Community Health Nursing
Galveston, Texas is a city in South Texas that is mostly water and resides in the Gulf of Mexico. The city itself has a relatively small population, but it is close to Houston which is one of the largest cities in the United States. The city, being close to the Gulf is a prime candidate for hurricanes, and it has seen some devastating storms since its inception. This paper examines the community health characteristics of this small American city from the perspective of economic development, safety, culture and disaster preparedness, and then provide an assessment and a diagnosis.
Community Assessment
Economics
It may seem that it is difficult to link health and economics, but there are actually a number of correlations that can be made. One of these is that a person who is comfortable with the amount of wealth they have accumulated is more likely to be healthy. The main reason for this seems to be that this type of person has less to worry about and is able to make healthier decisions regarding level of care. Demographics speak to the fact that Galveston, in general, is in a county that is economically better off than the average Texas county. However, the city is not so fortunate. According to Nolen, et al., (2011), the population of the city dropped dramatically in the last seven years. Most of the population drop was due to hurricanes Katrina and Rita. These both occurred in 2005 and were devastating to the entire Gulf Coast region of the United States. The economy of the city declined with the population. Currently, more than 23% of the population of the city is at or below the poverty level, and it is difficult to find work in the area. Since many of the businesses have either left the city or seriously reduced workforces, there is little for the remaining people to do.
Safety
The economy and the population of the city have decreased in recent years, but Galveston remains a safe city relative to other Texas cities. The area has some amount of crime, but, for the size of city that it is, Galveston is actually relatively safe. The issues that Nolen, et al., (2011) report points out have to do with noise pollution from various festivals and fairs, and the industrial activity that has recently restarted in the community. Since it is a small city, albeit in a much larger country near a metropolitan area, Galveston does not have the crime-related issues of a larger area.
Culture
The State of Texas has a very large Hispanic community that is largely Mexican. However, the city of Galveston actually looks more like the rest of the United States than other cities in Texas. The Hispanic population is relatively low compared to other Texas cities, and other populations run at roughly normal rates (Census Bureau, 2012). The City of Galveston does have a thriving Mexican-American culture notwithstanding the numbers, but there are also a number of festivals in the area that celebrate other cultural communities in the area.
Disaster Preparedness
This area of the health assessment may be the most comprehensive since the area is very susceptible to hurricanes and other water related problems. There are very few other disasters that could so significantly affect the area since it is not in the tornado belt, does not have a large amount of snow, and has never had a large earthquake. The city has developed a plan that includes a tiered evacuation and reentry plan, housing insurance breaks for low-income families so that they can make sure to have housing if a disaster occurs, provide for mental health services to quickly reassert themselves, and provide communications with citizens regarding the disaster Nolen, et al., (2011).
Interpretation
The City of Galveston meets the statistical norms of the rest of the country with regard to birth and death rates and other similar demographics data, but the area still has not fully recovered from the effects of large storms that happened in 2005. Because the population decreased so dramatically, crime has risen to some degree, there is more evidence of decay, and the city seems to be waiting for the next large storm to arrive. Many of the health centers and hospitals have left the city and moved to the more suburban areas of the county in consequence to the movement of the population. This has made it more difficult for people within the city to receive adequate healthcare.
Genogram
See Appendix A
Genogram Interpretation
The City of Galveston is the focus of this analysis, but the city lies within the larger County of Galveston in Texas. The two do not have a great deal to do with each other, thus the curving, light-colored line. The City is very concerned with all mean of safety and especially as that relates to disaster preparedness, and these two are very much interconnected. The City is less concerned with culture because the inhabitants do not have the strong cultural heritage of the county residents. Health seems to be an afterthought because a the greater concerns are unemployment and safety.
Community Diagnosis
Galveston, Texas is a small community, but one that has been hit hard, at times, by both natural phenomena, and man-made problems. The community has a decent health record because crime has been relatively stable and the community has had enough experience with large storms (disasters) that they have developed an effective plan. These issues taken together though can have an enormous effect on the health of the populace. It is difficult to look at the current state of the city and not be concerned.
Due to hurricanes Rita and Katrina, the population has dramatically decreased in size and this means that there are fewer local health care centers for residents. Even if a hospital or health care facility is relatively close, it may still be too far away for an elderly person or a child who needs care and cannot find transportation. The decrease in population also means that there are fewer jobs in the city, besides the docks, so crime has increased. The latest figures prove that it could become a real problem very shortly (Census Bureau, 2012). These may not seem to have direct effects on health, but they do. Because of these factors, there is an increasing illness in the community that must be taken care of.
Recently, the city conducted a survey and the local University of Texas extension center wrote a healthcare proposal for the region (Nolen, et al., 2011). The suggestions ranged from trying to build sustainable jobs for the region to giving the people of the community a voice in how changes can be made to the community. The people who wrote the assessment were worried that with its present course the city could face a major health crisis if it is not stalled immediately.
References
Census Bureau. (2012). Quick facts: Galveston County, Texas. Retrieved from http://quickfacts.census.gov/qfd/states/48/48167.html
Nolen, L.B., Miller, C.M., Prochaska, J.D., & Tarlekar, S. (2011). Health impact assessment of the City of Galveston’s draft comprehensive plan, Center to Eliminate Health Disparities at the University of Texas Medical Branch, Galveston, Texas. Retrieved from www.utmb.edu/cehd
Appendix A
Galveston Community Genogram
Disaster Preparation
The City of Galveston
Health
Safety
Unemployment/Jobs
Family
Faith
Culture
Galveston County Relations
Get Professional Assignment Help Cheaply
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Why Choose Our Academic Writing Service?
- Plagiarism free papers
- Timely delivery
- Any deadline
- Skilled, Experienced Native English Writers
- Subject-relevant academic writer
- Adherence to paper instructions
- Ability to tackle bulk assignments
- Reasonable prices
- 24/7 Customer Support
- Get superb grades consistently
Online Academic Help With Different Subjects
Literature
Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.
Finance
Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.
Computer science
Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!
Psychology
While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.
Engineering
Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.
Nursing
In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.
Sociology
Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.
Business
We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!
Statistics
We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.
Law
Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.
What discipline/subjects do you deal in?
We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.
Are your writers competent enough to handle my paper?
Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.
What if I don’t like the paper?
There is a very low likelihood that you won’t like the paper.
Reasons being:
- When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
- We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.
In the event that you don’t like your paper:
- The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
- We will have a different writer write the paper from scratch.
- Last resort, if the above does not work, we will refund your money.
Will the professor find out I didn’t write the paper myself?
Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.
What if the paper is plagiarized?
We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.
When will I get my paper?
You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.
Will anyone find out that I used your services?
We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.
How our Assignment Help Service Works
1. Place an order
You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.
2. Pay for the order
Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.
3. Track the progress
You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.
4. Download the paper
The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.
PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY!!!
