Assignment: Draft of Community Assessment

TOPIC —   Pressure Ulcers and the Vulnerable Elderly Population at Mary Manning Walsh

II. Community Assessment A. What resources exist within the systems of this community? Consider health and social services, educational services, safety, religion, and politics, among others. i. Be sure to identify resources at the local level. What influences these resources? Why are they considered social determinants of health? ii. Include resources at the regional level. How are the influences on these resources different than the influences on resources at the local level? Justify your reasoning. iii. How are healthcare resources in both the local and regional areas around this community influenced by healthcare policy? Provide support for your answer. iv. Are the healthcare resources in this community different according to the varying demographics? Why or why not? Be sure to support your answer using research or data. B. Analyze the community based on data collected from reliable resources. For example, you might utilize data from the Centers for Disease Control and Prevention, the Community Health Status Indicators website, or even recent census data. i. What are the strengths and weaknesses of the community that would be integral in the formulation of a community health strategy? Support your answer with data and research. ii. What barriers have been identified that may impact the successful implementation of that strategy? Support your answer with data and research. iii. What areas of opportunity exist for improving the health of the community? Support your answer with data and research

For additional details, please refer to the MILESTONE TWO GUIDELINES AND RUBRIC.

Running head: General Community Characteristics 1

General Community Characteristics 5

Pressure Ulcers and the Vulnerable Elderly Population

General Community Characteristics

New York City has five predominantly recognized boroughs demographically. Manhattan is amongst the most densely populated city whereby it is a recognized district with historical origin, culturally identified, economically stable and equipped with different health care centers. Manhattan being a coextensive district in NYC, it receives over 30 million visitors per year, though most of the tourists hardly see away from the “22.6 square miles (58.5 square km)” of Manhattan Island, the smallest urban district. Manhattan is easily recognized by residents and visitors since it is divided alluring 220 east-west streets and 12 north-south avenues. It is overloaded with places of enduring interests, cultural institutions and one of the world largest skyscraper. Sachs (2016) states that other neighbouring cities recognizes Manhattan as the primary borough hub for business, center for administrative services, and a financial center for metropolis and their origin of their renown. Inside this considerable historic disparity, Manhattan is mainly made out of neighborhoods that give tranquil sanctuaries to satisfied occupants. No region of NY exhibits dynamism and transformation as ultimately as Manhattan. Crowds enter it day by day to look for their prosperities, and extra millions come to wonder about their endeavors. It is Manhattan that they name an “incredible place, yet I wouldn’t have any desire to live there.”

Demographic and Socioeconomic Characteristics

Manhattan is one of the highly densely populated district in NYC, though smallest geographically. In the United States, NYC is the leading county with highest population and the leading densely populated region globally (Stanhope & Lancaster, 2018). This facts is supported by the 2010 census report that the district has the highest population compared to other boroughs because it holds a populace of “1,585,873 living in a land area of 22.96 square miles (59.5 km2), or 69,464 residents per square mile (26,924/km²)” (U.S. Census Bureau QuickFacts). It is the wealthiest county that stabilize U.S economy with a 2005 per capita income above $100,000. Manhattan is the smallest in land area but the third –largest populated borough in NYC.

United States has referred Manhattan as the center that does well economically and culturally develop. NYC serves as the monetary capital center for both NASDAQ as well as the New York Stock Exchange, with an estimated GDP of over $1.2 trillion. Universities, museums, tourist’s attractions sites are amongst the famous landmarks that distinguish Manhattan community from other boroughs. United Nations Headquarters are as well located in this borough. The city is described as a metropolitan center where most of the government business are conducted, businesses, simulation activities as well as where national banks can be accessed.

Key Community Groups and Health Concerns

In Manhattan city, some people are more vulnerable than others. Specifically, elderly and children are mostly affected since according to U.S. Census Bureau QuickFacts 16.1% and 9% of elderly and children respectively live in abject poverty. That is why, in Mary Manning Walsh Nursing Home, they strive to identify this portion to understand their level of vulnerability so as to provide appropriate interventions. According to Stanhope & Lancaster (2018), limited and uneven distribution of resources in the community is the leading causes of subjecting these populations to vulnerability. Aging population need prompt intervention to alleviate life-threating effects like developing depression which leads to pressure ulcers. The hospital contends that, to increase resilience, the situation can be reversed when accessible resources are allocated properly. Poverty maybe as result of low income amongst the elderly, which later contribute to their poor health like developing pressure ulcers due to stress and also lack of accessing quality healthcare system. As indicated from the county health statistics, elderly population without insurance coverage in Manhattan city is estimated as 10% which is higher than Hampshire city which has an average of 10%. This is why; Sachs (2016) argues that, Individuals at the two closures of the age difference are frequently less ready to adjust to stressors physiologically”. Kids in poverty are likewise an extraordinary concern of society. An investigation of Stanhope & Lancaster (2018) expressed that the “rate of kid destitution is an expanding function of the level of salary imbalance”. Likewise, “the higher is the pay disparity, the more prominent is the rate of kid poverty.

Children are another vulnerable group predisposed to malnourishment, underweight and poor health. Vulnerability contributes to loss of lifespan work opportunities and shortfall of quality education (Stanhope & Lancaster, 2018). Report from county ranks states that compared to other neighbouring borough; Manhattan carries a 36% of children in who are eligible to get reduced-price lunch. Also, 3% consist of uninsured children and 40% is the mortality. Generally, medical attendants play significant roles in coordinating and connecting vulnerable population with the accessible resources in the community and different organizations. They can work with others as well as offering health education in the public to establish a wellbeing program. Most importantly, medical attendants can impact enactment and health policies that influence the susceptible populace.

References

U.S. Census Bureau QuickFacts: New York County (Manhattan Borough), New York. Retrieved from: https://www.census.gov/quickfacts/fact/map/newyorkcountymanhattanboroughnewyork/INC110217

Sachs, J. D. (2016). High US child poverty: Explanations and solutions. Academic pediatrics, 16(3), S8-S12.

Stanhope, M., & Lancaster, J. (2018). Foundations for population health in Community/

public health nursing (5th edition). St. Louis, MO: Elsevier.