Health information (HI) technology
- Discuss how the use of health information (HI) technology has influenced your current nursing practice. Give examples.
Scientists in Australia discover treatment for Vivax strain of malaria found in Asia Pacific region. The new treatment also protects against re-infection.
1. Which Public Health Core Function is addressed by the health-related event or service described in scenario 1?
Assessment
Policy Development
Assurance
2.Identify a specific Public Health Essential Service that was (or will be) carried out through the health-related event or service described in scenario 1?
Public Health Core Functions, Ten Essential Services and Health Educator Areas of Responsibility
Instructions
For this Assignment, review the module’s Learning Resources related to the Public Health Core Functions and Ten Essential Services and to the Health Educator Areas of Responsibility. Then, complete both Part I and Part II of this assignment.
Part I
Carefully read each scenario below and answer the related questions.
Scenario 1:
Scientists in Australia discover treatment for Vivax strain of malaria found in Asia Pacific region. The new treatment also protects against re-infection.
__ Assessment
__ Policy Development
__ Assurance
Answer:
Scenario 2:
Public health professionals are now able to refer clients to the Palm Valley Clinic recently opened in the Talmouth County. This facility provides medical, dental, and pharmacy services to uninsured and underinsured individuals.
__ Assessment
__ Policy Development
__ Assurance
Answer:
Scenario 3:
The Cole County Health Department and Cole County School System have partnered to provide flu shots to more than 2,215 elementary school students.
__ Assessment
__ Policy Development
__ Assurance
Answer:
Scenario 4:
A local childcare facility has reported an outbreak of lice in their facility to the health department. The lead health educator at the health department is now tasked with solving the issue.
__ Assessment
__ Policy Development
__ Assurance
Answer:
Part II. Select two of the scenarios provided in part I, above, and (in 1-to-1½ pages, and in paragraph format) do the following:
References
Centers for Disease Control and Prevention (CDC). (2017c). National Center for Health Statistics (NCHS). Retrieved from http://www.cdc.gov/nchs/
Centers for Disease Control and Prevention (CDC). (2011a). Core functions of public health and how they relate to the 10 essential services. Retrieved from https://www.cdc.gov/nceh/ehs/ephli/core_ess.htm
Centers for Disease Control and Prevention (CDC). (2017). Resources organized by essential services. Retrieved from https://www.cdc.gov/nceh/ehs/10-essential-services/resources.html
Centers for Disease Control and Prevention (CDC). (2014b). The public health system and the 10 essential public health services. Retrieved from https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html
Note: Ensure that you read the following resource available at this website under Resources, Public Health 101.
Centers for Disease Control and Prevention (CDC). (2018). Leading causes of death in the United States, 1999-2016. Retrieved from https://www.cdc.gov/nchs/data-visualization/mortality-leading-causes/
Centers for Disease Control and Prevention (CDC), Office for State, Tribal, Local and Territorial Support. (2014). The 10 essential public health services: An overview. Retrieved from https://www.cdc.gov/publichealthgateway/publichealthservices/pdf/essential-phs.pdf
Institute of Medicine (IOM) Committee on Assuring the Health of the Public in the 21st Century. (2002). B, Models for collaborative planning in communities. In The Future of the Public’s Health in the 21st Century. Washington, DC: National Academies Press. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK221247/
National Commission for Health Education Credentialing (NCHEC). (2010). Areas of responsibilities, competencies, and sub-competencies for the health education specialists 2010. Retrieved from http://www.nchec.org/assets/2251/areas_of_responsibilities_and_competencies.pdf
Council on Linkages Between Academia and Public Health Practice. (2014). Core competencies for public health professionals. Retrieved from http://www.phf.org/resourcestools/Documents/Core_Competencies_for_Public_Health_Professionals_2014June.pdf
Public Health Core Functions, Ten Essential Services and Health Educator Areas of Responsibility
Instructions
For this Assignment, review the module’s Learning Resources related to the Public Health Core Functions and Ten Essential Services and to the Health Educator Areas of Responsibility. Then, complete both Part I and Part II of this assignment.
Part I
Carefully read each scenario below and answer the related questions.
Scenario 1:
Scientists in Australia discover treatment for Vivax strain of malaria found in Asia Pacific region. The new treatment also protects against re-infection.
__ Assessment
__ Policy Development
__ Assurance
Answer:
Scenario 2:
Public health professionals are now able to refer clients to the Palm Valley Clinic recently opened in the Talmouth County. This facility provides medical, dental, and pharmacy services to uninsured and underinsured individuals.
__ Assessment
__ Policy Development
__ Assurance
Answer:
Scenario 3:
The Cole County Health Department and Cole County School System have partnered to provide flu shots to more than 2,215 elementary school students.
__ Assessment
__ Policy Development
__ Assurance
Answer:
Scenario 4:
A local childcare facility has reported an outbreak of lice in their facility to the health department. The lead health educator at the health department is now tasked with solving the issue.
__ Assessment
__ Policy Development
__ Assurance
Answer:
Part II. Select two of the scenarios provided in part I, above, and (in 1-to-1½ pages, and in paragraph format) do the following:
References
Centers for Disease Control and Prevention (CDC). (2017c). National Center for Health Statistics (NCHS). Retrieved from http://www.cdc.gov/nchs/
Centers for Disease Control and Prevention (CDC). (2011a). Core functions of public health and how they relate to the 10 essential services. Retrieved from https://www.cdc.gov/nceh/ehs/ephli/core_ess.htm
Centers for Disease Control and Prevention (CDC). (2017). Resources organized by essential services. Retrieved from https://www.cdc.gov/nceh/ehs/10-essential-services/resources.html
Centers for Disease Control and Prevention (CDC). (2014b). The public health system and the 10 essential public health services. Retrieved from https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html
Note: Ensure that you read the following resource available at this website under Resources, Public Health 101.
Centers for Disease Control and Prevention (CDC). (2018). Leading causes of death in the United States, 1999-2016. Retrieved from https://www.cdc.gov/nchs/data-visualization/mortality-leading-causes/
Centers for Disease Control and Prevention (CDC), Office for State, Tribal, Local and Territorial Support. (2014). The 10 essential public health services: An overview. Retrieved from https://www.cdc.gov/publichealthgateway/publichealthservices/pdf/essential-phs.pdf
Institute of Medicine (IOM) Committee on Assuring the Health of the Public in the 21st Century. (2002). B, Models for collaborative planning in communities. In The Future of the Public’s Health in the 21st Century. Washington, DC: National Academies Press. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK221247/
National Commission for Health Education Credentialing (NCHEC). (2010). Areas of responsibilities, competencies, and sub-competencies for the health education specialists 2010. Retrieved from http://www.nchec.org/assets/2251/areas_of_responsibilities_and_competencies.pdf
Council on Linkages Between Academia and Public Health Practice. (2014). Core competencies for public health professionals. Retrieved from http://www.phf.org/resourcestools/Documents/Core_Competencies_for_Public_Health_Professionals_2014June.pdf
Scenario 14: Osteoarthritis (OA)
A 57-year-old male construction worker comes to the clinic with a chief complaint of pain in his right hip. The pain has progressively gotten worse over the last 2 months and he has been having trouble sleeping. There is little pain in the morning, but he is a bit stiff. The pain increases as the day wears on. has taken acetaminophen without any relief but states that the ibuprofen does work a little bit. He is anxious since the hip pain has limited his ability to work and he is afraid that his boss will fire him if he cannot perform his usual duties. There is no history of past trauma or infection in the joint. Past medical history noncontributory. Social history without history of alcohol, tobacco, or illicit drug use. Physical exam remarkable for decreased range of motion of the right hip. BMI 34 kg/m2. Radiographs in the office demonstrated asymmetrical joint space narrowing of the right hip with osteophyte formation. Several areas of the hip showed bone-on-bone contact with loss of the articular cartilage. The APRN tells the patient he has osteoarthritis (OA) and refers the patient to an orthopedist for evaluation of his need for a total hip replacement.
Question:
Describe how osteoarthritis develops and forms and distinguish primary osteoarthritis from secondary arthritis.
<Type your response here>
Scenario 13: Cerebral Artery Vascular Accident (CVA)
An 83-year-old man presents with a history of atrial fibrillation (AF), hypertension, and diabetes. His daughter, who accompanied the patient, states that yesterday the patient had a period when he could not speak or understand words, and that approximately 4 weeks prior he staggered against a wall and was unable to stand unaided because of weakness in his legs. She states that both instances lasted approximately a half-hour. She was unable to persuade her father to go to the emergency room either time. Today he suffered another episode of right sided weakness, dysarthria, and difficulty with speech. Past medical history: Hypertension for 15 years, well controlled; diabetes for the past 10 years, and hyperlipidemia. Medications: Diltiazem CD 300 mg daily; lisinopril 40 mg daily; metformin 500 mg twice daily; aspirin 81 mg daily and atorvastatin 20 mg po qhs.
Social history: reported former smoker with 40 pack year history. Alcohol -drinks one beer a day. Denies any other substance abuse. Review of systems: Denies dyspnea, dizziness, or syncope; complains that he cannot move or feel his right arm or leg. Difficulty with speech.
Physical exam: Vitals: height = 70 inches; weight = 185 pounds; body mass index = 26.5; BP = 134/82 mm Hg; heart rate = 88 bpm at rest, irregularly irregular pattern.
HEENT remarkable for expressive aphasia, eyes with contralateral homonymous hemianopsia.
No loss of sensation but unable to voluntarily move right arm or leg.
The patient was diagnosed with a right middle cerebral artery vascular accident (CVA) secondary to atrial fibrillation (AF)
Question:
How does atrial fibrillation contribute to the development of a CVA?
<Type your response here>
Scenario 12: Traumatic Brain Injuries (TBIs)
A 22-year-old male was an unrestrained front seat passenger of a car traveling at 50 miles per hour. The driver swerved to avoid hitting a deer that darted in front of the car and hit a tree. EMS on the scene noted a stellate fracture of the windshield on the passenger side. The patient was non-responsive at the at the scene when the paramedics arrived, and his pupils were unequal with the left pupil larger and sluggish to react to light. He was placed in a hard-cervical collar per protocol and log rolled onto a long backboard. He was breathing spontaneously at the scene, but pulse oximetry in the EMS unit revealed a SaO2 of 78% on room air. He was intubated at the scene for airway protection and transported to a Level 1 trauma center. Glasgow Coma Scale=3
After a full trauma work up, the patient was diagnosed with an isolated traumatic brain injury with acute subdural hematoma secondary to coup-contrecoup mechanism of injury. He was emergently taken to the operating room for craniotomy after which he was taken to the Intensive Care Unit (ICU) for close monitoring. He had an intracranial bolt for measurements of his intracranial pressure (ICP).
Question 1 of 2:
Explain the differences between primary and secondary traumatic brain injuries (TBIs)?
<Type your response here>
Question 2 of 2:
The APRN is called by the ICU staff because the patient’s ICP has risen to 22 mmHg. The APRN recognizes the urgent need to lower the ICP. The APRN institutes measures to decrease the ICP and increase the cerebral perfusion pressure (CPP). What are the factors that determine CPP?
<Type your response here>
Scenario 11: Spinal Cord Injury (SCI)
A 22-year-old male was an unrestrained front seat passenger of a car traveling at 50 miles per hour. The driver swerved to avoid hitting a deer that darted in front of the car and hit a tree. The patient was ejected from the vehicle. He was awake and alert at the scene when the paramedics arrived, and his pupils were equal and reactive to light. He was placed in a hard-cervical collar per protocol and log rolled onto a long backboard. He was breathing spontaneously at the scene, but pulse oximetry in the EMS unit revealed a SaO2 of 88% on room air. He was placed on 100% oxygen via non-rebreather mask and was taken to a Level I trauma center with the following vital signs:
Vital signs: BP 90/50, Pulse 48 and regular, Respirations 24 and shallow with some use of accessory muscles, temp 95.2 F rectally. He was awake and answering questions appropriately but says he cannot feel his arms or legs. Glasgow Coma Scale 14. His skin was warm and dry with minor abrasions noted on his arms. According to family members, past medical history noncontributory and social history reveals only occasional alcohol use and no tobacco or vaping history. Full work up in the ED revealed a fracture-dislocation of C4 with assumed complete tetraplegia (formerly called quadriplegia). No other injuries noted He was given several liters of IV fluid, but his blood pressure remained low.
Question 1 of 2:
Explain the differences between primary and secondary spinal cord injury (SCI)?
<Type your response here>
Question 2 of 2:
What is spinal shock and how it is different from neurogenic shock?
<Type your response here>
Scenario 10: Alzheimer’s Disease (AD)
A 67-year-old male presents to the clinic along with his family with a chief complaint of having problems with his short-term memory. His family had dismissed these problems and attributed them to the aging process. Over time they have noticed changes in his behavior, along with increased confusion and difficulty completing basic tasks. He got lost driving home from the bowling alley and had to be brought home by the police department. He is worried that he may have Alzheimer’s Disease (AD). Past medical and social history positive for a minor cerebral vascular accident when he was 50 years old but without any residual motor or sensory defects. No history of alcohol or tobacco use. Current medication is clopidogrel 75 mg po qd. Neurological testing confirms the diagnosis of AD.
Question:
What is Alzheimer’s Disease and how does amyloid beta factor into the development and progression of the disease?
<Type your response here>