Assignment: Historical Epidemiological

Assignment: Historical Epidemiological
Assignment: Historical Epidemiological
Assignment: Historical Epidemiological
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.