I will like get help with this Course Project: Milestone 2: Vulnerable Population Assessment
Running head: CARING FOR POPULATIONS MILESTONE 2: ASSESSMENT AN Caring for Populations Milestone 2: Assessment and Diagnosis
Chamberlain College of Nursing
Community Health Nursing
NR443 May 22, 2016 1 CARING FOR POPULATIONS MILESTONE 2: ASSESSMENT AN 2 Caring for Populations Milestone 2: Assessment and Diagnosis
The primary purpose of this paper is to assess the health needs of the city of North
Scottsdale, Arizona, as well as identifying a community health problem. This community is a
large, urban residential community in Maricopa County, adjacent to Phoenix, Arizona, which is
the sixth largest city in the United States. Scottsdale is named for the U.S. Army Chaplain
William Scott who had visited the Salt River Valley, and initially made a down payment in order
to start a farming operation. This operation was located near the heart of our present downtown.
Scottsdale has a very favorable climate with beautiful scenery and is enriched with many cultural
activities dating back to Scott?s time and still present today.
North Scottsdale, Arizona is a large urban community located in a valley surrounded by
various mountain ranges, canyons, gorges, and plateaus. This community is adjacent to Phoenix,
Arizona. Present in this community are a multitude of various businesses, healthcare facilities,
various parks with hiking/biking paths, schools, churches, outdoor activities, restaurants, and
shopping. The climate is mild which attracts many snowbirds during the winter months from
other parts of the United States and Canada, bringing a mixed population and wide age range
during this time from young families to the elderly. North Scottsdale is not culturally diverse,
with Caucasians making up the highest number of residents. There is a dedicated police and
ambulance presence. Transportation includes a public bus system with access to major roads and
Demographic Data CARING FOR POPULATIONS MILESTONE 2: ASSESSMENT AN 3 What follows is the demographic data for Scottsdale, Arizona, derived from the U.S.
Census Bureau between 2010-2014, with 2010 having the most available information. The
population as of 07/01/2014 was 230,512 with the highest percentage in the 65 and older range,
followed by those over 18 years of age at 17.8%, and those less than 5 years comprising 4.2%.
Females comprised 51.7% as of 04/01/2010. The major ethnic population within Scottsdale is
Caucasian, making up 89.3% of the population. This is followed by Hispanics at 8.8%, Asians at
3.3%, Two or more races at 2.3%, African Americans at 1.7%, and American Indians and Alaska
Natives at 0.8%. The median household income in 2014 was $72,455. The median value of an
owner occupied home was $376,700, with an occupancy rate of 66.8%. Scottsdale has 124,001
housing units as of 04/01/2010. Though a wealthy area, the poverty rate in this community is
8.8%. Education wise, 53.2% hold Bachelor?s degrees, and the high school graduate rate of
those over the age of 25+ between 2010-14 was 96.2%. (http://quickfacts.census.gov).
Epidemiological Data was retrieved from the 2016 Arizona County Health Rankings
website. Scottsdale is located within Maricopa County, which ranked first in health outcome and
quality of life categories. Maricopa County further ranked third in length of life in Arizona.
Priority health problems of this area include alcohol impaired driving deaths at 27%, children
living in poverty at 26%, a high number of children living in single parent households at 36%,
adult obesity at 22%, and physical inactivity at 20%. Also of concern is the quality of air
pollution, rated at 9.9% compared to the National average of 9.5%. (County Health Rankings,
Windshield Survey CARING FOR POPULATIONS MILESTONE 2: ASSESSMENT AN 4 This survey allowed me to view diverse areas of the large community which comprises
Scottsdale. The majority of individuals within Scottsdale are of various ages differing in the
summer and winter months. Higher populations of snowbirds are evident in the winter. Within
this urban community are many areas in which people from the very young to elderly are seen
actively involved in the parks, trails, and walking paths available year round for use. I did not
see any homeless individuals on the streets or begging for food and/or money. There are no
homeless shelters or food banks in view of the areas I observed in Scottsdale. There are a few
Goodwill stores scattered in different areas of Scottsdale, but no persons loitering outside of
them, and most had a sign stating they were distribution centers. The roads in Scottsdale are well
maintained with plenty of lighting and few potholes. Neighborhoods appear well lit, have
sidewalks and bike lanes for those who travel by this method of transportation. There are
multiple areas outside in nature and at local fitness centers for individuals to utilize. There are
many local hospitals within this community for public access, some of which offer
transportation, as well as urgent care centers. There appears to be a multitude of primary care
practices as well as dentists in this area. There are many restaurants and bars which offer happy
hours most days of the week and they appear to be well populated with a variety of ages, which
can be problematic given the high percentage of alcohol impaired related deaths at 27%.
When driving from Scottsdale towards Phoenix, there is a noticeable change of
ethnicities and individuals from all walks of life, with socioeconomic changes evident as one
leaves Scottsdale. South Phoenix, adjacent to Scottsdale is one of the more oppressed areas,
socially as well as economically. Garbage on the streets is in visible evidence with multiple
areas of graffiti present on buildings. While many who reside in North Scottsdale do not appear
to be under the influence of substances, the same cannot be said for this area. However, this does CARING FOR POPULATIONS MILESTONE 2: ASSESSMENT AN 5 not hold true on the weekends when large student population from Arizona State University and
a younger 20?s crowd flock to Old Town in Scottsdale to visit the bars within the area, most of
whom are intoxicated during this time.
The community health nursing problem evident in the Scottsdale community is the high
percentage of alcohol related impaired driving deaths. This problem relates to the Substance
Abuse Objective of Healthy People 2020, SA-17, which decreases the rate of alcohol-impaired
driving fatalities (healthypeople.gov). This is a problem with a high percentage of 27%. Even
with the toughest drunk driving laws within the United States, to include mandatory jail time
with first offense, a real problem is in existence in this community. With Arizona State
University being in close proximity to Old Town and multiple bars within this area, comes
increased risk of drinking and driving which could lead to injury or death. ?The magnitude of
problems posed by excess college student drinking should stimulate both efforts to improve our
measurement of these problems and reduce them? (Hingson, R., Heeren, T., Zakocs, R.,
Kopstein, A., & Wechsler, H., 2002, p.142). With the easy accessibility of alcohol aimed
towards college students and younger populations, this trend may grow before it declines. There
is a growing concern present for the high number of deaths related to this issue as well as the
affect this has on one?s life. Even with a heavy police presence in this area on the weekends, the
high percentage of deaths indicate this is barely making a dent with this problem. In addition to
the loss of life, alcohol related crashes cost taxpayers in this country, both locally and federally
over $51 billion yearly. A study by the NIH showed a large increase on weekend fatalities related
to alcohol consumption as opposed to other days of the week, with those in the age range 16-20, CARING FOR POPULATIONS MILESTONE 2: ASSESSMENT AN
mostly 21-45 primarily affected (pubs.niaaa.nih.gov). This is the primary age range seen in the
Old Town areas on weekend nights, though 45 is on the lower scale.
Scottsdale does lack resources for dealing with the high percentage of impaired alcohol
related deaths within the community, though it should not, given the median income of the area.
With alcohol being the most widely abused drug and its ease of accessibility, it is not surprising
that most indulge. What is surprising in this area are the harshest drunk driving laws within the
United States and the high percentage of deaths related to it which still persist despite this.
Having personally witnessed the binge drinking that goes on in this young age group within this
section of Scottsdale, it appears to be a problem on the rise. This community appears to be on
the wealthier side and has opportunity as well as an obligation to all of its citizens both young
and old to educate and protect them against this growing number of senseless deaths. 6 CARING FOR POPULATIONS MILESTONE 2: ASSESSMENT AN
County Health Rankings, Arizona health rankings. (2016).
Hingson, R. W., Heeren, T., Zakocs, R. C., Kopstein, A., & Wechsler, H. (2002, March).
Magnitude of Alcohol-Related Mortality and Morbidity among U.S. College Students
Ages 18-24. Journal of Studies on Alcohol, 136-144. Retrieved from
National Institute on Alcohol Abuse and Alcoholism. (2002). Epidemiology and Consequences
of Drinking and Driving. Retrieved from pubs.niaaa.nih.gov/publications/arh27-1/6378.htm
United States Census Bureau. (2010-2014). U.S. Census Bureau: www.census.gov/quickfacts 7
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