NR 443 Milestone 1

Student 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 provides a detailed windshield survey of Woodlawn, a community located in Baltimore County, Maryland. The decision to focus on Woodlawn stems from my professional experience of over 12 years working in Baltimore and familiarity with this vibrant community. Woodlawn has an estimated population of 37,879 residents (U.S. Census Bureau, 2010) and is home to key federal establishments such as the Social Security Administration and the Centers for Medicare and Medicaid Services. Community health nurses play a crucial role in addressing the broader health needs of the community, shifting focus from individual care to the well-being of the population at large.

Observations from the Windshield Survey

Community Vitality

Woodlawn’s vitality is evident through various community observations. Public transportation systems, including transparent stalls and rideshare services, cater to the needs of local residents. The demographics of the community are diverse, comprising Whites, Blacks, and Hispanics. However, a concerning trend is the prevalence of overweight and obese individuals across all age groups. Residents’ attire varied, reflecting mixed socioeconomic conditions; some appeared well-dressed, while others were visibly disheveled. Pregnant women and young families were observed, and individuals outside the WIC office highlighted potential concerns such as substance use or limited access to resources.

Social and Economic Conditions

The area displays a blend of social and economic dynamics, featuring businesses such as beauty supply stores, fast food outlets, grocery stores, gas stations, banks, and daycare centers. Housing varies significantly, with some homes appearing well-maintained, while others are outdated and surrounded by litter. A newly developed housing area near the local high school contrasts with older, dilapidated homes, some still bearing campaign signs, reflecting the community’s Democratic-leaning history.

Access to Health Resources

Healthcare access in Woodlawn is supported by facilities such as the University of Maryland Medical System (UMMS) ancillary center, a methadone treatment clinic, the WIC program, a dental office, a fitness center, and pharmacies. These resources ensure the availability of primary, secondary, and tertiary care, highlighting the community’s focus on addressing diverse healthcare needs.

Environmental Health Conditions

Woodlawn’s environmental conditions present several health challenges. Aging buildings pose risks of lead exposure, especially for children. Litter and unpleasant odors in certain areas diminish the quality of life, while makeshift materials covering some homes suggest neglect. Although sidewalks are wheelchair accessible, dirt, debris, and potential rodent and mosquito issues exacerbate public health risks.

Social Functioning

The social fabric of Woodlawn is supported by multiple religious institutions, including Baptist, Episcopal, Methodist, and Catholic churches. However, the absence of synagogues or mosques indicates a potential gap in religious diversity. Social structures like these foster community cohesion and provide vital support networks.

Attitudes Toward Healthcare

Community attitudes toward healthcare reflect both engagement and challenges. Efforts to promote health awareness are visible through banners advertising free weight reduction programs, flu vaccines, and HIV screenings outside health facilities. Local pharmacies and clinics actively engage the population in preventive healthcare measures.

Identifying Vulnerable Populations

The survey identified young adults roaming the streets during school hours as a vulnerable population. These individuals, likely school dropouts, are at risk of substance abuse, sexually transmitted diseases (STDs), and unintended pregnancies. Additionally, aging infrastructure increases the risk of lead poisoning, particularly among children. Obesity among Black and Hispanic residents is a pressing concern, linked to chronic diseases such as diabetes and heart disease.

Summary of Findings and Potential Health Problems

The windshield survey of Woodlawn reveals significant health challenges, particularly obesity, which affects nearly half of Baltimore’s population (CDC, 2012). The objectives of Healthy People 2020 emphasize improving nutritional health and promoting weight loss. Addressing obesity through community health initiatives and improved access to resources is essential for reducing chronic disease risks and enhancing overall community well-being.

Table Summary of Observations

Category	Findings	Implications
Community Vitality	Diverse population; prevalent obesity; visible socioeconomic disparities.	Need for targeted interventions to address health disparities and promote community well-being.
Social and Economic Conditions	Mix of businesses and housing conditions; newer developments alongside dilapidated structures.	Improved urban planning and resource allocation could address economic disparities and housing quality.
Access to Health Resources	Availability of healthcare facilities, including clinics, pharmacies, and treatment centers.	Opportunities for enhancing preventive care and health education within the community.
Environmental Health Conditions	Aging infrastructure, litter, and potential rodent issues pose public health risks.	Environmental cleanup and infrastructure improvement are needed to mitigate risks such as lead poisoning.
Vulnerable Populations	Youth roaming streets, obesity among minority groups, and risks from aging infrastructure.	Health education, weight management programs, and targeted outreach to vulnerable groups are critical.

References

Centers for Disease Control and Prevention. (2012). Obesity. Retrieved from https://www.cdc.gov/obesity