Caring for populations Essay Example for Free

Caring for populations Essay Introduction A community health nurse must be effective in targeting the population as a whole. The nurse will determine the needs for the community by using the data compiled from a windshield survey. As stated in the text, â€Å"A population focus also involves a scientific approach to community health nursing: an assessment of the community or population is necessary and basic to planning, intervention, and evaluation for the individual, family, aggregate, and population levels† (Nies McEwen, 2011). The purpose of this paper is to establish a priority health problem of the community of Harlingen, based on demographic, epidemiological data and a windshield survey of the area. Community The community assessment for this project is Harlingen, Texas. According to the 2010 United States Census Bureau, its population is about 64,918 of which 47.8% are male and 52.2% are female. The density is approximately 1629.1 residents per square mile. The racial makeup is 1.0% Black or African American, 79.5% Hispanic or Latino, 18.0% White, 1.9% from two or more races, 1.3% Asian, 0.1% Native American. The median household income, 2008-2012 was $34,096 in Harlingen, compared to $51,563 in the state of Texas. The percentage of persons below poverty level from 2008-2012 was 33.2% in Harlingen, compared to 17.4% in Texas. The city of Harlingen is in the center of the Rio Grande Valley. It is a community which has a transient population of â€Å"Winter Texans.† These Winter Texans are generally retirees from the northern states, who come to the warmer climates to escape  the winter weather of their home states, usually between November and March. Harlingen has one mall, two medical hospitals and one mental health state facility, two libraries, one community college and numerous schools from primary to high school levels. Demographic and Epidemiological According to the website, County Health Rankings Roadmaps, for Cameron County in 2014, teen pregnancy is measured by the teen birth rate per 1,000 female population, ages 15-19. The number for Cameron county teen births is 80, the number for Texas as a state is 57. There is poor quality of life in relation to health in Cameron County. 30% of the population has poor or fair health, compared to 18% in Texas. Cameron County also has an adult obesity rate of 27%, 21% of physical inactivity while there is 69% of access to exercise opportunities. 16% of the population suffers from excessive drinking and 396 counts of sexually transmitted infections. 36% of the population is uninsured, 86% graduated high school, 10.5% are unemployed and there are a whopping 48% of children in poverty, which has increased from the 2008-2012 numbers. The top causes of mortality in Texas are diseases of the heart, followed by Cancers and Respiratory diseases. Windshield survey During the observation of Harlingen for the Windshield Survey project, overweight residents were visible. The majority of the population is Hispanics, most were slightly overweight and appear relatively healthy. There are nursing homes and assisted living facilities in the community and they are mainly Hispanic and White older adults who are a mix of thin and frail to obese and unhealthy. Women are seen pushing strollers on the jogging trails, while the young children play in the parks. There are groups of teens who play football and basketball in the same area. In the residential areas, some people can be seen outside maintaining their properties, while other properties are dilapidated. The general appearance of the residents are healthy, with some being overweight. I have seen a few multimedia billboards for the local hospital, which is displaying an ad for bariatric surgery, which is appropriate for the current overweight population. Harlingen has some city parks and Boys and Girls clubs and numerous gyms in the area that are heavily utilized. The restaurants in the  area are mainly along the expressway and lining the few main streets around town. There is no food sold along the street, but people can be seen sitting in the parks eating meals. In Harlingen, the population is overweight Hispanics and Whites who have access to healthcare and wellness measures, as it is advertised constantly. There is adequate transportation and resources available for the population. Problem As stated before, Cameron County has an adult obesity rate of 27%, 21% of physical inactivity while there is 69% of access to exercise opportunities. While the averages for the state of Texas are 29%, 24% and 74%, respectively. Cameron County also has a limited access to healthy foods, 16% and 21% food insecurity and a mere 17% of children are eligible for free lunch. Since Harlingen and Cameron County have high obesity rates compared to the rest of the state, the Healthy People 2020 objectives applicable for Harlingen include: NWS-11 (Developmental) Prevent inappropriate weight gain in youth and adults and NWS-9 Eliminate very low food security among children. (Healthy People 2020, 2014) While these are two distinct objectives they are connected, much education will be need to be done to ensure change. The community needs to be educated and held accountable for their actions, at times they are unaware of how much damage an unhealthy diet can do. The Community Health Nurse must prepare for these challenges and have a good understanding of how to present information that will gain the interest of the population. A community health nurse must be well versed in the numerous efforts that are starting to prevent childhood obesity. There are new physical education requirements, nutrition standards for beverages and foods sold in school, to community initiatives to expand bike paths and improve recreational facilities (Koplan, Liverman Kraak, 2005). â€Å"Families need to make their homes to more conducive to a healthful diet and daily physical activity (Koplan, Liverman Kraak, 2005). The nurse will need to get out to the community via health fairs, school assemblies, media outlets, etc. to get the message out there. Education on making healthy choices, getting adequate exercise and making small adjustments to their daily lives will help. According to the article, Relative and Absolute Availability of Healthier Food and Beverage Alternatives Across  Communities in the United States, there was a study that was conducted on 3 years of data from the Bridging the Gap Community Obesity Measures Project. It stated the mean healthier food and beverage ratio was 0.71, meaning that stores averaged 29% fewer healthier than less healthy products. There were less availability of healthy alternatives in Hispanic communities (2014). Summary The community health nurse needs to be an expert in assessing and diagnosing health concerns in the community to be able to set realistic goals that will maintain the health of the population. Health promotion, education and community involvement are crucial. â€Å"Nutritional education is essential and must include parents, teachers, and the child† (Nies McEwen, 2011). The community should know and understand the food pyramid, how to make healthy choices and the importance of balancing intake and exercise. References County Health Rankings Roadmaps. (n.d.). Retrieved November 20, 2014, from http://www.countyhealthrankings.org/app/texas/2014/rankings/cameron/county/outcomes/overall/snapshot Koplan, J., Liverman, C.T., Kraak, V.I., Institute of Medicine, (.(U.S.). (2005). Preventing Childhood Obesity: Health in the Balance. Washington, D.C.: National Academies Press. Nies, M. A., McEwen, M. (2011). Community/Public Health Nursing (5th ed.). MO: Elsevier. Nutrition and Weight Status. (n.d.). Retrieved November 20, 2014, from http://www.healthypeople.gov/2020/topics-objectives/topic/nutrition-and-weight-status/objectives United States Census Bureau. (n.d.). Retrieved November 20, 2014, from http://quickfacts.census.gov/qfd/states/48/4832372.html Zenk,S.N., Powell, L.M., Rimkus, L., Isgor,Z., Barker,D.C., Ohri-Vachaspati,P., Chaloupka, F. (2014). Relative and Absolute Availability of Healthier Food and Beverage Alternatives Across Communities in the United States. American Journal Of Public Health , 104(11), 2170-2178. doi:10.2105/AJPH.2014-302113

Bovine Spongiform Encephalopathy :: Biology Cattle Disease Essays

  Ã‚  Ã‚  Ã‚  Ã‚  Bovine spongiform encephalopathy (BSE) is a relatively new disease found primarily in cattle. This disease of the bovine breed was first seen in the United Kingdom in November 1986 by histopathological examination of affected brains (Kimberlin, 1993) . From the first discovery in 1986 to 1990 this disease developed into a large-scale epidemic in most of the United Kingdom, with very serious economic consequences (Moore, 1996). BSE primarily occurs in adult cattle of both male and female genders. The most common age at which cows may be affected is between the ages of four and five (Blowey, 1991). Due to the fact that BSE is a neurological disease, it is characterized by many distinct symptoms: changes in mental state 'mad-cow', abnormalities of posture, movement, and sensation (Hunter, 1993). The duration of the clinical disease varies with each case, but most commonly lasts for several weeks. BSE continues to progress and is usually considered fatal (Blowey, 1991).   Ã‚  Ã‚  Ã‚  Ã‚  After extensive research, the pathology of BSE was finally determined. Microscopic lesions in the central nervous system that consist of a bilaterally symmetrical, non-inflammatory vacuolation of neuronal perikarya and grey-matter neuropil was the scientists' overall conclusion (Stadthalle, 1993). These lesions are consistent with the diseases of the more common scrapie family. Without further investigation, the conclusion was made that BSE was a new member of the scrapie family (Westgarth, 1994).   Ã‚  Ã‚  Ã‚  Ã‚  Transmission of BSE is rather common throughout the cattle industry. After the incubation period of one to two years, experimental transmission was found possible by the injection of brain homogenates from clinical cases (Swanson, 1990). This only confirmed that BSE is caused by a scrapie-like infectious agent.   Ã‚  Ã‚  Ã‚  Ã‚  How does the transmission become so readily available among the entire United Kingdom feedlot population? Studies showed that the mode of infection was meat and bone meal that had been incorporated into concentrated feedstuffs as a protein-rich supplement (Glausiusz, 1996). It is thought that the outbreak was started by a scrapie infection of cattle, but the subsequent course of the epidemic was driven by the recycling of infected cattle material within the cattle population (Lyall, 1996). Although the average rate of infection is very low, the reason why this led to such a large number of BSE cases is that much of the United Kingdom dairy cattle population was exposed for many, continuous years (Kimberlin, 1993).   Ã‚  Ã‚  Ã‚  Ã‚  To help control the outbreak, the British government in 1988 introduced a ban on the feeding of ruminant protein to other ruminant animals (Lacey, 1995). Such knowledge for the pathogenesis of the BSE disease shows precisely the actions that must be taken in order to control and minimize the risk of

Introduction to Ergonomics

Dafpus skripsi Bridger, R. S. 1995. Introduction to Ergonomics. International Editions. Singapore : McGraw- Hill Book Co. European Agency for Safety and Health at Work. 2010. Work-related Musculoskeletal Disorders in the EU-Facts and Figures. http://osha. europa. eu/en/publications/reports/TERO09009ENC (diakses pada tanggal 17 September 2012) Health and Safety Executive Authority. 2004. Getting to Grips with Manual Handling. UK : sss http://www. hse. gov. uk/pubns/indg143. df (diakses pada tanggal 17 September 2012) Health and Safety Authority. 2005. Guidance on the Management of Manual Handling in the Workplace.http://www.hsaeng/Publications_and_Forms/Publications/Retail/Management_Manual_Handling. pdf (diakses pada tanggal 17 September 2012) Kurniawidjaja, L. Meily. 2010. Teori dan Aplikasi Kesehatan Kerja. Jakarta: Penerbit Universitas Indonesia (UI-Press). Nurmianto, Eko. 2004. Ergonomi: Konsep Dasar dan Aplikasinya, 2nd. Ed. Surabaya: Penerbit Guna Widya. Tarwaka, dkk. 2004. Erg onomi untuk Kesehatan, Keselamatan, & Produktivitas. Edisi I, Cetakan I. Surakarta: UNIBA Press. Santoso, Gempur, Dr. , Drs. , M. Kes. 2004. Ergonomi: Manusia, Peralatan, dan Lingkungan. Jakarta: Prestasi Pustaka Publisher. Sastrowinoto, Suyatno, Ir. 1985. Meningkatkan Produktivitas dengan Ergonomi. Jakarta: PT Pustaka Binaman Pressindo. Suma’mur, P. K. , Rd. , MSc. 1989. Ergonomi untuk Produktivitas Kerja. Jakarta: CV. Haji Masagung.Workplace Health, Safety and Compensation Commission of New Brunswick. 2010. Ergonomics Guidelines for Manual Handling, 2nd. Ed. , Australia : Worksafe NB, http://www. worksafenb. ca/docs/MANUALEdist. pdf (diakses pada tanggal 03 Agustus 2012) WorkCover New South Wales Authority. 2012. Manual Handling Black Spots: Manufacturing. Industry Reference Group, http://www. workcover. nsw. gov. au/formspublications/pages/manualhandlingmanufacturing. aspx (diakses pada tanggal 06 November 2012)

Case Study - Kfc China Strategies - 1303 Words

Case Study 1 Introduction Since KFC opened the first outlet in Beijing in 1987, the fast-food giant has occupied its dominant position in China(Bell and Shelman 2011). As KFC expands rapidly in China, it formulates specific strategy aiming to Chinese customers and accomplishes unprecedented success. Among all the strategies, the localization strategy and the different operation management contribute significantly. While analyzing such strategies, benefits and weakness both emerge and some questions need to be resolved. What is the best business strategy to ensure long term success for KFC in China? What are three key challenges to its localization strategy that KFC China might face in the future? I would give analysis to the strategies†¦show more content†¦Ã¢â‚¬ ¢ The First Challenge The first challenge comes from the dilemma between additional costs and the benefit generated from the adjustment for regional differences. As mentioned before, further localization is a feasible solution to ensure long-term success. Nevertheless, it demands not only fund but also human resources. New products have to be developed, resulting in the accompanying new advertisement. Employees have to learn the new cooking method and use the localized recipe. Additional costs then arise and managers have to do trade-off between the costs and the benefits. †¢ The Second Challenge The second challenge comes from labor force. The exhausted demographic dividend will trigger a shortage of 140 million workers in China in the near future(Evans-Pritchart 2013). As the supply of labor shrinks, the equilibrium condition will alter. Thus, KFC has to increase the real wage to recruit enough employees. As the KFC SWOT ANALYSIS 2013(2013) suggests, high employee turnover also raises the risk of unexpected costs, for the work in KFC is low paid and doesn’t require specific technical skills. †¢ The Third Challenge The third challenge is the contradiction between healthy diet and fast-food. These years, Chinese are aware of the importance of a balanced diet(Atsmon, Y., Magni, M., Li, L. and Liao, W. 2012). The entrenched stereotype that fast-food is deemed as junk food has jeopardized the reputation of KFC.Show MoreRelatedKFC China and its Marketing1525 Words   |  7 Pagesï » ¿Case Study 2 Introduction KFC China is a quick service restaurant that’s has dominated the local fast-food market. Marketing has significantly contributed to its success. This report covers KFC-China’s current localized marketing strategy consisting of product, promotion price and placement strategies. 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