Windshield Survey Worksheet: 1409871

1. Community Overview

Write two or three lines about the area- just an introduction- what area is it?  What schools are in the area?  Any major landmarks?  For this community needs assessment assignment, I chose Runnels, IA as my community. Runnels is southeast of Des Moines and is about 20 miles away from where I live. It is a small town that was established in 1903 after John S. Runnells. As of 2018, the population of Runnels is 513. The area of Runnels is spread across .43 mi2. It consists of one elementary school, one community library, one park, one postal service office, and one church. It has no grocery or food stores, and no restaurants either. There are no clinics or hospitals in Runnels.

• Record your windshield survey findings

Community Assessment Area	Findings
Boundariesgeographic (e.g., river), political (e.g., municipal border), economic (e.g., industrial)	It is a small town that was established in 1903 after John S. Runnells. As of 2018, the population of Runnels is 513. The area of Runnels is spread across .43 mi2
Housing Size of homes, air conditioning?  Apartment buildings?  Size of yards?  Garages?- what is in the garages?	The median property value within Runnels County has been observed to be around $76,500 and the rate of homeownership is about 71.8%.
ConditionsSigns of decaymaintenance/repairabandoned propertyvacant lots	There are a mix of both modern, abandoned and vacant plots.
Parks and Recreational Areasmaintenance, who uses them	Runnels County includes five lakes, two of them provide the chief recreational and boating prospects, Lake Winters and Ballinger City Lake. Additionally, the county sustains 1,184 acres within municipal parks and recreation regions. The Ballinger Carnegie Library is located on National Register of Historic areas. Moving ahead, it is considered as one among three of the actual thirty-four Carnegie libraries within Texas for continuing for functioning like a full-service library.
Common AreasWhere do people gatheraccessible/open to allsigns	Several events bring together the societies and entice outsiders, taking in the Rattlesnake Roundup, the Arts and Crafts Fair, the Texas State Festival of Ethnic Cultures, the Miss Ballinger Pageant and Parade, the Pinto Bean Cookoff and others.
Stores (other than grocery)What, where, who	The region has food stores and no restaurants either.
Grocery storesWhere are the stores in relation to housing, go in and price staples- milk, bread, what are the options for white versus whole grain, 1 lb of ground beef, include the percent fat-challenges for an elderly person shopping here- think about the use of a scooter, or reaching high shelves, etc.	It has no grocery or food stores, and no restaurants either.
TransportationWhat, who, howroads, sidewalks, etc.	People commute through Drove Alone as well as the average commuting time is around 21.2 minutes. The standard car ownership within Runnels County is about 2 cars every household.
CommunicationMedia, billboards, posters, how is information disseminated?	Around 89.35 percent of Runnels County, Texas populaces speak just English, whereas 10.65 percent speak other languages. Additionally, the non-English language use through the biggest group is Spanish that is spoken through 10.18 percent of the populace.
Service CentersWhat, whereresources for senior citizens	Health care facilities are offered for senior citizens. There are also old-age homes for elder people offering them food and shelter facilities.
People in the CommunityHow dressed, what are they doing, pets?, demographics, signs of socioeconomic status	The region has almost equal proportion of both male and female population. The age group in which males are most expected for being married is between 45-54 years whereas the women age group most expected to get married is between 55-64 years. The race most expected for being in poverty within Runnels County is Native, with around 76.19 percent under the poverty line.
Industries and EmploymentWhat economic activity, what jobs, who works where	The economic condition of the region has turned out to be quite diversified ever since the period Second World War. Runnels County offers employment to around 4.18k individuals. The biggest sectors within Runnels County include Educational provisions (533 individuals), Manufacturing (515 individuals), and Health Care & Social Assistance (481 individuals), and the maximum paying sector include Wholesale Trade ($74,091), Scientific, Professional & Technical provisions ($68,750) along with Transportation & Warehousing ($42,614).
Protection ServicesPolice/firedistribution of presence	The people are not offered proper safety and security due to lack of police force.
EthnicityIndividuals and organizations,distribution	The 5 biggest ethnic groups include White (Non-Hispanic) (i.e. around 62.3 percent), White (Hispanic) (i.e. around 29.2 percent), Some Other Race (Hispanic) (i.e. about 3.92 percent), African American or Black (Non-Hispanic) (i.e. 1.31 percent) and lastly, Two or additional Races (i.e. Non-Hispanic) (1.1 percent).
ReligionWhat, abundance, distribution	People make use of a non-English language, and around 98.3 percent are U.S. residents.
Health and MorbidityAccess to health care, healthy options are in the area, drug-use, mental illness, disease -From the internet- what are the most common diseases in the area	About 81.5 percent of the populace of Runnels hold health coverage, with around 37.7 percent on staff plans, about 14.6 percent on Medicaid, around 15.6 percent towards Medicare, 12.5 percent towards non-group policies and about 1.1 percent towards military or VA plans. Moreover, Per capita personal health care expenditure within the region was around $6,998 during the year 2014.
Politics and Personal BeliefsPolitical parties,characteristics, distribution	There are no such political parties in Runnels

Adapted from: Madison, T. M. (1996) Windshield survey: A micro approach. In  M. Stanhope & R. N. Knollmueller, (eds.), Handbook of community and home health nursing: Tools for assessment intervention and education (2nd ed.). St Louis, MO: Mosby.

• Summary assessment of the community

Write a brief assessment of the community. In your assessment, comment on your findings (don’t repeat the findings), including access to healthy food options, exercise opportunities, protection services, and access to primary, secondary and tertiary healthcare services.  Analyze the apparent health of the community and what your observations might mean in terms of the population’s ability to maintain their health.It can be clearly stated from the above findings that a large number of people in Runnels have health coverage and a range of diverse medical provisions as well as plans. It has been observed that the focus in laid on offering primary, secondary and tertiary services to the people of the region. The people do have healthy food options but that are limited due to presence of no grocery stores.

• List of Health Needs/Problems for the Community

List five priority health needs or health problems for this community based on your observations during your survey. Two examples of how you would write a health need are: “lack of access to healthy foods” and “unsafe travel between school and home.” However, “need a grocery store in the neighborhood,” is not a health need. It is an intervention for the health need “lack of access to healthy foods.” 1) In adequate access to healthy food2) Lack of examination facilities for deadly diseases like cancer3) Lack of safety among the residents due to absence of adequate regulating force4) Lack of medical stores5) Limited elder-care homes in the region

Social Determinants Reflection

1. What is that definition of Social Determinants?

Social determinants basically involve conditions within the environments wherein individuals are born, live, work, learn, play, worship and age. These conditions have an impact over a wide array of health, quality-of-life upshots and risks and functioning. Conditions (such as social, physical and economic) within such varied settings and environments (such as school, workplace, neighborhood and church) are regarded as being “place.”

• What is a vulnerable population?

Vulnerable population chiefly takes in patients who are ethnic or racial minorities, elderly, children, underinsured, socioeconomically deprived or ones facing specific medical conditions (Liamputtong, 2007). People belonging to vulnerable population category frequently experience health conditions, which are worsened through needlessly insufficient healthcare. This population involves disadvantaged sub-sector of the society that requires high care, particular ancillary considerations and increased safety.

• How did the Empathy video make you feel?

There is no video so please check and forward

• Give a vulnerable population group name and describe why they are vulnerable.

This particular section addresses one among the high vulnerable group of the society i.e. the elder people. There is no doubt in the fact that the elder people are expected to easily catch any infection or experience health issues. Likewise, these are the ones who are highly impacted as compared to their young n case if the elderly person is physically capable family members. The elder people are regarded as being a vulnerable population, even they are less capable of taking care for themselves

• How does being in a vulnerable population group affect their health?

There is no doubt in the fact that being a vulnerable population greatly affect the health of elder people. This is because of the reason that elder people are more likely to catch infections or become ill as compared to the other segments of the society. Also, elder people require high time to recover from any type of illness or poor health.

• What does ACE’s stand for? Describe how this relates to vulnerable populations and why you think it is discussed in this training.

“ACEs” basically imply Adverse Childhood Experiences (Kitchener et. al., 2013). Such experiences could take in things such as emotional and physical abuse, caregiver mental illness, neglect as well as household violence. The more is ACEs experienced by a child, the more he or she is likely to suffer because of things such as diabetes and heart disease, poor academic accomplishment as well as substance abuse afterwards in their life (Norcross, 2002). There is no doubt in the fact that ACEs is related to the vulnerable population i.e. the children since it involves how children are effected and get ill due to different factors very easily.

• What were your thought when you learned the percentage of people’s health that is affected by social factors?

One cannot deny the fact that large percentage of people health is greatly impacted through social factors (Kitchener et. al., 2013). Social factors, like income, employment, education, community security and social assistance could greatly impact how well as well as how long one lives. Such factors have an impact on the capability of making healthy decisions, afford medical care along with housing, deal with stress and many others.

• Describe one barrier to seeking assistance and what can be done to alleviate or ease that barrier.

One barrier in seeking assistance is the availability of adequate funds to be capable of paying for the offered services. In such a case it is highly essential to make sure that the offered provisions must be easily affordable for all. Everyone should be capable of obtaining the offered services.  The services must be offered at a cost that every person could easily afford them

• Describe the Unpacking your bias activity and what you learned about yourself and your biases.

No info provided 

1. Discuss Motivational Interviewing. What is it and do you feel prepared to have these types of conversations with your patients? If not what is the barrier and how can you overcome that barrier.

Motivational interviewing basically refers to an approach wherein in one becomes a helper during the change procedure as well as expresses acceptance of his/her client (Hall et. al., 2012). It is a manner of interacting with substance-utilizing people, not just like an assistant to other therapeutic practices and a pattern of counseling, which could help in resolving the ambivalence, which stops clients from accomplishing personal objectives (Hall et. al., 2012). I feel I am not ready to conduct such kind of conversation with the client since I am not a good listener. For improving upon my listening skills I would engage in more group discussion activities and self-improvement and enhance them within a short time-period.

1. What gets in the way of:
   1. Helping patients identify and build supports?
      1. What is an example of something you have done or could do or say to help a patient identify and build supports?  

Lack of effective communication greatly gets in the way of helping patients identify and develop support. Proper communication could help the patient identify and build support.  

• Recognizing your own biases and changing how you are looking at the person or situation?

Holding a stereotype regarding a particular person or situation could greatly get in the way of recognizing own biases and changing how one is looking at the person or situation. Such people are bound to view a person or situation with set mindset.

• Using positive, strengths-based and patient-centered communication?

Lack of proper understanding related to patient’s history and condition gets in the way of using positive, strengths-based and patient-centered communication.

• Really hearing patients…what is important to them, what they want, etc.?

Lack of patience and listening ability really gets in the way of hearing patients i.e. what is important to them, what they want

1. What is your self – care plan? How will you avoid burnout?

My self-care plan essentially involves understanding the problem faced by the patient and possible reason for the same. Then, after properly examining the situation offering adequate care to the person. In order to avoid burnout it is highly essential to ensure effective and adequate communication with the patient and offer them a sense of care and security.

References:

Hall, K., Gibbie, T. and Lubman, D. I. (2012). Motivational interviewing techniques: facilitating behaviour change in the general practice setting. Australian Family Physician, 41(9), 660–667.

Kitchener, B. A., Jorm, A. F. and Kelly, C. M. (2013). Mental Health First Aid Manual (3rd ed.). Mental Health First Aid Australia.

Liamputtong, P. (2007). Researching the Vulnerable. California: SAGE Publications; 2007

Norcross, J. C. (2002). Psychotherapy relationships that work: Therapist contributions and responsiveness to patients. New York, NY, US: Oxford University Press.

Social Determinants Reflection

1. What is that definition of Social Determinants?

Social determinants basically involve conditions within the environments wherein individuals are born, live, work, learn, play, worship and age. These conditions have an impact over a wide array of health, quality-of-life upshots and risks and functioning. Conditions (such as social, physical and economic) within such varied settings and environments (such as school, workplace, neighborhood and church) are regarded as being “place.”

• What is a vulnerable population?

Vulnerable population chiefly takes in patients who are ethnic or racial minorities, elderly, children, underinsured, socioeconomically deprived or ones facing specific medical conditions. People belonging to vulnerable population category frequently experience health conditions, which are worsened through needlessly insufficient healthcare. This population involves disadvantaged sub-sector of the society that requires high care, particular ancillary considerations and increased safety.

• How did the Empathy video make you feel?

There is no video so please check and forward

• Give a vulnerable population group name and describe why they are vulnerable.

This particular section addresses one among the high vulnerable group of the society i.e. the elder people. There is no doubt in the fact that the elder people are expected to easily catch any infection or experience health issues. Likewise, these are the ones who are highly impacted as compared to their young n case if the elderly person is physically capable family members. The elder people are regarded as being a vulnerable population, even they are less capable of taking care for themselves

• How does being in a vulnerable population group affect their health?

There is no doubt in the fact that being a vulnerable population greatly affect the health of elder people. This is because of the reason that elder people are more likely to catch infections or become ill as compared to the other segments of the society. Also, elder people require high time to recover from any type of illness or poor health.

• What does ACE’s stand for? Describe how this relates to vulnerable populations and why you think it is discussed in this training.

“ACEs” basically imply Adverse Childhood Experiences. Such experiences could take in things such as emotional and physical abuse, caregiver mental illness, neglect as well as household violence. The more is ACEs experienced by a child, the more he or she is likely to suffer because of things such as diabetes and heart disease, poor academic accomplishment as well as substance abuse afterwards in their life. There is no doubt in the fact that ACEs is related to the vulnerable population i.e. the children since it involves how children are effected and get ill due to different factors very easily.

• What were your thought when you learned the percentage of people’s health that is affected by social factors?

One cannot deny the fact that large percentage of people health is greatly impacted through social factors. Social factors, like income, employment, education, community security and social assistance could greatly impact how well as well as how long one lives. Such factors have an impact on the capability of making healthy decisions, afford medical care along with housing, deal with stress and many others.

• Describe one barrier to seeking assistance and what can be done to alleviate or ease that barrier.

One barrier iN seeking assistance is the availability of adequate funds to be capable of paying for the offered services. In such a case it is highly essential to make sure that the offered provisions must be easily affordable for all. Everyone should be capable of obtaining the offered services.  The services must be offered at a cost that every person could easily afford them

• Describe the Unpacking your bias activity and what you learned about yourself and your biases.

No info provided 

1. Discuss Motivational Interviewing. What is it and do you feel prepared to have these types of conversations with your patients? If not what is the barrier and how can you overcome that barrier.

Motivational interviewing basically refers to an approach wherein in one becomes a helper during the change procedure as well as expresses acceptance of his/her client. It is a manner of interacting with substance-utilizing people, not just like an assistant to other therapeutic practices and a pattern of counseling, which could help in resolving the ambivalence, which stops clients from accomplishing personal objectives. I feel I am not ready to conduct such kind of conversation with the client since I am not a good listener. For improving upon my listening skills I would engage in more group discussion activities and self-improvement and enhance them within a short time-period.

1. What gets in the way of:
   1. Helping patients identify and build supports?
      1. What is an example of something you have done or could do or say to help a patient identify and build supports?  

Lack of effective communication greatly gets in the way of helping patients identify and develop support. Proper communication could help the patient identify and build support.  

• Recognizing your own biases and changing how you are looking at the person or situation?

Holding a stereotype regarding a particular person or situation could greatly get in the way of recognizing own biases and changing how one is looking at the person or situation. Such people are bound to view a person or situation with set mindset.

• Using positive, strengths-based and patient-centered communication?

Lack of proper understanding related to patient’s history and condition gets in the way of using positive, strengths-based and patient-centered communication.

• Really hearing patients…what is important to them, what they want, etc.?

Lack of patience and listening ability really gets in the way of hearing patients i.e. what is important to them, what they want

1. What is your self – care plan? How will you avoid burnout?

My self-care plan essentially involves understanding the problem faced by the patient and possible reason for the same. Then, after properly examining the situation offering adequate care to the person. In order to avoid burnout it is highly essential to ensure effective and adequate communication with the patient and offer them a sense of care and security.

Social Determinants Reflection

1. What is that definition of Social Determinants?

Social determinants basically involve conditions within the environments wherein individuals are born, live, work, learn, play, worship and age. These conditions have an impact over a wide array of health, quality-of-life upshots and risks and functioning. Conditions (such as social, physical and economic) within such varied settings and environments (such as school, workplace, neighborhood and church) are regarded as being “place.”

• What is a vulnerable population?

Vulnerable population chiefly takes in patients who are ethnic or racial minorities, elderly, children, underinsured, socioeconomically deprived or ones facing specific medical conditions. People belonging to vulnerable population category frequently experience health conditions, which are worsened through needlessly insufficient healthcare. This population involves disadvantaged sub-sector of the society that requires high care, particular ancillary considerations and increased safety.

• How did the Empathy video make you feel?

It can be observed that the care giver has the power to heal or harm. Properly understanding the patient and offering the required assistance proves to be of great help for the patient and recovery process.

• Give a vulnerable population group name and describe why they are vulnerable.

This particular section addresses one among the high vulnerable groups of the society i.e. the elder people. There is no doubt in the fact that elder people are expected to easily catch any infection or experience health issues. Likewise, these are the ones who are highly impacted by any accident or infection and their immunity is quite low as compared to younger age group. The elder people are regarded as being a vulnerable population and even they are less capable of taking care for themselves

• How does being in a vulnerable population group affect their health?

There is no doubt in the fact that being a vulnerable population greatly affect the health of elder people. This is because of the reason that elder people are more likely to catch infections or become ill as compared to the other segments of the society. Also, elder people require high time to recover from any type of illness or poor health. They are physically and mentally in-capable of doing their activities of daily living since they do not have the required strength and power of performing them.

• What does ACE’s stand for? Describe how this relates to vulnerable populations and why you think it is discussed in this training.

“ACE’s” basically imply Adverse Childhood Experiences. Such experiences could take in things such as emotional and physical abuse, caregiver mental illnesses, neglect as well as household violence. The more ACE experienced by a child, the more he or she is likely to suffer because of things such as diabetes and heart disease, poor academic accomplishment as well as substance abuse afterwards in their life. There is no doubt in the fact that ACE is related to the vulnerable population i.e. the children since it involves how children are effected and get ill due to different factors very easily.

• What were your thought when you learned the percentage of people’s health that is affected by social factors?

One cannot deny the fact that large percentage of people health is greatly impacted through social factors. Social factors, like income, employment, education, community security and social assistance could greatly impact how well as well as how long one lives. Such factors have an impact on the capability of making healthy decisions, afford medical care along with housing, deal with stress and many others.

• Describe one barrier to seeking assistance and what can be done to alleviate or ease that barrier.

One barrier in seeking assistance is the availability of adequate funds to be capable of paying for the offered services. In such a case it is highly essential to make sure that the offered provisions must be easily affordable for all. Everyone should be capable of obtaining the offered services.  The services must be offered at a cost that every person could easily afford them

• Describe the Unpacking your bias activity and what you learned about yourself and your biases.

I have learnt that it is not good to hold bias against any particular patient or practice. It is highly suggested to look at things from different perspectives.

1. Discuss Motivational Interviewing. What is it and do you feel prepared to have these types of conversations with your patients? If not what is the barrier and how can you overcome that barrier.

Motivational interviewing basically refers to an approach wherein in one becomes a helper during the change procedure as well as expresses acceptance of his/her client. It is a manner of interacting with substance-utilizing people, not just like an assistant to other therapeutic practices and a pattern of counseling, which could help in resolving the ambivalence, which stops clients from accomplishing personal objectives. I feel I am not ready to conduct such kind of conversation with the client since I am not a good listener. For improving upon my listening skills I would engage in more group discussion activities and self-improvement and enhance them within a short time-period.

1. What gets in the way of:
   1. Helping patients identify and build supports?
      1. What is an example of something you have done or could do or say to help a patient identify and build supports?  

Lack of effective communication greatly gets in the way of helping patients identify and develop support. Proper communication could help the patient identify and build support. For instance, in case of cultural differences between patient and care giver there can be difference in language used by them. Thus, this could come in the way of effective understanding between the both.

• Recognizing your own biases and changing how you are looking at the person or situation?

Holding a stereotype regarding a particular person or situation could greatly get in the way of recognizing own biases and changing how one is looking at the person or situation. Such people are bound to view a person or situation with set mindset.

• Using positive, strengths-based and patient-centered communication?

Lack of proper understanding related to patient’s history and condition gets in the way of using positive, strengths-based and patient-centered communication.

• Really hearing patients…what is important to them, what they want, etc.?

Lack of patience and listening ability really gets in the way of hearing patients i.e. what is important to them, what they want

1. What is your self – care plan? How will you avoid burnout?

My self-care plan essentially involves understanding the problems faced by the patient and possible reason for the same. Then, after properly examining the situation, I will offer adequate care to the person. In order to avoid burnout it is highly essential to ensure effective and adequate communication with the patient and offer them a sense of care and security. I will also avoid taking over shifting or over working when my body cannot handle.

Community Practice

The community chosen for this particular task is West Des Moines, IA. The overall population within the area of West Des Moines has increased at a comparatively speedy pace over the period of past 16 years, increasing from 46,403 individuals during the year 2000 to around 64,560 during the year 2016. The ethnic and racial blend of the area is continuously rising. While the white populace even now signifies 85.4% of the overall populace, all minorities have augmented at a rate greater as compared to the average for the region in general. A considerable increase in the Hispanic populace took place that increased by over 108.7% between the period of 2000 and 2010. It has observed that the condition of houses as well as socio-economic status is good in West Des Moines. The issue of homelessness and house disparities is likely to occur in case if proper housing evaluation is not carried out and an action plan needs to be developed for effectively managing the housing issue at West Des Moines. The action plan would involve various steps. First of all, it would involve examining the present situation and the need for additional housing. Secondly, it would require examining the present housing provisions with present population. Thirdly, it would involve examining the need for additional housing in the future times taking into consideration the expected growth in population and need for housing. Lastly, it would involve properly understanding the needs of the people whether they are satisfied with their present housing provisions or looking to shift to some other place.