Jonesborough has grown significantly since its beginning. In 1833 approximately 500 people lived in Jonesborough. According to Jonesborough.org at that time, it had four physicians, two churches, and four schools (joneborough.org). Today it has 122 general practitioners and 21 physicians’ offices listed in the yellow pages located in Jonesborough.
There are two nursing care facilities and one health department for Washington County, in which Jonesborough is part. Jonesborough does have a 911 system in place. However, there is no emergency room, therefore; individuals are taken to Johnson City Medical Center which is 10-15 miles away. There is one urgent care that services the town. There are also five dentists within five miles (www.citydata.com).
Disease and risk factor prevalence rates Some statistical data ranging from 2012 and 2015 are as followed:
● Alcohol –impaired driving deaths - 31%, compared to TN-28%, and the US-14%
● Adult smoking – 23%, …show more content…
One concern or assessment of Jonesborough is the public drunkenness, resulting from the inmates who are released from the detention center and travel to Jonesborough to buy alcohol. There is also an issue of alcohol related deaths for Washington County. Our nursing goal and role is to not only decrease these statistics but also truly help people make a permanent change.
There may be several programs in place to help inmates overcome their challenges and addictions. Aside from the 12 step program, there is a program that shows significant promise for make a lasting change in people, so much so statistically, that it is now being mandated by the court system for issues like anger management, parenting classes, and for juvenile delinquents. The plan for Jonesborough is an eight week program called “Automatic Exchange Company”. This is our recommendation or implementation for Jonesborough’s struggle with public drunkenness, DUI’s, and