1. Write a short response to the following questions total of 50 points Post in
ID: 241289 • Letter: 1
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1. Write a short response to the following questions total of 50 points Post in Assignments by 03-19 2018 11 59pm. Be sure to BOLD your response a. You are a new public health nurse in your county health department. What are five questions you would want to ask about your community that would help to begin assessing the health of the 1. 2. 3. 5. b. You find from your community assessment that infantmortality and-ngcancer are the two top priority concerns/ diseases. Ideatify one Healthy People 2020 objectives for each issue include the baseline and desired rate by 2020. (2 points) 1. 2. c. Select either infant mortality or lung cancer and identify a primary, secondary and tertiary iotervention that the public health nurses could take to address that concern. (3 points) Primary Secondary: Tertiary: 2. You do a home visit with a new mother who recently atrived from Panama and was just discharged after delivery. Through an interpreter she asks how to provide newborn infant care. What culturel issues do you want to consider working with this family? What are three basic newborn care instructions that. you would want to emphasize? How would you evaluate the mom's learning? Write your response as i you are talking in the home. (15 points)Explanation / Answer
(1.a) You are a new public health nurse in your country health department. What are the five questions you would want to ask about your community that would help to begin assessing the health of the population?
(1.b) You find from the community assessment that infant mortality and lung cancer are the two op priority concerns / diseases. Identify on Healthy people 2020 objectives for each issue include the baseline and desired rate by 2020
1. People 2020 objective MICH-1.3 tracks the rate of infant deaths that occur within the first year of life per 1,000 live births (infant mortality rate).
HP2020 Baseline: 6.7 infant deaths under 1 year of age per 1,000 live births in 2006.
HP2020 Target: 6.0 infant deaths per 1,000 live births, a 10% improvement over the baseline.
The infant mortality rate decreased by 13.4% between 2006 and 2014, from 6.7 to 5.8 infant deaths per 1,000 live births, exceeding the HP2020 target.
2. Tobacco Use Prevalence: Implementing policies to reduce tobacco use and initiation among youth and adults.
Health System Changes: Adopting policies and strategies to increase access, affordability, and use of smoking cessation services and treatments.
Social and Environmental Changes: Establishing policies to reduce exposure to secondhand smoke, increase the cost of tobacco, restrict tobacco advertising, and reduce illegal sales to minors.
(1.c) Select either infant mortality or lung cancer and identitfy a primay, secondary and tertiary intervention that the publich health nurses could take to address the concern
Primary: primary prevention can help to avoid the development of a disease. Primary prevention is difficult to achieve for pre-eclampsia because the cause is not well understood and most factors associated with it are difficult to avoid or manipulate. Nevertheless, the following interventions that can serve to prevent: Prevention of IUGR (Intra Uterine Growth Retartadation), Family planning, Pre-conceptual prevention and/or treatment of obesity, Low-dose asprin, calcum supplementation,
Secondary: Secondary prevention activities are aimed at early disease detection, thereby increasing opportunities for interventions to prevent progression of pre-eclampsia. The ability to prevent eclampsia is limited by lack of knowledge of its underlying cause. Prevention has focused on identifying women with elevated blood pressure and/or proteinuria, followed by close clinical and laboratory monitoring to recognize disease progression. Although these measures do not prevent pre-eclampsia, they may be helpful in preventing some adverse maternal and fetal sequelae associated with symptoms and in preventing progression to eclampsia.
Tertiary: Tertiary prevention focuses on the prevention of complications in women with pre-eclampsia. Reduction of maternal and fetal/newborn mortality and serious morbidity depends on timely diagnosis and early referral. The three major interventions for management of severe pre-eclampsia and eclampsia are: anti-convulsant therapy, anti-hypertensive treatment, and timed delivery of the baby.
Tertiary prevention intervention: Magnesium sulfagte, Diazpepam, Anti-hypertensive drugs, induction of labor
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