DeVry nr503 all week discussions latest 2017 october

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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