BEC1 Task 1
Western Governors University

BEC1 Task 1
A1 and A2 Community Description and Data
Rutherford County is a county located in the western foothills of North Carolina. Rutherford County was founded in 1779. Griffith Rutherford named the county after himself. He was a general in the American Revolutionary War. Today with the Motto of Small Town Friendly Rutherford County’s population is 67,810 according to 2010 Census. ("2010," 2014, p. 1) Rutherford County’s population is a mix of different races. The breakdown in 2010 consist of whites (86.79%), African Americans(11.23%), Native Americans(0.20%), Asian(0.22%), Pacific Islander(0.03%), other races(0.67%), two or more races(0.74%) and Hispanic(1.81%). ("Rutherford County," 2014, p. 1) The population age group under 18(23.8%), age 18-20(8%), age 25-44(27.9%), age 45-64(24.3%), and age 65 and older (16%). The population of females in 2010 is 35,029 and males 32,781. ("Rutherford County," 2014, p. 1) Rutherford County has 564 square miles of land and 1.7 square miles of water. ("US Census Bureau," 2014, p. 1) The birth rate per 1000 of the population for Rutherford County from 2000-2006 was 12.5%. The death rate per 1000 of the population for Rutherford County from 2000-2006 was 12.2 %.("Rutherford County, North Carolina (NC)," 2013, p. 1) In Rutherford county adult obesity is increasing, physical inactivity decreasing and the uninsured is rising. The obesity rate in 2010 was 28% compared to 2014 30%, Physical inactivity rate in 2012 31% and in 2014 29% and the uninsured in 2011 16% and 2014 19%. ("Rutherford (RU)," 2014, p. 1) The resource for active exercise is increasing in the community. Rutherford County region is low risk for severe weather and toxic exposures. The air and water quality is good. ("Rutherford (RU)," 2014, p. 1) The crime rate in Rutherford County has been increasing with the majority of crime in theft and burglary. Rutherford County Police and Fire Department responds well to the community’s needs. Rutherford County contains emergency, communication, medical services, and preparedness plans throughout the community.
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Population Economic status
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*Located in the Western Foothills of North Carolina
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*Population 67,810
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*White (86.79%)
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*Next largest African American (11.23%) and Hispanics (1.81%)
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* Age group under 18(23.8%), age 18-20(8%), age 25-44(27.9%), age 45-64(24.3%), and age 65 and older (16%)
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*564 square miles of land and 1.7 square miles of water
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* Death rate 12.2 %
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*Birth rate 12.5%
Rutherford County,
North Carolina
A3. Genogram

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Disaster Assessment & Planning
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*Emergency response available
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*Preparedness Plan available
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*Communication and Medical Services available
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*Following Federal Guidelines
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*Natural, bioterrorist and non-terrorist disaster plan
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*Residents unaware of disaster plans
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Neighborhood/ Community Safety
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*Adequate air quality
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*Water Quality good
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*Low risk for severe weather events
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*Low risk for toxic exposures
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*Crime increasing over 8 years
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*High theft and burglary
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*Good response from police and fire
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Cultural Assessment
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*Males 32,781 and Females 35,029
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* White (86.79%)
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* Next largest African American (11.23%) and Hispanics (1.81%)
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*Adult Obesity is increasing
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*Uninsured is increasing
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*Physical Inactivity is increasing
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*Access to exercise is increasing

A4-A5 Genogram Interpretation and Community Diagnosis
The interpretation of the genogram shows an increase in adult obesity, a decrease physical inactivity and the uninsured is increasing. ("Rutherford (RU)," 2014, p. 1) Obesity is common, serious and costly. In 2009-2010, more than one-third of U.S. adults (35.7%) were obese. ("Adult Obesity," 2012, p. 1) Obesity has several health risks such as diabetes, hypertension, high cholesterol, stroke, heart attack, congestive heart failure, gout, osteoarthritis and sleep apnea. With this in mind healthcare costs will increase as well. Obese people account for 37 percent of the United States’ population, but obesity-related diseases and health problems account for 61 percent of healthcare costs in the United States every year. (Tang, 2013, p. 1) Physical active is very important for everyone especially for the adult obese patient. Physical exercise helps to lower blood pressure, increases good cholesterol, lowers triglycerides, improves blood sugar, reduced abdominal fat and decreases the risk for heart disease. Teaching the community that walking, running, dancing are free ways to get in exercise. Along with exercise a good balanced diet is recommended. Teaching the community what to buy cheaply can help to maintain a healthy diet. You can cut food costs by eating more meals at home and by making sure they feature some of the healthiest foods from your supermarket -- foods like whole grains, vegetables, and beans. (Magee, 2012, p. 1) The balance between exercise and diet can improve obesity. (Balentine & Stoppler, 2012, p. 1) In Rutherford County the uninsured is increasing. Access to health care for the uninsured has become a problem not only in Rutherford County but in the United States. Most people cannot afford the insurance premiums and the medical bills when they seek healthcare. These medical bills turn into debt. Therefore, the uninsured do not seek healthcare. People without insurance coverage have worse access to care than people who are insured. Studies repeatedly demonstrate that the uninsured are less likely than those with insurance to receive preventive care and services for major health conditions and chronic diseases. ("Key Facts," 2013, p. 1)
The community diagnosis is to improve obesity levels, physical inactivity, and the access to care for the uninsured. In order to do accomplish our goals interventions need to be placed throughout the community. Reach out to the nurses and doctors within the community to establish a team to get the word out to the community free on obesity, physical active and to help the uninsured develop a plan for healthcare. The key to healthcare is preventive care steps. The community team needs teach preventive care techniques to the community which do not cost anything. The primary-care practitioner or nurse should be the community’s partner. There are preventive measures steps that could save millions of medical dollars and prevent injury, illness, disability, and premature death. (Wellness, 2011, p. 3) These steps include brushing and flossing teeth, exercise regularly, do self-breast and testes exams, do not smoke or be around second hand smoke, maintain a healthy weight, eat a balanced diet, fasten adult seat belts and make sure children are fasten by law, keep drinking alcohol moderate and do not drink and drive.
The community team needs to address the situation of disaster preparedness. Rutherford County residents do not know or understand the plan. During fieldwork of Rutherford County several residents stated that they were unsure of a disaster plan for the community and for themselves. (B. Hutchins, L. Parris, S. Anderson, & A. Tomlinson, personal communication, July 20, 2014) Community disaster plans and preparedness is important for the government side of the county as well for the people who live in the community. The community team going out into the community building awareness can develop change. Even though the emergency community team is doing a good job it takes the whole community to build a strong preparedness plan. Like the old saying it takes a whole community to raise a child well this situation applies to the same concept.

References
2010 United States Census. (2014). Retrieved from http://en.wikipedia.org/wiki/2010_United_States_Census
Adult Overweight and Obesity. (2012). Retrieved from http://www.cdc.gov/obesity/adult/index.html
Balentine, O,FACEP, J. R., & Stoppler, D, M. C. (2012). Obesity. Retrieved from http://www.medicinenet.com/obesity_weight_loss/article.htm
Key Facts about the Uninsured Population. (2013). Retrieved from http://kff.org/uninsured/fact-sheet/key-facts-about-the-uninsured-population/
Magee, MPH, RD, E. (2012). 15 Healthy Foods for About $2. Retrieved from http://www.webmd.com/food-recipes/features/cheap-healthy-15-nutritious-foods-about-2-dollars?page=4
Rutherford County, North Carolina. (2014). Retrieved from http://en.wikipedia.org/wiki/Rutherford_County,_North_Carolina
Rutherford County, North Carolina (NC). (2013). Retrieved from http://www.city-data.com/county/Rutherford_County-NC.html
Rutherford (RU). (2014). Retrieved from http://www.countyhealthrankings.org/app/north-carolina/2014/rankings/rutherford/county/outcomes/overall/snapshot
Tang, K. B. (2013). Obesity and the Rising Cost of Healthcare in America. Retrieved from http://www.fairfoodnetwork.org/connect/blog/obesity-and-rising-cost-healthcare-america
United States Census Bureau. (2014). Retrieved from http://en.wikipedia.org/wiki/Rutherford_County,_North_Carolina
Wellness Resource Guide [PDF file]. (2011). Retrieved from http://www.ncmhco.org/uploads/3/4/1/5/3415740/rutherford.pdf