Community Health Nursing: New Brunswick Essay

A1. Community Description The metropolis of newfangled Brunswick is laid in Middlesex County, New Jersey. New Brunswick is the county seat of Middlesex, located in the one-sixth Congressional District, and part of New Jerseys seventeenth affirm legislative district. The city is centrally located between New York and Philadelphia. It is nearly 40 minutes southwest of New York and 45 minutes northeastern of Philadelphia. According to the U.S. Census, the total bea of the city is 5.789 squ atomic number 18 miles 5.227 squ are miles of familiarity domain and 0.562 square miles of water. New Brunswicks climate is humid and subtropical with coarse rainfall throughout the year. There are warm and humid summers and insensate winters.The come upness boot industry has played an important role in the citys economy. New Brunswick has been know as The health bursting charge City repayable to its world-class wellness care system and research facilities. It is domicile to Saint peck erwoods University infirmary, a secern-designated childs hospital and regional perinatal center. It is as well home to Robert Wood Johnson University Hospital, one of the nations tether academic wellness centers, and Central New Jerseys however level I trauma center. The Cancer Institute of New Jersey, also located in the city, is the only potfulcer center in the state that has been designated by the National Cancer Institute as a countrywide care center. Located in downtown New Brunswick is the state university of health sciences, UMDNJ-Rutgers University Robert Wood Johnson Medical instill. It is ranked among the top 50 primary care medical prepares in the U.S. Also hometo the city is The Bristol-Myers Squibb Childrens Hospital and Johnson & Johnsons corpo order headquarters, which is the worlds sixth largest consumer health company.A2. info New Brunswick residents stool widely divergent backgrounds. According to the 2012 U.S. Census, the total universe of discourse of New Brunswick was 55,181 with 14,119 households and 7,751 families. Approximately 50% of the commonwealth is Hispanic or Latino, which is the fourteenth tallest percentage in New Jersey ((Mascarenhas, 2011). The population is also do up of 45.4% White, 16% Black or African American, 7.6% Asian, 0.9% Native American, 25.6% from other(a) races, and 4.4% from two or more races. The population under age 18 was 21.1%, ages 18-24 was 33.2%, ages 25-44 was 28.4%, ages 45-64 was 12.2%, and age 65 or older was 5.2%.According to the 2010 U.S. Census Bureau, the citys median household income was $44,543 with a median family income of $44,455. Approximately 25.8% of the population and 15.5% of families were downstairs the poverty line. This includes 25.4% under age 18 and 16.9% age 65 and over. According to the U.S. Bureau of stab Statistics, 5.2% of the population is unemployed. There was 31.5% of the population without health indemnity coverage 13.7% were under age 18, 43.5% were resid ents ages 18-64 and employed, and 62.8% were residents 18-64 and unemployed.New Brunswicks creation schools are one of 31 Abbott districts, ensuring that students are receiving education in harmony with New Jerseys state constitution. Minority enrollment was 99% with Hispanics making up 82% of that. Percentage of economically disadvantage students, establish on data reported to the government, was 77%. New Brunswick high schools academic performance is remarkablely behind compared to other high schools in the state (NJ Department of Education). According to the NJ Department of Education, in 2012-2013 there were 62 high school dropouts. The 2012 NJ School surgical operation report revealed substandard academic ensues in the high schools proficiency assessments. According to the NJ School Performance report, the dropout rate was 4% and the high school is meeting 0% of its performance target in graduation and postsecondary measures rate.To prepare for disasters, New Jersey has a task depict on disaster planning and a campaign on taking into custody preparedness, which was developed by The Middlesex County Public Health Department. These provide info that go out help residents prepare for and be ready to respond to emergencies without any warning. The county has plotted ahead to help protect the safety and well-being of the association by providing a guidebook and a disaster planning guide.The guidebook provides information on the following how to develop a family emergency plan, emergency submit kits, pet preparedness, information on shelter, what stations to turn to on the radio set and television for notifications, evacuation, emergency preparedness tips, county, state and federal contacts, and other election contacts and websites for more information. New Jersey has had a plan to reduce effectuate of a disaster since 1984 which has been re-written in 2011-2012 to form relationships between emergency care agencies and the federal government. Th e NJ Office of requisite Management and the federal Emergency Management Agency offers resources and programs to help communities with disaster aftermath.A4. Interpretation New Brunswick is known as The Health Care City and home to world-class healthcare system and facilities. The city, however, has shown evidence in the past of health problems that contradict these resources. cardinal issues revolve around nettle to health care, cultural and language barriers, and problems obtaining persuasiveness care, and unmet needs of those with mental health. Problems that contribute include poverty, unemployment, and lack of access to woodland health care. There is a high percentage of low-income residents without health insurance coverage and may not own their own cars. Standard access issues such as lack of insurance and transportation has posed a problem for residents. Much of the saloonlic transportation in the area was special(a) and did not go from where most of the residents li ve to specialized health care providers and these services were mostly located outside of the city.While diversity can be an asset, it can also bring about challenges such as potential language barriers. Language barriers in the community were identified, and Spanish was an irresistibly predominant one. New Brunswickhas a growing Latino community creating significant barriers to accessing health care. Latinos would be reluctant to seek health care if they are not able to communicate their needs effectively. In addition, receiving and understanding instructions related to treatment and medications can cause problemsMental health issues are another major health problem. Changes in relation to immigration and hurt of social support are sources related to depression. Depression in women is practically related to problems with alcohol abuse in men as well as domestic violence. These problems can further be related to stress from multiple jobs, long work hours, low wages, and the obl igations of supporting family in their home country. Depression can also develop in elderly residents who are isolated as well as those who live in senior(a) buildings.A5. Community diagnosing Fortunately, there postulate been ongoing efforts to improve the health and well-being of the citys residents. Government and non-government representatives participated in contributing to the ripening of strategies and resources to improve the health of the community. Health task forces have been established to come upon priority health needs and concerns. The task force has conducted surveys that revealed information on the health conditions of New Brunswick residents.Through the collaboration and combined efforts of other organizations, legion(predicate) cost-efficient and time-efficient programs have been offered to residents. Access to care is as a result of lack of insurance, availability of services, and cultural and social barriers. Mental health issues have been statistically dif ficult to assess because it is not always reported. However, the community is commit to improving the health issues identified and have encouraged residents to participate. The health of the community depends on different factors, including individual behaviors, the environment, education, employment, access to healthcare, and quality of healthcare.A3. GenogramCommunity DiagnosisFor the data assessed, New Brunswick, NJ has made steps in addressing health care needs and concerns of the community. There is an abundance of resources available for the residents of the community. Strategic plans have been created by the community to improve the quality of life through purify health. This includes improving access to primary as well as forte care. Providing information in both English and Spanish to promote knowledge and compliance have been established to cater to the growing diverse population.New Brunswick,New JerseyHealthcare in the CommunityMiddlesex County Health rise PlanRutger s Center for State Health PolicySaint digs University HospitalRobert Wood Johnson University HospitalRutgers Robert Wood Johnson University Medical SchoolCultural Assessment predominantly Hispanics or LatinosLanguage barriers25.8% population and 15.5% families below poverty line31.5% population without health insurance coverage control access to specialized careDifficulty assessing mental health issues existence Economic StatusLocated in Middlesex County, NJPopulation 55,181Predominantly HispanicsMedian household income $44,5432525.8% below poverty line5.2% reported unemployment rate31.5% without health insurance coverageDisaster Assessment & PlanningNJ Task Force on Disaster PlanningMiddlesex County Public Health Emergency Preparedness GuideGuidebook and disaster planning guideFamily emergency planNJ Office of Emergency Management and Federal Emergency Management resourcesReferencesMascarenhas, R. (2011). _Census data shows Hispanics as the largest minority in N.J._. Retrieved fro m http//www.nj.com/ intelligence information/index.ssf/2011/02/census_data_shows_hispanics_as.htmlNJ Department of Education. (n.d.). _Doe data 2012-13 dropouts_. Retrieved from http//www.state.nj.us/cgi-bin/education/data/drp.plU.S. Bureau of Labor Statistics. (n.d.). _Local area unemployment statistics_. Retrieved from http//www.bls.gov/lau/U.S. Census Bureau, Population Division (2014). _Annual estimates of the resident population April 1, 2010 to July 1, 2013_ . Retrieved from http//factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmkNJ Department of Labor and Workforce Development. (2011). _NJ labor market views_. Retrieved from http//lwd.dol.state.nj.us/labor/lpa/pub/lmv/LMV_1.pdf