Cristin Barnaby
Nathan Buchinger
Mark Keskes
Sara Tonder
Denise Vanderweele
Karen Whisler

 Located in the northwestern part of Michigan’s Lower Peninsula
 Located 8- miles north of Grand Rapids, Michigan
 Surrounded by 5 other counties
 Manistee county to the northwest
 Wexford county to the northeast
 Osceola county to the East
 Newaygo county to the South
 Mason county to the West
 Has 5 different communities within the county
 Baldwin
 Branch
 Chase
 Idlewild
 Irons
 Luther

 Total Land Area- 574.60 Square Miles
 Land Area-567
 Water Area-7.2
 Persons per square mile as of 2010- 20.3
 Total population as of 2012- 11.498
 87.0.% White
 9.4% Black
 Percent living in poverty in 2009- 19.2%
 Income below poverty level in 2009- 19.4% with the state being 10.5%
 Income below 50% of the poverty level in 2009- 7.4% with the state being 4.8%
 Unemployment rate in April 2010- 11.3% with the state being 9.2%

 Adult Diabetes Rate- 11.6%-----State 9.7%
 From 2006-2010 in Lake County, Michigan
36.1% Overweight
43.1% Obese
 Obesity Rates from 2006-2010 in Michigan State
2006-28.8%
2007-28.2%
2008-29.5%
2009-30.3%
2010-31.7%
 Obesity Rates from 2006-2010 in the United States
2006-25.1%
2007-26.3%
2008-26.7%
2009-26.9
2010-27.5

 Obesity is a battle for every state, county and city in the United
States.
 Healthy Goals have been established for a number of health related issues
 For obesity the Healthy People 2020 target for is 30.6% for adults aged 20 years and older.
 Change starts at the community level in each county
Throughout this presentation we will look at Lake County and their obesity rate. We will analyze the data, create a nursing diagnosis, create a plan and interventions to make the plan a reality and then we will evaluate the outcomes.

Abnormal or excessive fat accumulation or BMI >30% that presents a risk to an individuals health
5

1
•
•
•

2006-2010 Overweight and Obese in Lake County
2
20.8%
36.1%
43.1%
Overweight
Obese
Not Overweight or Obese
According to the Michigan Behavior Risk Factor Survey, 2006-2010, 36.1% of people in
Lake County are overweight and 43.1% are obese.

2
100
80
60
40
20
0
43.1%
Lake County
31.7%
Michigan
27.5%
United States

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


•
•
•
•

2
300
250
200
150
100
50
0
Mortality per 100,000 for Disease with Obesity as Major
Contributor
Lake County
276,2
Michigan
263
233,1
184,8
Cardiovascular Disease Cancer

Maintain a healthy diet
Engage in regular exercise
Get an annual physical exam
Avoid all tobacco use
BMI
Blood Pressure
Cholesterol
Blood Sugar

Gardens, Trails & Parks
Girls on the Run
WiseWoman Screenings
Fishing
Salmon Run 5K & 10K

Risk of adult-onset diabetes among Lake County residents, related to being overweight and or obese as demonstrated by percentage of population overweight being 36.1% and Rate of obesity being 43.1% (District Health Department #10 [DHD] 2011).
Risk of heart disease among Lake County residents, related to being overweight or obese as demonstrated by the current age adjusted death rate of 263 per 100,000 related to cardiovascular disease (District Health Department #10 [DHD] 2011).
Risk for cancer among Lake County residents, related to being overweight or obese as demonstrated by the current age adjusted death rate of 233.1 out of 100, 000 related to Cancer
(District Health Department #10 [DHD] 2011).
Risk for obesity among Lake County residents related to poverty, unemployment and lack of education as demonstrated by a current Lake County unemployment rate of 13.5% (Federal
Reserve Bank of St. Louis, 2013) a poverty rate of 23.4% (District Health Department #10 [DHD]
2011) and a high school on time graduation rate of 55% for the class of 2011 (Tanner & Higgins,
2012).

 By July 2020 the obesity rate in Lake County will be 33.1%, down from 43.1% in
2010
 By April 2015 Lake County will provide free health classes to all ages, races, and income.
 By March 2015 Lake County will increase the number of recreation areas that provide playgrounds and trails for biking, hiking and walking
 By January 2014 Lake County will provide a 5K run/walk race each month
 By July 2020 Lake County will have a decrease in the number of deaths related to cardiovascular disease, mainly Coronary Artery Disease

 Reduce the obesity statistics from a staggering 43.1 %
 Focusing on both the adult and children of the community
 Using both community volunteers and employers from within the county
 Provide services that are free of charge or have a very small fee so everyone can be included
 Create interventions that can be used within the community to help decrease the obesity rate

 Opening up the school gym once a month to the community and have a health fair/open gym/activities night in which all ages can attend
 Free healthy foods could be provided to help draw people in from the community
 Blood pressure and diabetes screenings (sugar checks) could be done by volunteer nursing students from Ferris State University
 Education about food, obesity, and physical activity can be provided and pamphlets and booklets can be handed out
 Workers of the health fair are all on a volunteer basis
 Individual and community participation and progress could be evaluated by recording participate blood pressure, blood sugar, weight, and BMI and each month they come back it will be recorded again to see the progress they have made and where they may need more education

Creating health education programs throughout the county
Education classes can be held in multiple locations such as the hospital, health department, assisted living facilities, homeless shelters, and churches
Classes can include education about obesity, exercise, and provide meal plans that are healthy and low budget
Sessions can be divided up and each section given every week for a month
This can be done on a volunteer basis or possibly as part of the public health nurses job description
Depending on if it is a volunteer basis or part of a public health nurses job description with depend on the cost. If it is purely volunteer work then the classes will be free and if it is lead by a public health nurse a small fee for the whole month can be collected

 Creating more 5K run/walk races
 Providing the community with a different 5K run/walk race each month
 There would be a fee to run in these races but you would be provided with a shirt and other items for participating in the race
 Companies can create different types of races that make it fun for the participates such as a color run in which you would be splattered with colored powder throughout the race or provide obstacles throughout the course to make it more challenging
 Volunteers would be the ones to help set up the course and help the runners

• Working with community schools and businesses to create wellness based programs
• They can include both nutrition and exercise
• Challenges can be created to get everyone involved and awards can be given to the winners
• Challenges can include a walk the walk challenge in which you can register for the challenge and receive a pedometer and make a goal to get 10,000 steps a day or having a pot luck and see who can make the best healthy dish.
• For schools they can have challenges with races and sports games or who can come up with the best healthy recipe
• These can all be run by school or business employees and are free of charge to participate

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Retrieved from http://www.cdc.gov/healthyweight/assessing/bmi/index.html
District Health Department #10 [DHD]. (2011). 2011 Annual report. Retrieved from http://www.dhd10.org/uploads/File/Annual%20Reports/2011%20Annual%20report
%20final.pdf
Federal Reserve Bank of St. Louis. (2013). Unemployment in Lake County, MI. Retrieved from http://research.stlouisfed.org/fred2/series/MILAKE5URN
Harkness, G. (2012). Community and health nursing: Evidence for practice. Philadelphia,
PA: Lippincott Williams & Wilkins.
Institute for Alternative Futures. (2008, October). School based wellness programs: A key
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Katz, D. L., O'Connell, M., Yeh, M. C., Nawaz, H., Njike, V., Anderson, L. M., . . . Dietz, W.
(2005, October 7). Public health strategies for preventing and controlling overweight and obesity in school and worksite settings. Morbidity and Mortality Weekly Report (MMWR), 54(10), 1-11.
Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5410a1.htm
Lake County Chamber of Commerce [LCCC]. (2013) Welcome to Lake County, Michigan. Retrieved from http://www.lakecountymichigan.com/
Lake County, Michigan. (2013, February 24). Retrieved from http://en.wikipedia.org/wiki/Lake_County,_Michigan
Lake County, Michigan (MI). (2012). Retrieved from http://www.city-data.com/county/Lake_County-
MI.html
Mayo Clinic. (2011, July 23). Exercise: 7 benefits of regular physical activity. Retrieved from http://www.mayoclinic.com/health/exercise/HQ01676

News medical. (n.d.). What is obesity?. Retrieved from news-medical.net
Tanner, K., & Higgins, L., (2012). Database: Michigan high school graduation and dropout rates.
Detroit Free Press. Retrieved from: http://www.freep.com/interactive/article/20120410/NEWS06/120409064/Database-
Michigan-high-school-graduation-dropout-rates?appSession=63243442697324
U.S Department of Health and Human Services. (2013). Educational and community-based
programs. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicId=11
United States Census Bureau [USCB]. (2013). State & County quick facts: Lake County,
Michigan [data file].Retrieved from http://quickfacts.census.gov/qfd/states/26/26085.html
World Health Organization [WHO]. (2013). Obesity and overweight. Retrieved from http://www.who.int/mediacentre/factsheets/fs311/en/

Yang, Y., & Nichols, L. M. (2011). Obesity and Health System Reform: Private vs.
Public Responsibility. Journal Of Law, Medicine & Ethics, 39(3), 380-386. doi:http://0-dx.doi.org.libcat.ferris.edu/10.1111/j.1748-720X.2011.00607.x