The community is West Lawn in Chicago, IL. The health topics are politics, case management, media, and anything that you might find rele
The community is West Lawn in Chicago, IL. The health topics are politics, case management, media, and anything that you might find relevant to the assignment.
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NUR 4145 Community and Population Focused Health
Clinical Assignment #2: Environmental Health
This assignment will develop a beginning understanding of environmental health concepts in the community setting. Students will consider how HealthyPeople 2020 environmental health themes impact their community, and apply concepts such as “social justice” and “the greater good” in evaluating public health initiatives.
Learning Objectives
1. Describe the impact of various environmental public health hazards.
2. Investigate strategies that address solutions to environmental public health hazards.
3. Explore policy and legislation related to environmental health issues in the community.
Background
Students should familiarize themselves with HealthyPeople 2020’s Environmental Health objectives, which focus on 6 themes: 1) outdoor air quality; 2) surface and ground water quality; 3) toxic substances and hazardous wastes; 4) homes and communities; 5) infrastructure and surveillance; and 6) global environmental health.
Students can access https://www.healthypeople.gov/2020/topics-objectives/topic/environmental-health for more information.
Instructions for Individual Activity
Each student will choose one of the HealthyPeople 2020’s Environmental Health themes to investigate and explore how their community (chosen with Clinical Assignment #1: Community Assessment/Windshield Survey) is affected and impacted by this theme, as well as what is being done to address this environmental health theme to safeguard or improve societal and environmental health. Students should search relevant public/governmental agency websites and media/newspaper publications to help understand the situation from historical, present, and future oriented perspectives. The EPA’s My Environment website may also be helpful (https://www3.epa.gov/enviro/myenviro/). Students will then create a 2-page paper (approximately 500 words) that addresses the following:
· Briefly describe the selected environmental health theme.
· Discuss how the community is affected/impacted by this environmental health theme.
· Explore the selected environmental health situation from historical, present, and future-oriented perspectives.
· Discuss any strategies that are planned or have been implemented to address this environmental health theme to safeguard or improve societal and environmental health. Consider the barriers and facilitators for success of these strategies. Propose strategies if none are found.
· Within the paper, students should consider and address population health concepts such as “social justice” and “the greater good.”
· Student should utilize and appropriately cite relevant public/governmental agency websites and media/newspaper publications to substantiate their writing.
· Students will submit their APA formatted paper to Brightspace by the assigned due date.
Group activity
At the clinical site (or as directed by your clinical instructor), students will present and discuss their findings of the HealthyPeople 2020: Environmental Health Investigation paper developed in the individual activity portion of the assignment.
Together, group members will discuss their findings and the significance of the environmental health issues explored.
· After hearing from your classmates, how do you rate the overall quality of the environmental health of your chosen community? Would you choose to live here? Why or why not?
· Which environmental theme presented was most concerning to you? Why?
· How will this information influence you, both personally and professionally? Do you plan to change any practices?
· What can we do as health care professionals to promote environmental health? Think about the different care areas where nurses practice: how can we make an impact in each of these settings?
· Acute care hospitals
· Long term care facilities
· Schools
· Jails/Prisons
· Other outpatient settings
References
Demarco, R.F. & Healey-Walsh, J. (2020). Community and public health nursing: Evidence for practice (3rd Ed.). Philadelphia, PA: Wolters Kluwer
Lippincott CoursePoint+ Enhanced for DeMarco's Community and Public Health Nursing 3rd edition
,
4/14/22, 7:02 AM Due Week 7: Clinical Assignment #2: Environmental Health – NUR4145-03:Community and Population Focused Health (2022 Spri…
https://oakpoint.brightspace.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=35793&grpid=0&isprv=0&bp=0&ou=17673 1/5
Clinical Assignment #2: Environmental Health
Investigation Course: NUR4145-03:Community and Population Focused Health (2022 Spring Term 2)-14709
Criteria Exemplary 5 points
Satisfactory 4 points
Progressing 3 points
Unsatisfactory 2 points
Omitted 0 points
Criterion Score
Briefly
describes
the selected
environment
al health
theme.
/ 5
Discuss how
the
community
is
affected/im
pacted by
this
environment
al theme.
/ 5
Demonstrates
professional
level writing,
synthesis of
ideas with
support from
research as
applicable
Demonstrates
proficient
college level
writing,
develops ideas
with enough
and firm
evidence
Demonstrates
emerging
college level
writing, shows
some thinking
and reasoning
but most ideas
are
underdevelope
d and
unoriginal
Does not
demonstrate
college level
writing,
thoughts are
incomplete
and
inconsistently
developed
Section
omitted
Demonstrates
professional
level writing,
synthesis of
ideas with
support from
research as
applicable
Demonstrates
proficient
college level
writing,
develops ideas
with enough
and firm
evidence
Demonstrates
emerging
college level
writing, shows
some thinking
and reasoning
but most ideas
are
underdevelope
d and
unoriginal
Does not
demonstrate
college level
writing,
thoughts are
incomplete
and
inconsistently
developed
Section
omitted
4/14/22, 7:02 AM Due Week 7: Clinical Assignment #2: Environmental Health – NUR4145-03:Community and Population Focused Health (2022 Spri…
https://oakpoint.brightspace.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=35793&grpid=0&isprv=0&bp=0&ou=17673 2/5
Criteria Exemplary 5 points
Satisfactory 4 points
Progressing 3 points
Unsatisfactory 2 points
Omitted 0 points
Criterion Score
Explore the
selected
environment
al health
situation
from
historical,
present and
future
perspectives
.
/ 5
Discuss any
strategies
that are
planned or
have been
implemente
d to address
this
environment
al health
theme to
safeguard or
improve
societal and
environment
al health.
Propose
strategies if
none are
found.
/ 5
Demonstrates
professional
level writing,
synthesis of
ideas with
support from
research as
applicable
Demonstrates
proficient
college level
writing,
develops ideas
with enough
and firm
evidence
Demonstrates
emerging
college level
writing, shows
some thinking
and reasoning
but most ideas
are
underdevelope
d and
unoriginal
Does not
demonstrate
college level
writing,
thoughts are
incomplete
and
inconsistently
developed
Section
omitted
Demonstrates
professional
level writing,
synthesis of
ideas with
support from
research as
applicable
Demonstrates
proficient
college level
writing,
develops ideas
with enough
and firm
evidence
Demonstrates
emerging
college level
writing, shows
some thinking
and reasoning
but most ideas
are
underdevelope
d and
unoriginal
Does not
demonstrate
college level
writing,
thoughts are
incomplete
and
inconsistently
developed
Section
omitted
4/14/22, 7:02 AM Due Week 7: Clinical Assignment #2: Environmental Health – NUR4145-03:Community and Population Focused Health (2022 Spri…
https://oakpoint.brightspace.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=35793&grpid=0&isprv=0&bp=0&ou=17673 3/5
Criteria Exemplary 5 points
Satisfactory 4 points
Progressing 3 points
Unsatisfactory 2 points
Omitted 0 points
Criterion Score
Consider
the barriers
and
facilitators
for success
of the
strategies
discussed in
the previous
section.
/ 5
Within the
paper,
students
should
consider
and address
population
health
concepts
such as
"social
justice" and
"the greater
good".
/ 5
Demonstrates
professional
level writing,
synthesis of
ideas with
support from
research as
applicable
Demonstrates
proficient
college level
writing,
develops ideas
with enough
and firm
evidence
Demonstrates
emerging
college level
writing, shows
some thinking
and reasoning
but most ideas
are
underdevelope
d and
unoriginal
Does not
demonstrate
college level
writing,
thoughts are
incomplete
and
inconsistently
developed
Section
omitted
Demonstrates
professional
level writing,
synthesis of
ideas with
support from
research as
applicable
Demonstrates
proficient
college level
writing,
develops ideas
with enough
and firm
evidence
Demonstrates
emerging
college level
writing, shows
some thinking
and reasoning
but most ideas
are
underdevelope
d and
unoriginal
Does not
demonstrate
college level
writing,
thoughts are
incomplete
and
inconsistently
developed
Section
omitted
4/14/22, 7:02 AM Due Week 7: Clinical Assignment #2: Environmental Health – NUR4145-03:Community and Population Focused Health (2022 Spri…
https://oakpoint.brightspace.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=35793&grpid=0&isprv=0&bp=0&ou=17673 4/5
Criteria Exemplary 5 points
Satisfactory 4 points
Progressing 3 points
Unsatisfactory 2 points
Omitted 0 points
Criterion Score
Utilizes and
appropriatel
y cites
relevant
public/gover
nmental
agency
websites
and
media/news
paper
publications
to
substantiate
writing.
/ 5
Overall
organization
of paper;
correct APA
format,
citations,
and
reference
list;
grammar
and spelling
/ 5
Demonstrates
professional
level writing,
synthesis of
ideas with
support from
research as
applicable
Demonstrates
proficient
college level
writing,
develops ideas
with enough
and firm
evidence
Demonstrates
emerging
college level
writing, shows
some thinking
and reasoning
but most ideas
are
underdevelope
d and
unoriginal
Does not
demonstrate
college level
writing,
thoughts are
incomplete
and
inconsistently
developed
Section
omitted
Paper is
logically
organized and
professionally
formatted per
APA
guidelines. In-
text citations
and reference
list do not
contain errors
Paper is
logically
organized but
has minor
formatting/
transitional/gr
ammar/spellin
g or APA
errors within
assignment or
reference list
Paper is
minimally
organized with
3 or more
errors in APA
formatting, in-
text citations,
grammar or
spelling
Paper
organization
has a flawed
and illogical
flow, does not
meet APA
formatting
requirements
In-text
citations
and/or
reference list
is omitted;
multiple
spelling and
grammar
errors that
interfere with
comprehensio
n
4/14/22, 7:02 AM Due Week 7: Clinical Assignment #2: Environmental Health – NUR4145-03:Community and Population Focused Health (2022 Spri…
https://oakpoint.brightspace.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=35793&grpid=0&isprv=0&bp=0&ou=17673 5/5
Total / 50
Overall Score
Criteria Exemplary 5 points
Satisfactory 4 points
Progressing 3 points
Unsatisfactory 2 points
Omitted 0 points
Criterion Score
Presentation
of
Environmen
tal Health
Investigatio
n findings to
peers at
clinical site
/ 5
Contributio
n(s) to group
discussion
of the
overall
quality of
the
environment
al health of
chosen
community
/ 5
Student
presents an
abundance of
information
clearly related
to the to
environmental
topic of focus
Student
presents
sufficient
information
clearly related
to the to
environmental
topic of focus
Student
presents some
information
related to the
to
environmental
topic of focus,
but includes
unclear,
irrelevant or
incomplete
information
Presentation
lacks sufficient
information
that is needed
to understand
the environme
ntal topic of
focus
Presentation
of information
unclear or
unrelated to
the to
environmental
topic of focus
Student
engaged with
peers and
provides at
least 4
contributions
to the group
discussion
Student
engaged with
peers and
provides at
least 3
contributions
to the group
discussion
Student
minimally
engaged in
group
discussion;
provides at
least 2
contributions
to the group
discussion
Student
minimally
engaged in
group
discussion;
provides 1
contribution
to the group
discussion
Student does
not participate
in group
discussion
Level 4 46 points minimum
Level 3 42 points minimum
Level 2 37 points minimum
Level 1 33 points minimum
,
Outdoor air quality can have lasting long-term effects on health. According to the CDC, poor
air quality can lead to respiratory and cardiovascular damage. There are many sources that can
lead to poor air quality from industrial pollution to wildfires. The CDC notes that unhealthy air
emissions have been decreasing, but that as many as 127 million people still live in areas where
poor air quality exceeds national standards.
In Chicago, the neighborhood of Little Village, is heavily impacted by poor air quality due to
industrial pollution. When looking at a map of Chicago, we can see that Little Village is zoned
for residential areas and industry. This industry is one of the major causes of poor air quality in
Little Village. The Natural Resources Defense Council (2018), with data from the CDC, created
an interactive map showing that Little Village area had one of the heaviest environmental
burdens in the city. This poor air quality also leads to health problems. In 2017, Little Village
had 1,008 admissions to ER for issues related to asthma (Chicago Health Atlas, 2017).
Historically, Little Village has long been an area with heavy industry. After the great
Chicago fire in 1871, some industrial companies decided to rebuild on the outskirts of the city,
which is now the neighborhood of Little Village (Schmidt, 2013). This area at the time was
mostly farmland. People began to move to the area to work in these newly built factories. The
neighborhood grew and was one of the most densely packed neighborhoods in Chicago
(Schmidt, 2013). In 1926, the Crawford coal plant was built. It would remain operational in
Little Village for almost 100 years. In 2012, after years of pressure from environmental groups,
then mayor Rahm Emmanuel, brokered an agreement to have the coal plant shut down (Wernau,
2012). A neighboring coal plant in Pilsen, the Fisk Coal Plant, was also shut down at the same
time.
The Little Village Environmental Justice Organization (LVJEO) has long been active in
advocating and strategizing plans to improve the environmental health of the Community. The
LVJEO were heavily responsible in the closure of the Crawford Power Plant (Wernau. 2012).
They worked closely with the city and the EPA to bring a much-needed park to the neighborhood
in 2014. Currently, they are protesting the decision by the city to allow the former Crawford site
to become a large-scale Target distribution center. The LVJEO claims that a distribution center
will still impact the neighborhood air quality negatively due to increase in diesel truck emissions
(Isaacs, 2020). The LVJEO said the city shut them out of talks related to the sale of the land
(Isaacs, 2020).
After the closure of the plant in 2012, the LVEJO advanced a proposal to repurpose the
land into an area for urban agriculture that would offer training and jobs to residents of the
community (Isaacs, 2020). They secured an agreement with the owners of the land to follow
certain “guiding principles”, like environmental impact, when considering development options.
A year later, the land was sold to Hilco development who ignored these “guiding principles” set
by the LVEJO and petitioned the city to allow the construction of a distribution center.
The LVEJO must focus on a policy level change to Chicago zoning laws as a strategy for
environmental justice. Chicago’s zoning laws were designed in the early part of the 20th century
to advance the construction of industries in the city. These laws do not require that meetings be
held with the community when zoning an area, they do not require the city to perform an impact
assessment on health, transportation, or environment of the zoned area, nor does it require the
city to share information with the public on zoning decisions (Isaacs, 2020). All of this keeps the
community in the dark and allows major zoning decisions and sales to be made without public
knowledge.
There is always the question of what will bring the greatest good to the community.
Industries that are currently operating in Little Village and those that want to build industry in
Little Village say that they bring the benefit of much need employment to an area were many
live in poverty. The environmental impact of the industries is real. Do jobs outweigh the lasting
health effects that residents will suffer from? Is justice really being served if the only small
percentage of peoples are benefiting, while the rest of a community must deal with the issues
brought on by poor air quality? The residents of Little Village think that the greater good
includes environmental justice and will continue to work towards that goal.
References
Chicago Health Atlas. (2017). https://chicagohealthatlas.org/indicators/HDED?topic=asthma-ed-
visits
Geertsma, M. (2018). Natural Resource Defense Council. https://www.nrdc.org/experts/meleah-
geertsma/new-map-shows-chicago-needs-environmental-justice-reforms
Isaacs, C. (2020). Environmental justice in Little Village: A case for reforming Chicago’s zoning
laws. Northwestern Journal of Law & Social Policy, 15(3).
https://core.ac.uk/download/pdf/322576386.pdf
Schimdt, J. (2013). South Lawndale, aka Little Village. WBEZ Chicago.
https://www.wbez.org/stories/south-lawndale-aka-little-village/08cd0f0a-248a-464d-
84ec-75995bc6bec4
Wernau, J. (2012). Fisk, Crawford coal plants had long history, as did battle to close them.
Chicago Tribune. https://www.chicagotribune.com/business/ct-xpm-2012-09-02-ct-biz-
0902-crawford-fisk-20120902-story.html
- Wernau, J. (2012). Fisk, Crawford coal plants had long history, as did battle to close them. Chicago Tribune. https://www.chicagotribune.com/business/ct-xpm-2012-09-02-ct-biz-0902-crawford-fisk-20120902-story.html
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