The document provides an overview of Manhattan's demographic, socioeconomic characteristics, and health issues, particularly focusing on the vulnerable elderly and children populations. It highlights that despite its economic significance, a significant portion of the elderly and children live in poverty, leading to health risks such as pressure ulcers and malnutrition. The content also discusses the role of healthcare providers in addressing these vulnerabilities through resource allocation and health education.

1. Running head: General Community Characteristics
1
General Community Characteristics
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Pressure Ulcers and the Vulnerable Elderly Population
General Community Characteristics
New York City has five predominantly recognized boroughs
demographically. Manhattan is amongst the most densely
populated city whereby it is a recognized district with historical

2. origin, culturally identified, economically stable and equipped
with different health care centers. Manhattan being a
coextensive district in NYC, it receives over 30 million visitors
per year, though most of the tourists hardly see away from the
“22.6 square miles (58.5 square km)” of Manhattan Island, the
smallest urban district. Manhattan is easily recognized by
residents and visitors since it is divided alluring 220 east-west
streets and 12 north-south avenues. It is overloaded with places
of enduring interests, cultural institutions and one of the world
largest skyscraper. Sachs (2016) states that other neighbouring
cities recognizes Manhattan as the primary borough hub for
business, center for administrative services, and a financial
center for metropolis and their origin of their renown. Inside
this considerable historic disparity, Manhattan is mainly made
out of neighborhoods that give tranquil sanctuaries to satisfied
occupants. No region of NY exhibits dynamism and
transformation as ultimately as Manhattan. Crowds enter it day
by day to look for their prosperities, and extra millions come to
wonder about their endeavors. It is Manhattan that they name an
"incredible place, yet I wouldn't have any desire to live there."
Demographic and Socioeconomic Characteristics
Manhattan is one of the highly densely populated district in
NYC, though smallest geographically. In the United States,
NYC is the leading county with highest population and the
leading densely populated region globally (Stanhope &
Lancaster, 2018). This facts is supported by the 2010 census
report that the district has the highest population compared to
other boroughs because it holds a populace of “1,585,873 living
in a land area of 22.96 square miles (59.5 km2), or 69,464
residents per square mile (26,924/km²)” (U.S. Census Bureau
QuickFacts). It is the wealthiest county that stabilize U.S
economy with a 2005 per capita income above $100,000.
Manhattan is the smallest in land area but the third –largest
populated borough in NYC.
United States has referred Manhattan as the center that does
well economically and culturally develop. NYC serves as the

3. monetary capital center for both NASDAQ as well as the New
York Stock Exchange, with an estimated GDP of over $1.2
trillion. Universities, museums, tourist’s attractions sites are
amongst the famous landmarks that distinguish Manhattan
community from other boroughs. United Nations Headquarters
are as well located in this borough. The city is described as a
metropolitan center where most of the government business are
conducted, businesses, simulation activities as well as where
national banks can be accessed.
Key Community Groups and Health Concerns
In Manhattan city, some people are more vulnerable than others.
Specifically, elderly and children are mostly affected since
according to U.S. Census Bureau QuickFacts 16.1% and 9% of
elderly and children respectively live in abject poverty. That is
why, in Mary Manning Walsh Nursing Home, they strive to
identify this portion to understand their level of vulnerability so
as to provide appropriate interventions. According to Stanhope
& Lancaster (2018), limited and uneven distribution of
resources in the community is the leading causes of subjecting
these populations to vulnerability. Aging population need
prompt intervention to alleviate life-threating effects like
developing depression which leads to pressure ulcers. The
hospital contends that, to increase resilience, the situation can
be reversed when accessible resources are allocated properly.
Poverty maybe as result of low income amongst the elderly,
which later contribute to their poor health like developing
pressure ulcers due to stress and also lack of accessing quality
healthcare system. As indicated from the county health
statistics, elderly population without insurance coverage in
Manhattan city is estimated as 10% which is higher than
Hampshire city which has an average of 10%. This is why;
Sachs (2016) argues that, Individuals at the two closures of the
age difference are frequently less ready to adjust to stressors
physiologically". Kids in poverty are likewise an extraordinary
concern of society. An investigation of Stanhope & Lancaster
(2018) expressed that the "rate of kid destitution is an

4. expanding function of the level of salary imbalance". Likewise,
"the higher is the pay disparity, the more prominent is the rate
of kid poverty.
Children are another vulnerable group predisposed to
malnourishment, underweight and poor health. Vulnerability
contributes to loss of lifespan work opportunities and shortfall
of quality education (Stanhope & Lancaster, 2018). Report from
county ranks states that compared to other neighbouring
borough; Manhattan carries a 36% of children in who are
eligible to get reduced-price lunch. Also, 3% consist of
uninsured children and 40% is the mortality. Generally, medical
attendants play significant roles in coordinating and connecting
vulnerable population with the accessible resources in the
community and different organizations. They can work with
others as well as offering health education in the public to
establish a wellbeing program. Most importantly, medical
attendants can impact enactment and health policies that
influence the susceptible populace.
References
U.S. Census Bureau QuickFacts: New York County (Manhattan
Borough), New York. Retrieved from:
https://www.census.gov/quickfacts/fact/map/newyorkcountyman
hattanboroughnewyork/INC110217
Sachs, J. D. (2016). High US child poverty: Explanations and
solutions. Academic pediatrics, 16(3), S8-S12.
Stanhope, M., & Lancaster, J. (2018). Foundations for
population health in Community/
public health nursing (5th edition). St. Louis, MO: Elsevier.

5. NUR 350 Milestone Two Guidelines and Rubric
This milestone focuses on the assessment portion of the
community assessment. The community assessment is the final
written assignment for this course. In
any scholarly endeavor, clinical investigation, professional
practice, or exploration of a scholarly topic, it is vital that you
use scholarly evidence to support your
analyses. Careful thought and planning are required when
creating a health strategy that arises from a community
assessment. You must use reliable sources
and correct APA formatting. You must incorporate all instructor
feedback into the final project.
For this milestone assignment, you will provide a summary of
the assessment portion of your community assessment, which
will be submitted later in the
course. By completing this milestone, you will be able to more
clearly develop and articulate relevant information needed to
complete the final project.
The following critical elements must be included:
• Discuss the existing resources within the community at the
local, regional, and national level.
• Identify strengths and weaknesses of the community that
would be integral in the formulation of a community health
strategy.
• Analyze opportunities that exist for improving the health of

6. the community.
• Identify barriers that may impact successful implementation of
a community health strategy.
Guidelines for Submission: Milestone Two must be three to four
pages in length (not including cover or reference pages). Use
APA formatting for the reference
list and all in-text citations.
Critical Elements Exemplary (100%) Proficient (90%) Needs
Improvement (70%) Not Evident (0%) Value
Existing Resources Meets “Proficient” criteria and
offers greater insights on how
resources in this community
differ according to the varying
demographics
Discusses resources at the local,
regional, and national level that
exist within the systems of this
community
Discusses resources available
within the community but with
gaps in detail
Does not discuss resources at
local, regional, or national level
25
Strengths and

7. Weaknesses
Meets “Proficient” criteria and
links identification to evidence
from data sources and
community assessment
Identifies the strengths and
weaknesses of the community
that would be integral in the
formulation of a community
health strategy
Identifies the strengths and
weaknesses of the community
but with issues in clarity and
accuracy; connection between
strengths and weaknesses and
health strategy not evident
Does not present a clear
identification of strengths and
weaknesses of the community
25
Opportunities Meets “Proficient” criteria and
provides insight into the needs
of the community
Analyzes specific areas of
opportunity that exist for
improving the health of the
community
Analyzes general areas of

8. opportunity that exist within the
community but with issues in
clarity and accuracy.
Does not analyze areas of
opportunity that exist within the
community
20
Potential Barriers Meets “Proficient” criteria and
discusses both internal and
external barriers
Identifies barriers that may
impact successful
implementation of community
health strategy
Identifies barriers that may
impact successful
implementation of community
health strategy, but description
is not comprehensive
Does not identify barriers that
may impact successful
implementation of community
health strategy
20
Articulation of

9. Response
Submission is free of errors
related to citations, grammar,
spelling, and syntax and is
presented in a professional and
easy-to-read format
Submission has no major errors
related to citations, grammar,
spelling, or syntax
Submission has major errors
related to citations, grammar,
spelling, or syntax that
negatively impact readability
and articulation of main ideas
Submission has critical errors
related to citations, grammar,
spelling, or syntax that prevent
understanding of ideas
10
Earned Total 100%
NUR 350 Milestone Two Guidelines and Rubric