• Internal Code :
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  • University : University of Wolverhampton
  • Subject Name : Nursing

Health Needs Assessment (HNA) for a Local Geographical Area

Step 1: Summarise the profile for a local geographical area; population, exploring factors impacting upon the health of the people living within this area (What factors are impacting most upon the people living in your chosen area)

Ashford is the town in England that is having the demographic profile of the aging population because of the reason that life expectancy is higher and the birth rate is low since the past few decades. This is the problem not only Ashford is facing but, also the whole country is going through this challenge. From the readings, it has been noted that the major health indicator affecting health is the health inequity in terms of resources and finances. The chosen population would be the older adults and the area that will be the rate of mental illness amongst them. The approach and initiatives will include the assessment of prevention services for the elderly population to ensure need and challenges faced by them (Chihuri et al., 2016).

Step 2: Identify and Justify Choice of your Target Population-based upon a Life Stage of Human Development

The target population will be the people of age 65 yrs and above. They are majorly affected by mental health problems such as dementia. According to the Midyear, population estimates 2018, 35.4 % of the population is of 65 years and above (Roth, 2015). This target population is important to consider because this population is not taken care of in the country and requires special support and advice from care homes, professionals, and carers. The approach to them will include an initial assessment plan that will be made with collaboration with the patients. The team of healthcare professionals such as neurologists, healthcare professionals, nursing staff, and therapists will be there to improve the health condition of older adults. The life course approach is designed to promote 'common sense' and promotion of 'needless'. This approach is used to acknowledge the adoption of the health approach, exploring the issues, and addressing the challenges to get desired results (Rebok et al., 2016).

The systems are always guided by regulations and policies stated by the national government. The policies like health, economic, and social care to be designed for older adults to formulate effective policies and enhance the health status as well as the social and economic well-being of the elderly population. The insurance systems both public and private should have implications on the savings and investment rates. Thorough his/ her life course action, a large number of people are there who keep on working and saving for their old ages. The factors such as earlier retirement, an extended period of schooling and training in early life, the challenge of sustainability systems, and enhanced longevity should be designed to support elders (Chihuri et al., 2016).

In the older age, a person gets suspected of disability and disease more as a comparison to adults and children. They have a high burden of ill health that can be reduced or prevented by focusing on risk factors such as poverty, elder maltreatment, injury, mental health disorders, development of non-communicable diseases, and social exclusion and isolation. The suspected health outcomes would be addressing the mental, physical and emotional health needs to promote the health status of older adults. The interventions could be the availability of medical care services at lower costs, an increase in physical activity, and reducing the consumption of cigarettes to promote health. These interventions will help in providing valuable results to determine future public health needs (American Diabetes Association, 2018).


American Diabetes Association. (2018). 11. Older adults: standards of medical care in diabetes—2018. Diabetes Care, 41(Supplement 1), S119-S125.

Chihuri, S., Mielenz, T. J., DiMaggio, C. J., Betz, M. E., DiGuiseppi, C., Jones, V. C., & Li, G. (2016). Driving cessation and health outcomes in older adults. Journal of the American Geriatrics Society, 64(2), 332-341. Demographic updates 2018 available at, https://www.ashford.gov.uk/media/2410/economic-demographic-forecasts_june2012.pdf

Mid-year population estimates 2018, available at https://www.kent.gov.uk/__data/assets/pdf_file/0019/14725/Mid-year-population-estimates-age-and-gender.pdf

Rebok, G. W., Ball, K., Guey, L. T., Jones, R. N., Kim, H. Y., King, J. W., & Willis, S. L. (2016). Ten‐year effects of the advanced cognitive training for independent and vital elderly cognitive training trial on cognition and everyday functioning in older adults. Journal of the American Geriatrics Society, 62(1), 16-24.

Roth, M. (2015). The natural history of mental disorder in old age. Journal of mental Science, 101(423), 281-301.

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