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Community Assessment
Panhandle Home Health
     Spring 2013
Panhandle Home Health




Serving the Eastern Panhandle of West Virginia
                  since 1976.
       (Panhandle Home Health, Incorporated, 2010)
Mission Statement




“We are committed to providing out community with
high quality home health services and to linking
individuals with available resources. Care at home
promotes feelings of independence and self-esteem and
improves the patients’ quality of life by enabling them
to remain in the comfort of their own home during
times of illness, disability, or recuperation.”
(Panhandle Home Health, Incorporated, 2010)
Vision Statement




 “To be the preferred provider of
professional healthcare at home.”
    (Panhandle Home Health, Incorporated, 2010)
Services Provided by
        Panhandle Home Health
•   Skilled nursing
•   Physical Therapy
•   Speech Therapy
•   Occupational Therapy
•   Medical Social Services
•   Registered dietician
•   Certified home health aide
• Personal care services:
   – Bathing
   – Shampoo
   – Skin care
   – Assistance in exercises and mobility

• Home Health aide visits = 6,431 times in 2010.
Patients Served
• County of residence for patients served
      – Berkeley: 877
      – Jefferson: 274
      – Morgan: 90
(Panhandle Home Health, Incorporated, 2010)




• The majority of patients served by Panhandle
  Home Health are Berkeley County residents.
Add slide of service area
Homes in Berkeley County
Median Value of Homes in Berkeley County:
                 $183,000
              (US Census Quick Facts, YEAR)
Households: 39,303

Persons per household: 2.59
(US Census Quick Facts, YEAR)
Home Ownership Rate - 76%
(US Census Quick Facts, YEAR)
Median Household Income
                     $60,000


                     $50,000      $52,504
                                                               $50,502

                     $40,000
                                                 $39,550

                     $30,000
                                                                             Median Income

                     $20,000

Berkeley County is   $10,000
above the WV and
                         $0
national average.              Berkeley County    WV             U.S.

                                                       (US Department of Commerce, 2013)
Residents living below the poverty line = 13%
                (Cronk, 2013)
Trailer Parks
Housing units in multi-unit
                 structures - 11%
(US Census Quick Facts, 2013)
Apartment Complexes
Local Parks
Fishing and Golfing
Recreation Center is being built
          in Inwood.
Interstate 81; Martinsburg to
Hagerstown, MD (23 miles)

Route 9; Martinsburg to Charles
Town (16 miles)

Route 45; Runs between
Martinsburg and Shepherdstown (9.5
miles)
The PanTran offers public transportation
between Berkeley and Jefferson Counties.
VA Medical Center in
Martinsburg, WV
City Hospital in
Martinsburg, WV
Many medical centers and doctor’s
offices throughout Berkeley County
Public Schools

15 Elementary schools
6 Intermediate schools
5 Middle schools
4 High schools
Numerous Churches of
Various Demonization's
Shopping Areas
Safety Concerns
An abandoned warehouse in downtown
Martinsburg with broken windows and
plenty of unsecured ways to get in the
building.
Easily accessible vacant trailers that
people could get into and do illegal
activities.
Sharp and narrow roads can be a
major factor in car accidents
especially if the roads are wet with
rain or snow.
Unpaved roads, one lane bridges and
flooded roads are a concern for home
health aides.
Bars, strip
clubs, and
smoking are all
influences in the
county that are
potentially
hazardous to
one’s health.
Fast food restaurants provide quick
foods that are high in fat and sodium
which are two risk factors in heart
disease.
100.00%
                  Population in Berkeley County
      90.00%                                                                                                              Delete this slide once
      80.00%
      70.00%                                                                                                              content moved to
      60.00%
      50.00%                                                                                                              other slides
      40.00%
      30.00%
      20.00%                                                                                                                 Berkeley County
      10.00%
       0.00%                                                                                                                 West Virginia
                                                American
                                                           Native
                           Black/Afri            Indian                                       two or
                                                         Hawaiian/ Hispanic/
                  White       can       Asian     and                                          more
                                                           Pacific  Latino
                           American              Alaska                                        races
                                                          islander
                                                 Native
Berkeley County   88.90%    7.40%       0.90%    0.30%     0.10%                  3.80%       2.40%
West Virginia     94.10%    3.50%       0.70%    0.20%                            1.30%       1.40%
                                                                               2000       1,853
                                                                               1800
                                                                               1600
                                                                               1400
                                                              (in thousands)



       Total population of Berkeley                                            1200
                                                                               1000
       County: 104,169                                                          800
                                                                                600                                                          408          Berkeley County
                                                                                                   387                            370
                                                                                400                                                                 297
                                                                                                                       221
       Males: 51,703                                                            200   104
                                                                                                  29
                                                                                                             117                                          West Virginia
                                                                                                         6           14         23       21        12
                                                                                  0

       Females: 52,266


                                                                                                                   Age Groups
(US Department of Commerce, 2013)
Berkeley County Demographics
• Gender

• Do a chart
Berkeley County Demographics
• Age                                                                                          Delete total number
                                                                                               Add reference
                    2000
                              1,853
                    1800

                    1600

                    1400
   (in thousands)




                    1200

                    1000
                                                                                                             Berkeley County
                    800
                                                                                                             West Virginia
                    600
                                            387                               370        408
                    400                                                                               297
                                                                   221
                    200     104                       117
                                       29         6           14         23         21           12
                       0
                             Total    Under 18    20-24       25-34      35-49      50-64      65 and over
                           Population
                                                            Age Groups
Gender
• Do a chart for gender
-make pie chart and have percentages
Berkeley County Demographics
                                                                               Delete numbers at the
• Ethnicity                                                                    bottom add
                                                                               Reference
       100.00%
         90.00%
         80.00%
         70.00%
         60.00%
         50.00%
         40.00%
         30.00%
         20.00%                                                                                 Berkeley County
         10.00%                                                                                 West Virginia
          0.00%
                                                 American
                                                             Native
                             Black/Afr            Indian                            two or
                                                            Hawaiian    Hispanic/
                    White       ican     Asian     and                               more
                                                             /Pacific    Latino
                             American             Alaska                             races
                                                            islander
                                                  Native
  Berkeley County   88.90%    7.40%      0.90%    0.30%      0.10%       3.80%      2.40%
  West Virginia     94.10%    3.50%      0.70%    0.20%                  1.30%      1.40%
Epidemiological Issues in
                              Berkeley County                                        35


• Obesity                                                                            30

                                                                                     25


• Smoking



                                                                           Percent
                                                                                     20

                                                                                     15
                                                                                                                                          % of smokers

• Diabetes                                                                           10

                                                                                     5

                                                                                     0
                                                                                          Berkeley County     WV             US

          35                                                                                   Number of Smokers Locally and Nationwide
          30
          25
Percent




          20
          15
          10
           5
           0
                                                                           Diabetes
                                                                                                            Need separate slides for
                                                                           Obesity                          data


                                                                                                     (CDC, 2010)
               Percentage of Diabetes and Obesity on Local and Nationwide Levels
Patients with co-morbidities
increase work related stress on
home health aides.
Key Informants
• N=3
• Identify themes once of which will be the
  need to for aide education on stress
  management
Top Priority
• Home Health Aid Stress Management

• Project Goal
  – The home health aides at Panhandle Home
    Health will demonstrate healthy stress coping
    techniques and the ability to handle a difficult
    patient in the hour of in-service on April
    18, 2013.
Nursing Diagnoses for Home Health Aides


Ineffective coping skills related to
 stress from job requirements.
Panhandle Home Health Aides
                                                                             I am not clear about these
• Total person: 7                                                            charts. Are the charts from the
                                                                             US Department of Commerce or
• Gender : 100% female                                                       PHH? If they are about the
                                                                             aides then place on separate
• 5 full time, 2 part time                                                   pages. Make into three slides.


                  Race
7
                                                                                               Age
6                                                                      3.5
                                                                         3

                                                      number of aids
5                                                                      2.5
4                                                                        2
                                                                       1.5
3                                  Home Health Aids
                                                                         1                                            age group
2                                                                      0.5
1                                                                        0
                                                                              20-30   31-40   41-50   52-60   61-70
0
    Caucasian   African American                                                              age



                        (US Department of Commerce, 2013)
Farm and Rural
     Areas
    “Driving to patients
 homes in remote areas
   on dirt roads can be
   stressful because my
 vehicle cannot make it
through the mud when it
  rains.” PHH Employee
“Care giver role strain related to difficult patients.”
PHH Employee
Risk for situational low self esteem related to
verbal/combative abuse from patients and
family members. –change wording and pic
Project Goal
• The home health aides at Panhandle Home
  Health will demonstrate healthy stress
  coping techniques and the ability to handle a
  difficult patient in the hour of in-service on
  April 18, 2013.
Project
• Education Program
  – Identification of stress factors
  – Discussion of stress management activities
  – Role play
• Date: April 18, 2013
• Evaluation
  – Survey
Evaluation
By April 24, 2013, the
agency will receive
aggregated results from the
in-service that was
conducted on April 18, 2013.
References
• America at a glance: Berkeley County. (2011). Berkeley
  County, West Virginia population, demographics, and
  statistics. Retrieved from
  http://www.aaag.com/county/berkeley-county-wv-
  population-demographics.htm
• Centers for Disease Control and Prevention (CDC). Behavioral
  Risk Factor Surveillance System Survey Data. Atlanta, Georgia:
  U.S. Department of Health and Human Services, Centers for
  Disease Control and Prevention, 2010.
• Cronk, S. (2013, March 30). Berkeley County health factors
  evaluated. The Journal. Retrieved from http://www.journal-
  news.net/page/content.detail/id/592718/Berkeley-County-
  health-factors-evaluated.html?nav=5006
References
• Lambert, V. A., & Lambert, C. E. (2008). Nurses' workplace
  stressors and coping strategies. Indian Journal of Palliative
  Care, 14(1), 38-44. doi: 10.4103/0973-1075.41934
• Panhandle Home Health, Incorporated. (2010). 2010Annual
  Report. Retrieved from http://panhandlehomehealth.org/wp-
  content/uploads/2011/08/2010-Panhandle-Home-Health-
  Annual-Report.pdf
References
• Theyer, C. E. 2001. West Virginia Healthy People 2010.
  Retrieved from
  http://www.wvdhhr.org/bph/hp2010/objective/contents.html
• Rankings: Berkeley County. (2012).County Health Rankings
  and Roadmaps, 2012. Retrieved from
  http://www.countyhealthrankings.org/#app/
References
• U.S. Department of Commerce, United States Census Bureau.
  (2010). 2010 census interactive population search. Retrieved
  from
  www.census.gov/2010census/popmap/ipmtext.php?fl=54
• U.S. Department of Commerce, United States Census Bureau.
  (2010). American factfinder: Community facts. Retrieved from
  http://factfinder2.census.gov/faces/nav/jsf/pages/community
  _facts.xhtml
References
• U.S. Department of Commerce, United States Census Bureau.
  (2013). State &county quickfacts. Retrieved from
  http://quickfacts.census.gov/qfd/states/54000.html
• U.S. Department of Health and Human Services. 2020 Topics
  and Objectives. Washington, D.C. 2013. Retrieved from
  www.-healthypeople.-gov/-2020/-topicsobjectives-2020/-defa
  ult.-aspx
Prepared and Presented by
 Shepherd University BSN Students
                       Gabrielle Bartlett
Can you add a group
picture?                   Cindy Chu
Need middle initials
                        Katie Crawford
                         Tammy Kilmer
                        Leah Raubaugh
                         Sandra Smith
                          Ian Taveras
                       Adrienne Wolford

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Community assessment focused on aides saved on 4.11.13

  • 2. Panhandle Home Health Serving the Eastern Panhandle of West Virginia since 1976. (Panhandle Home Health, Incorporated, 2010)
  • 3. Mission Statement “We are committed to providing out community with high quality home health services and to linking individuals with available resources. Care at home promotes feelings of independence and self-esteem and improves the patients’ quality of life by enabling them to remain in the comfort of their own home during times of illness, disability, or recuperation.” (Panhandle Home Health, Incorporated, 2010)
  • 4. Vision Statement “To be the preferred provider of professional healthcare at home.” (Panhandle Home Health, Incorporated, 2010)
  • 5. Services Provided by Panhandle Home Health • Skilled nursing • Physical Therapy • Speech Therapy • Occupational Therapy • Medical Social Services • Registered dietician • Certified home health aide
  • 6. • Personal care services: – Bathing – Shampoo – Skin care – Assistance in exercises and mobility • Home Health aide visits = 6,431 times in 2010.
  • 7. Patients Served • County of residence for patients served – Berkeley: 877 – Jefferson: 274 – Morgan: 90 (Panhandle Home Health, Incorporated, 2010) • The majority of patients served by Panhandle Home Health are Berkeley County residents.
  • 8. Add slide of service area
  • 10.
  • 11. Median Value of Homes in Berkeley County: $183,000 (US Census Quick Facts, YEAR)
  • 12. Households: 39,303 Persons per household: 2.59 (US Census Quick Facts, YEAR)
  • 13. Home Ownership Rate - 76% (US Census Quick Facts, YEAR)
  • 14.
  • 15.
  • 16. Median Household Income $60,000 $50,000 $52,504 $50,502 $40,000 $39,550 $30,000 Median Income $20,000 Berkeley County is $10,000 above the WV and $0 national average. Berkeley County WV U.S. (US Department of Commerce, 2013)
  • 17. Residents living below the poverty line = 13% (Cronk, 2013)
  • 18.
  • 20. Housing units in multi-unit structures - 11% (US Census Quick Facts, 2013)
  • 24. Recreation Center is being built in Inwood.
  • 25. Interstate 81; Martinsburg to Hagerstown, MD (23 miles) Route 9; Martinsburg to Charles Town (16 miles) Route 45; Runs between Martinsburg and Shepherdstown (9.5 miles)
  • 26. The PanTran offers public transportation between Berkeley and Jefferson Counties.
  • 27. VA Medical Center in Martinsburg, WV
  • 29. Many medical centers and doctor’s offices throughout Berkeley County
  • 30. Public Schools 15 Elementary schools 6 Intermediate schools 5 Middle schools 4 High schools
  • 34. An abandoned warehouse in downtown Martinsburg with broken windows and plenty of unsecured ways to get in the building.
  • 35. Easily accessible vacant trailers that people could get into and do illegal activities.
  • 36. Sharp and narrow roads can be a major factor in car accidents especially if the roads are wet with rain or snow.
  • 37. Unpaved roads, one lane bridges and flooded roads are a concern for home health aides.
  • 38. Bars, strip clubs, and smoking are all influences in the county that are potentially hazardous to one’s health.
  • 39. Fast food restaurants provide quick foods that are high in fat and sodium which are two risk factors in heart disease.
  • 40. 100.00% Population in Berkeley County 90.00% Delete this slide once 80.00% 70.00% content moved to 60.00% 50.00% other slides 40.00% 30.00% 20.00% Berkeley County 10.00% 0.00% West Virginia American Native Black/Afri Indian two or Hawaiian/ Hispanic/ White can Asian and more Pacific Latino American Alaska races islander Native Berkeley County 88.90% 7.40% 0.90% 0.30% 0.10% 3.80% 2.40% West Virginia 94.10% 3.50% 0.70% 0.20% 1.30% 1.40% 2000 1,853 1800 1600 1400 (in thousands) Total population of Berkeley 1200 1000 County: 104,169 800 600 408 Berkeley County 387 370 400 297 221 Males: 51,703 200 104 29 117 West Virginia 6 14 23 21 12 0 Females: 52,266 Age Groups (US Department of Commerce, 2013)
  • 41. Berkeley County Demographics • Gender • Do a chart
  • 42. Berkeley County Demographics • Age Delete total number Add reference 2000 1,853 1800 1600 1400 (in thousands) 1200 1000 Berkeley County 800 West Virginia 600 387 370 408 400 297 221 200 104 117 29 6 14 23 21 12 0 Total Under 18 20-24 25-34 35-49 50-64 65 and over Population Age Groups
  • 43. Gender • Do a chart for gender -make pie chart and have percentages
  • 44. Berkeley County Demographics Delete numbers at the • Ethnicity bottom add Reference 100.00% 90.00% 80.00% 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% Berkeley County 10.00% West Virginia 0.00% American Native Black/Afr Indian two or Hawaiian Hispanic/ White ican Asian and more /Pacific Latino American Alaska races islander Native Berkeley County 88.90% 7.40% 0.90% 0.30% 0.10% 3.80% 2.40% West Virginia 94.10% 3.50% 0.70% 0.20% 1.30% 1.40%
  • 45. Epidemiological Issues in Berkeley County 35 • Obesity 30 25 • Smoking Percent 20 15 % of smokers • Diabetes 10 5 0 Berkeley County WV US 35 Number of Smokers Locally and Nationwide 30 25 Percent 20 15 10 5 0 Diabetes Need separate slides for Obesity data (CDC, 2010) Percentage of Diabetes and Obesity on Local and Nationwide Levels
  • 46. Patients with co-morbidities increase work related stress on home health aides.
  • 47. Key Informants • N=3 • Identify themes once of which will be the need to for aide education on stress management
  • 48. Top Priority • Home Health Aid Stress Management • Project Goal – The home health aides at Panhandle Home Health will demonstrate healthy stress coping techniques and the ability to handle a difficult patient in the hour of in-service on April 18, 2013.
  • 49. Nursing Diagnoses for Home Health Aides Ineffective coping skills related to stress from job requirements.
  • 50. Panhandle Home Health Aides I am not clear about these • Total person: 7 charts. Are the charts from the US Department of Commerce or • Gender : 100% female PHH? If they are about the aides then place on separate • 5 full time, 2 part time pages. Make into three slides. Race 7 Age 6 3.5 3 number of aids 5 2.5 4 2 1.5 3 Home Health Aids 1 age group 2 0.5 1 0 20-30 31-40 41-50 52-60 61-70 0 Caucasian African American age (US Department of Commerce, 2013)
  • 51. Farm and Rural Areas “Driving to patients homes in remote areas on dirt roads can be stressful because my vehicle cannot make it through the mud when it rains.” PHH Employee
  • 52. “Care giver role strain related to difficult patients.” PHH Employee
  • 53. Risk for situational low self esteem related to verbal/combative abuse from patients and family members. –change wording and pic
  • 54. Project Goal • The home health aides at Panhandle Home Health will demonstrate healthy stress coping techniques and the ability to handle a difficult patient in the hour of in-service on April 18, 2013.
  • 55. Project • Education Program – Identification of stress factors – Discussion of stress management activities – Role play • Date: April 18, 2013 • Evaluation – Survey
  • 56. Evaluation By April 24, 2013, the agency will receive aggregated results from the in-service that was conducted on April 18, 2013.
  • 57. References • America at a glance: Berkeley County. (2011). Berkeley County, West Virginia population, demographics, and statistics. Retrieved from http://www.aaag.com/county/berkeley-county-wv- population-demographics.htm • Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2010. • Cronk, S. (2013, March 30). Berkeley County health factors evaluated. The Journal. Retrieved from http://www.journal- news.net/page/content.detail/id/592718/Berkeley-County- health-factors-evaluated.html?nav=5006
  • 58. References • Lambert, V. A., & Lambert, C. E. (2008). Nurses' workplace stressors and coping strategies. Indian Journal of Palliative Care, 14(1), 38-44. doi: 10.4103/0973-1075.41934 • Panhandle Home Health, Incorporated. (2010). 2010Annual Report. Retrieved from http://panhandlehomehealth.org/wp- content/uploads/2011/08/2010-Panhandle-Home-Health- Annual-Report.pdf
  • 59. References • Theyer, C. E. 2001. West Virginia Healthy People 2010. Retrieved from http://www.wvdhhr.org/bph/hp2010/objective/contents.html • Rankings: Berkeley County. (2012).County Health Rankings and Roadmaps, 2012. Retrieved from http://www.countyhealthrankings.org/#app/
  • 60. References • U.S. Department of Commerce, United States Census Bureau. (2010). 2010 census interactive population search. Retrieved from www.census.gov/2010census/popmap/ipmtext.php?fl=54 • U.S. Department of Commerce, United States Census Bureau. (2010). American factfinder: Community facts. Retrieved from http://factfinder2.census.gov/faces/nav/jsf/pages/community _facts.xhtml
  • 61. References • U.S. Department of Commerce, United States Census Bureau. (2013). State &county quickfacts. Retrieved from http://quickfacts.census.gov/qfd/states/54000.html • U.S. Department of Health and Human Services. 2020 Topics and Objectives. Washington, D.C. 2013. Retrieved from www.-healthypeople.-gov/-2020/-topicsobjectives-2020/-defa ult.-aspx
  • 62. Prepared and Presented by Shepherd University BSN Students Gabrielle Bartlett Can you add a group picture? Cindy Chu Need middle initials Katie Crawford Tammy Kilmer Leah Raubaugh Sandra Smith Ian Taveras Adrienne Wolford

Notes de l'éditeur

  1. Need bolded
  2. Refer to picture
  3. Add more slides about