Community Health Needs Assessment Tools Health And Social Care Essay

Community wellness inevitably opinion Tools Health And Social C be EssayThe research progress to to picture qualitative and quantitative data regarding a interpretericular biotic community wellness need is directly proportionate to the impact that the particular wellness need has on the community and sometimes counterbalance the mortality/morbidity generated by the particular wellness problem. In this regard, in this current assessment we brush up the health call for of scorch tap workers in western United States Virginia, regular army to identify hazards and risk factors pertaining to their health, by virtue of their designated profession.Community health inescapably assessment is a rigorous project that serves the world on a lower floor trace by elucidating the current involve, reflecting the situation which is often not balanced in the midst of health providers, insurance schemes, health administration and/or community leaders. It besides serves at ident ifying particular postulate that ar overlooked by health care officials that are either novel or problematical by elucidating comprehend and expressed health and wellbeing needs. In other words, it can be a useful means to depict the leaded communitys horizon in repute to health needs, healthcare shortfalls and aetiology, all useful areas for the facilitation of better public health management.In order to perform an accurate community health needs assessment, research should be grounded on an up to date background correction of the selected populations demographics and census (socioeconomic, workforce and other) data, where available. Moreover, particular health factors should be taken into account by managing information currently disseminated through healthcare officials (such as mortality, ailment prevalence, risk factors compendium).This research would also benefit from an on-site review of environsal and work related conditions, if possible.The most useful and widel y used cats-paw to direct a community health needs assessment and attendant outline is by means of a structured questionnaire based come off that lead employ cross surgical incisional and population specific items targeted at the current health need. Moreover, the instrument should be designed with attention to environment and state specific conditions, such as regulations and laws, insurance coverage and heretofore so, local traditions and unwritten codes of conduct.For the higher up reasons, in this essay we allow conduct a review of available information on the community of burn Mining Workers in atomic number 74 Virginia, USA. After the acquisition and analysis of the pertaining data, we exit present a structured survey instrument, aiming to identify health needs with respect to existing health problems and patient satisfaction.BACKGROUND-RESEARCHWe searched a wide get of online databases and organisations providing demographic and other information for the populati on in question. We also conducted a MEDLINE search, to draw the picture of already identified health needs and/or needs assessments already conducted in this population. Search terms employed were burn workers, west Virginia, health needs, pneumonoconiosis, interstitial lung disease, occupational hazard alone or in combination. westward Virginia is a state in the Mid-Atlantic section of the USA, capital Charleston. The state is notorious for its mountain composition and significant scorch mining industries. The mineral and ember resources in the area are vast, and West Virginia has been considered to thrust fuelled a great part of the industrial revolution of the develop world. Moreover, coal mining and related work constituted major part of the employment activities of the state, while still in the 21st century, it is believed that mining golosh and environmental concerns are amongst the most challenging issues facing the state.In 2009, West Virginia was inhabited by 1,819,7 77 people. 5.6% of West Virginias population were reported as under 5, 22.3% under 18, and 15.3% were 65 or older. Females made up approximately 51.4% of the population (United States Census Bureau, 2010). Moreover, according to US Census Bureau Data, West Virginia is the third lowest in per capita income state. It also ranks last at median star sign income. Virginias adult population with a bachelors degree is the lowest in the U.S. At 17.3%.The main economy is coal, and the state is the lead in coal production, warrant only to Wyoming.From the West Virginia Office of Miners Health, Safety and Training we find that the West Virginia Coal Industry provides about 30,000 direct labors in WV, including miners, mine contractors, coal preparation plant employees and mine supply companies. In particular 20,715 are registered as employees in the 188 active coal mines in WV, while an redundant 4,842 work as an independent contractor.From the same source we read that for 2009, smutty ac cidents were 3, non fatal accidents 1,164 and the accident frequency was estimated to be 2.79%. Involved in accidents are mainly high voltage equipment, and areas in and around river load outs. tho apart from fatalities, a major health problem for VW coal mining workers is pneumoconiosis, or black lung. The CDC has implemented a safety and health chapter regarding occupational Respiratory Disease Surveillance, and especially for coal miners, the Enhanced Coal Workers Health Surveillance Program (ECWHSP).The ECWHSP includes surveys that include specifically designed standardized health questionnaires, work histories, spirometry quizing, radiographic interrogatorys, and collection of other relevant health information, which are gathered in a specially designed mobile examination unit by trained personnel on site.Results of the ECWHSP 2009 survey on mine workers in West Virginia are shown on table 1FindingExamined cropTotalParticipation1,88420%9,593pneumoconiosis (=1/0 or PMF).935%1 ,884pneumoconiosis (=2/1 or PMF).432%PMF241%advanced pneumoconiosis352% cede a chronic cough.62434% lead up phlegm from their chest.69038%have chest sounds of wheezing.61334%have had an attack of wheezing73841%have experienced dyspnea on level74141%have experienced dyspnea on a hill1,11962%have chest tightness67237%have chronic bronchitis.1428%have emphysema.794%have had pneumonia33719%have asthma1327%have tuberculosis.40% neer smoked.95453%former smokers45525%current smokers39322%Although under a lot of argumentation, coal and in general volatiles (dust) have been proven by sufficient evident as causes of respiratory damage. In detail, in coal miners a significant association between the level of FEV1 and dust was found, even after adjustment for age, physique and smoking (Cowie ,1999 Soutar 1989).Some more than arouse figures arise from the State Health Facts website, shown in Table 2 measurable indexWEST VIRGINIAUSAAge-Adjusted Invasive Cancer Incidence Rate per 100,000 Populat ion, 2005484.2458.4Births of Low Birth weight as a Percent of every(prenominal) Births, 20069.78.3Number of Deaths per 100,000 Population, 2007951.7760.31Life Expectancy at Birth (in years), 200575.378.0Percent of Adults Who shed Ever Been Told by a Doctor that They Have Diabetes, 200811,98,2Number of Deaths referable to Diseases of the Heart per 100,000 Population, 2006236,9200,2 bronchial asthma prevalence among adults9.08,2Percentage of Adult Population elderly 21-64 Years Who Reported a Disability, 200722,412,8The above figures need to be assessed in caution regarding the high prevalence of occupation of coal worker in West Virginia. Apart from the apparent pathophysiology of dust entering the lungs and rendering them chronically inflammatory, with signs of fibrosis and atelectasia or other interstitial pneumonic disease or pneumonoconiasis, health needs of coal mining workers are extended to a renewing of diseases that are not as commonly identifiable at the setoff look. Although current screening methods and occupational policies do exist for these workers, they tend to be centred on respiratory diseases. Coal Mining however, is a demanding, time go through manual labour that is often exigent and causes a variety of clinical manifestations. As such we can consider lower back pain, tangible limitations (Galagher,2005) cervical spine degenerative changes, vibration-hazard related body changes, sudden coronary thrombosis death (Kopytina et al, 1993), skin lesions (Begraca et al, 1991)and mental health changes (Lagunov,1991).Moreover, the coal mining community often has unmet needs on the level of healthcare access and utilization, that antithetical stakeholders are usually unaware. In a study by metalworker et al,2005 a community health needs assessment was the means to the grooming of a community nurse and a revision in healthcare provision among former miners in Kent.Having reviewed the major components of community health needs assessment for mine workers in West Virginia and having conducted the appropriate background review, we calculate the spare-time activity questionnaire as a tool to conducting an effective and fruitful paygrade of perceived and actual health needs, in a community of mine workers.This tool comprises of a health needs assessment part, where the answers are leave open and views are encouraged for propositions in order to facilitate the analysis of expected health and participation to health concerns. The second part is a standardized demographics and health questionnaire that is used widely in this form, with minor alterations in assessing the perceived health and demographic information of the study population in question.Emphasis is given on other diseases that might affect the coal mining community ( participants are requested to count five-5 major health concerns) and on perceived level of attention and care this community is receiving or should be receiving according to its needs. A question regarding their siblings health is put in the end to elucidate concerns that are also documented in the literary productions regarding out of site contamination with dust by coal workers that establish their occupational hazard in the family home or by sprinkling in neighbourly areas (Pless-Mulloli et al, 2001).QUESTIONNAIREWe are conducting a review of the Health Needs within the WV coal mining community. Along with statistical data and analysis we are also interested in your viewpoints.InstructionsPart unrivalled Health ProblemsThere are several factors that influence or charm whether the people in your coal miners community are red-blooded.From the following list, interest rank from 1-5 (1 being the highest priority) what you forecast are the top five health and disability issues affecting your community?Health IssueYour Ranking (1-5)Asthma / Respiratory Disease / PneumoconiasisCancerCardiovascular DiseaseDepression / psychiatrical DisordersDiabetesDisabilityDrug and Al cohol useNutritionObesityoral HealthPhysical Injury (including violence and accidents)Self harm / self-importance-annihilationSexual HealthSmokingOther (please specify below)What do you think is needed to address the top three priority issues identified above and what difference will this make?Issue 1Issue 2Issue 3What is needed?What is needed?What is needed?What difference will this make?What difference will this make?What difference will this make?How much influence do you think the following have as to whether people in your coal mining community are healthy?Please mark each factor with an X, ranking influence from 1-5 following with an XInfluence (1 is most, 5 is least)Factors12345Cost of operateEase of access to health servicesEducationEmploymentFamily supportHousingIncomeSocial Isolation transfer of trainingCommunity supportInsurance statusOther (please specify below)Your flesh outPlease provide us with some information about yourself. This will assist us with the analysis of the questionnaire results.Please mark the following that applies to you with an XName (optional)Ethnic GroupAmericanGerman decentHispanicOtherGenderMaleFemaleAge RangeChildren (aged 0 14)Adults (aged 25 64)Youth (aged 15 24)Older People (aged 65+)Where do you live?metropolitan areacountyHow many years have you worked in the coal mining sector?( number of years)Do you consider your self healthy?YesNoWhat is your principal concern?How often do you withdraw a doctor?List one preventive diagnostic test that you had the previous 6 months ( colorectal screening, pap test, ECG, CXR, ultrasonogram etc)Does your employer offer health procession/wellness programs?YesNoType of health insurance( state) In the following section, select which answer describes you. *Note that N/A stands for not applicable constantlySometimesNeverN/AYou wear a lay beltYou wear a helmet when riding a bicycle, rollerblading or skateboardYou drive the posted speed limitYou eat at least 5 servings of fruits an d vegetables each dayYou eat fast food more than once a weekYou exercise at a decrease pace at least 30 minutes per day, 5 old age per weekYou consume more than 3 alcoholic drinks per day (female) or more than 5 per day (male)You smoke cigarettesYou chew tobaccoYou are exposed to secondhand smoke in your home or at workYou use illegal drugs (marijuana, cocaine, methamphetamine, etc.)You perform self-exams for cancer (breast or testicular)You flop your hands with soap and water after using the restroomYou brook physiotherapy for lower back painYou apply sunscreen before planned time outsideYou get a flu shaft each yearYou practice safe sex (condom or other barrier method, etc.)You take vitamin pills or supplements dailyYou spend money on gambling more than once a monthYou attend ghostly services regularlyYou volunteer in your community (church, schools, civic organizations, etc.)You donate money to community based organizations (churches, non profit organizations, etc.)You get enough cat sleep each night (7-9 hours)You feel stressed outYou feel felicitous about your lifeYou feel lonelyYou worry about losing your jobYou feel safe in your communityYou are afraid for your childrens healthYou feel that the government is unresistant for your healthYou feel that the government is liable for your childrens health