Functional Health Patterns Community Assessment Guide

Functional Health Patterns Community Assessment Guide
Functional Health Pattern (FHP) Template Directions:
This FHP template is to be used for organizing community assessment data

  1. Address every bulleted statement under the following sections with data or rationale for
    deferral. You may also add additional bullet points if applicable to the community. The
    community we choose to describe is Hopewell,Virginia USA.I have no clue or I have never
    been there so I have no idea what to write or where to begin and my work schedule is crazy
    with not much time for research ,SO PLEASE I NEED YOUR HELP . RESPONSE MUST
  2. An actual, at risk and potential nursing diagnosis and recommendations for surveillance
    and preventative measures are required for each activity, rest and nutrition.
    � Community fitness programs (gym discounts, P.E., recess, sports, access to YMCA, etc.).
    � Recreational facilities and usage (gym, playgrounds, bike paths, hiking trails, courts,
    pools, etc.).
    � Safety programs (rules and regulations, safety training, incentives, athletic trainers,
    � Injury statistics or most common injuries.
    � Evidence of sedentary leisure activities (amount of time watching TV, videos, and
    � Means of transportation.
    � Sleep routines/hours of your community: Compare with sleep hour standards (from
    National Institutes of Health [NIH]).
    � Indicators of general “restedness” and energy levels.
    � 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
    � Indicators of nutrient deficiencies.
    � Obesity rates or percentages: Compare to CDC statistics.
    � 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,
    � Availability of water (e.g., number and quality of drinking fountains).
    � Fast food and junk food accessibility (vending machines).
    � Evidence of healthy food consumption or unhealthy food consumption (trash, long lines,
    observations, etc.).
    � Provisions for special diets, if applicable.
    � 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


Community Assessment-Hopewell, Virginia

Effective disease management and prevention requires a comprehensive community
health assessment. This helps in uncovering the causes and underlying factors that contribute to
various diseases. There is also a need to involve all relevant stakeholders when solving
community health issues.

Activity/ Exercise

 Community Fitness programs: there are numerous physical and exercise fitness programs
in Hopewell, Virginia that are aimed at improving people’s health and well-being.
 Recreational facilities and usage: in addition to the fitness programs, there is a wide use
of recreational facilities that are aimed at maintaining the physical, emotional, social, and
mental fitness. There is a Recreation and Parks department that deals with activities such
as athletics.
 Safety programs: there are several campaigns aimed at creating awareness about the
benefits of physical exercise.
 Injury statistics/ most common injuries: in 2012, there was 1 fatal accident count, 2
vehicles were involved in fatal accidents, 1 fatality, and 2 people were engaged in fatal
accidents (Sharpe et al, 2000).
 Sedentary leisure activities: a majority of the people engages in activities and transport
means that keep them physically fit.

 Means of transport: there is one airport, three amtrack train stations, a person uses an
average of 25 minutes in a one way commute, 12.8% of the workers carpull, 0.5% use
public transport, 1 percent walk to work, and 2.1% work away from home.
Nursing diagnosis and recommendations for preventative and surveillance measures
Inadequate activity and rest result to obesity and coronary heart diseases. To avoid this, a
person should involve in sufficient physical exercise.
Sleep/ rest

 Sleep routines/ hours: since younger adolescents engage in many events and activities,
they suffer from insufficient sleep and irregular wake-sleep patterns. During school
nights, 24% of the children sleep for 5-6 hours in contrary to the recommended 8 hours.
Consequently, teenagers are always tired and sleep in class.
 Energy levels and general ‘restedness’ indicators: some of the indicators used include the
performance at school and work, dizziness, level of concentration, sleeping in class or at
work, and tiredness on performing simple tasks.
 Factors affecting sleep
 Shift work prevalence: people are always active and engage in numerous activities.
 Environment: the environment is a bit tranquil and people sleep peacefully except on
days when there are parties in the neighborhood.
 Drugs, alcohol, nicotine, or caffeine use: adults overuse caffeine and drugs that interferes
with their sleep.
 Extracurricular/ homework activities: the various extracurricular activities interfere with
people’s sleep in Hopewell.
 Health issues: depression, fatigue, and insomnia.

Nursing diagnosis and recommendations for preventative and surveillance measures
Insufficient sleep and irregular sleep patterns usually result to insomnia, night terrors,
sleep apnea, and restless legs syndrome (Jelliffe, 2009). This can be prevented through regular
and sufficient sleep in addition to medications, other somatic treatments, and behavioral

Nutrition/ Metabolic

 Nutrition deficiency indicators: some of the indicators in Hopewell include fatigue, dry
and brittle hair, chronic diarrhea, inflammation and cracking of the mouth, and spoon-
shaped or ridged nails.
 Obesity rates: this is estimated to be 30.2%. There has been a steady increase of obesity.
 Affordability/ availability of food programs: many schools are beneficiaries to food
 Water availability: people rely on lakes, ponds, rivers, coves, and rain water for drinking
and other uses.
 Fast/ junk food: there are a number of restaurants that deal with fast foods including
Burger King and Kerr’s Korn Stand.
 Health/ unhealthy food consumption: there is an eating disorder counseling that addresses
people with body image and eating disorders such as binge eating, bulimia nervosa, and
anorexia nervosa. Counseling includes nutritional monitoring and counseling, and
 Special diets are considered a specialty in Hopewell.
 Schools

 Nutritional content: there are farm-to-school programs that promote supplying schools
with fresh local produce.
 Amount of reduced/ free lunch: school meals meet the latest nutrition provisions.
Nursing diagnosis and recommendations for preventative and surveillance measures
There are a number of diseases that are related to obesity. Moreover, obese people suffer
from social discrimination, sleep apnea, and diseases such as diabetes 2 diabetes and blood
pressure (Hancock &Minkler, 1997). Healthy eating and exercise can vital in preventing and
managing obesity.



Hancock, T., &Minkler, M. (1997). Community health assessment or healthy community
assessment: Whose community? Whose health? Whose assessment.Community
Organizing and Community Building for Health. Rutgers University Press, New
Brunswick, NJ, 139-156.
Jelliffe, D. B. (2009).The assessment of the nutritional status of the community (Vol. 53, p. 271).
Geneva: World Health Organization.
Sharpe, P. A., Greaney, M. L., Lee, P. R., & Royce, S. W. (2000).Assets-oriented community
assessment.Public Health Reports, 115(2-3), 205.