RUNNING HEAD: COMMUNITY ASSESSMENT PART TWO

Community Assessment Part Two

Northern Arizona University

RUNNING HEAD: COMMUNITY ASSESSMENT PART TWO

Outcome Template

FHP 11
FHP 10
Increase the number
of outreach
programs for
unemployed persona
in financial need.

Increase
multicultural
influence other nontraditional
values/beliefs to
encourage
tolerance.

FHP 1

Increase the proportion of

hospitals and managed care
organizations that provide
community disease
prevention and health
promotion activities that
address the priority health
needs indentified by their
community

RUNNING HEAD: COMMUNITY ASSESSMENT PART TWO

FHP 2
Increase access to
healthy foods and
programs that
educate the public
about healthy food
choices.

FHP 9

Increase sexual
education and teen
pregnancy prevention
in public schools.

Client Story
FHP 3
Minimize the risks to
human health and the
environment posed by
hazardous sites.

FHP 8

FHP 4

Reduce the
incidence of violent
crime and domestic
violence through
education and
stress
management.

FHP 7
Promote positive
feelings of overall
community
infrastructure.

Increase the proportion

of the Nations public
and private schools that
require daily physical
education for all
students.

FHP 6

Improve the
health literacy of
persons with
inadequate or
marginal literacy
skills.

FHP 5
Continue to encourage
regular sleep/wake cycles
for the community.
Promote quiet
neighborhoods and quiet
hours.

RUNNING HEAD: COMMUNITY ASSESSMENT PART TWO

Coping/Stress
Pattern

FHP 2

FHP 10

Strengths: Local support

groups,
families, and
Concern(s):
libraries.
Deficits: Unemployment,
decreased income, increased
single moms.
Priority deficit & rationale:
Increased stress r/t lack of
income and jobs.

Present State Template

Value /Belief
Pattern

FHP 11

Strengths: Churches, political

involvement.
Deficits: No non-Christian
faiths, intolerance of
alternative lifestyles.

Priority deficit & rationale:

Lack of diversity for residents
FHP 9 Sexuality/Reproductionof other beliefs r/t
intolerance.

Pattern

Strengths: No sexual crime. Family

oriented.
Deficits: Teen preg. Infant mortality.
Lack of prenatal care, lack of resources
(educational/clinical).

FHP 1

Health perception
-management Pattern
Strengths: Shopping centers,
urgent care, no c/o illness,
active lifestyles.
Deficits: Lack of access to
health care professionals and
health knowledge.
Priority deficit & rationale: No
primary health care in area r/t
lack of facilities.

Priority deficit & rationale: Teen

pregnancy r/t lack of knowledge and
resources.

Strengths: 2 major grocery stores to

choose from. Active food bank.
Deficits: Wal-Mart doesnt
encourage/provide high quality fresh
fruits and Veggies. Food bank
doesnt deliver and is far away.
Priority deficit & rationale: Lack of
high quality nutrition r/t limited
choices.

FHP 3 Elimination Pattern

Strengths: WM pick up, trash
bins and recycling.
Deficits: Industrial waste, open
washes w/standing water.
Priority deficit and rationale:
Poor air quality r/t industrial
pollution.

FHP 4 Activity -Exercise

FHP 8 Role/Relationship
sPattern

Pattern

Strength: Community gets along well

and is supportive.
Deficits: Uneployment is high.
Possible domestic violence.
Priority deficit & rationale: Domestic
Violence r/t unemployment.

Nutrition/Metabolic4
Pattern

Strengths: Parks, trails, new

families.
Deficits: Long distances to services.
Hot weather conditions.

Strengths: Residents love community. Safe

environment, child oriented.
Deficits: Lack of diversity. Self-imposed
boundaries.

Priority deficit & rationale: Increased

intake to overall physical activity r/t
FHP 6 Cognitive - Perceptualobserved obesity. FHP 5 Sleep/Rest Pattern
Pattern
Strengths: Quiet at night, no 24
Strengths: Public education. High
hr business to disturb residential
percentage of people with college
areas.
degrees.
Deficits: Opening of new fwy exit
Deficits: Lack of educational
will increase neighborhood
facilities and continuing
traffic.
education.
Priority deficit & rationale: lack

Priority deficit & rationale: Lack of

community unity r/t lack of diversity and
self-imposed separation.

Priority deficit & rationale:

Difficulty advancing education r/t
lack of educational resources.

FHP 7

Self-perception/ self-concept
Pattern

of sleep r/t noise from

neighborhood growth.
.

RUNNING HEAD: COMMUNITY ASSESSMENT PART TWO

PRIORITY TABLE
(adapted from Muecke, M.A. (1984). Community health diagnosis in nursing. Public Health Nursing, 1(1), 23-35
Functional Health Patterns:
Identified Priority Deficit
FHP 1
No primary health care in
area r/t lack of facilities.
Lack of health care
knowledge.
Homeless pop. Health risk to
greater community.
FHP 2
Lack of high quality nutrition
r/t limited choice.
FHP 3
Poor air quality r/t industrial
waste
FHP 4
Need more whole family
activities to decrease sedentary
lifestyles.
No long-term care or assisted
living facilities.
FHP 5
Possible increase in noise.
FHP 6
Lack of continuing education
for the unemployed.
FHP 7
Promote diversity events
FHP 8
Domestic Violence r/t
unemployment.
FHP 9
Sexual education for at risk

Appropriate for
PH Nurse Role

Prevalence of
Risk

Severity
of Risk

Potential for
Risk
Reduction

Community
Interest
**

Expected
Duration of
Program
Effects

Availability of
Resources

Total
Score

2
2
2

2
2
2

2
2
2

2
1
2

4
4
2

1
1
2

2
2
2

15
14
14

11

10

13

15

RUNNING HEAD: COMMUNITY ASSESSMENT PART TWO

groups.
FHP 10
Lack of income and jobs can
increase social problems.
FHP 11
lack of diversity for residents of
other belief systems

Weighting Schema:
0 = no priority
1 = some priority
2 = high priority

** Score doubled to emphasize the importance of community interest.

Summary:
In looking at this census tract the major health priorities are determined by examining the area as a whole and balancing the
observed health care needs with what the community is ready to solve. This community believes itself to be quite healthy and well
functioning. This can create a challenge in determining what the important health issues are to be solved by the public health nurses,
when the community at large doesnt see the same priority issues. The priority issues that will be focused on are the areas where
community investment was in line with the nursing goals. The goals that meet these criteria are FHP 1 regarding lack of primary care
and health knowledge, FHP 3 regarding air quality, FHP 4 regarding lack of long-term care, and FHP 8 regarding domestic violence.

Nursing Diagnosis
Priority 1: FHP #1- Lack of Knowledge.
Diagnosis: Risk for ineffective health maintenance among residents of Census Tract XX.xx related to lack of access to healthcare, lack
of knowledge, and lack of financial resources.

RUNNING HEAD: COMMUNITY ASSESSMENT PART TWO

PICO Question: For the population who lack readily available healthcare knowledge, would promotional flyers providing health
prevention and promotion information increase the number of people seeking health care?
Priority 2: FHP # 3- Poor Air Quality
Diagnosis: Risk for respiratory illness among residents of Census Tract XX.xx related to poor air quality due to industrial waste.
PICO Question: For residents exposed to poor air quality, would providing daily awareness of air quality status decrease the number
of asthma exacerbations in the community?
Priority 3: FHP # 4- Lack of Long Term Care Facilities
Diagnosis: Risk for ineffective health maintenance amongst the elderly population in census tract XX.xx related to lack of appropriate
assistive service.
PICO Question: For the elderly residents who lack services to long term care facilities, would providing appropriate transportation
methods for the elderly to access these services increase compliance to health care maintenance.
Priority 4: FHP # 8- Domestic Violence
Diagnosis: Risk for impaired home maintenance amongst families in Census Tract XX.xx related to low income levels and inadequate
support systems.
PICO Question: For family members who are at risk for domestic violence issues, would implementing weekly support group
meetings to address stress management decrease the rate of domestic violence?
Priority 1:
3: FHP
FHP #1#4 Lack
Term
Care
Facilities
Priority
Lackof
ofLong
Health
Care
Knowledge
Primary:
effects ofand
lifestyle
and
Primary: Educate
Provide about
healththe
promotion
health choices
education
their
relationship
to future
healthhealth
and illness.
in order
to prevent
problems in children and
ES#
3 Develop health and educational plans for individuals
adults.
and families in multiple settings (Stanhope and Lancaster,
ES#3 Develop and implement community-based health
2008).
education (Stanhope & Lancaster, 2008).
Secondary: Implement screening programs within elderly
communities
to identify
those
at adults
risk. on their health
Secondary: Survey
parents
and
ES#
6 Provide
preventative
services
to certain high
knowledge
andclinical
knowledge
of available
resources.
risk
populations
(Stanhope
and
Lancaster,
2008).
ES#9 Identify unserved and underserved populations
within the community (Stanhope and Lancaster, 2008).
Tertiary: Initiate referrals for the elderly population to
identify
andabout
increase
independence
in the
Tertiary:services
Educateneeded
residents
community
resources
home setting.
and distribute
information
promote
utilization
ES#
7 Recommend
clinical to
care
and other
servicesofto clients
available
in
clinics, resources.
homes and the community (Stanhope and
ES#7: Provide
clinical preventative services to certain
Lancaster,
2008).
high-risk populations (Stanhope & Lancaster, 2008).

Community Intervention Map

School Nurses (FHP 1, 3, 8)
Parent Involvement (FHP 3, 8)
Public Parks and Recreation (FHP 1, 3, 4,
8)
High Socioeconomic Community (FHP 1,
4)
Library (information and space for
education) (FHP 1, 3, 4, 8)
Public Officials (FHP 3, 8)
Urgent Care Clinics (FHP 1, 3, 4, 8)
Behavioral Health Services (FHP 1, 8)
Support Groups (FHP 1, 3, 8)
Local Churches (FHP 1, 3, 4, 8)

Priority 2: FHP #3 Poor Air Quality

Primary:Priority
Provide4:
information
regardingViolence
health issues
FHP # 8 Domestic
related Provide
to environmental
hazards
and prevention
Primary:
information
regarding
healthy lifestyles
strategies
to reduce the
of respiratory
and
stress management
in risk
the home
setting. illnesses.
ES5#2
Apply knowledge
aboutand
environmental
influences
ES#
Participate
in community
family decision
making
of health(Stanhope
(Stanhopeand
andLancaster,
Lancaster,2008).
2008).
processes
Secondary:
Investigate
health problems
and hazards
Secondary:
Implement
programs
in the community
to in
the community
knowledge
of health
identify
families atand
riskidentify
for domestic
violence
in the related
home.
risks
ES#
7 Establish programs and services to meet special
ES#2
Understand
identify2008).
determinants of health and
needs
(Stanhope
andand
Lancaster,
disease (Stanhope and Lancaster, 2008).
Tertiary: Initiate referrals to community agencies, parent
educational
programs,
stress management
and
Tertiary: Assist
individuals
and families training
to manage
social
supportillness
groups.
respiratory
and distribute information to
ES#
7: Providepromote
referralshealthy
through
community links to needed
continually
lifestyles.
care
(Stanhope
& Lancaster,
2008). of local regulations
ES#
4 Participate
in development
that protect communties and the environment from
potential hazards and pollution (Stanhope and Lancaster,
2008).

RUNNING HEAD: COMMUNITY ASSESSMENT PART TWO

Community Needs (GAP) Analysis Chart

I. Functional Health Pattern #1 Health Perception, Management Pattern: Lack of knowledge. The community needs health promotion
literature to be distributed to the community at a variety of facilities in order to teach disease-preventing behaviors.

II. Identify a minimum of 2 outcomes, one from Healthy People 2010 and one from Healthy AZ Goals
(www.hs.state.az.us). Then compare and contrast the national (HP2010) and the AZ goals.
Healthy People 2010 Outcome 7-9: Increase the proportion of hospitals and managed care organizations that provide community disease prevention
and health promotion activities that address the priority health needs identified by their community.
Healthy AZ Goal: Increase the proportion of persons who have a specific source of ongoing care.
Healthy People 2010 reports that strong predictors of a high level of health include having health insurance, a higher income level, and a regular
primary care provider or other source of ongoing health care service. The ideal goal for Arizona is to be able to provide every family with a source of
ongoing primary health because this would ultimately increase disease-preventing behaviors. The national goal tends to be more geared towards
ensuring that individuals have a primary source of care.

III. Recommendations to meet desired outcomes above:

Additional assessment: Assess the populations access to health care information because this may be a factor in the inability to obtain health
care services. Assess publics compliance with selected interventions and observe willingness to learn.
New programs/resources: Consider the public policy arena. Use advocacy as the key element to guiding political systems toward
formulating and implementing a healthy public policy. Consider researching other communities that have a therapeutic and effective
community health promotion and maintenance system in place. Observe and analyze the positive and negative factors of that system and
initiate appropriate interventions that will work for this community.

Interventions
1. Primary Prevention: Provide health promotion literature and health education in order to prevent future health problems in children and
adults.
Resources for implementation: Information will be provided to homes, community settings, and healthcare facilities such as public health
clinics, physicians offices, community health centers, and rural health clinics.
Literature evidence: The integrative model for community health promotion was successful in promoting the health and wellness of people
at Old Town Clinic by Laffrey and Kulbok (1999). This model has been successful to promote health by effectively guiding quality
improvement of services for the population in a community clinic setting. This is relevant to census tract XX.xx because this community
lacks public health information resources and health promotion literature that should be readily available to any community.
2. Secondary Prevention: Survey parents and adults regarding their health knowledge about general health promotion topics. Identify at risk
and underserved populations within the community (Stanhope & Lancaster, 2008).

RUNNING HEAD: COMMUNITY ASSESSMENT PART TWO

Resources for implementation: Screening may be done in the physicians offices or at public health clinics. The nurse will assess family
history of cancer, heart disease, diabetes, and mental illness as part of their normal screening. Proper follow-up will be implemented based on
the risk factors identified.
Literature evidence: The U.S. Preventive Services Task Force (2005) recommends preventive services that individuals should receive in
primary care settings in order to maintain healthy lives. Evidence-based preventive care is an essential component to a healthier population.
The Task Force (2005) recommends the following screenings; regular dental examinations, blood pressure, BMI, lipid disorders,
mammogram, osteoporosis, problem drinking, depression screening, tobacco use, coronary heart disease screening, diabetes mellitus, and
immunization boosters and updates (Agency for Healthcare Research and Quality, 2005). This agency asserts that determining basic health
knowledge and current health status can prevent serious complications and chronic illness within a community. This is relevant to census
tract XX.xx because providing screening and health promotion information can be customized to fit the needs of this specific area.
3. Tertiary Prevention: Educate residents about disease and treatment options by distributing informational flyers to direct their future care.
Resources for implementation: Educational interventions may be done in the home, hospital, clinic, physicians office, and with the use of
home health and other related services. Local media, notably print, can be used to provide awareness to a broad audience in the community,
often in more detail than is found in smaller office based locations. Media can also be used to direct residents to seek care along with general
education.
Literature evidence: The National Institute of Mental Health (1998) proposed an intervention spectrum that involves two components of
treatment interventions, which include case identification and standard treatment for known disorders. This principle asserts that identification
based on patient education should be completed for ill patients in order to prevent further complications. This is relevant to all communities
where disease can be found and may go untreated, such as census tract XX.xx.
Future activities: Monitor and evaluate progress based on the data relevant to community health services. Assess outcome progress of information
distribution, distribution sites, information communicated and general flyer format. Modify interventions as necessary based on program evaluation.
Compare current interventions with new evidence-based practice to yield the reliability of the interventions.

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10

Community Needs (GAP) Analysis Chart

I. Functional Health Pattern #3 Elimination Pattern: Poor Air Quality. There is a high risk for respiratory illnesses due to poor quality from the
local environment. The community needs to minimize the risks of hazardous materials in the air being exposed to individuals by ensuring that
air quality is maintained and regulated and communicated to residents.

II. Identify a minimum of 2 outcomes, one from Healthy People 2010 and one from Healthy AZ Goals
(www.hs.state.az.us). Then compare and contrast the national (HP2010) and the AZ goals. (8 points)
Healthy People 2010 Objective 8-12: Minimize the risks to human health and the environment posed by hazardous sites.
Healthy AZ Goal: Ensure that all air in Arizona achieves United States Environmental Protection Agency (USEPA) attainment status for criteria air
pollutants by 2010.
Healthy People 2010 aim to promote healthy environments by regulating two indicators of air quality. The two indicators are ozone, which refers to
outdoor, and environmental tobacco smoke, which refers to indoor. The Healthy AZ goal is achieved through active participation in the USEPA by
obtaining and managing selected criteria. The difference is that nationally, the objective is achieved through risk reduction while Arizona is striving
to obey national guidelines. Healthy People 2010 and Healthy AZ have the same final goal of preventing deaths due to Asthma and other respiratory
illnesses that originated from poor air quality.

III. Recommendations to meet desired outcomes above:

Additional assessment: Assess communitys knowledge of Clean Air Act. Determine current air quality within the community. Observe
additional environmental hazards such as standing water and risk for lead poisoning. Locate areas of the community that are at higher risk for
these environmental hazards and implement similar interventions to reduce and stop exposure.
New programs/resources: May lead to policy arena. Develop and advocate for policies and legislation that leads to prevention of
environmental hazards. Consult with industries that cause a large amount of hazardous waste and ensure that proper policies are in effect.
Continue to implement appropriate interventions that will eliminate exposure of hazardous materials to the public.

Interventions
1. Primary Prevention: Provide information regarding air quality conditions and its impact on respiratory health in the daily local newspaper.
Resources for implementation: Primary prevention can be implemented in a variety of settings, such as in homes, community settings,
community health centers, public health clinics, and through local media. For this level of prevention the local newspaper will be consulted to
recommend the inclusion of air quality data in the daily publication. This educates the public on environmental protection issues such as air
quality control and how to recognize respiratory exacerbation and how to avoid unnecessary exposure to triggers.
Literature evidence: The Environmental Protection Agency (2004) and the American Lung Association have researched the alarming rates of
asthma incidence (2004). The agencies provide valuable information on indoor air quality because there is growing concern of the air quality
for the population. The EPA insists that the public is aware of the air quality conditions as well as learns ways to improve air quality.

RUNNING HEAD: COMMUNITY ASSESSMENT PART TWO

11

2. Secondary Prevention: Investigate and screen for the presence of active and potential respiratory illnesses in the community and identify
knowledge level of respiratory complications from poor air quality exposure.
Resources for implementation: Secondary prevention occurs in public community settings, health centers, physicians offices, and homes.
This level requires more contact with the population in order to gather the appropriate data related to health knowledge and distribute that data
to trained agency personal for interpretation.
Literature evidence: The I PREPARE Mnemonic is an excellent tool for collecting environmental exposure history prepared by the
Agency for Toxic Substances and Disease Registry (2010). I refers to the act of investigating for potential exposure, P stands for the
present work, R stands for residence, E stands for environmental concerns, P stands for past work, A refers to activities, R stands
for referrals and resources, and E stands for education. This guide can be used in any community where exposure to a health altering
substance is possible. Air quality in this community would be the focus of this tool.
3. Tertiary Prevention: Assist individuals and families to treat and manage respiratory illness and distribute information to continually promote
healthy lifestyles. Consult with public health agencies and families about the importance of keeping air systems clean and free of mold, and
avoid contact with household pets when possible. Treatment may also consist of meeting with groups of concerned citizens and educating the
public about preventable environmental health problems. Utilization of the 3 Rs for reducing environmental pollution, reduce, reuse, and
recycle is also a viable community treatment option.
Resources for implementation: Medical treatment occurs in hospitals, clinics, and physician offices. Treatment consists of educating people
with respiratory illnesses on what they can do to prevent exacerbations.
Literature evidence: The 1970 Clean Air Act regulates air emissions from area, stationary, and mobile sources (Stanhope & Lancaster, 2008).
The EPA established the National Ambient Air Quality Standards to protect public health and the environment. The EPA asserts that the use of
these standards and regulations can reduce the incidence of respiratory illness exacerbation and occurrence (Kramer, Cullen, & Faustman,
2006). These standards also provide the basis for treatment management and education of the population.
Future activities: Assess effectiveness of daily air quality communication and teaching by comparing amount of asthma cases and other respiratory
illness prior to implementing the intervention. Modify information provided to community as needed to stay up to date with evidence-based practice.

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12

Community Needs (GAP) Analysis Chart

I. Functional Health Pattern #8 Role/Relationship Pattern: Domestic Violence. Census Tract XX.xx has a high risk of abusive behaviors due
to the increased stressors in the home related to financial deficits and increased unemployment. The community needs to monitor persons for
abusive behaviors as well as additional life stressors.

II. Identify a minimum of 2 outcomes, one from Healthy People 2010 and one from Healthy AZ Goals
(www.hs.state.az.us). Then compare and contrast the national (HP2010) and the AZ goals. (8 points)
Healthy People 2010 Objective 8-28: Reduce the incidence of violent crime and domestic violence through education and stress management.
Healthy AZ Goal: Develop and enhance data systems for abusive behaviors such as child abuse, elder abuse, intimate partner, family violence, rape
and sexual assault.
Healthy People 2010 seek to promote safety and to reduce violence. The objective for reducing violence refers to the importance of using
surveillance of risk factors. Such risk factors may include increased stressors in the family and compromised coping mechanisms. Healthy AZ aims
to develop a data system that would effectively and accurately record domestic violence issues. Healthy AZ claims that this system will only be
successful if it is at a local level because domestic violence is often unreported, which makes it a hard issue to handle on a state level. The difference
is between a national system that intends to decrease risk factors that precipitate violence and a state system that encourages local participation in
preventing violence. The census tract XX.xx needs a local system within the community that implements domestic violence reduction.

III. Recommendations to meet desired outcomes above:

Additional assessment: Obtain additional information on domestic violence occurrences by consulting with agencies such as the Police
Department and the Fire Department. Analyze current policies for effectiveness and modify as necessary.
New programs/resources: Consider the public policy arena. Develop advocacy programs. Implement screening interventions in school-aged
children to assess their knowledge of domestic violence in the home setting and their attitudes and behaviors to these types of situations.

Interventions
1. Primary Prevention: Provide information regarding healthy relationships, stress management, and domestic violence risk factors to
the community through the use of weekly support group meetings.
Resources for implementation: Information about stress management and healthy relationships should be placed in all public setting.
There should be fliers to inform the public of the meetings in schools, libraries, grocery stores and local businesses. Churches can also
be a valuable resource for reaching out to at risk families.
Literature evidence: Community stress management programs and support groups have been shown to decrease the risk factors that
can lead to domestic violence. Meyer & Stein (2004) found that public education programs focusing on different forms of violence,
stress triggers and how to get help are a major influence on reducing the incidence of domestic violence.
2. Secondary Prevention: Identify families at risk for domestic violence in the home through screening tools used at every contact with

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13

a health care professional or trusted person (i.e. church pastor, neighbors, etc).
Resources for implementation: Community newsletters can publish information about risk factors and how to seek help if needed.
Local facilities such as libraries, urgent care centers, business and schools can screen for domestic violence specific to their level of
care.
Literature evidence: Screen tools have been developed to assist people determine if an individual is at risk for or a victim of domestic
violence. An acronym-based tool that can be used is the HITS (Hurt, Insult, Threaten, Scream) scale which has been validated in the
primary care setting and is easy to teach to a large community (Punikollu, 2003). A more specific screen is the Womens Experience
with Battering Scale, which consists of 10 questions that score the level of risk for abuse/battering and is filled out by the individual.
This has been supported by the Index of Spouse Abuse study and is considered a reference standard, (Punikollu, 2003).
3. Tertiary Prevention: Initiate referrals to community agencies, parent educational programs, stress management training and social
support groups for victims of domestic abuse.
Resources for implementation: Recognize actual or potential abuse within all public settings, clinics, physicians offices, hospitals,
and health centers. Trusted confidants and community groups can provide smaller areas with the referral information.
Literature evidence: In the study published in the Journal of Divorce and Remarriage domestic violence victims were treated with
support groups where members of the community reported that the, group helped them see things differently, helped them decide
what to do (whether to divorce), increase their self esteem, and gave them courage to fight for themselves and their children and
marriage, (Molina, Lawrance, Azhar-Miller, Rivera, 2009).
Future activities: Monitor and evaluate progress based on the data relevant to community health services. Assess outcome progress. Modify
interventions as necessary based on program evaluation. Compare intervention with new evidence-based practice to update the reliability of the
intervention.

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Conclusion
The census tract XX.xx is a functioning community with minimal deficits. After further analysis and evidence-based practice,
these minimal deficits were found to be manageable with the implementation of an adequate health education system in place. This
community has a high risk for ineffective health maintenance related to lack of knowledge. This knowledge can be offered to the
residents of the community through media such as the newspaper and promotional flyers to be handed out at homes, schools, grocery
stores, and other public settings. Health awareness needs to be provided for this community in order to protect the population from
chronic illnesses.
Through research and theory, it has been shown that it is possible to reduce and eliminate unnecessary deaths with the use of
evidence-based practice with an emphasis on preventative services. There are available resources within the community that can be of
service to this prevention-based education. With the use of the public library, grocery stores, senior center, schools, healthcare
facilities, and neighborhoods, the health priorities can be addressed. The public settings offer a high flow of individuals that could be
used as the key location for health promotional activities. The parks and recreational places such as trails can be the cornerstone of
increasing health promotion with exercise. Grocery stores can be the vehicle in which there is awareness for good foods and how to
maintain a healthy diet at an affordable cost. The public library offers a fountain of resources that include classes for resume building
for the job seeking, which would help residents obtain jobs and lower the unemployment rate. With a lowered unemployment rate,
residents may feel less anxious about financial and life stressors. These decreased financial stressors may also facilitate a familys
ability to cope and subsequently lower the risk for domestic violence within the community. Health promotional flyers which would
be handed out to residents at their home might increase awareness for domestic violence risk factors and help them identify ways in

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RUNNING HEAD: COMMUNITY ASSESSMENT PART TWO

which it could happen. Neighbors would develop a sense of unity and the community would become healthier with these
interventions.
References
Agency for Healthcare Research and Quality. (2005). Preventive Services Task force. The guide to clinical preventive
services. Retrieved from www.ahrq.gov/clinic/pocketgf.pdf.
Agency for Toxic Substances and Disease Registry. (2010). The I PREPARE Mnemonic; tool for assessing
environmental exposure history. Retrieved from www.atsdr.cdc.gov/iprepapredf/.
Automobile Emissions Controls. (1974). Relevant Provisions of the 1970 Clean Air Act. Congressional Digest. 53(3).
74-96.
Environmental Protection Agency. (2004) Fact sheet national listing of air quality. Retrieved from
www.epa.gov/air/quality/.
Kramer, C. B., Cullen A. C., & Faustman, E. M. (2006). Policy Implications of Genetic Information on Regulation
under the Clean Air Act; The Case of Particulate Matter and Ashthmatics. Environmental Health Perspective.
114(3). 313-319.
Laffrey, S. C., & Kulbok, P. A. (1999). The integrative model for community health nursing; a conceptual guide to
education, practice, and research. Journal Holistic Nursing. 17, 88-104.
Molina, O., Lawrence, A., Azhar-Miller, A., & Rivera, M. (2009). Divorcing abused latina immigrant womens
experiences with domestic violence support groups. Journal of Divorce and Remarriage. 50(7), 459-471.
Mrazek, P. J., & Haggerty, R. J. (1994). Reducing risks for mental disorder: frontiers for preventive intervention
research. Committee on Prevention of Mental Disorders. Institute of Medicine. Washington DC: National
Academy Press.
National Institute of Mental Health. (1998). Priorities for prevention research at NIMH. Washington DC.
Punukollu, M. (2003). Domestic Violence: Screening made practical. The Journal of Family Practice. 52(7). 537- 547.

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