Community Health Nursing Assessment

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Community Health Assessment of 78382
Chamberlain College of Nursing
NR-443
Fall Session, November 2012
Audrey L. Hendrix

Community Health Assessment of 78382
Introduction
In an effort to promote the health needs within a community, a successful community health nurse (CHN) must focus on the entire population. In order to accomplish this task, the CHN utilizes a scientific approach to determine the priority population focused health needs for the community. According to Nies & McEwen (2011), a population focus involving an assessment of the community is a primary tool utilized in order to develop planning, interventions, and evaluations for the community at large. The purpose of this paper is to determine a priority health problem of a specific community based on demographic data, epidemiological data, and a windshield survey of the community. Community Data

Zip code 78382 is the official postal identification for the city of Rockport, Texas. Rockport is the county seat of Aransas County. Rockport is a Texas Gulf Coast community located on Live Oak Peninsula between Copano and Aransas Bay on State Highway 35. Named for the rock ledge that lies underneath the coastal shore, Rockport was founded after the Civil War as a cattle slaughtering, packing, and shipping port. This industry continued until the late 1800’s when boatbuilding and fishing began to develop into important industries. After the railroad came to Rockport, tourism and the resort business began to thrive (Shukalo, 2005). After the turn of the century, a major hurricane almost destroyed the entire community. Recovery from this devastating natural disaster was slow but by the late 1920’s the community once again began to thrive. At that time, shrimping became a major industry within the community. Throughout the next four decades, the community continued to grow with the main sources of commerce remaining in the areas of fishing, shrimping, and tourism. Today Rockport is a favorite vacation spot known as the Texas Riviera. Major sources of commercial life today in Rockport are the restaurant and motel industries (Shukalo, 2005). Demographic and Epidemiological Data

The estimated population of Rockport is 8,846 compared to 25,674,681 for the state of Texas. The age breakdown for the population is 5% under the age of 5, 17.9% under the age of 18, 28.3% over the age of 65 and 51.7% female. The state of Texas is 7.7% under the age of 5, 27.3% under the age of 18, 10.3% over the age of 65 and 50.4% female (U.S. Census Bureau, 2012). Caucasian is the largest ethnic group in Rockport at 88.7%, African-American at 1.5%, American Indians at 0.7%, Asian at 2.4%, Native Hawaiian at 0.1% and Hispanics at 20.8%. The state of Texas lists Caucasians at 70.4%, African-Americans at 11.8%, American Indians at 0.7%, Native Hawaiian at 0.1% and Hispanics at 45.3% (U.S. Census Bureau, 2012). Currently 14.7% of the population over the age of five in Rockport does not speak English in the home setting, 87% of the population over the age of 25 is a high school graduate, and 32.3% over the age of 25 has a bachelor’s degree. In comparison, the state of Texas lists 34.2% over the age of five that do not speak English in the home, 80% over the age of 25 with a high school diploma, and 25.8% over the age of 25 with a bachelor’s degree (U.S. Census Bureau, 2012). Per capita income in Rockport is $30,513 compared to $24,870 for the state of Texas. The median income per household is $44,487 and the state of Texas is $49,646. Individuals living below the poverty level in Rockport are 17.6% of the population compared to 16.89% for the state of Texas (U.S. Census Bureau, 2012). Current infant mortality in Rockport is 4.2 per 1000 live births compared to six per 1000 live births for the state of Texas. Adult obesity is 26.6% of the population in Rockport and 10.7% of the population is diabetic. Childhood obesity is 23.3% of the Rockport...
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