Scenario: Sam, a 35-year old, married mother of two, is an elementary school teacher at a private school in a suburban area

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Scenario: Sam, a 35-year old, married mother of two, is an elementary school teacher at a private school in a suburban area. She recently complained of chest pains and an incessant cough, which resulted in her coughing up blood earlier today. Concerned, she has just entered the emergency room department at the city hospital. Diego is the ER nurse who processed Sam's intake and took a sputum culture to be tested. Laboratory results confirm infection with tuberculosis. Concerned about Sam's positive test result, Diego decided to re-interview Sam and determined that she recently returned from a mission trip to poverty stricken areas of Buenos Aires, Argentina.

 

1. Based on this scenario, use the epidemiological triangle, the web of causality, and/or the ecological model to examine Sam's infection with TB. Include in your response the elements of the epidemiological triangle (host, agent, and environment)
2. Explain the significance of the "shrinking world" and how it may impact the field of epidemiology. Be sure to include global health data to support your explanation.

Scenario: You are a public health nurse who is interested in obtaining data related to a health behavior problem that you see in your nursing practice. You would like to research this health problem or behavior and access health data that might be available to help inform your nursing practice. NOTE: For this Assessment, you are to identify a health problem or behavior and not an infectious disease or specific diagnosis (Some examples of health problems or behaviors: smoking, obesity, substance abuse, teen pregnancy, or mental illness).

1. Identify two sources of data that you might access to research your health problem or behavior in your community. Then, explain why you would use these two sources of data, including the type of data you are likely to find with each source.
2. Explain the incidence and prevalence of the health problem or behavior in your community that you selected based on the sources of data you identified.
3. Describe the levels of prevention as they relate to nursing practice for the health problem or behavior you selected in your community.
4. Explain what it means to "think upstream." Then, explain how you might integrate upstream thinking into your nursing practice to address the health problem or behavior you selected in your community.
5. Explain how the determinants of health help contribute to patient advocacy by nurses and healthcare professionals in relation to the health problem or behavior selected and in relation to your community.