Geriatric Windshield Survey Paper
(Geriatric Windshield Survey table)
Citizens in the United States are beginning to live longer, creating an unprecedented number of elderly throughout the nation. As of 2014, 14.5% of the population were older than 65, accounting for 46.3 million Americans. This number has been projected to continue to increase by a substantial amount, 98 million, by the year 2060 (“Older Adults”, 2020). As one of those individuals who is slowly falling into the elderly category, there are certain pieces of criteria that are essential to have within a walking distance as the elderly population sometimes struggle to get out as much as their younger counterparts. Access to food, medical care, and places to exercise is crucial for the elderly community.
In the neighborhood that I reside in, there is a multitude of services that are offered that enhance the quality of life for elderly individuals like myself. First and foremost, within one mile there is a Winn Dixie store for groceries and two meal delivery services relatively close. In older populations, there is a significant amount of food insecurity or the uncertainty of food for the community. Due to functional impairment, isolation, financial issues, and overall poor health, many within the elderly community are unable to access food on their own, especially if it is over a mile from their home. As the geriatric population continues to increase, it is likely that the food insecurity risks will continue to escalate (Fernandes, et al., 2018). For the elderly in the community who are unable to reach the grocery store on their own, this meal delivery option is of great service. There are some within the community who struggle to get around and also have little to no family in the area, causing trouble when it comes to this type of task. Meals on Wheels and Meals at Senior Centers both offer a helpful option that many would not have in other communities that are further away.
Another crucial part to the community that surrounds a majority elderly population is access to healthcare within a decent vicinity. Those in the geriatric population are at a far higher risk of becoming ill and dealing with ailments that younger people do not have to worry about as often. Geriatrics are at an increased risk for cardiothoracic issues, orthopedic injuries, and quite a few other significant injuries like diabetes and hypertension (“Older Adults”, 2020). This population group also deals with more immense physiological, psychological, and behavioral issues while also dealing with functional limitations. Those who suffer from an orthopedic disability, are also less likely to recover (Sun & Smith, 2017).
For all of these reasons, it is critical that those who have reached an advanced age, 65 years and above, have access to a healthcare facility. Within two miles of my home, there is a primary care physician’s office, a hospital, and a pharmacy. Each of these proves to be crucial in their own ways. Firstly, a primary care office provides continuous care on chronic conditions, something that many in the geriatric community deal with more often than not. In the case of those chronic conditions taking a turn for the worse or in situations where there is a sudden emergent issue at hand, there is a hospital 1.6 miles away from the place where I reside. This placement provides peace of mind for so many in the area, knowing that real healthcare, even in emergent situations, is just a short walk or drive away. Finally, the pharmacy at CVS that is 0.6 miles away also makes sure that many in the community are given access to the medication that keeps their chronic conditions at bay. Without access to a close pharmacy, there are many that would likely see a resurgence in their health problems far quicker than if they are given adequate access.
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Geriatric windshield survey table
|1. The age, nature, and condition of the community’s available housing||Most houses are 60 years old but in good condition.
The houses are mostly concrete, while the architectural design varies due to preferences and economic conditions.
Homes are spacious, with sidewalks on the front and back.
New affordable housing projects.
|A few run-down buildings and rows of dilapidated tenements.
Several low–income apartments.
Several homeless families.
|2. Infrastructure needs – Roads, bridges, streetlights, etc.||Most roads, streetlights, sidewalks and badges are in functional condition.
Accessible two subway lines
|A few damaged roads with potholes, nonfunctional streetlights and damaged sidewalks.|
|3. The presence or absence of functioning businesses and industrial facilities||Several small, medium and big business premises.
No business/industrial parks but has access to neighboring business parks
|Few businesses in substandard buildings.|
|4. The location, condition, and use of public spaces||The neighborhood in the northern part of Upper West Side in Manhattan, New York City.
Several gathering squares and
|Most public places are occupied, leading to traffic jams and human congestion during rush hours.
|5. The amount of activity on the streets at various times of the day, week, or year||There is lots of activity during the morning (7 am – 10 am), evening hours (5 pm – 10 pm), and holidays.||More street activities during the day (7 am – 6 pm) and during warm months. This increases crime rates.|
|6. The noise level in various parts of the community||Quite and moderate noise levels in residential apartments, health facilities and high-end residential blocks.||High noise levels along major highways, in restaurants, bars and in low-income neighborhoods.|
|7. The amount and movement of traffic at various times of day||The movement of traffic includes individuals going to and from work daily.||Traffic movement is high during rush hours.
During warm months, the amount of traffic and movement increases. An increase in traffic is associated with a high crime rate.
|8. The location and condition of public buildings: The city or town hall, courthouse, etc.||The neighborhood has running and effective schools, post offices, museums, community centers, a police station, and a library.||The neighborhood lacks courthouses, town/city halls, consulates, embassies.|
|9. The walkability of community: Are there walking paths/biking paths/safety?||Most community resources are walking distances away. There are well maintained walking paths/biking paths path||A seasonal upsurge in crime rates prevents individuals from walking in some areas.|
|10. What is the proximity for walkability to community resources?||Most community resources are few blocks away.||Walkability is limited during the winter and rainy seasons.|
|11. Availability of public transportation: It’s the cost? It’s accessibility?||Public transportation is available via bus, rail or subway operated by MTA. The average cost of transport is about $2.75 for most people. Express buses cost $6.75.
Rail fare varies with time.
Disabled people are legible for a reduced fare
Children under 44inches tall rides for free.
Subways operate 24/7.
Enhanced overnight bus service available
|Social distancing due to pandemics has reduced operation capacity.
No shared rides.
Low-income households cannot use public transport.
|12. Availability of community centers and public spaces, such as social service centers, public libraries, parks, churches, community centers, recreation centers||Several communities and public service centers are Trinity Lutheran Church of Manhattan, Holy Name of Jesus and St. Gregory the Great, etc. Bloomingdale Library. Frederic Douglass Centre. Franciscan community Centre||Most of these community centers and public spaces have specific operating times, conditions, and costs. The Covid-19 pandemic limitation of gathering has affected the functionality of these centers/spaces.|
|13. Availability of health care facilities and resources, such as clinics and hospitals. How many are there?||There are three health centers, i.e., Riverside health Centre, Ryan health Centre and Ryan Health, women and children.
There are two clinics, i.e., Riverside Sexual Health Clinic and Northwell Health-GoHealth. (Geriatric Windshield Survey table)
|Big hospitals are in the neighboring communities. This increases the risk of death in critical cases.
Most homeless and uninsured families’ access to these healthcare institutions is limited.
|14. Food options available and presence of nutrition: Does the area have characteristics of food deserts?||There several food options available for both low-income and high-income residents.
|Organic and healthy food options are expensive, and affordability depends on family income.
Perishable and fresh food desserts are common among middle and high-income households.
|15. Are there grocery stores?||There are various grocery stores accessible to most households.|
|16. The presence of homelessness: Is there a homeless population?||Homelessness is on the rise.||Homelessness predisposes individuals to various health factors, including cold and microorganisms. Homeless people are also exposed to significant cases of communicable diseases, HIV, and insecurity.|
|17. Are there homeless services?||There are homeless services, include:
Trinity place shelter
|An increase in homelessness is associated with increased crime.|
|18. Police/Fire presence||There is a police and fire department presence in the neighborhood.||The neighborhood is overpopulated and cannot be optimally served by single police and fire presence. (Geriatric Windshield Survey table)|
|19. Schools in the area||Schools include: Montclare Children’s School, Holy Name School, Public School 163, Schechter Manhattan, BASIS Independent School, Edward A. Reynolds West Side High School, The Alfred E. Smith School, Morningside Montessori School, The Bloomingdale||There are no public universities or private higher institutions in the neighborhood. Covid-19 pandemic has disrupted the normal in-attendance learning method.|
|20. What are the location and physical condition of the schools?||Schools are uniformly distributed in the neighborhood. The schools are in an appropriate state in terms of structures and facilities.||Segregation between high and low-income students in schools is prominent.|