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Principles of community health
Principles of community health
Community health and public health
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Appalachians Health Issues The Appalachian culture were born in the Appalachian mountain range and their family live in or near the Appalachia. “Appalachia comprises 420 counties in 13 states—Georgia, Alabama, Mississippi, Virginia, West Virginia, North Carolina, South Carolina, Kentucky, Tennessee, Ohio, Maryland, New York, and Pennsylvania.” (Purnell, 2009, p. 88). Since the Appalachians comes from such a broad region, I choose to discuss the population residing in Kentucky. The Appalachians from the Kentucky regions suffers from many issues such as poverty and this can influence issues concerning their state of their health and environmental factors. As a public health and community health nurses, their focus is to identify problems …show more content…
This can be done by teaching the individual on ways to modify their diet or preparation of their food. You can teach the individual on eating food that are low in fat and less in refined sugar. . After interviewing Ms. M.G., a physician assistance who lived in Kentucky near the Appalachian region, I was able to have a better understanding of this culture view of health care practice. Ms. M.G. reports “Taking care of an Appalachian patient can be very difficult sometimes, especially when you are trying to educate them on ways to modify their diet and making better food choices. The Appalachian’s do not trust strangers very easily and they may not be honest or open up to you about personal issues or tell you what they are really eating. This can sometimes create a barrier between the provider and the patient. You have to slowly work on building a repor with the patient” (M. Garcia, personal interview, November 8, …show more content…
5). The high mortality rates are related to the environmental exposures of the coal mining along with other factors such as smoking, poverty, education, age, race and sex. “Higher lung cancer incidence and mortality in the Kentucky Appalachia is thought to result from higher smoking rates and correlates of poor socioeconomic conditions which limits the population access to health care” (Hendryx, O'Donnell, & Horn, 2008, p. 2). The population residing in coal mining areas, are exposed to contaminated water and air from the coal mining and there is a concern for respiratory illnesses related to the pollutants. The fumes or toxin released from the coal mine, this places the individual at a risk for respiratory issues such as emphysema, black lung, brown lung and
Communication among settlements was sparse, except for major upheavals such as the Civil War; interaction with the rest of the nation was limited. Isolation was common in the 19th into the 20th century.
There are many different cultures throughout the world. They each have their own distinct customs and beliefs relating to marriage, rites of passage, conflict resolutions, education etc... The most interesting aspect of each culture is how they incorporate their religious beliefs into the healthcare they receive. Some cultures are not affected by their religious beliefs when dealing with healthcare. They are not regulated in the terms of medical procedures and practices they can obtain from healthcare professionals. However, this is not true for every culture in this world. The Amish and Mennonite culture is depicted upon separating themselves from this world and living a plain life. These two cultures are heavily rooted in their religious beliefs and have tendencies not to stray away from those beliefs regardless of the possible benefits of modern technology. Amish and Mennonite culture may share some similarities, but they have some differences also. A culture’s religious beliefs will be the main determining factor in the healthcare they choose.
West Virginia and Kentucky have been faced with a rise in health-related issues, leading the nation in cancer-related deaths. Many of those cases have been said to be caused from greater exposer to pollution from coal-mining activity, which is said to increase your chances for cancer along with other fatal diseases. The Appalachia area has seen a rise in mortality rates, over 60,000 cases of those being cancer-related deaths directly linked to mountaintop removal practices. Mountaintop removal has been deemed as cleaner and safer than men going below ground to mine for coal, but with Appalachian communities- primarily in West Virginia, Kentucky and Southwestern Virginia seeing a high rise in cancer, cardiovascular disease, and birth defects rates, mountaintop removal has been looked at as one of the main causes.
They try to prove that the emission of chemicals from the Shell company are actually hazardous and are released at unsafe concentrations. With respect to the Ecological Model of health, the focus here is the relationship between the citizens and their environment, so any change in the environment can affect the health of citizens (Drummer. 2008). Another focus is the location relative to the Shell company that is an issue. The residents of this town are faced with health problems due to the location of the Shell company, which enforces that Health Geography is a big influence here (Drummer. 2003). Citizens within the Diamond community report increasing rates of asthma in children, along with machines in their house to help prevent/cope with allergies. The location plays a major role as to why these negative health effects are occurring since the chemical plant is emitting these chemicals nearby. When the air was tested, multiple chemicals were found but one that stood out was Benzene which is known to have cancer causing effects (WHO. 2018). Even with this knowledge, the Shell company continued to claim that the living conditions within this city were adequate (Grunberg.
Coal mines in these times were glorified death traps and collapsed. Often. Workers or their families were basically never compensated for anything, and even when they took things to court, essentially no court was sympathetic toward any coal miner or their family, and if their father or brother died, they were on their on for the rest of their life, often then forcing child boys to work if they weren’t already. Also, not many workers spoke proper english in the mines, so they could not read instruction signs, and by misuse of equipment, killing themselves and/or other
Appalachia is notoriously known for being one of the poorest regions in the United States. There are many contributions to the financial burden of the Appalachian region, especially education. Appalachia is frequently at the receiving end of many jokes that undermine their education system, as well as, the intelligence level of the people that live there. The financial instability, along with the education quality presents an important question to be answered. How does education affect Appalachia, financially and from an employment standpoint? The Appalachian region has suffered tremendously. Through research, reports show that the region has been negatively impacted by the lack of emphasis put on receiving a quality education.
"The Toll from Coal." Catf.us. Clean Air Task Force, Sept. 2010. Web. 25 Nov. 2013.
American Indians have had health disparities as result of unmet needs and historical traumatic experiences that have lasted over 500 hundred years.1(p99) Since first contact American Indians have been exposed to infectious disease and death2(p19), more importantly, a legacy of genocide, legislated forcible removal, reservation, termination, allotment, and assimilation3. This catastrophic history had led to generational historical traumas and contributes to the worst health in the United States.2 American Indians and Alaska Natives (AI/AN) represent 0.9 percent of the United States population4(p3) or 1.9 million AI/AN of 566 federally recognized tribes/nations.5 American Indians/Alaska Natives have significantly higher mortality rates of intentional and unintentional injuries, chronic liver disease and cirrhosis, diabetes mellitus, cardiovascular disease and coronary heart disease and chronic lower respiratory disease than other American.6
The purpose of this paper is to illuminate and discuss healthcare vulnerabilities of the elderly rural population in Baker County, Florida and describe how the nursing profession can address these problems. Rural health has been a complex and multifaceted challenge for government and healthcare practitioners. The elderly who live alone in the county suffer from low socioeconomic status, low health literacy rates, declining cognitive and physical health and lack of healthcare facilities. The health status of this vulnerable group is impacted by rural culture and social values, healthcare policy and funding affecting rural healthcare facilities, distance and lack of transportation, and health literacy.
Every year, almost 1,500 people who have worked in the nation’s coalmines die from black lung disease. That’s equivalent to the Titanic sinking every year, with no ships coming to the rescue. While that disaster which took place so long ago continues to fascinate the nation, black lung victims die an agonizing death in isolated rural communities, away from the spotlight of publicity.
Folk medicine is created through groups of individuals and spreads due to the diffusion of different ethnic groups. Even though folk medicine is isolated to a region, folk medicine is important in creating the knowledge and treatments of illnesses from past generations. Appalachian folk medicine is unique because of the influence of Native American, African American, and Euro-American cultures. Due to isolation of the region, the elements of Appalachian folk medicine is comprised of outside influences, categories within fork medicine, variations of caregivers, and natural remedies.
In the United States 85 to 90 percent of all lung cancer cases are related to smoking. Cigarette smoking is the main cause of lung cancer (Scientific American, “Lung Cancer';). Second-hand smoke, inhaled by non-smokers, increases a person’s chance of acquiring lung cancer (Beau Halton). Men who smoke increase their chance of dying from lung cancer about 23 times and women increase their chances 13 times (“Lung Cancer Awareness Campaign,'; 3/23/99). However, lung cancer may also be caused by long term exposure to radon, a naturally present radioactive gas (SIRS, “What is Cancer?';). The residue of burned petroleum and coal can contribute to lung cancer (Scientific American, “Lung Cancer';). The development of lung cancer seems to be also affected by genes. The gene histidine triad blocks the formation of tumors, so a defective gene could make one more likely to form a tumor (Microsoft, “Lung Cancer';).
To begin, people can receive certain forms of cancer if they use tobacco products. When discussing health problems of smoking, the author writes, “Smoking harms nearly every organ in the body” (Harms of Smoking and Health Benefits of Quitting). Scientists have conducted research and have concluded that using a tobacco product damages cells. The damaged cells become mutated and form cancer cells. The author goes on to explain, “Among the 250 known harmful chemicals in tobacco smoke, at least 69 can cause cancer” (Harms of Smoking and Health Benefits of Quitting). These harmful chemicals are catalysts for many types of cancer. Some of these toxins include arsenic, carbon monoxide, and lead. When directly consumed, these chemicals are very pernicious, so it is obvious that they can cause diseases like ...
Burning and mining coal for fuel is harmful to the environment, but because of how cheap and easy it is to find, many people are unwilling to give it up as a fuel source. One of the problems with coal is that they are limited and are non-renewable, so once it has been used we won’t be able to use it again. When coal gets burned, they start to release harmful, dangerous toxins such as mercury, lead and arsenic that will then escape into the air. It also releases large amounts of carbon dioxide (CO2) into the atmosphere. These emissions increase the greenhouse effect in the atmosphere and lead to global warming.
These fuels include coal, oil products such as gasoline, and natural gas. Use of these fuels has a number of harmful health and environmental effects. According to the World Health Organization, outdoor air pollution, most of it from burning fossil fuels, especially coal kills at least 800,000 people each year and causes health problems for tens of millions of others. Technology is available to reduce such air pollution, but using it is costly and results in higher fuel