2. Community Chosen and History  In 1798 Kettering has its first settler, a farmer by the name of John Patterson. In 1952 the Van Buren Township voted to include the village of Kettering in its city. This was based on the popularity of the citizen named Charles F. Kettering, a famous inventor and philanthropist.  On June 24, 1955, Kettering was declared its own city by the Secretary of State of Ohio ("About-city of kettering," 2013).  The city of Kettering was selected because it’s where the majority of our group members reside so it made sense to explore a city that we could have the biggest community nursing impact in.

3. Community Problem The primary community problem selected by the group was the high number of deaths from heart disease and cancer.  Approximately 1,175 people died because of heart disease and 1,292 people died from cancer in the Montgomery County (Ohio Department of Health, 2010).  Heart disease and many cancers can be prevented through healthy lifestyles and behaviors.  The targeted audience would be smokers, those overweight and obese citizens of the Kettering community.

4. Community Problem (Cont.)  The Ohio Department of Health found that 25.1% of adults in the Montgomery County smoked (Bennett, 2011).  More than 1/3 of adults (35.7%) and 17% of children in the United States are obese (Ohio Diabetes Prevention and Control Program, 2012).  Approximately 56.0% of residents surveyed in the community voiced wanting to see more health screening opportunities in the community like checks for blood pressure, body fat, and vision (Center for Urban & Public Affairs, 2006).

5. Assessing the Situation From a community health nurse perspective of assessing the situation and the community’s strengths...  Kettering is already a fairly health conscious community with the strong health promotion presence of Kettering Medical Center.  A strength about Kettering is it has numerous recreational facilities, parks, fields, and sports programs. 20 Parks 32 Tennis Courts 41 Baseball Diamonds 20 Football/Soccer fields

6. Assessing the Situation (Cont.)  The American Heart Association and Kettering Health Network would be valuable partners for community events.  The GetUp Montgomery County program “provides a framework for partner engagement and linkages, program evaluation, and outcome measurement” (Montgomery County Health District, 2010).

7. Diagnosis/Plan Diagnosis: Potential for health problems associated with obesity and smoking/Deficient Community Health. Plan: To decrease the number of yearly deaths related to cancer and heart disease within the community of Kettering and the Montgomery County as a whole. Emphasis will be heavily set on health promotion, positive health behaviors, smoking cessation, and exercise.

8. Interventions Intervention #1: Organize a community health fair with blood pressure, blood sugar, and cholesterol screenings.  Attempt to obtain sponsorships and/or participation from local healthcare facilities like Kettering Medical Center, local nursing homes such as the Oaks of West Kettering, YMCA of Greater Dayton, and the American Heart Association.  Rationale: A rationale for the use of this intervention is the community’s engaging personality and the generally high education of the community population. The health fair having no admission will hopefully help attract those individuals of the community who are of low-income.

9. Interventions  Intervention #2: Organize a smoking cessation program and advertise it in the community.  Rationale: A smoking cessation group would perhaps be effective due to the community’s engaging and highly social personality.  Before the end of the smoking cessation program, the citizens would have been educated on what other community resources are out there to help.

10. Interventions  Intervention 3: Orchestrate a themed fitness campaign for the upcoming year encouraging residents to make a pledge to be more active and live a healthier lifestyle.  Additional incentives could be made from this campaign like having the team who ran the most miles receive a pizza party, gift card, or money donated to a charity of their choosing.  Rationale: It will encourage wellness for everyone, promote regularly exercise, and helps the community work toward maintaining a healthy weight average. Risk for heart disease/cancers will decrease.

11. Implementation This plan of action would be proposed to the Kettering City Council, the Kettering Health Network, the Ohio Department of Health, the American Heart Association, local nursing homes, and to the federal government for possible grant money. These six figureheads would be the community health nurse’s primary allies in getting this proposed plan running.

12. Evaluation The proposed plan’s interventions would be completed over the course of a given year since the previous assessment data of deaths was based upon one year.  After the end of the given year the health promotion plan is implemented, statistics should be re- evaluated.  Re-evaluation methods could include partnering with a local college for assistance, setting up an online survey, partnering with the ODH, or partnering with the Kettering City Council to mail out a survey.

13. Final Thoughts  The people of Kettering are pretty health conscious and well-educated to understand the importance of healthy living.  Based upon the community’s mixed blend of religions who promote healthy living, volunteer involvement, recreational facilities, and overall educational level, we would expect the general Kettering public to positively respond to the proposed interventions.

14. References  About-city of kettering. (2013). Retrieved from http://www.ketteringoh.org/about/ http://www.ketteringoh.org/about/  Bennett, B. (2011). Surveillance of tobacco use among ohio adults, 2011. Retrieved from http://www.healthy.ohio.gov/~/media/HealthyOhio/ASSET S/Files/tobacco%202%20of%202/2011AdultTobaccoUseData. ashx http://www.healthy.ohio.gov/~/media/HealthyOhio/ASSET S/Files/tobacco%202%20of%202/2011AdultTobaccoUseData. ashx  Center for Urban & Public Affairs. (2006). City of kettering parks, recreation, and cultural arts assessment. Retrieved from http://www.ketteringoh.org/wp- content/uploads/2013/04/2006_COK_Needs-Assessment- Exec_Summary1.pdfhttp://www.ketteringoh.org/wp- content/uploads/2013/04/2006_COK_Needs-Assessment- Exec_Summary1.pdf

15. References  Montgomery County Combined Health District. (2010). Retrieved from http://www.phdmc.org/images/uploads/CHA_ID_final.pdf http://www.phdmc.org/images/uploads/CHA_ID_final.pdf  Ohio Diabetes Prevention and Control Program. (2012, Fall). The weight of the nation. Retrieved from http://www.odh.ohio.gov/~/media/HealthyOhio/ASSETS/Files/di abetes/newsletters/O http://www.odh.ohio.gov/~/media/HealthyOhio/ASSETS/Files/di abetes/newsletters/O  The Ohio Department of Health. (2010). Death – data and statistics. Retrieved from http://www.odh.ohio.gov/healthStats/vitalstats/deathstat.aspx http://www.odh.ohio.gov/healthStats/vitalstats/deathstat.aspx  City of Kettering. (2013). Parks, recreations & cultural arts. Retrieved from http://www.ketteringoh.org/departments/parks-recreation- cultural-arts-prca/ http://www.ketteringoh.org/departments/parks-recreation- cultural-arts-prca/