NR 503 Full Class Latest

NR 503 Full Class Latest

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Week 1: Epidemiology and Advanced Practice Nursing

TD1

 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.

TD 2

How might such an event have an impact on the goals and objectives of Healthy People 2020?

TD 3

 Please provide a summary of the case or information you have discussed this week

Week 2: Epidemiology and Biostatistics to Inform Advanced Practice Nursing

TD1

 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

TD2

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.

TD3

Please provide a summary of the case or information you have discussed this week

week 3

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.

NR 503 Week 3 Case study part 2

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?

NR 503 Week 3 Case study part 3

Please provide a summary of the case or information you have discussed this week.

Week 4: Emerging Infectious Disease and Risk Management

TD1

: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

TD2:

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

TD3:

Please provide a summary of the case or information you have discussed this week

Week 5: The Role of Culture in Epidemiology

TD1

: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.

TD2:

Provide the specific descriptive epidemiological aspects of this disease as it relates to your geographic area

TD3:

Please provide a summary of the case or information you have discussed this week

week 6

TD 1

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.

TD 2

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.

TD3:

Please provide a summary of the case or information you have discussed this week

Week 7: Environment Epidemiology and Clinical Nursing Science Applications

TD 1

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).

TD2:

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

TD3:

Please provide a summary of the case or information you have discussed this week

week 8

Reflection on Achievement of Program Outcomes (required, but not graded)

Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #1 and the MSN Essential I.

§  Describe one legal or ethical issue in epidemiology.

§  Evaluate how this legal or ethical issue might affect the care of an individual, family, community, or population.

NR503 Week 1 Course Information Worksheet

Course Information Worksheet

1.   1. Define Primary, Secondary, and Tertiary prevention.

2.   2. True or False: Prevention and treatment of a single specific disease are exclusive activities that do not occur together when providing care to a patient.

3.   3. The IcebergConcept

4.   4. Please define the following:

Clinical Disease –

Preclinical Disease –

Subclinical Disease

Persistent (Chronic) Disease –

Latent Disease –

5.   5. Match the following terms with their definition:

__ __ Pandemic A. Habitual presence of a disease within a geographic area.

__ __ Endemic B. Occurrence of a disease in a community/geographic area in

excess of normal expectancy.

____ Common-Vehicle Exposure C. Resistance of a group of people to a disease because a large

portion of the population is immune.

____ Epidemic D. An excessive occurrence of disease present globally.

____ Herd Immunity E. When a group of people are exposed to a substance or organism that causes common illness.

6.   6. What is the one medical advance that is associated with the Black Death in Europe in the late 1300’s?

7.   7. This is a two part question:

8.   A. Define, through a fractional representation, what attack rate is.

9.   B. After a large wedding reception several people develop symptoms of acute gastroenteritis. It appeared to be tied to eating a specific seafood salad served. Using the following 2 by 2 table, numerically represent the attack rate for wedding attendies who ate the seafood salad

10.        8. Define the following: active surveillance, passive surveillance, incidence rate, and prevalence rate.

11.        9. There are two parts to this question:

12.        A. What are two reasons that the prevalence rate of a disease I a community could decrease?

13.        B. What are age-adjusted death rates used for?

14.        10. Name and define at least two measures of mortality as fractional representations.

Case-Fatality is calculated by:

NR503 Week 3 Relative Risk Calculation Worksheet

Relative Risk Calculations Worksheet
Guidelines & Grading Rubric
Purpose
The purpose of this assignment is to help you to begin to understand and apply the important counts, ratios, and statistics presented in healthcare and epidemiological research. Remember to use the list of formulas presented prior to the problems and to carefully consider the purpose of each calculation and how it is interpreted.
Course Outcomes
Through this assignment, the student will demonstrate the ability to:
(CO #3) Identify appropriate outcome measures and study designs applicable to epidemiological subfields such as infectious disease, chronic disease, environmental exposures, reproductive health, and genetics.
(CO #4) Apply commonly used measures of health risk.
(CO #6) Identify important sources of epidemiological data.
Due Date: Sunday 11:59 p.m. (MT) at the end of Week 3
Total Points Possible: 50
REQUIREMENTS:

1.   1. Complete the Risk Calculation Worksheet located in DocSharing.
2. For each question identify the correct answer.
3. Submit the worksheet to the DropBox by 11:59 p.m. MT Sunday of Week 3

Epidemiological Formulas and Statistics

Parameter Definition Formula
Incidence (exposed) Incidence of new cases of disease in persons who were exposed number (exposed with disease)/Total number of exposed
Incidence (unexposed) Incidence of new cases of disease in persons who were not exposed number (unexposed with disease)/Total number of unexposed
Incidence of Disease Measure of risk. Total number in a population with a disease divided by the total number of the population. Number with the disease/ Total population number
Relative Risk Risk of disease in one group versus another. Risk of developing a disease after exposure. If this number is one, it means there is no risk. R(exposed)/Risk (unexposed) (# exposed with disease(divided by)/total of all exposed)
(# of non-exposed with disease/(divided by)total of all non exposed)
Odds Ratio A measure of exposure and disease outcome commonly used in case control studies. R(exposed) / R (unexposed)
1- R(exposed) 1-R(unexposed)
Prevalence The number of cases of a disease in a given time regardless of when it began. (new and old cases) (Persons with the disease/ Total population) X 1000
Attributable Risk The difference in disease in those exposed and unexposed and is calculated from prospective data. Directly attributed to exposure (if exposure gone, disease would be gone) R(exposed) – R(unexposed)
Crude Birth Rate The number of live births per 1,000 people in the population (# of births/estimated mid-year population) X 1000
Crude Death Rate The number of deaths per 1,000 people in the population (# of deaths/estimated mid-year population) X 1000
Fetal Death Rate The number of fetal deaths (20 weeks or more gestation) per 1,000 live births. (# of fetal deaths/ # of live births + fetal deaths) X 1000
Annual Mortality Rate Usually an expression of a specific disease or can be all causes per 1,000 people for a year. (# of deaths of all causes (or a specific disease)/Mid-year population) X 1000
Case Fatality Rate The parentage of individuals who have a specific disease and die within a specific time after diagnosis. (# of persons dying from a disease after diagnosis or set period/ # of persons with the disease) X 100

Relative Risk Calculation Worksheet Answer Key
Prior to completing this worksheet, review the lessons, reading and course text up to this point. Also review the tables of calculations. Each question is worth five (5) points. There is only one right answer for each of the ten problems.

1.   1. The population in the city of Springfield, Missouri in March, 2014 was 200,000.
The number of new cases of HIV was 28 between January 1 and June 30th 2014.
The number of current HIV cases was 130 between January 1 and June 30th 2014.

The incidence rate of HIV cases for this 6 month period was:
A. 7 per 100,000 population
B. 14 per 100,000 population
C. 28 per 100,000 population
D. 85 per 100,000 population

2.   2. The prevalence rate of HIV cases in Springfield, Missouri as of June 30, 2014 was:
A. 14 per 100,000 population
B. 28 per 100,000 population
C. 79 per 100,000 population
D. 130 per 100,000 population

3.   3. In a North African country with a population of 5 million people, 50,000 deaths occurred during 2014. These deaths included 5,000 people from malaria out of 10,000 persons who had Malaria.

What was the total Annual Mortality Rate for 2014 for this country? (please show your work)

(# of deaths of all causes (or a specific disease)/Mid-year population) X 1000
25,000/2.5 million (0.01) x 1000=10

4.   4. What was the cause-specific mortality rate from malaria? (please show your work)

(# of deaths of all causes (or a specific disease)/Mid-year population) X 1000

5.   5. What was the case-fatality percent from malaria?

(# of persons dying from a disease after diagnosis or set period/ # of persons with the disease) X 100

6.   6. Fill in and total the 4 X 4 table for the following disease parameters:
Total number of people with lung cancer in a given population = 120
Total number of people with lung cancer who smoked = 90
Total number of people with lung cancer who did not smoke = 30
Total number of people who smoked = 150
Total number of people in the population = 350
Fill in the missing parameters based on the above.

7.   7. From Question 6, what is the total number of people with no lung cancer?

8.   8. From question 6, what is the total number of people who smoked, but did not have lung cancer?

9.   9. Set up the problem for relative risk based on the table in #6.

(# exposed with disease (divided by)/total of all exposed)
(# of non-exposed with disease/ (divided by) total of all non-exposed)

10.        10. Calculate the relative risk.

NR503 Week 6 Population Health, Epidemiology, & Statistical Principles Assignment

Relative Risk Calculation Worksheet Answer Key

Prior to completing this worksheet, review the lessons, reading and course text up to this point. Also review the tables of calculations. Each question is worth five (5) points. There is only one right answer for each of the ten problems.

1.   1. The population in the city of Springfield, Missouri in March, 2014 was 200,000.

The number of new cases of HIV was 28 between January 1 and June 30th 2014.

The number of current HIV cases was 130 between January 1 and June 30th 2014.

The incidence rate of HIV cases for this 6 month period was:

1.   A. 7 per 100,000 population

2.   B. 14 per 100,000 population

3.   C. 28 per 100,000 population

4.   D. 85 per 100,000 population

5.   2. The prevalence rate of HIV cases in Springfield, Missouri as of June 30, 2014 was:

6.   A. 14 per 100,000 population

7.   B. 28 per 100,000 population

8.   C. 79 per 100,000 population

9.   D. 130 per 100,000 population

10.        3. In a North African country with a population of 5 million people, 50,000 deaths occurred during 2014. These deaths included 5,000 people from malaria out of 10,000 persons who had Malaria.

What was the total Annual Mortality Rate for 2014 for this country? (please show your work)

4.   4. What was the cause-specific mortality rate from malaria? (please show your work)

5.   5. What was the case-fatality percent from malaria?

6.   6. Fill in and total the 4 X 4 table for the following disease parameters:

Total number of people with lung cancer in a given population =

Total number of people with lung cancer who smoked =

Total number of people with lung cancer who did not smoke =

Total number of people who smoked =

Total number of people in the population =

Fill in the missing parameters based on the above.

YES LUNG CANCER

NO LUNG CANCER TOTALS

YES SMOKING

90 — 150

NO SMOKING

30 — —

TOTALS

120 — 350

7.   7. From Question 6, what is the total number of people with no lung cancer?

8.   8. From question 6, what is the total number of people who smoked, but did not have lung cancer?

9.   9. Set up the problem for relative risk based on the table in #6.

10.        10. Calculate the relative risk.

NR503 Evaluation of Epidemiological Problem

Evaluation of Epidemiological Problem

Guidelines & Grading Rubric

Purpose

The purpose of this assignment is to

§  Provide learners with the opportunity to integrate knowledge and skills learned throughout this course

§  Directly apply principles and knowledge learned in the course to problem solving of population health problems in their own geographic areas.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

1.   1. Define key terms in epidemiology, community health, and population-based research.

2.   2. Compare study designs used for obtaining population health information from surveillance, observation, community, and control trial based research.

3.   3. Identify appropriate outcome measures and study designs applicable to epidemiological subfields such as infectious disease, chronic disease, environmental exposures, reproductive health, and genetics.

4.   4. Apply commonly used measures of health risk.

5.   5. Examine current ethical/legal issues in epidemiology.

6.   6. Identify important sources of epidemiological data.

7.   7. Evaluate a public health problem in terms of magnitude, person, time, and place.

Due Date

Submit to Dropbox by 11:59 p.m. MT Sunday of Week 6

Total Points Possible: 200

Requirements

This paper should clearly and comprehensively identify the disease or population health problem chosen. The problem must be an issue in your geographic area and a concern for the population you will serve upon graduation with your degree. The paper should be organized into the following sections:

1.   1. Introduction with a clear presentation of the problem as well as significance and a scholarly overview of the paper.

2.   2. Background of the disease including definition, description, signs and symptoms, and current incidence and/or prevalence statistics current state, local, and national statistics pertaining to the disease. (Include a table of incidence or prevalence rates by your geographic county, state, and national statistics.)

3.   3. A review of current surveillance methods and any mandated reporting or methods for reporting the disease for providers.

4.   4. Conduct descriptive epidemiology analysis of the disease including who is more frequently affected and characteristics of the population that might help in creating a prevention plan. Include costs (both financial and social) associated with the disease or problem.

5.   5. Review how the disease is diagnosed, current national standards for screening or prevention, and pick one screening test and review its sensitivity, specificity, positive predictive value, cost and any current national guidelines for conducting which patients to conduct this test on.

6.   6. Provide a brief plan of how you will address this epidemiological disease in your practice once you are finished with school. Provide three actions you will take along with how you will measure outcomes of your actions.

7.   7. Conclude in a clear manner with a brief overview of key points of the entire disease,

Preparing the Paper

§  Page length: 7-10 pages, excluding title/cover page

§  APA format 6^th edition

§  Include references when necessary.

§  Include at least one table to present information somewhere in the paper.

Directions and Grading Criteria

Category	Points Possible	Points Earned	Comments
Scholarly Introduction (clear presentation of problem)	20
Background and significance of the disease (includes incidence or prevalence statistics)	30
Current surveillance methods	30
Descriptive epidemiological analysis (includes characteristics of the at-risk population and/or those affected by the disease and costs of the disease)	30
Screening and diagnosis (includes review of current guidelines for screening and diagnosis of the disease. In-depth review of statistics one screening or diagnostic test provided)	30
Plan of action (includes at least three evidenced based actions, supported by literature, that the student will take in their own practice and how outcomes will be measured)	30
Conclusion	20
Mechanics of writing, APA	10
Total	200	Total Points earned =	A quality paper will meet or exceed all of the criteria requirements.

Grading Rubric

Assignment Criteria	Exceptional Outstanding or highest level of performance	Exceeds Very good or high level of performance	Meets Competent or satisfactory level of performance	Needs Improvement Poor or failing level of performance	Developing Unsatisfactory level of performance
Identification of the problem/concern	20 Points	18 Points	16 Points	8 Points	0 Points
Comprehensively identifies the problem/concern	Adequately identifies the problem/concern	Identification of problem/concern is limited	Identification of problem/concern is unclear.	Identification of problem/concern is absent
Background and significance of the disease (includes incidence or prevalence statistics)	30 Points	26 Points	24 Points	11 Points	0 Points
Background is complete, presents risks, disease impact and includes a review of incidence and prevalence of the disease within the student’s local area, state, and nationally. Evidence supports background.	Background is complete, presents risk, disease impact and at least one set of incidence and prevalence statistics are presented and supported by evidence.	Background missing one or more key points and at least one set of incidence and prevalence statistics are presented. Lack of evidence or limited presentation of the background.	Background missing more than one key point and at least one set of incidence and prevalence statistics are presented, or there is no supported evidence. Unclear conclusions or presentation.	Background and significance of the disease is not provided.
Current surveillance methods	30 Points	26 Points	24 Points	11 Points	0 Points
Current local, state, and national disease surveillance methods are reviewed, currently gathered types of statistics, and information on whether the disease is mandated for reporting, supported by evidence	More than one local, state, and national disease surveillance methods are reviewed, currently gathered types of statistics, and information on whether the disease is mandated for reporting, supported by evidence	One of either local, state, and national disease surveillance methods are reviewed, currently gathered types of statistics, and information on whether the disease is mandated for reporting, supported by evidence	One of either local, state, and national disease surveillance methods are reviewed, currently gathered types of statistics, or only information on whether the disease is mandated for reporting, or evidence is lacking to support this area. Unclear conclusions or presentation.	Local, state, and national disease surveillance methods were not discussed.
Descriptive epidemiological analysis (includes characteristics of the at-risk population and/or those affected by the disease and costs of the disease)	30 Points	26 Points	24 Points	11 Points	0 Points
Comprehensive review and analysis of descriptive epidemiological points of the identified disease and population most at risk, supported by scholarly evidence.	Adequate review with some analysis of descriptive epidemiological points of the identified disease and population most at risk supported by scholarly evidence.	Limited review and analysis of key descriptive epidemiological points of the identified disease and at-risk population.	Minimal analysis of key descriptive epidemiological points of the identified disease and at-risk population.	No analysis of key descriptive epidemiological points of the identified disease and at-risk population is provided.
Screening and diagnosis (includes review of current guidelines for screening and diagnosis of the disease. In-depth review of statistics one screening or diagnostic test provided)	30 Points	26 Points	24 Points	11 Points	0 Points
Comprehensive review of current guidelines for screening, diagnosis, and statistics related to validity, predictive value, and reliability of screening tests is presented.	Adequate review of guidelines for screening, diagnosis, and statistics related to validity, predictive value, and reliability of screening tests is presented.	Limited review of guidelines for screening, diagnosis, and statistics related to validity, predictive value, and reliability of screening tests.	Minimal or unclear review of guidelines for screening, diagnosis, and statistics related to validity, predictive value, and reliability of screening tests.	Review of guidelines for screening, diagnosis, and statistics related to validity, predictive value, and reliability of screening tests not provided.
Plan of action (includes at least three evidenced based actions, supported by literature, that the student will take in their own practice and how outcomes will be measured)	30 Points	26 Points	24 Points	11 Points	0 Points
A comprehensive plan of action specific to the student’s interests, the problem, and the geographic area is presented with 3 evidenced based actions that will be taken to address the impact, outcomes, or prevalence of the disease.	An adequate, but not fully comprehensive, plan of action specific to the student’s interests, the problem, and the geographic area is presented with 3 evidenced based actions that will be taken to address the impact, outcomes, or prevalence of the disease.	A limited plan of action specific to the student’s interests, the problem, and the geographic area is, outcomes, or prevalence of the disease. Three actions are presented with limited or little evidence.	Actions are minimal or unclear, or lack specificity to geographic area, are not supported directly by evidence or are not direct actions the student can take in practice.	Plan of action not provided.
Conclusion	20 Points	18 Points	16 Points	8 Points	0 Points
The conclusion thoroughly, clearly, succinctly, and logically presents major points of the paper with clear direction for action.	The conclusion adequately and logically presents major points of the paper with clear direction for action, but lacks one major point or is not succinct.	The conclusion is a limited review of key points of the paper, is not succinct, or lacks one or more major points of the paper or clear direction for action.	Conclusion is unclear or significantly limited in overview of the paper.	Conclusion not provided.
Grammar, Spelling, APA	10 Points	9 Points	8 Points	4 Points	0 Points
APA format, grammar, spelling, and/or punctuation are accurate, or with zero to one errors.	Two to four errors in APA format, grammar, spelling, and syntax noted.	Five to seven errors in APA format, grammar, spelling, and syntax noted.	Eight to nine errors in APA format, grammar, spelling, and syntax noted.	Post contains greater than ten errors in APA format, grammar, spelling, and/or punctuation or repeatedly makes the same errors after faculty feedback.
		Total Points Possible = 200 points