Zip Code 38115: Hickory Hill

Information about the Population

Other Population Facts:• Most common occupation: retail work. This is closely followed by educators and healthcare workers. Least common occupation: agriculture work such as forestry, hunting or fishing.• Most common living situation: One person per household. Next most common is of married couples with children, followed by married couples without children, and single mother households.

Health Care PracticesSince 38115 is predominately an African American community, African American health care practices are discussed.

• Quality of life based on high level of familial support and strong network of friends•Strong religious values and beliefs•Often help take care of the elderly in the family instead of sending to nursing home•Preventative care such as pap smears, breast mammograms and prostate exams are not performed as frequently as in other cultures.

*The average life span in Shelby County is 73.2 years which is 3.3 years less than the national average.*In 2009 there were 10,646 premature deaths in Shelby County U.S. Department of Health & Human Services. (2009). Community Health Status Indicators CHSI 2009.

In 2009 there were 42, 947 live births in Shelby County.In 2009 193 out of the 718 infant deaths in Tennessee occurred in Shelby County.Shelby County has one of the highest infant mortality rates in the U.S

.

U.S. Department of Health & Human Services. (2009). Community Health Status Indicators CHSI 2009

Age Leading causes of Death

Age Leading Cause of Death

Under age 1 *complications of pregnancy/birth*birth defects

Ages 25-44 *Injuries*Cancer*Heart disease*Suicide*HIV/AIDS*Homicide

Ages 1-14 *personal injuries*cancer *homicide

Ages 45-64 *Cancer*Heart Disease

Ages 15-24 *injuries*homicide*suicide *cancer

Ages 65+ *Heart Disease*Cancer

Good Vs. Bad

Strengths

• Strong sense of community among long time residents

• Decrease in violent crimes and robberies from 2006 to 2009

• Diverse culture

Weaknesses

• >50% of population hold on HS degree

• High crime rates compared to surrounding areas of Memphis

• Numerous vacant, unstable buildings

S.K.’s (28 y/o) Thoughts…

Strengths:• “Those of us who have lived

here a long time stick together. We look out for each other and it’s like nothing’s changed.”

• “A lot of churches in the area try to help us out by doing outreach stuff in the community like yard work and remodeling.”

Weaknesses:• “Thugs sometime meet up in

the vacant buildings and stir up trouble after dark. We need more police around at night.”

• “Garbage litters the side of the main roads and looks really bad, like nobody cares.”

(info)

What makes 38118 unique?

Strengths

Weaknesses

Interesting facts

Needs

Nursing Diagnosis:

Risk for Contamination

• Diagnosis: Risk for contamination related to trash in streets, animal dumping ground, multiple dry cleaner locations, and old and abandoned buildings.

• HP 2020 Objective: Minimize the risks to human health and the environment posed by hazardous sites. (Environmental health)

• Goal: Community will minimize exposure to contaminants by the year 2015.

Nursing Diagnosis:Risk for Contamination

• Primary Interventions: Teach alternative methods of conflict resolution, anger management, and coping strategies in community settings. Teach regarding accident prevention measures. Mobilize preventative services (translators, financial assistance, and safe work environment).

• Secondary Interventions: Assess and evaluate any unexplained bruises or injuries of any individual. Assess environment for hazards. Screen for those with current injuries.

• Tertiary Interventions: Make resources in the community available to the client (telephone numbers, shelters). Mobilize primary care and emergency services.

• Public Health Wheel Interventions: Screening, Health teaching, Community organizing

Nursing Diagnosis:

Risk for Injury

• Diagnosis: Risk for injury related to high violence rates, dangerous work environments, low-income families, and multilingual environment.

• HP 2020 Objective: Reduce fatal and nonfatal injuries (injury and violence prevention)

• Goal: Community will have decreased rates of injuries by 2015.

Nursing Diagnosis: Risk for Injury

• Primary Interventions: Teach alternative methods of conflict resolution, anger management, and coping strategies in community settings. Teach regarding accident prevention measures. Mobilize preventative services (translators, financial assistance, and safe work environment).

• Secondary Interventions: Assess and evaluate any unexplained bruises or injuries of any individual. Assess environment for hazards. Screen for those with current injuries.

• Tertiary Interventions: Make resources in the community available to the client (telephone numbers, shelters). Mobilize primary care and emergency services.

• Public Health Wheel Interventions: Screening, Health teaching, Community organizing

Nursing Diagnosis: Ineffective Health Maintenance

• Diagnosis: Ineffective health maintenance related to limited access to health care services as evidenced by no emergent care facility within the zip code.

• HP 2020 Objective: Increase the proportion of persons who have access to rapidly responding prehospital emergency medical services

• Goal: Community will increase the number of health care facilities by the year 2015.

Nursing Diagnosis: Ineffective Health Maintenance

• Primary Interventions: Educate the population about the need for continued and emergent healthcare. Educate the community about ways to prevent illness and injury.

• Secondary Interventions: Screen the public to determine access to health insurance, socioeconomic status, and willingness to seek help. Assess the community for a location for a health care facility considering distance between work and home. Assess the current health care facilities operating hours, resources, and staffing.

• Tertiary Interventions: Provide resources to those who are ill including transportation services, education materials, and prevention. Encourage those who are ill to visit a health care facility. Organize the community to help build a new emergent care facility within the zip code.

• Public Health Wheel Interventions: Screening, health teaching, community organizing, collaboration