Substance Use Assessment and Diagnosis
Template
Directions: Collect the data outlined in this template. Fill in the blanks in the tables
provided. There are two parts - online data collection and a modified windshield survey
data collection. You will then identify a nursing problem in a vulnerable population and
write a nursing diagnosis. See the assignment directions for suggestions and best
practices. For full credit, all information in a category must be completed. This will be
the topic of your Assessment and Nursing Diagnosis Template and also Parts 2
through 4 of your course projects.
Online Data Collection
1. Community Information
Your Community Data
Name of city or town and state Burgaw, Pender County North Carolina
Population 63,060
Nature of this community (rural, Rural
suburban, urban)
Burgaw is home of the North Carolina
Blueberry Festival, held annually on the
third Saturday in June. The rich
farmlands, festivals and historic
architecture of the town have helped
Describe your community in 2-3 Burgaw grow tremendously over the
sentences years. Get your walking shoes ready and
take a stroll through our shady streets to
see for yourself the unique characteristic
that makes Burgaw such a charming little
town, it is like living in a Hallmark movie
year-round.
2. Community Demographics
a. Go to https://www.census.gov/quickfacts/fact/table/US/PST045218
i. The US data should automatically populate
ii. Input your zip code or county/township name
iii. Then input your state for comparison data
iv. Enter the data into the table below
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, v. Compare the county, state, and US data
County Data State Data U.S. Data
Population total 63,060 10,488,084 328,239,523
Male (subtract
49.8% 49.2%
female % from 100)
Female 50.2% 51.4 50.8%
Persons under 5 5.7% 5.8 6.0%
Persons over 65 18.6% 16.7 16.5%
Race and origin data
County Data State Data U.S. Data
White alone 81.5% 70.6 76.3%
Black or African
14.7 22.2 13.4
American alone
American Indian and
0.9 1.6 1.3
Alaska Native alone
Asian alone 0.7 3.2 5.9
Native Hawaiian and
other Pacific 0.1 0.1 0.2
Islander alone
Two or more races 2.1 2.3 2.8
Hispanic or Latino 7.5 9.8 18.5
White alone, not
75.4 62.6 60.1
Hispanic or Latino
Significant population characteristics
County Data State Data U.S. Data
Veterans 4,793 659,584 18,230,322
Foreign born
3.8 8.0 13.6
persons
Housing overview
County Data State Data U.S. Data
Housing units 30,003 4,747,943 139,684,244
Owner-occupied
81.2 65.2 64.0
housing unit rate
Median selected
monthly owner costs $1,443 $1314 $1,595
with a mortgage
Median selected
monthly owner costs $434 $400 $500
without a mortgage
Median value of
owner-occupied $198,700 $172,500 $217,500
housing units
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