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Identify a health problem or need for health promotion for a particular stage in the life span of a population from a specific culture in your area.

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  1. Identify a health problem or need for health promotion for a particular stage in the life span of a population from a specific culture in your area. Choose one of the Leading Health Indicators (LHI) priorities from Healthy People 2020 (see the Healthy People.gov 2020 Leading Health Indicators website). Research a topic related to health and wellness associated with one of the Healthy People 2020 LHI topic areas. Students in a cultural concentration will use that specific cultural focus to complete this assignment.
  2. 2.      You will develop an educational health promotion project addressing the population/culture in your area. For or example, if you are in the Hispanic concentration, your project might be educational interventions to address how food choices are related to the high rates of diabetes among Latinos; or, a community project that addresses the statistic that Hispanics experience new HIV infections at more than twice the rate of whites; or, finding opportunities to intervene with Puerto Ricans, a Hispanic.
  3. 3.      Select a minimum of three (3) scholarly nursing or research article (published within the last 5years) related to your topic that include health promotion and wellness content.
  4. 4.      Students in a cultural concentration will select at least one article specifically related to the cultural focus for this assignment.

Instructions:

Write a 2-3 pages paper (excluding the title and reference pages) using the following guidelines:

  1. 1.      Write brief introduction of the topic and describe why it is important to health promotion in the specific cultural population in your area.
  2. 2.       Include a description of the topic and the targeted sub culture or population (include statistics)
  3. 3.       Explain how the project relates to the Healthy People 2020 topic area you have chosen.
  4. 4.      Summarize the articles; include key points or findings from the articles.
  5. 5.      Discuss how you used the information from the articles for your Health Promotion Project. Provide specific examples.
  6. 6.       Describe the approach/approaches you developed to educate the target population about the topic. Include specific ways to promote lifestyle changes within the specified population relative to your specific culture. The approach should be appropriate for your cultural concentration.
  7. 7.      Write your conclusion and summary.

 Analyze the ethical principles that were breached by the researchers or organizations in your selected case as well as the possible cause of the breach(es).

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Ethical Dimensions of Research Studies

In the best-selling book, The Immortal Life of Henrietta Lacks (Skloot, 2010), the author highlights the true story of an African-American woman who died in 1951 from cervical cancer. What makes her story unique is that prior to her death, cells from her tumor were removed and successfully grown in a petri dish. This was the first time scientists were able to successfully replicate cells outside the body, and it is estimated that billions of Lacks’ cells have been used in medical research. However, Henrietta Lacks was never asked for permission to take a sample and her family was never made aware of the widespread use of her cells. Although the culturing of her cells has been pivotal for advancing research, strong ethical concerns later arose about using these cells without patient or family approval.

Reference:
 Skloot, R. (2010). The immortal life of Henrietta Lacks. New York, NY: Crown Publishing Group.

 

This week’s readings describe historical examples of unethical research, such as a study of syphilis among African-American men in which treatment was withheld and a study in which live cancer cells were injected into elderly patients. Today, stricter controls that seek to protect study participants are placed on researchers, but breaches still occur. Careful attention must be given toward preventing unethical behavior. In this Discussion, you explore ethical considerations and issues in research.

To prepare:

  • Select a current health-related case involving research ethics. (If none come to mind, browse the Internet to familiarize yourself with recent cases.)
  • As you review the case that you have selected, reflect on the ethical principles discussed in “What Are the Major Ethical Issues in Conducting Research?” article found in this week’s Learning Resources. Which principles were breached in the case you have identified?

 

Post  a (1) description of the case that you selected and the ethical issues involved. (2) Analyze the ethical principles that were breached by the researchers or organizations in your selected case as well as the possible cause of the breach(es). (3) Suggest how the research might have been conducted differently to avoid or minimize the ethical problems. (4) Discuss how research can be done on sensitive issues while still protecting the rights of the rights of the research subjects

, explain the pathophysiology of the type of anemia that you diagnosed, as well as potential treatment options.

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In clinical settings, patients often present with many different types of anemia. Each type of anemia has its own causes and implications. For this reason, you must be able to differentiate between types of anemia as well as identify factors that put patients at greater risk of experiencing related complications. As you prepare for this Discussion, consider the following patient case studies:

 

 

 

Case Study 2:

 

A 28-year old female presents for a routine physical. She has no complaints. Her personal medical history reveals asthma that is well controlled with an albuterol inhaler prn and Advair 250/50 1 puff BID. Social history reveals she is a nursing student who is a non-smoker, rarely uses alcohol, and is mostly vegetarian. Her physical exam is negative, and she is sent for a CBC/differential and lipid profile. Laboratory results reveal the following: Hemoglobin 10, Hematocrit 30.1, MCV increased.

 

 

 

prepare:

 

•Review Chapter 213 in Part 18 of the Buttaro et al. text.

 

•Select one of the three case studies. Reflect on the provided patient information including history, physical exams, and lab reports.

 

•Think about a differential diagnosis. Consider the role the patient history, physical exam, and lab reports played in the diagnosis.

 

•Reflect on the pathophysiology of the type of anemia that you diagnosed, as well as potential treatment options. Consider the causes of this type of anemia. Think about whether the patient should be referred for specialized care.

 

 

 

Post  1 to 2 pages on : an explanation of the differential diagnosis for the patient in the case study that you selected. Describe the role the patient history, physical exam, and lab reports played in the diagnosis. Finally, explain the pathophysiology of the type of anemia that you diagnosed, as well as potential treatment options. Include causes for this type of anemia

 

 

Briefly discuss two possible reasons why each of these diseases might have increased or decreased over this period. Reference this discussion.

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The Australian government Department of Health (federal) produces reports each year containing data on notifiable diseases which are of great use to those studying changes in disease distributions with space or time with the aim of planning country-wide control initiatives. To facilitate similar regional operations, states and territories produce annual Public Health Bulletins, zooming-in on the data at a higher level of resolution.

Part 1:  Access a table for NSW showing disease incidence for the years 2003 to 2012, and produce labelled, computer-generated time trend graphs for giardiasis and HIV infections using an application such as Excel®.

Part 2: Briefly discuss two possible reasons why each of these diseases might have increased or decreased over this period. Reference this discussion.

 

Aims of the exercise:

i. To acquire skills in the extraction, presentation, analysis and use of quantitative information from a large-area epidemiological report.

ii. To develop early perspectives on risk factors for specific diseases, and insight as to how and why these might change with time.

 

Hints:

i. Public Health Bulletins usually include data up to the year before they were published (eg: a 2012 bulletin usually contains data up to 2011).

ii. Departments are sometimes a few years behind with their bulletins, so a bulletin for the year 2013 might not be available until 2015.

iii. For comparison of disease incidence by places or by year, rates (not absolute numbers) are always used in epidemiology. Disease notification rates are usually given per 100,000 population.