Purpose

The purpose of this activity is to deepen learning through reflective inquiry. It will allow for expansion in self-awareness, identification of knowledge gaps, and assessment of learning goals.

Preparing the assessment

Follow these guidelines when completing this assignment. Contact your course faculty if you have questions.

1. Write a brief 1-2 paragraph weekly reflection addressing the questions posed in the Reflect section of each weekly module. Edit your Reflection to include each weekly reflection.

2. Include the following sections in your Reflection.

Week 1

· As you assess your learning, provide one specific example of how you achieved the weekly objective(s):

· What strategies will you use to lead culturally and linguistically appropriate healthcare?

· What do you value most about your learning this week?

Week 2

· As you assess your learning, provide one specific example of how you achieved the weekly objective(s):

· Share one example of descriptive or analytic epidemiology that you see applied in your practice setting.

· What do you value most about your learning this week?

Week 3

· As you assess your learning, provide one specific example of how you achieved the weekly objective(s):

· Professionally, what doubts do you have about the security of health data?

· What do you value most about your learning this week?

Week 4

· As you assess your learning, provide one specific example of how you achieved the weekly objective(s):

· Which population health interventions did you find the most valuable and why?

· What do you value most about your learning this week?

Week 5

· As you assess your learning, provide one specific example of how you achieved the weekly objective(s):

· How can you amplify the effectiveness of your decision-making and empower your teams to advance health outcomes?

· What do you value most about your learning this week?

Week 6

· As you assess your learning, provide one specific example of how you achieved the weekly objective(s):

· In and after a disaster, what ethical questions arise regarding the fair allocation of relief funds to help with recovery?

· What do you value most about your learning this week?

Week 7

· As you assess your learning, provide one specific example of how you achieved the weekly objective(s):

· Why is causation so difficult to prove and how does it define outcomes?

· What do you value most about your learning this week?

Writing Organization and Mechanics

· Grammar and mechanics are free of errors.

Reflective Inquiry

Requirements: 

· 1. Addresses all aspects of the weekly reflection 

· 2. Assesses own learning 

· 3. Assesses value of the learning experience

Includes no fewer than 3 requirements for weekly reflection.

I ATTACHED EVERY DISCUSSION BOARD OF EACH WEEK. YOU HAVE TO RESUME THESE QUESTIONS ABOVE IN EACH DISCUSSION BOARD OF EACH WEEK IN ONE OR TWO PARAGRAPHS. EACH WEEK ANSWER SEPARATED AND USE AT LEAST 3 SOURCES NO LATER THAN 5 YEARS.

EPIDEMIOLOGIC MEASUREMENT 4

Epidemiologic measurement

Name of Student

Name of Institution

Date


Hello Dr. Bartelt and class

Describe the epidemiologic principles and measures used to address heart disease.

United States National Institutes of Health (2016) Epidemiology is the field of medicine that studies the causes that contribute to the prevalence or lack of diseases and illnesses. To fully address the issue of heart disease, the principles of distribution and determinants were used. The principle of distribution entails identifying the geographical area that are highly affected by heart disease as well as what ages are highly affected. This gives a glimpse of the health distribution and also a link to other causations of heart disease. The principle of determinants was utilized to determine any other factors that were associated with heart disease (CDC, 2020). This was applied because the study was conducted on different population. Additionally, the use of this principle indicates that different populations have different factors that affect their cardiovascular health including eating habits, lifestyle and genetics.

Discuss the use of descriptive and/or analytic epidemiology to address heart disease

Descriptive and analytic epidemiology was used to analyze the research findings concerning heart disease. In situations where both qualitative and quantitative studies have been conducted, a detailed analysis conducted, to ensure that the results are satisfactory. In the analysis of heart disease, this descriptive and analytic epidemiology was used to analyze the distribution of the disease as well as its determinant. The resulting responses would be helpful in designing the appropriate measures to reduce its prevalence. Also, it was used to analyze which age group was highly affected, which may be used to warn individuals at that age of such a disease. From the analysis, it was observed that heart disease was common in some races than others and in certain areas than others.

Recommend additional measures required to integrate proposed changes into practice.

I would recommend for the identification of the patients who are at risk of developing heart disease, depending on the epidemiologic report. This would be appropriate especially in efforts to fight heart disease. Early identification of the people or population at risk would necessitate the development of the necessary approaches or strategies to minimize the development or the disease. The early identification could be based on genetic factors or family history of the individual or the current health status of the i

2

Students Name: Carlos M. Legra

Chamberlain University

Leading Culturally and Linguistically Appropriate Healthcare

Professors Name: Dr. Douglas Bartelt

Hello Dr Bartelt and class

I select Hialeah, Florida. Due to the increased rate of heart disease cases among the Spanish, there is an urgent need to develop a strategy to eliminate the growing rate of illness. In the past year, there were 409 new cases reported and 531 Spanish deaths out of heart diseases which resemble 0.236% of the total amount of Spanish. People above 50 years were at higher risk of getting heart diseases since out of 409 new cases, only 56 persons were under 50 years. The study, therefore, indicates that emphasis should be put more on age to reduce the fatality rate


Culturagram

Total population

Life Expectancy of People with heart Disease

Difference in Life Expectancy between health and people with heart disease

Individual Died of Heart Disease in the study year

Individual Member of

Latino

Individual Diagnosed by heart disease in the prior study year

Individual Diagnosed by heart disease in the study year


Age of Individual Diagnosed by Heart Disease

Intervention

Heart diseases are mainly caused by high cholesterol, smoking, inactivity, and overweight. There have been alarming increased cases of heart diseases, and in the past few years was lacked the number one killer in the world. Every year 647 000 Americans die because of heart disease, one out of every four deaths making the disease ranked the most probable cause of death in America. Further studies showed that most Spanish don’t know the probable causes of heart diseases, which makes them continue to rtheir health and life (Catalano,(2017)). We found that much Spanish smoke tobacco is uncontrolled. They don’t involve themselves in any activity to exercise their bodies. Even they don’t bother their feeding, whereby they take too much cholesterol, which blocks the blood vessels and heart causing heart diseases.

To control heart disease cases, we need to start educational programs for citizens to create awareness about the major causes of heart diseases. In creating awareness, we will mobilize people to involve themselves in activities to exercise their bodies, observe their diets by avoi

Running head: EMERGENCY PREPAREDNESS 1

EMERGENCY PREPAREDNESS 4

Leading Emergency Preparedness and Management

Name

Course

Institution

Date

Hello Dr. Bartelt and class

One evidence-based strategy for leading emergency preparedness

Nations are facing an increase in disasters including their severity and frequency. According to Eisenman et al., (2018), emergency preparedness is the best strategy to handle emergencies effectively. The best evidence-based strategy for leading emergency preparedness is involving every member of the community in preparedness. It is the role of each nation to prioritize engaging the communities in their own emergency planning and preparedness. However, this is something that has not been achieved. A study by Eisenman et al., (2018) indicates that governments can involve the communities in emergency planning and preparedness by providing local healthcare centers and departments with enough resources to train members of the community on improving household disaster preparedness in their localities. People in the community have to understand the measures to take in case of an emergency and how to act quickly and efficiently to reduce the complications associated with disasters.

One evidence-based strategy for shaping healthcare system outcomes in disaster

Quarantine is the best evidence-based strategy for shaping the outcomes of a healthcare system during a disaster. Quarantine is the process by which individuals who are infected by a disease are isolated from the public to avoid the spread of the infectious disease. Even those individuals who have been exposed to the disease even if they are not infected yet can be quarantined. A good example of the effectiveness of quarantine was during the outbreak of the Corona Virus Wuhan China. The spread of the disease forced many countries to impose mandatory quarantine. “By reducing the contact rate of latent individuals, interventions such as quarantine and isolation can effectively reduce the potential peak number of COVID-19 infections and delay the time of peak infection” (Hou et al., 2020). This indicates that quarantine is an effective strategy. However, the regulations put in place by the CDC must be followed.

The disaster risks for my local community

I come from Chicago and I have noticed a high rate of Motor Vehicle Accidents (MVA) in our locality and the surrounding areas. When watching news every day, it is like one cannot miss news on a motor vehicle accident that caused death, injuries, or other problems. The issues of concern are the causes of these accidents and the number of deaths and injuries that

4

Population Health Interventions and Outcomes

Author’s Name

Institutional Affiliation

Course Name

Instructor

Due Date


Hello Dr Bartelt and class

Q1 The selected practice problem is Nursing Shortage. This practice problem is related to Chronic Disease (Chapter 10) as discussed by Bemker and Ralyea (2018). According to Bemker and Ralyea (2018), chronic diseases such as arthritis, diabetes, heart disease, cancer, and stroke, are the major causes of death, hospitalizations, and disability in the country. Even though most chronic diseases are preventable, they are quite common in the country and costly to treat and manage. Most chronic diseases are caused by poor lifestyle choices such as sedentary living, physical inactivity, and bad dietary choices. Effective management and treatment of the many chronic disease cases in the country require a relatively high number of qualified nurses. However, Buerhaus et al. (2017) note that there is has been a shortage of nurses in the country, which is detrimental to the efforts initiated towards the prevention, treatment, and management of chronic diseases. Buerhaus et al. (2017) add that although most RNs work in hospital settings or private practices, in the future, many nursing positions will be in long-term care centers due to the ever-increasing cases of people with chronic diseases. Currently, the nursing shortage is a major practice problem that makes it difficult to deal with the chronic disease dilemma in the country.

Q2 There are several social determinant risk factors associated with the nursing shortage practice problem. First, there is the issue of the aging workforce. Haddad, Annamaraju, and Toney-Butler, (2020) note that the nursing workforce is aging with more than one million RNs currently being older than 50 years old. This implies that in the next decade or so, one-third of the nurses will be retiring. With the few resources available for training large numbers of nurses, the problem of nursing shortage is likely to increase if radical solutions are not implemented. Second, there is the aspect of gender. The majority of nurses tend to be women. When these women start having children, they face the problem of balancing between their families and their careers. Many of them go on long leaves while others do not return to nursing (Haddad, Annamaraju, & Toney-Butler, 2020). In turn, this causes a shortage of nurses especially when the nurses who are absent are at the prime ages of their careers. This is why it is important for more males to take up nursing positions since socially, they are less likely to be adversely impacted by family life compared to females. Finally, there is the issue of pov

NURSING

Task On Social Media In Population Health

Institutional Affiliation

Course

Instructor

Date

Selected practice problem

In this paper, I will be addressing obesity as my selected practice problem. Obesity can be understood as an excessive or abnormal fat accumulation in an individual’s body capable of impairing his health. In adults, classification of obesity is commonly done using the body mass the index which is a thorough weight-for-height index. Obesity is fundamentally caused as a result of an imbalance in energy between calories expended and calories consumed. Globally, the recorded causes include intake of rich in sugars and fats energy-dense food as well as high physical inactivity. Obesity contains health consequences of non-communicable diseases brought about due to an increase in body mass indexes such as cardiovascular illnesses mostly stroke and heart diseases which are the leading (Sekhobo, 2017).

Evidence based intervention

One major evidence based intervention that adequately covers obesity is engaging in physical activity. In terms of behavioral intervention towards weight management, physical activity can be considered as a mainstay. Evidence suggesting that physical activity alongside dietary energy restriction to bring about an optimal outcome continues to grow in the weight-loss setting. A significant loss of weight requires a relatively large dose of exercise. Caloric restriction of 26,27 Second is also more effective for an increased weight loss rather than exercise alone. Thus, a combination of regular exercise with sufficient energy restriction assists in countering the effects associated with the use of caloric restriction alone as well as reduced resting metabolic rate and loss of lean tissue. Even without significant weight loss, exercise improves metabolic fitness (EA, 2018).

Informational population health “tweet”

According to a layman, obesity simply means a person who is extremely fat as a result of eating a lot without exercising and so on. Obesity can be well-defined as a particular health condition where someone accumulates too much body fat leading to adverse health effects. How do you determine if you are obese? If a person weighs 20% more than the normal range, then the individual is said to be ‘obese’. In addition, while checking the body mass index, if your body mass index ranges within 25 and 9.9 then you are overweight, while when your body mass index is 30 or goe

4

Prevention Intervention to Address the Opioid Crisis

Student’s Name

Department, Institutional Affiliation

Course Title

Tutor’s Name

Date


Hello Dr. Bartelt and class

Comparing the opioid-associated overdose death rates of Florida to the national opioid-associated overdose death rates

I selected Florida. In 2016, the opioid-associated overdose death incidences were reported to be 14.40 per 100,000 people. On the other hand, the nationwide average rate of the 2016 semisynthetic opioid overdose death in the United States was 5.37 per 100,000 with a median of 4.41 death per 100,000 (Knopf, 2017).

One primary, secondary, and tertiary prevention to help in the reduction of the misuse of opioids in Florida

The primary prevention approaches are focused on the promotion of the safe storage and the disposal of prescription drugs. It is aimed at preventing the development of disease and addiction. One of the primary interventions to help in the reduction of the misuse of the opioid in Florida is the dissemination and implementation of the prevention programs. These can be delivered through homes and schools and the targeted diverse populations. The prevention and promotion programs help in the generation of greater, maintainable reduction in several healthcare issue outcomes like substance use, children, and younger individuals (Mauri et al., 2020). The universal prevention intervention implemented in early adolescence help in the reduction of unprescribed use of the opioid in the late adolescence and early adulthood.

Under secondary prevention, there are prescription drug monitoring programs and disease control. This program helps in the identification of actions of using unprescribed opioids and diversion as an approach to deal with the addiction progression. The intervention is a state-level and electronic database that is used for monitoring the controlled substances that are being prescribed or dispensed to the clients.

The tertiary level involves the intervention of abstinence-based and medication-assisted treatment. The level is focused on the reduction of the potential complications of the illness by offering the treatment and support. For the individuals addicted to these drugs, the facilitation of the process of accessing treatment and the utilization of the evidence-based treatment is promoted. Some of the available treatment options are the medication-assisted and psychosocial strategies like residential treatment and the 12-step model (Mauri et al., 2020). Medication-assisted treatment involves the use of pharmacotherapy like naltrexone which is combined with psychosocial approaches and support to help i

4

Using Surveillance to Address A Practice Problem

Student’s name

Instructor

Course

Date

Hello Dr. Bartelt and class

Identify the information hub and topic selected. Provide a brief summary of the practice problem.

The information hub I have selected is CDC Surveillance Resource Center and Interactive Database Systems. The website uses integrated disease surveillance and response system to identify, analyze, and process data across researched periods for various diseases. It means, in collaboration with the ministry of health, the hub website is developed under CDC protocols to ensure that proper and effective measures about disease development, control, and prevention are in unison. Therefore, the system has modules that function independently to specify collected data concerning various conditions. Through the CDC interactive database system, I selected diabetes as a condition of concern. Diabetes, according to the Centers for Disease Control and Prevention, is a condition mostly referred to as “sugar” disease characterized by the reduced function of the pancreases where it produces less or no insulin, or metabolically the body fails to produce insulin. As a result, the blood gets into a state of increased blood sugar in the body. Education is a preventive measure that controls and delays the development of diabetes because it’s a condition that can affect almost everyone (Centers for Disease Control and Prevention [CDC], n. d.). However, diabetes prevalence is reduced globally by making enriched, healthy changes. Risk factors mostly associated with diabetes are aged population above 50 years, sedentary lifestyle, genetics, and obesity (CDC, n.d.). Type 1 and type 2, and gestational are the main types of diabetes, with type 1 affecting mostly children while type affecting obese older adults.

Compare and contrast national and state levels of data.

There is statistical information about the prevalence and incidence of diabetes in the USA. In the year 2012, 9.3 percentage of the American population was diabetic. This was around 29 million of the total population. 21 million out of the 29 million people are diagnosed. The remaining 8 million people are yet to be diagnosed. It implies that many undiagnosed people within the community need care. Another alarming statistic is that the aged population above the age of 65 approximated to be 11.9 million who have diabetes are overrunning the Medicaid and Medicare programs (CDC, n.d.). There are higher incidence rates as well. Every year, 1.4 more people in the USA were diagnosed with diabetes. According to the national statistics, diabetes