Week 2 Discussion: An Epidemic in the Community Paper

Week 2 Discussion: An Epidemic in the Community Paper

Week 2 Discussion: An Epidemic in the Community Paper

Discussion: An Epidemic in the Community
To prepare for this Discussion, visit the CDC Wonder site in this week’s resources. Investigate the incidence and prevalence of TB in your community. What information did you find? Analyze how your community compares to county, state, or national data for the same topic. Was the incidence and prevalence of each higher or lower than you expected?

Consider the following scenario: This is Debbie’s first year working as a nurse at the local health department in a rural county. Most of her days are spent in the clinic seeing clients who often do not have health insurance.

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Over the past month, Debbie has noticed that several young Hispanic men have come to the health department, each diagnosed with tuberculosis. Debbie is concerned about what the outbreak of tuberculosis among the migrant workers could mean for the community. Through a community health profile, Debbie identifies the group of migrant farm workers as being at highest risk for contracting tuberculosis.

Using the Epidemiologic Triangle concept, consider the relationship among causal agents, susceptible persons, and environmental factors. Then, respond to the following:

As a BSN-prepared community health nurse, what steps should Debbie take next?
Considering economic and social considerations within the community, what are the primary, secondary, and tertiary interventions that Debbie might use in managing this outbreak?
Can similar interventions be applied to your community and its TB prevalence?
What considerations need to be addressed within your community that are different form Debbie’s community?
By Day 3
Post your response to this Discussion.

Support your response with references from the professional nursing literature.

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).

By Day 7

Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings
Stanhope, M., & Lancaster, J. (2020). Public health nursing: Population-centered health care in the community (10th ed.). St. Louis, MO: Elsevier.

Chapter 6, “Environmental Health” (pp. 121-148)
Chapter 13, “Epidemiology” (pp. 269-298)
Chapter 14, “Infectious Disease Prevention and Control” (pp. 299-332)
Chapter 15, “Communicable and Infectious Disease Risks” (pp. 333-355)
Chapter 17, “Community as Client: Assessment and Analysis” (pp. 370-394)
Zuñiga, J. A., Muñoz, S. E., Johnson, M. Z., & Garcia, A. (2014). Tuberculosis Treatment for Mexican Americans Living on the U.S.-Mexico Border. Journal Of Nursing Scholarship, 46(4), 253-262.

CDC Wonder. (2016). Retrieved from http://wonder.cdc.gov/

Required Media
TED. (2015). What do we do when antibiotics don’t work anymore? [Video file]. Retrieved from https://www.ted.com/talks/maryn_mckenna_what_do_we_do_when_antibiotics_don_t_work_any_more

Note: The approximate length of this media piece is 17 minutes.

Maryn McKenna is a journalist who specializes in public health, global health, and food policy. She describes how bacteria and viruses are mutating in response to new antibiotics at an alarming rate.

TEDx Talks. (2014). Will the poor always be with us? [Video file]. Retrieved from https://www.youtube.com/watch?v=yHQes6P5XnQ

Note: The approximate length of this media piece is 10 minutes.

Jim Yong Kim talks about his vision of transformation for development, drawing on his personal experience as an activist and AIDs researcher. He shares why ending poverty is possible in our lifetimes and concludes that the poor will not always be with us.

Writing Resources and Program Success Tools
Document: AWE Checklist (Level 4000) (Word document)

This checklist will help you self-assess your writing to see if it meets academic writing standards for this course.

Document: BSN Program Top Ten Citations and References (Word document)

Walden University. (2020). Undergraduate paper with advice (APA 7). Retrieved from https://academicguides.waldenu.edu/ld.php?content_id=54383757

A Sample Of This Assignment Written By One Of Our Top-rated Writers

Week 2 Discussion: An Epidemic in the Community

Tuberculosis (TB) is caused by a bacterium known as Mycobacterium tuberculosis. The lungs are the primary target of this bacteria, although it can attack other body parts, including the brain, spine, and kidneys. Mycobacterium tuberculosis does no cause TB to every person it infects. However, the majority develop TB, which is a fatal disease after being infected with this bacterium. Mycobacterium tuberculosis is transmitted through the air when a person with TB of the lungs or throat expels these pathogens to the air while speaking or coughing. Someone near the infected person breathes in the disease-causing micro-organism into his or her lungs contracting the disease. Despite significant TB incidence and mortality rates worldwide, ten million new TB infections were reported in 2019 globally (KFF, 2021). Similarly, Debbie has noticed an increase in TB diagnosis among young Hispanic men vising the health department.

As a BSN-prepared community health nurse, Debbie should start creating awareness about the high incidence and prevalence of TB in the community. Her awareness campaign should target a group of migrant farmworkers whose risk of contracting tuberculosis is relatively higher than other community members. The campaign should educate the group at an increased risk of contracting TB about various preventive measures, including covering the mouth with a tissue when sneezing or coughing and washing hands thoroughly after coughing or sneezing. Other strategies for controlling TB infections include masks & respirators, pasteurization of milk, and being vaccinated against TB. These preventive measures will reduce the TB transmission rate among the highly prone group in the community.

Debbie might use the primary, secondary, and tertiary interventions in managing this outbreak in the community. The primary intervention will involve advising individuals to prevent themselves from contracting TB (Ehrlich et al., 2019). The secondary intervention will entail detecting in its early stages and prevent it from worsening. According to Collins et al. (2019), this is the most critical intervention in a TB outbreak since it focuses on preventing more people from contracting the virus. Finally, tertiary prevention will involve improving the quality of life and minimizing the symptoms of TB. These interventions will manage TB outbreaks among the farmworkers at a low cost considering their financial constrain. Similar interventions are applicable in controlling the prevalence of TB outbreaks in my community. They will enable community members to protect themselves, stop TB from spreading, and reduce TB symptoms among the community members. However, cultural considerations are different from Debbie’s community. Interventions should embrace cultural diversity in the community.

References

Collin, S. M., Wurie, F., Muzyamba, M. C., de Vries, G., Lönnroth, K., Migliori, G. B., … & Zenner, D. (2019). Effectiveness of interventions for reducing TB incidence in countries with low TB incidence: a systematic review of reviews. European Respiratory Review, 28(152).

Ehrlich, R., Spiegel, J., & Yassi, A. (2019). Diverse approaches to preventing occupational tuberculosis in health workers: cross-disciplinary or cross purposes? Public health action, 9(1), 11.

Kaiser Family Foundation (KFF) (2021). The U.S. Government and Global Tuberculosis Efforts. Global Health Policy. https://www.kff.org/global-health-policy/fact-sheet/the-u-s-government-and-global-tuberculosis-efforts/