ID.htmlCounty of Health Rankings & Roadmaps. (n.d) Retrieved fromhttp//www.countyhealthrankings.org/app/orangeounty/2014/california/orangecounty/factors/4/5Community Health Survey Orange County. (n.d) Retrieved from http//www.phd1.california.gov/home/documents/OrangeCountyCombinedResults.pdfPublic Policy imbed of California. (n.d). Retrieved from www.ppic.orgOrange County Sheriff Department California (n.d). Retrieved from Ocsd.org.Orange County California Disease and forwardness training.(n.d) Retrieved from Healthdisasteroc.orgState and County Quick Facts (n.d) Retrieved fromhttp//quickfacts.census.gov/qfd/index.htmlOrange County Health Department. (n.d) Retrieved fromhttp//orangecountygov.comOrange County Indicators (n.d). Retrieved fromCams.ocgov.comOrange County, California StateCommunity Diagnosis The above assessed parameters gives a brief overview of the Health and Safety of Orange County in the State of California. The overall county has statistics showing a health y community except for the increasing numbers of overweight children who are lacking in physical activity and the increase in Alzheimers disease. The plan is to implement more education on nutrition and resources to families for assistance who suffer from Alzheimers diseases. Also included will be to formulate the community on emergency preparedness and disaster planning.