NURS 419 Population Focused Nursing
“Responding to Disease Across the Lifespan – A Chronic Disease Synthesis Paper” Assignment Guidelines
Point Value: 100 points
Purpose and Relationship to Course Objectives
The purpose of this assignment is to comprehensively study a disease or health concern across its lifespan, using the interventions model we are studying in class. As we have frequently discussed over the last several weeks, healthcare focuses primarily on responding to acute care issues, with much less emphasis focused on the prevention of the disease/health concern. Additionally, fragmented care, inadequate care coordination and discharge planning, short hospital stays and length of time spent with one’s primary care provider (PCP) have resulted in poor management outcomes and unnecessary re-admissions. This is made worse by not effectively addressing the social determinants of health and the resultant disparities experienced by the poor and vulnerable in our society.
Instructions & Guidelines:
1. Choose a disease or healthcare concern. It does not have to be a priority noted in your CHNA. You are free to choose any topic. Clear the topic with this instructor. I highly recommend you choose a topic identified in HP 2020 as it will be easiest to identify the gold standard(s) of care for the topic you have chosen.
2. Search and review all the available information regarding this disease/health concern.
3. Prepare a paper summarizing the following topics listed below (#4)
4. Content must include:
a. Introduction and identification of the healthcare concern (Also, why you chose this topic.)
b. Normal anatomy and physiology of the affected organ(s)
c. Pathophysiology/etiology of the disease
d. Incidence and prevalence rates (i.e. how many people have the disease)
e. Mortality rates – include age-adjusted data if available (i.e. how many people are dying from the disease)
f. Risk factors for the disease
g. Gold standard(s) for managing this disease across its lifespan (LHIs, or other goals – ex: A1c <7); HP2020 (or other credible sources)
h. Primary Interventions (Health Promotion/Disease Prevention)
i. Health Promotion
ii. Disease prevention (as applicable)
iii. Create a sample health education program – be specific – provide a content outline with goals, objectives and measurable outcomes (use template provided)
i. Secondary Interventions (Early diagnosis and prompt treatment to limit disability of the disease)
i. Risk Assessment & Screening (discuss known risk factors and who should be screened and when as a result), risk assessment, screening and invasive testing. Note: be specific…include values and implications – use evidenced based practice.
ii. Diagnosis (i.e. what criteria are used to diagnose this disease?)
iii. Treatment – be specific – how is disease/concern treated? Include diagnostic testing, pharmacotherapeutics, labwork, management protocols, etc.
j. Tertiary Interventions (Chronic disease management or “wrap-around care” program)
i. Discharge planning, follow-up, subspecialty referrals, meds, labs…..
ii. Patient education – Detail specifically what the educational needs are…
k. Conclusions – including what are the implications if we do not respond to this disease….both for the individual and the healthcare system
5. I highly recommend that you make an appointment with the NIU Writing Center for assistance in preparing this paper. I expect the paper to be in APA format and should be between 20-30 pages in length. Reasonably sized tables and diagrams may be used – but must be cited. Appointments can be scheduled by contacting the Writing Center at https://niu.mywonline.com