1. Zip Code 38115: Hickory Hill

2. Information about the Population

3. Other Population Facts: Most common occupation: retail work. This is closely followed by educators and healthcare workers. Least common occupation: agriculture work such as forestry, hunting or fishing. Most common living situation: One person per household. Next most common is of married couples with children, followed by married couples without children, and single mother households. Health Care Practices Since 38115 is predominately an African American community, African American health care practices are discussed. Quality of life based on high level of familial support and strong network of friends Strong religious values and beliefs Often help take care of the elderly in the family instead of sending to nursing home Preventative care such as pap smears, breast mammograms and prostate exams are not performed as frequently as in other cultures.

4. * The average life span in Shelby County is 73.2 years which is 3.3 years less than the national average. *In 2009 there were 10,646 premature deaths in Shelby County U.S. Department of Health & Human Services. (2009). Community Health Status Indicators CHSI 2009.

5. In 2009 there were 42, 947 live births in Shelby County. In 2009 193 out of the 718 infant deaths in Tennessee occurred in Shelby County. Shelby County has one of the highest infant mortality rates in the U.S.

6. U.S. Department of Health & Human Services. (2009). Community Health Status Indicators CHSI 2009 AgeLeading causes of Death AgeLeading Cause of Death Under age 1*complications of pregnancy/birth *birth defects Ages 25-44*Injuries *Cancer *Heart disease *Suicide *HIV/AIDS *Homicide Ages 1-14*personal injuries *cancer *homicide Ages 45-64*Cancer *Heart Disease Ages 15-24*injuries *homicide *suicide *cancer Ages 65+*Heart Disease *Cancer

7. Health Related Facilities Emergency: St. Francis on Park Avenue Non-emergent: Concentra Urgent Care common injuries, illnesses, vaccinations, physical exams, screenings, x-rays, and minor illnesses Health Stores: GNC, Vitamin World Other Health Clinics: Health Department immunizations for all ages, international shots for travel, lead testing, nutrition counseling, pregnancy testing, and WIC Hickory Hill Health Center for the homeless, low-income, or uninsured adult and primary pediatric primary care, obstetrics/gynecology, dentistry, and pharmacy, HIV care management, prenatal and parenting classes, social work Pharmacies: Walgreen’s CVS, Kroger, Wal-Mart

8. (info)

10. What makes 38118 unique?

11. Strengths

12. Weaknesses

13. Interesting facts

14. Needs

15. Nursing Diagnosis: Risk for Contamination Diagnosis: Risk for contamination related to trash in streets, animal dumping ground, multiple dry cleaner locations, and old and abandoned buildings. HP 2020 Objective: Minimize the risks to human health and the environment posed by hazardous sites. (Environmental health) Goal: Community will minimize exposure to contaminants by the year 2015.

16. Nursing Diagnosis: Risk for Contamination Primary Interventions: Teach alternative methods of conflict resolution, anger management, and coping strategies in community settings. Teach regarding accident prevention measures. Mobilize preventative services (translators, financial assistance, and safe work environment). Secondary Interventions: Assess and evaluate any unexplained bruises or injuries of any individual. Assess environment for hazards. Screen for those with current injuries. Tertiary Interventions: Make resources in the community available to the client (telephone numbers, shelters). Mobilize primary care and emergency services. Public Health Wheel Interventions: Screening, Health teaching, Community organizing

17. Nursing Diagnosis: Risk for Injury Diagnosis: Risk for injury related to high violence rates, dangerous work environments, low-income families, and multilingual environment. HP 2020 Objective: Reduce fatal and nonfatal injuries (injury and violence prevention) Goal: Community will have decreased rates of injuries by 2015.

18. Nursing Diagnosis: Risk for Injury Primary Interventions: Teach alternative methods of conflict resolution, anger management, and coping strategies in community settings. Teach regarding accident prevention measures. Mobilize preventative services (translators, financial assistance, and safe work environment). Secondary Interventions: Assess and evaluate any unexplained bruises or injuries of any individual. Assess environment for hazards. Screen for those with current injuries. Tertiary Interventions: Make resources in the community available to the client (telephone numbers, shelters). Mobilize primary care and emergency services. Public Health Wheel Interventions: Screening, Health teaching, Community organizing

19. Nursing Diagnosis: Ineffective Health Maintenance Diagnosis: Ineffective health maintenance related to limited access to health care services as evidenced by no emergent care facility within the zip code. HP 2020 Objective: Increase the proportion of persons who have access to rapidly responding prehospital emergency medical services Goal: Community will increase the number of health care facilities by the year 2015.

20. Nursing Diagnosis: Ineffective Health Maintenance Primary Interventions: Educate the population about the need for continued and emergent healthcare. Educate the community about ways to prevent illness and injury. Secondary Interventions: Screen the public to determine access to health insurance, socioeconomic status, and willingness to seek help. Assess the community for a location for a health care facility considering distance between work and home. Assess the current health care facilities operating hours, resources, and staffing. Tertiary Interventions: Provide resources to those who are ill including transportation services, education materials, and prevention. Encourage those who are ill to visit a health care facility. Organize the community to help build a new emergent care facility within the zip code. Public Health Wheel Interventions: Screening, health teaching, community organizing, collaboration