NUR 550 Evaluate a clinical preventative intervention designed to promote health and wellness for populations

Sample Answer for NUR 550 Evaluate a clinical preventative intervention designed to promote health and wellness for populations

Re: Topic 6 DQ 1

Pros of this device include the rapid ability of the provider to get a look at a patient’s heart rhythm without the patient having to come into the office. Another benefit is that a patient can take the ECG immediately when they are having a cardiac symptom which should provide more information to the provider than an ECG would hours or days later. This tool would allow patients who are housebound for any reason to have an ECG done and read by a provider quickly, which is not currently an option when treating these patients. Another pro of this tool is that it appears to be very cost effective and cheaper than having an ECG done in-person in an office or hospital setting.

Cons of this device include the fact that the ECG is taken by the patient and there could be user error in applying the device to their body and therefore possible error in the ECG created. Another possible downfall of this device is that patients may try to read their own ECG and make treatment decisions based on their own interpretation or the information they find on the internet, which may not be accurate or provide the best treatment plan for the patient. Another con of this device is that it requires the patient to understand how to use a smartphone and to have either cell phone reception or an internet connection to send the information to their provider, which may not be feasible for all patients. The provider is also trusting that the ECG was truly done on the patient that it is being reported on, but this is solely based on the word of the patient. Another con of this device is that it would quickly create a significant increase in patient data that would need to be interpreted and addressed by a provider when we know that healthcare providers are already extremely busy with their current schedules.

Sample Answer 2 for NUR 550 Evaluate a clinical preventative intervention designed to promote health and wellness for populations

There are many different preventative interventions designed to promote health wellness for many different populations. I work in oncology and when it comes to cancer early detection is key so there are many preventative interventions that go along with this such as mammograms, screening colonoscopies, skin checks, regular primary care visits to name a few. The preventative intervention I will choose is screening colonoscopies.  I worked in gastrointestinal surgical oncology and interventional gastroenterology at the cancer center for three years and over this time I learned a lot about screening colonoscopies and colon cancers etc. In people with a regular risk screening colonoscopies should begin at the age of 45 and is the key to preventing colorectal cancer and finding it early (Centers for Disease Control and Prevention, 2022). You should continue to have regular screenings until you are 75 and after that you should talk to your doctor about the need to continue screening and how often but from 45-75 it is imperative that you get screened regularly. If you have inflammatory bowel diseases such as Crohn’s or a family history of colon cancer, or a genetic syndrome such as Lynch syndrome you need to start screening much earlier than 45 years old because you are at a much high risk for these cancers (CDC, 2022). One of the physicians I worked with does a lot of research for colorectal cancer and the age for it is getting younger and younger, so medicine is trying to prove that the age for screening colonoscopies needs to be moved to a younger age like in your 30’s. For patients who skip their screening colonoscopy, colon cancer incidence and colon cancer-related death increased significantly (Endoscopy Center of Red Bank, n.d.). Patients who chose regular colonoscopies had very favorable results. Average risk patients with normal colonoscopy test results were 46 percent less likely to develop colon cancer and 88 percent less likely to die of colon cancer when screened at recommended ten-year intervals (Endoscopy Center of Red Bank, n.d.). Moral of the story is get your screening colonoscopies done. They may not be fun, but they have really advanced the preparations for it, and it could save your life.

References

Centers for Disease Control and Prevention. (2022, April 7). What Should I Know About Screening for Colorectal Cancer?  Centers for Disease Control and Prevention. https://www.cdc.gov/cancer/colorectal/basic_info/screening/index.htm

Endoscopy Center of Red Bank. (n.d.). Colonoscopy Protects Against Colon Cancer for 10 Years. Endoscopy Center of Red Bank. https://endoscopycenterofredbank.com/news/colonoscopy-protects-against-colon-cancer-for-10-years

NUR-550- Topic 6 DQ 2_ Sample Answer

Use of Opioids in the Management of Chronic Pain Among African Americans 

Pain is the primary reason for seeking health care services in a hospital. Chronic pain is common to cancer and trauma patients and requires intense care to improve the overall quality of life. Different approaches have been used to manage pain with the most common practice involving the use of nonsteroidal anti-inflammatory drugs (NSAIDs). At the Hope Medical Centre, effective management of chronic pain is achieved through the use of prescription narcotic drugs specifically prescription opioids (PO) or morphine. However, the use of PO among the African Americans diagnosed with chronic pain elicits mixed reactions on the effectiveness of the intervention to the population. According to Alexandridis et al. (2018), African Americans are presumed to use prescription opioids for non-medical purposes. Specifically, the African Americans on PO therapy use the medication for euphoria which leads to addiction and compromises the effectiveness of the drug on chronic pain management.  

The clinical prevention intervention through the use of PO is not successful at the Hope Medical Centre due to misuse of the therapy among the target population. The challenge is attributed to lack of adequate education to patients on the need to adhere to the medication regimen as prescribed. Rudd et al. (2016) posit that bias in the provision of patient education alters the effective use of the medication among African Americans. Over-prescription also poses a major challenge to success in achieving chronic pain management. Poverty among African Americans also contributes to a lack of success in the clinical prevention intervention at the Hope Medical Centre. This majorly affects members from the low-income class who may opt to sell the PO in exchange for food or to pay medical bills (Alexandridis et al., 2018). This results in non-compliance and therefore poor pain management. As such the number of hospital revisits among the African Americans with chronic pain have doubled at the Hope Medical Centre compared to the non-Hispanic whites seeking similar service at the facility.  

References 

Alexandridis, A. A., McCort, A., Ringwalt, C. L., Sachdeva, N., Sanford, C., Marshall, S. W., … & Dasgupta, N. (2018). A statewide evaluation of seven strategies to reduce opioid overdose in North Carolina. Injury prevention, 24(1), 48-54. 

Rudd, R. A., Aleshire, N., Zibbell, J. E., & Matthew Gladden, R. (2016). Increases in drug and opioid overdose deaths—United States, 2000–2014. American Journal of Transplantation, 16(4), 1323-1327. 

NUR-550- Topic 6 DQ 2 Sample Answer

Use of Opioids in the Management of Chronic Pain Among African Americans 

Pain is the primary reason for seeking health care services in a hospital. Chronic pain is common to cancer and trauma patients and requires intense care to improve the overall quality of life. Different approaches have been used to manage pain with the most common practice involving the use of nonsteroidal anti-inflammatory drugs (NSAIDs). At the Hope Medical Centre, effective management of chronic pain is achieved through the use of prescription narcotic drugs specifically prescription opioids (PO) or morphine. However, the use of PO among the African Americans diagnosed with chronic pain elicits mixed reactions on the effectiveness of the intervention to the population. According to Alexandridis et al. (2018), African Americans are presumed to use prescription opioids for non-medical purposes. Specifically, the African Americans on PO therapy use the medication for euphoria which leads to addiction and compromises the effectiveness of the drug on chronic pain management.  

The clinical prevention intervention through the use of PO is not successful at the Hope Medical Centre due to misuse of the therapy among the target population. The challenge is attributed to lack of adequate education to patients on the need to adhere to the medication regimen as prescribed. Rudd et al. (2016) posit that bias in the provision of patient education alters the effective use of the medication among African Americans. Over-prescription also poses a major challenge to success in achieving chronic pain management. Poverty among African Americans also contributes to a lack of success in the clinical prevention intervention at the Hope Medical Centre. This majorly affects members from the low-income class who may opt to sell the PO in exchange for food or to pay medical bills (Alexandridis et al., 2018). This results in non-compliance and therefore poor pain management. As such the number of hospital revisits among the African Americans with chronic pain have doubled at the Hope Medical Centre compared to the non-Hispanic whites seeking similar service at the facility.  

References 

Alexandridis, A. A., McCort, A., Ringwalt, C. L., Sachdeva, N., Sanford, C., Marshall, S. W., … & Dasgupta, N. (2018). A statewide evaluation of seven strategies to reduce opioid overdose in North Carolina. Injury prevention, 24(1), 48-54. 

Rudd, R. A., Aleshire, N., Zibbell, J. E., & Matthew Gladden, R. (2016). Increases in drug and opioid overdose deaths—United States, 2000–2014. American Journal of Transplantation, 16(4), 1323-1327.