Functional Health Patterns Community Assessment Guide Functional Health Pattern (FHP) Template Directions: This FHP template is to be used for organizing community assessment data in preparation for completion of your collaborative learning community (CLC) assignment. Address every bulleted statement in each section with data or rationale for deferral. You may also add additional bullet points if applicable to your community. Value/Belief Pattern • Predominant ethnic and cultural groups along with beliefs related to health. o Hispanic- will seek medical advice but the care may involve the entire family.
They do use home remedies to cure certain illness. o Caucasian- seek medical advice • Predominant spiritual beliefs in the community that may influence health. o • Availability of spiritual resources within or near the community (churches/chapels, synagogues, chaplains, Bible studies, sacraments, self-help groups, support groups, etc. ). o There are many churches located readily throughout the city of Phoenix. There are self-help groups and support groups also. o • Do the community members value health promotion measures? What is the evidence that they do or do not (e. g. , involvement in education, fundraising events, etc. )? No, they do not value health promotion measures. According to www. clrsearch. com, a survey done in 2010 23. 17% of the population completed high school, 23. 78 completed some college and 17. 88% have a bachelor. • What does the community value? How is this evident? o Family time- Parents are involved in taking their children to sport events • On what do the community members spend their money? Are funds adequate? o Housing. Yes. Health Perception/Management • Predominant health problems: Compare at least one health problem to a credible statistic (CDC, county, or state). Heart disease total deaths in 2008 =3705 http://www. zdhs. gov/plan/report/epitrans/epitrans08. pdf (48/70), cancer deaths in 2008=1517 http://www. azdhs. gov/plan/report/epitrans/epitrans08. pdf (53/70), • Obesity= 20-24% http://www. azdhs. gov/plan/report/ahs/ahs2010/pdf/5e13. pdf • Immunization rates (age appropriate). The 2010 U. S. Census shows Arizona’s population to be 6,392,017. ASIIS contains over 4,875,000 individuals including 2,339,981, 89 % of children under 18 years are vaccinated. http://www. azdhs. gov/phs/asiis/pdf/TAPIstats_September2011. pdf • Appropriate death rates and causes, if applicable. http://www. azdhs. gov/plan/report/ahs/ahs2010/pdf/5e13. df Rate based on population of 100,000 Cardiovascular disease 178. 4 deaths in 2010 Malignant neoplasms 144. 3 deaths in 2010 Chronic lower respiratory disease 38. 3 Alzheimer’s disease 43. 6 Cerebrovascular disease 28. 4 Diabetes 18. 4 Flu 7. 7 • Prevention programs (dental, fire, fitness, safety, etc. ): Does the community think these are sufficient? • Available health professionals, health resources within the community, and usage. Yes, over 15 hospitals • Common referrals to outside agencies. Mothers with newborns are referred to WIC offices for assistance with breast feeding supplies and formulas.
There are several home health agencies that patients are referred to upon discharge from the hospital. Nutrition/Metabolic • Indicators of nutrient deficiencies. • Obesity rates or percentages: Compare to CDC statistics. Obesity= 20-24% http://www. azdhs. gov/plan/report/ahs/ahs2010/pdf/5e13. pdf • • Affordability of food/available discounts or food programs and usage (e. g. , WIC, food boxes, soup kitchens, meals-on-wheels, food stamps, senior discounts, employee discounts, etc. ). WIC, food boxes, soup kitchens, meals on wheels, senior discounts available. • Availability of water (e. g. , number and quality of drinking fountains). Fast food and junk food accessibility (vending machines). Pretty much every major corner has a fast food or mini mart available. • Evidence of healthy food consumption or unhealthy food consumption (trash, long lines, observations, etc. ). • Provisions for special diets, if applicable. Restaurants are starting to add gluten free diets, also posting calorie count for food items. • For schools (in addition to above): o Nutritional content of food in cafeteria and vending machines: Compare to ARS 15-242/The Arizona Nutrition Standards (or other state standards based on residence)- o Amount of free or reduced lunch- again not easily obtained.
Elimination (Environmental Health Concerns) • Common air contaminants’ impact on the community. – Dust causes, severe allergies and asthma. • Noise. The suburbs can be quite calm and quiet. There are Fichter jets frome Luke Air Force base That croate a noise disturbance during the day in the west valley but overall pretty quiet. • Waste disposal. Several land fill sites on the outer edges of town. Somewhat of a problem when they are filled and a new site is opened. The travel for the trucks can put out a lot of pollution • Pest control: Is the community notified of pesticides usage?
I have never seen a notification in regards to pesticide usage • Hygiene practices (laundry services, hand washing, etc. ). There are laundry mats but more in the central and south area of phoenix. • Bathrooms: Most homes and apartments have an average of two bathrooms. • Universal precaution is widely practiced in hospitals and emphasized in schools and other public places • Temperature is adequately controlled in public buildings and private homes for those who can afford it. . The region is comparatively safe compared to other urban areas.
There is an adequate number of police officers, security guards and crossing guard for school children Activity/Exercise • Community fitness programs (gym discounts, P. E. , recess, sports, access to YMCA, etc. ). Schools participate in P. E. The Peoria school district has P. E. twice a week, recess 2x a day. The YMCA is not readily accessible. There are only 10 YMCA’s throughout the valley. Not very many considering the size of the valley • Recreational facilities and usage (gym, playgrounds, bike paths, hiking trails, courts, pools, etc. ).
There are parks, bike paths, courts, a few public pools accessible but during the summer not only the pools are used due to the heat. • Safety programs (rules and regulations, safety training, incentives, athletic trainers, etc. ). Fire station does have instructions on how to put in a car seat to be safe. • Injury statistics or most common injuries. • Evidence of sedentary leisure activities (amount of time watching TV, videos, and computer). • Means of transportation. Due to the travel distance owning a car seems to be so important. The bus system does not extend to all areas of the valley.
People do ride their bikes but again the heat and distance make this more of a rarity. Sleep/Rest • Sleep routines-Majority of the people in this area get an average of 7-8 hours of sleep a night • The level of energy and rest of the people depend on their hours of work and their family dynamics. . • Factors affecting sleep: o Shift work prevalence of community members o Environment (noise, lights, crowding, etc. ) o Consumption of caffeine, nicotine, alcohol, and drugs o Homework/Extracurricular activities o Health issues Cognitive/Perceptual • Primary language: Is this a communication barrier? English.
Yes there many Spanish speaking immigrants in the valley. Many signs are bilingual • Educational levels: For geopolitical communities, use http://www. census. gov and compare the city in which your community belongs with the national statistics. • Opportunities/Programs: o Educational offerings (in-services, continuing education, GED, etc. ) There are many resources to furthering one’s education. There are several community colleges, located throughout the valley as well as classes being offered to get GED’s. o Educational mandates (yearly in-services, continuing education, English learners, etc. For healthcare workers in the long term care setting that handle dementia patient there is a need for 12 continuing education credits per year in order to be in compliance with the state. o Special education programs (e. g. , learning disabled, emotionally disabled, physically disabled, and gifted) There are charter schools that deal with specific special educational needs. For example there is a school for the deaf, a school for the blind, and one for mentally handicapped. The public school system is set up to integrate special needs children so that they are not separated. • Library or computer/Internet resources and usage.
There are several library located throughout the Valley. If one lives within that cities limit then it is free but from the neighboring city there is a small annual fee. • Funding resources (tuition reimbursement, scholarships, etc. ). Anyone is eligible to apply for numerous scholarships if they meet the requirements. Local business help to sponsor single moms to get a better education through scholarships at the local universities and colleges. Self-Perception/Self-Concept • Age levels. 25-65 • Programs and activities related to community building (strengthening the community).
Churches do yard clean ups • Community history. Phoenix was established in 1881 as a city and on Feburary 14, 1914 it became the capital of Arizona. • Pride indicators: Self-esteem or caring behaviors. There are flags with the Phoenix Cardinals, which is the city’s football team, all over the Valley. • Published description (pamphlets, Web sites, etc. ). There are numerous websites and the chamber of commerce supplies adequate information in regards to this city. Role/Relationship • Interaction of community members: generally friendly. • Vulnerable populations: The elderly o Why are they vulnerable?
Because they live alone and if no one checks in them there have been cases when a bad situation occurs. o How does this impact health? Depending on the elderly persons situation different things may arises. • Power groups (church council, student council, administration, PTA, and gangs): There are student councils and PTA in every school. These organization help with fundraising and bringing about community awareness. Gangs are located more in the central corridor of Phoenix o How do they hold power? The gangs through gang initiations and difficulty of getting out of that type of lifestyle. Positive or negative influence on community? There is always a negative influence with gangs because of the crime that they commit. • Harassment policies/discrimination policies. There is a no discrimination policy implemented and cases can be reported to the ombudsman. • Relationship with broader community: o Police: This writer’s personal opinion is that the police have a good relationship with the community at large. o Fire/EMS (response time) is less than 10 min o Other (food drives, blood drives, missions, etc. ) There are blood drives sponsored by the United Blood Banks periodically throughout the community
Sexuality/Reproductive • Relationships and behavior among community members. Depending on the street depends on the neighbors. There are block parties and community wide yard sales. Some areas the neighbors do not communicate at all. • Educational offerings/programs (e. g. , growth and development, STD/AIDS education, contraception, abstinence, etc. ). • Access to birth control. Easily accessible through planned parenthood • Birth rates, abortions, and miscarriages (if applicable). Births in 2010 = 54,236 http://www. azdhs. gov/plan/report/ahs/ahs2010/pdf/5b3. pdf Abortions= approximately 11,000 ttp://www. azdhs. gov/plan/report/ahs/ahs2010/t1d. htm • Access to maternal child health programs and services (crisis pregnancy center, support groups, prenatal care, maternity leave, etc. ). There are several crisis pregnancy and pregnancy support centers. Maternity leave is about 3 months but unless you have vacation time it may not cover the entire time off. Coping/Stress • Delinquency/violence issues. • Crime issues/indicators. In central phoenix there is a higher crime rate but in general a safe place to live • Poverty issues/indicators. • CPS or APS abuse referrals: Compare with previous years.
Oct 2011 – Mar 2012* total # of calls =75,600 total reports= 20,466 Oct 2010 – Sept 2011, total # of calls=140,262 total reports 37,252 https://www. azdes. gov/uploadedFiles/Children_Youth_and_Families/Child_Welfare_in_Arizona. pdf • Drug abuse rates, alcohol use, and abuse: Compare with previous years. Current Cigarette Smokers Past 30 days = 19% age 18+ Current Alcohol Use Past 30 days = 50% age 18+ Illicit Drugs in Past 30 Days 3% = age 18+ Prescription Drug Misuse Past 30 days 10 = age 18+ http://www. arizonahealthsurvey. org/wp-content/uploads/2010/12/ahs-2010-SubstanceUse-Dec10. df • Stressors. Economic crisis. If in construction lack of work. • Stress management resources (e. g. , hotlines, support groups, etc. ). • Prevalent mental health issues/concerns: o How does the community deal with mental health issues o Mental health professionals within community and usage • Disaster planning: o Past disasters: Just drought, and fire threats to outlining cities. o Drills (what, how often): Not to my knowledge. o Planning committee (members, roles). Local hospitals, police, fire fighters, and Arizona department of health services. o Policies: Evacuate if there is a fire. Crisis intervention plan: There is the Amber alert system in place if a child goes missing. http://www. frbsf. org/community/research/arizona. pdf http://www. azdhs. gov/phs/asiis/asiisfaqs. htm Reference page: Real Estate Search Engine – CLRSearch. (n. d. ). Real Estate Search Engine – CLRSearch. Retrieved October 11, 2012, from http://www. clrsearch. com Heart Disease vs. Cancer: An Epidemiologic Transition in Mortality Risks. (n. d. ). Arizona Department of Health Services. Retrieved October 11, 2012, from www. azdhs. gov/plan/report/epitrans/epitrans08. df RATES FOR SELECTED LEADING CAUSES OF DEATH STATEWIDE AND BY COUNTY OF RESIDENCE, ARIZONA, 2010. (n. d. ). Arizona Department of Health Services. Retrieved October 11, 2012, from www. azdhs. gov/plan/report/ahs/ahs2010/pdf Arizona State Immunization Information System. (n. d. ). Arizona Department of Health Services. Retrieved October 11, 2012, from www. azdhs. gov/phs/asiis/pdf/TAPIstats_September2011 Arizona Health Survey. (n. d. ). Arizona Health Survey. Retrieved October 11, 2012, from www. arizonahealthsurvey. org/wp-content/uploads/2010/12/ahs-2010-SubstanceUse-Dec10. pdf