Jack is a 54-year-old patient who has difficulty coming in for primary care visits. He sees cardiology, pulmonary clinic, and endocrine clinic for his comorbid conditions of diabetes mellitus, post-coronary artery bypass grafting (CABG) 2 years ago, and mild chronic obstructive pulmonary disease issues from a 30-year pack history of smoking. His last visit with you was over a year ago. Today, your registered nurse brings you a telephone triage call requesting a refill of his Crestor prescription, which was ordered by cardiology soon after his CABG. Per the electronic links to the cardiology service within your facility, the medication was due to be renewed about 2 months ago. His last lipid labs were a year ago and his last complete metabolic panel (CMP) was done at the same time. He was recently at the pulmonary clinic and his last recorded HgA1C was 9.0 from a visit to endocrine 4 months ago.

Review of records include a prescription for his hypertension (Lisinopril 20 mg daily), metformin 1,000 mg twice a day for his diabetes and no known medications for his pulmonary issues. The Crestor prescription appears to have multiple dosing levels over the past few refills.

His last vital signs were blood pressure 170/110 mm Hg, pulse 88, and respirations 22. His body mass index is 30 and he indicates a pain level of 4 out of 5. His pulse oximetry was 92% on room air.

1. How do you respond to this telephonic request?

2. What steps are required to get Jack’s therapeutic plan under control?

3. What is the role of the primary care provider in this scenario?  

Epidemiological surveillance data can be used to guide public health interventions, support funding, develop policy, and educate the community and specific populations in order to decrease burden. The purpose of this assignment it to analyze, interpret, and disseminate Morbidity and Mortality Weekly Report (MMWR) surveillance data to both technical and nontechnical audiences, and provide recommendations for public health action for a selected disease or heath issue using audience-appropriate language and information.

Select a MMWR health issue published within the past 5-10 years to disseminate data to a technical and nontechnical audience.  Select a technical audience, such as public health practitioners, clinicians and other health care providers, policymakers and other decision makers, and a nontechnical community group or target population. Provide the reason for the dissemination from the following, be specific, and provide details tailored to your data and health issue:

1. Educate about recent findings or accomplishments.
2. Elicit immediate action.
3. Solicit support or participation.
4. Justify program/prevention activities.
5. Prepare for an upcoming intervention or program.
6. Provide rationale to develop new policy or support current policy.

For the technical audience, create a PowerPoint presentation (10-13 slides)  to disseminate surveillance data from the MMWR report for a selected purpose using the slide headings outlined below. Include speaker notes for each slide. For your final slide, develop an educational “fact sheet” about the issue that is appropriate for a nontechnical community group or target population.

Add two additional slides for the Title and References slides.

Refer to Morbidity and Mortality Weekly Report (MMWR), “Introduction to Public Health Surveillance,” and “Data Dissemination” to assist you in completing this assignment.

PowerPoint Headings

1. Title Page: Include your health issue topic which identifies a specific technical and nontechnical audience and group member names.
2. Audience Appropriate Data Dissemination (1-2 slides): Explain the importance audience appropriate messages for data dissemination. Identify your health issue, technical and nontechnical audiences, and the reason for the dissemination
3. Data Collection (1-2 slides): Identify and describe a MMWR for a health issue and the data collection timeframe and methods.
4. Data Analysis (1-2 slides): Summarize the data and document the magnitude of the health issue using descriptive statistics (person, place, time), rates, include tables, graphs, maps, or charts.
5. Data Interpretation (1-2 slides): Summarize the report results and provide the implications for public health practice.
6. Recommendations for Action (1-2 slides): Provide recommendations or support for policy, policy development, funding for screening or implementation of an intervention or program to address the health issue. Include the factors (e.g., unique behaviors, exposures, or environmental factors) that contribute to the health issue that will be addressed.
7. Fact Sheet: Data Dissemination to a Nontechnical Audience (1 slide): On the last slide of your presentation, create an audience appropriate fact sheet that explains and brings awareness to the health issue and the steps in addressing/mitigating the health issue for a community group or population. Include both text and photos, images, or illustrations to make it eye catching and compelling.
8. Conclusion (1 slide)
9. References page

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and public health content.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MPH 2.1; MSN Public Health Nursing 6.2

Apply epidemiological methods to the breadth of settings and situations in public health practice.

Select a global health issue affecting the international health community. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues. 

Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.

For this assignment, please review the Case Scenario on page 112 and Case Scenario 1 on page 131 (Kersey-Matusiak, 2019). Reflect on your attitudes, beliefs, and practices as they apply to each case scenario. This assignment requires you to address your personal feelings about culturally and linguistically appropriate service and care for the terminally ill. Remember, answer these questions from your unique perspective, so there is no right or wrong response. You must address each problem.

For this assignment, create a 1250-1500-word essay based on the following case studies.

Read the following two Case Studies and answer the questions presented below.

1. Case Scenario: Mrs. Garcia is located in Chapter 6 on page 112.

Questions:

• Where are you on the Cultural Competency Staircase regarding this patient’s language and culture? How will you progress to the next level? (Review Chapter 1 and the Staircase Model in Kersey-Matusiak textbook).
• What knowledge do you need to have about this patient, including cultural/language needs, to provide this patient with culturally sensitive care?
• What would you personally do to address the needs of this patient?
• What resources do you need, and how would you obtain them?
• What cultural assessment model would you plan to use to assess this patient?
   

1. Case Scenario 1: Ms. Vera Talsford located in Chapter 7 page 131

Questions:

• Have you considered the significance of your death?
• Do you believe in life after death?
• Where are you on the Cultural Competency Staircase when caring for patients who are terminally ill? How will you progress to the next level?
• How comfortable are you caring for this patient and discussing issues related to her and her family’s death and dying process?
• What cultural information about the patient will you need to obtain culturally sensitive care during the EOL?
• What kinds of psychological, emotional, and spiritual support would you need if given a similar diagnosis?

Assignment Expectations

Length: 1250–1500 words; answers must thoroughly address the questions clearly and concisely.

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment. include brief introduction of the 2 case scenarios. include conclusion. summary of the 2 case scenarios.

References: Use the appropriate APA style in-text citations and references for all resources to answer the questions. Include at least three (3) scholarly sources to support your claims. Reference within 5 years from 2017.

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

1. Summary of teaching plan
2. Epidemiological rationale for topic
3. Evaluation of teaching experience
4. Community response to teaching
5. Areas of strengths and areas of improvement

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.