Discuss one historical epidemiological event or accomplishment that has left an impact on healthcare as we know it

Week 1 discussion

Discussion Part One

Discuss one historical epidemiological event or accomplishment that has left an impact on healthcare as we know it. Clearly identify, describe, and define key points or people in the event or accomplishment.

Discussion Part Two

How might such an event have an impact on the goals and objectives of Healthy People 2020?

Discussion Part Three

Please provide a summary of the case or information you have discussed this week.

Week 2 discussion

Discussion Part One

Shelby is a 32-year-old mother of two, who has smoked 1 pack-per-day for the last 15 years, and who comes to see you today for her yearly well-woman exam in your family practice clinic. She has a family history, in a single paternal grandmother of breast cancer at age 52. She also has a history of an abnormal cervical cancer screening three years ago requiring colposcopy.

Given her history please consider the following:

Choose one screening test that might be considered either now or in the next few years of Shelby’s care. Define the test, its positive predictive value, reliability and validity.

Discussion Part Two

Upon the course of your history you find out that Shelby has a great aunt on her mother’s side who died of ‘some woman cancer in her stomach’ and an uncle on her father’s side who died of pancreatic cancer. Her mother and older sisters are all in good health.

Does this information change your recommendations for screening? Why or why not?

Discussion Part Three

Please provide a summary of the case or information you have discussed this week.

Week 3 discussion

Discussion Part One

Risk and Cohort Study Design

As an Advanced Practice Nurse, you will care for patients who are at risk for specific diseases. Please pick one chronic or infectious disease specific to a population in your geographic area and provide evidence of risk, relative risk, and odds ratio in relation to that disease, and specific risks in the population you identified.

Discussion Part Two

Now that you have identified the disease and risk, what is one evidence-based action that you could take within your local community or patient population to prevent this risk?

Discussion Part Three

Please provide a summary of the case or information you have discussed this week.

Week 4 discussion

Discussion Part One

Disease Causation

Steve, a 54-year-old Caucasian male, presents for a first time visit to your clinic. His history includes five sexual partners in the last 25 years, two of those within the last twelve months, lack of physical activity of any kind as he is an over-the-road truck driver, 25-year history of smoking 1 pack per day, and no immunizations of any kind that he can recall since high school. His father died of a myocardial infarction at age 62. His mother is alive and has hypertension, hyperlipidemia, and Type 2 Diabetes.

His BMI is 31 and his blood pressure is 142/90.

Name one disease he is at risk for and provide evidence on how one of his risk factors is tied to causation of that disease.

Discussion Part Two

Create a plan of care based on the disease risk you chose and define whether steps of that plan of care are primary, secondary, or tertiary prevention.

Discussion Part Three

Please provide a summary of the case or information you have discussed this week.

Week 5 discussion

Discussion Part One

Epidemiologic Sub-fields

Pick a disease in your geographic area and identify how it is tied to either infectious, chronic, gynecological or sexually transmitted infection (STI), environmental, cultural or geographic causation.

Discussion Part Two

Provide the specific descriptive epidemiological aspects of this disease as it relates to your geographic area.

Discussion Part Three

Please provide a summary of the case or information you have discussed this week.

Week 6 discussion

Discussion Part One

Genetics and Epidemiology

Pick one friend or family member and gather their family health history. Pick one possible genetic risk for disease in that person and provide the following:

Gender, age

Genetic risk for a specific disease

Define the disease

Evidence to link risk to development

Identify if genetics is confounded or linked to any other epidemiological risk factors for disease development that might be modified in this patient.

Discussion Part Two

Discuss screening tools that might be an option for this person and why or why you would not recommend them at this time. Remember to provide evidence to support your answer.

Discussion Part Three

Please provide a summary of the case or information you have discussed this week.

Week 7 discussion

Discussion Part One

As an Advanced Practice Nurse, you will care for patients who are at risk for opioid abuse or addiction. Please research and present the incidence of opioid abuse specific to your geographic area and provide evidence of risk, relative risk, and odds ratio in relation to opioid abuse, and if specific risks have been identified for a specific population(s).

Discussion Part Two

Please identify one local prevention or screening program tied specifically to opioid abuse / addiction and provide a brief overview of the purpose, program, and ongoing surveillance or evaluation of success.

Discussion Part Three

Please provide a summary of the case or information you have discussed this week and how you will incorporate these findings in your practice as an APRN.

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