NR 443 Milestone 1

Name

Chamberlain University

NR-443 RN Community Health Nursing

Prof. Name

Date

Comprehensive Windshield Survey of Woodlawn, Baltimore County

Introduction to Woodlawn, Baltimore County

This report presents a thorough windshield survey of Woodlawn, located in Baltimore County, Maryland. As a professional who has worked in Baltimore for over 12 years, I chose to focus on this area due to its familiarity and relevance to my work. Woodlawn, a vibrant community, is home to approximately 37,879 residents (U.S. Census Bureau, 2010). It hosts significant establishments like the Social Security Administration and the Centers for Medicare and Medicaid Services. A community health nurse’s role is pivotal in addressing the health needs of the entire population, rather than solely focusing on individual cases.

Observations from the Windshield Survey

Community Vitality

During the windshield survey, several observations highlighted the vitality of the Woodlawn community. I noted various transparent stalls, indicating public transportation waiting areas essential for local residents. Public transportation plays a crucial role here, complemented by private cabs and rideshare services. The community displayed diverse demographics, with significant populations of Whites, Blacks, and Hispanics. However, a concerning trend was the visibility of overweight and obese individuals across various age groups. The attire of residents varied; some were well-dressed while others appeared disheveled. I observed pregnant women and parents with small children, along with young women congregating outside the WIC office, indicating potential issues related to substance use.

Woodlawn exhibits a mix of social and economic dynamics. Businesses include beauty supply stores, fast food outlets, grocery stores, gas stations, banks, and a daycare center. Housing styles and conditions vary significantly, with some homes displaying outdated decorations and littered streets despite the presence of trash cans. The community also features a new housing development near the local high school, but many houses exhibit signs of disrepair, including dilapidated structures and old campaign signs, suggesting a historically Democratic-leaning area.

Access to Health Resources

Access to healthcare is a fundamental component of community wellbeing in Woodlawn. Key health resources include the University of Maryland Medical System (UMMS) ancillary center, a methadone treatment clinic, the WIC program, a dental office, a fitness center, and a pharmacy. These facilities provide essential healthcare services ranging from primary to tertiary care, thereby supporting the health needs of the population.

Environmental Health Conditions

The environmental conditions in Woodlawn raise significant health concerns. Many buildings are aged, increasing the risk of lead exposure, especially for children. The presence of litter, coupled with unpleasant odors in certain areas, detracts from the community’s overall environment. Sidewalks are wheelchair accessible, but many houses are covered with makeshift materials, indicating neglect. The visible dirt and debris suggest potential rodent and mosquito issues, exacerbating health risks.

Social infrastructure in Woodlawn is prominent, with multiple places of worship, including Baptist, Episcopal, Methodist, and Catholic churches. However, the absence of a synagogue or mosque indicates a potential lack of diversity in religious representation. This social fabric plays a crucial role in community cohesion and support.

Attitudes Toward Healthcare

Community attitudes toward healthcare appear mixed but are influenced by accessible health resources. A banner outside the UMMS building advertising a free weight reduction program and various health brochures suggest a proactive approach to health awareness. Additionally, local pharmacies and clinics promote free flu vaccines and HIV screenings, indicating an effort to engage the community in preventive healthcare measures.

Identifying Vulnerable Populations

During the survey, I identified a vulnerable population: young adults who appeared to be roaming the streets during school hours. Many of these individuals likely dropped out of school, increasing their vulnerability to issues such as unwanted pregnancies, substance abuse, and sexually transmitted diseases (STDs). Despite education efforts at home and in schools, missing out on health education can leave them at risk. The aging infrastructure of the community may also pose health risks, such as lead poisoning, particularly affecting children. The prevalence of obesity among Black and Hispanic populations is concerning, given the associated risks for chronic conditions like heart disease and diabetes.

Summary of Findings and Potential Health Problems

In conclusion, the windshield survey of Woodlawn has revealed critical areas needing attention. Obesity is a significant public health concern, with data indicating that nearly half of Baltimore’s population suffers from this condition (CDC, 2012). The goals set forth by Healthy People 2020 emphasize improving nutritional health and promoting weight loss, making it essential for community health nurses to address this epidemic. By focusing on interventions that promote healthier lifestyles and access to resources, we can mitigate the risks associated with obesity and improve overall community health outcomes.

References

Centers for Disease Control and Prevention (2012). Obesity. Retrieved from CDC Obesity.