Visit the Healthy People 2030 website, Topics and Objectives page (Links to an external site.)  (Links to an external site.) and explore some topics of interest to you. Discuss how epidemiologic methods are used to evaluate Healthy People 2020 objectives. Give an example. The example can be one you created or one from an actual study. Include the primary goal/purpose of the descriptive or analytical study, design type in the category chosen, uses of analytic or descriptive type, at least one advantage and disadvantage of the design type. 

Discussion 1

Tom, a 26-year-old runner, came into the office today complaining of constant pain in the right ankle. While running his usual route, he accidentally stepped on a branch lying in his path, twisting his ankle inward. He denies hearing a “pop.” He was able to walk, or limp, the remaining ¼ mile back to his home, where he immediately elevated and iced the ankle for 30 minutes. He took two acetaminophen 325 mg, showered and dressed for work, and drove to his place of employment. He continued to experience significant pain in the ankle, worse when walking. His foot became swollen. Since his job in a sporting goods store requires that he be on his feet most of the day, he was unable to continue his normal workday, and made a same-day appointment to be seen. He has no chronic diseases, takes no medication, and denies recent use of NSAIDs, as aspirin and ibuprofen cause him to have gastritis. He sprained the ankle last year, but was able to manage that injury at home.

Assessment

A 26-year-old, otherwise healthy male presents limping into the examination room, holding his right shoe in his hand. He grimaces with partial weight-bearing of the affected foot. He has local ecchymosis and 1+ edema over the anterolateral ligaments of the right ankle. Capillary refill, pulses, and sensation of the foot and toes are intact. There is no lateral or anterior instability of the joint or tendons. X-ray of the ankle and foot are negative for fracture or dislocation. He has a grade I lateral ankle sprain.

1. What pain relieving medications would you prescribe? Defend your choice.
2. How would you prescribe them?
3. What side effects should you educate the patient about?
4. Does the age of the patient influence what your choice?

Discussion Question 2

What organs are damaged mostly by taking NSAIDS? What patient education would you provide to someone taking NSAIDS? What organ is damaged by taking too much aspirin? What patient education should you provide to a patient taking Aspirin? List 3 diagnosis for which you would administer NSAIDS. List 3 diagnosis for which you would administer Aspirin. What labs or diagnostic tests would you perform for a patient who has consumed too much Aspirin and NSAIDS. Your response should be at least 350 words.

Use the RESOLVEDD method  to analyze and reach a decision about the best course of action in one of the following Huntington’s Disease cases

Make sure you consider the case in light of some of the moral theories and principles we have discussed in the class. In the  case in particular, there is more than one issue involved, so you will need to decide which one you want to make your main focus.

How much you write about each step in the method is up to you, but you should write a minimum of 500 words in total. Type up your analysis, with each step clearly numbered, and submit it via Canvas by 11:59 PM on Tuesday, October 5.

Step 1 Consider the scenarios below.

• Scenario 1: National Debt
  • If the national debt exceeds 125% of the national GDP, the economy will suffer.
  • The lawmakers in Washington are too engrossed in party politics to pay close attention to the economy.
• Scenario 2: Smoking
  • Decades of research have established a causal correlation between using tobacco and various forms of cancer.
  • Sarah has been smoking cigarettes for over 30 years.
• Scenario 3: Entertainment
  • Records sales have been steadily declining over the last 15 years, largely due to the increased popularity of peer-to-peer file sharing networks.
  • At the same time record sales are declining, the number of emerging artists releasing new music every week has skyrocketed. John has never even held an instrument and his record seems to be everywhere—what a phony!

Step 2 Draw and post scenario conclusions.

Review your course materials and then write three conclusions to the premises in each of the scenarios posted in Step 1.

• Provide possible conclusions for the statements presented in scenarios 1 and 2. Based on the information provided, which of the two scenarios do you believe is more logical? Be sure to provide support for your choice.
• Apply the concept of statements to scenario 3. Determine the presence of statement and non-statement. How are you able to classify one from the other?
• How are you able to apply the concept of logical support to the scenarios presented in step 1? How else can you apply the concepts of logical support in everyday decision making?

QD1 How can you guarantee validity and feasibility in your research study with a mixed method? 

QD2. Which intervention are you going to implement in your clinical experience? Why? 

QD3.    Upon examination of the genitalia of a newborn baby boy, you document the following: urethral opening on dorsal surface of penis, undescended testicles, right inguinal hernia, and small opening of the abdomen with an outpouching of pink tissue at the symphysis pubis.

1. What does this documentation indicate?
2. What major issue needs to be addressed with the baby’s family?

QD4.  A kindergarten teacher at the public school where you work as a health care provider comes to you with a 5-year-old girl from her class. The teacher tells you that she is concerned about this girl because she has noticed poor eating and drinking habits, weight loss, and no apparent growth. The teacher tried to contact the parents to discuss her concerns, but they never returned her phone calls or the notes she sent home with the little girl. Further, this girl has often been late to class or missed whole days of school with no explanation from her parents as to why. You examine the child and notice that the child has a potbelly, is emotionally withdrawn, and is very passive.

1. What are your concerns for this child?
2. Because the parents seem uninterested, what approach would you take in attempting to get the parents to be proactive in this child’s health care?
3. If the parents do not return your persistent phone calls, what is your responsibility to the health care of this child?