Abuse and neglect orientation project and community assessment

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There are 2 parts to this assessment. In this assessment, pretend you are gathering information for a family assessment and looking at the medical history and social influences on a family unit. You present this in a genogram and ecomap. You also conduct a windshield survey of the community in which your chosen family resides.  

Part 1: Abuse and Neglect: Orientation Project 

Select a family within your community as the basis for the completion of assessments.

(Family name: Mr. Wiliam and Mrs. Maria Green)

Husband and wife living in Chicago, IL. No children and have been living in Chicago since they meet. William recently retired at the age of 64. Due to the covid situation, he retired early because he has multiple co-morbidities/underlying conditions. Maria is a nurse and currently working full-time in the nursing home.  They have 1 car to use for transportation and both are licensed to drive. Maria is 46yrs old and William is 66yrs old. They don’t have any families around the area. Maria is from the Philippines and William is born and raised in Chicago but his parents are deceased and his siblings live in Minnesota. 

Formulate key questions for obtaining valuable information. 

Ensure your family assessment addresses: 

  • Identifying data 
  • Developmental stage and history of family 
  • Environmental data 
  • Family structure 
  • Family functions 
  • Family stress and coping 
  • Family composition 

Provide a brief overview of the family members. 

Complete a genogram and ecomap. 

Format your assessment data as follows: 

  • 875-word summary 
  • Submit your genogram and ecomap as a mind map or other visual representation. 

Note: Remove all personally identifying information, such as the family members’ names. Refer to family members by initials only. 

Part 2: Community Assessment 

Review the windshield survey aid. 

Review the Windshield Survey Resources 

Observe your family’s community by driving around the area. 

Consider aspects of the community that could affect residents’ health and any HealthyPeople Leading Health Indicators that may be applicable to the community. 

Conduct a windshield survey that addresses the following components: 

  • The age, nature, and condition of the community’s available housing 
  • Infrastructure needs—roads, bridges, streetlights, and so on 
  • The presence or absence of functioning businesses and industrial facilities 
  • The location, condition, and use of public spaces 
  • The amount of activity on the streets at various times of the day, week, or year 
  • The noise level in various parts of the community 
  • The amount and movement of traffic at various times of day 
  • The location and condition of public buildings—the city or town hall, courthouse, and so on 
  • Walkability of community; walking paths/biking paths/safety? Proximity for walkability to community resources? 
  • Public transportation availability? Cost? Accessibility? 
  • Social service centers? Public libraries? Parks? Churches? Community centers? Recreation centers? 
  • Health care facilities? How many? Clinics? Hospitals? Accessibility of health care resources? 
  • Food/nutrition? Food deserts? Grocery stores? 
  • Homeless population? Homeless services? 
  • Police/fire presence? 
  • Schools? Location? Physical condition of schools? 

Compile your windshield survey data, using the Windshield Survey Template to include: 

  • Data overview of all community components as identified in the Community Tool Box Resource 
  • Strengths of community as evidenced by windshield survey 
  • Weaknesses (gaps in service) as evidenced by windshield survey 
  • Develop 1 family nursing diagnosis based upon identified gap in community resources as an indicator of potential poor health outcomes 

Format your assessment as noted: 

  • 18- to 20-slide presentation 
  • The slides should only contain essential information and as little text as possible. Do not design a slide presentation made up of long bullet points. Your speaker notes convey the details you would give if you were presenting. See this link from Microsoft.com for more help.

NSG/482 v4

Windshield Survey Aid

NSG/482 v4

Page 2 of 2

Windshield Survey Aid

Use these questions to guide your community assessment.

Boundaries

To what extent can you identify the boundaries of the neighborhood: natural boundaries such as a river or different terrain; man-made, such as highway or railroad; or economic, such as difference in real estate, presence of industrial or commercial units along with residential?

Does the neighborhood have an identity or a name? Is it displayed? Are there unofficial names? Are there sub communities near the area?

Housing and Zoning

How old are the houses? Of what style and materials are they constructed? Are all the neighborhood houses similar? If not, how would you characterize the differences?

Are there signs of disrepair, such as broken windows, steps, doors? Are any of the houses vacant?

Signs of Decay

Is the neighborhood improving or declining? Is it vibrant and full of life? How would you decide?

Is there trash, rubble, poor drainage, or disease vector harborage? Are there dilapidated sheds, rubble-filled vacant lots, abandoned cars, or boarded-up buildings?

Parks and Recreational Areas

Are there parks and recreational areas in the neighborhood? Is the open space public or private? Who uses it?

Commons

What are the neighborhood hangouts, such as schoolyards, bars, restaurants, parks? What groups go there? At what time?

Do common areas have a sense of territoriality, or are they open to strangers?

Stores

What supermarkets or neighborhood stores are available? How do residents travel to the store? Are there drug stores, laundry mats, and dry cleaners?

Transportation

How do people get in and out of the neighborhood? What is the condition of the streets? Is there a major highway near the neighborhood? Who does it serve? Is public transportation available and how accessible is it to your family?

Service Centers

Are there social agencies, clinics, recreation centers, and schools? Are doctors, dentists, or other health care providers accessible? Is there a hospital in the area? How accessible are these service centers to your family?

Street People (and Animals)

If you are walking during the day, who is on the streets; for example, are there women, children, teenagers, community health nurses, collection agents, salespeople? How are they dressed?

What animals do you see; for example, do you see stray animals, pets, watchdogs, or livestock?

Protective Services

Is there evidence of police and fire protection in the area? Where are they in relationship to the family’s residence?

Race

What is the ethnicity of residents? Are the residents African American, Caucasian Americans, Asian Americans, and so forth? How are the different racial groups residentially located?

Ethnicity

Are there indications of ethnic variances, such as food stores, churches, private schools, information in another language?

Religion

What churches and church-operated schools are in the neighborhood? How many are there?

Class

What is the social status of the residents? Are they upper, upper-middle, middle, working, or lower socioeconomic class? On what information do you base your judgment?

Health Status

Is there evidence of acute or chronic health conditions in the neighborhood, such as automobile accidents, alcoholism, drug addition, teenage smoking, pregnant teenagers, inappropriately dressed or unclean children?

Comparison

How does this neighborhood compare to the neighborhood in the immediate vicinity?

What are the strengths and weaknesses of this neighborhood and community?


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