Evaluate one global burden of disease OR risk factor in the family population (pediatric, adult, or geriatric)

Instructions: Please choose one global burden of disease
and one population (adult, pediatric, or geriatric). Once the population is
chosen, find one evidence-based technology to help support the improvement of
outcomes in the global burden of disease chosen.

You are to
write a three-to-five-page paper in APA format 7^th edition with the
following sections and level 2 headings:

Introduction

-Brief overview of the
health of the population chosen

-Introduce the global
burden of disease OR risk factor chosen

-Importance of
improving the condition and its impact on quality of life

Global
Burden of Disease Condition/Risk Factor

-Describe the disease
OR risk factor chosen

-What signs/symptoms
are identified in the patient that can be found?

-How is it diagnosed
and treated?

Technology
and Healthcare

-Describe the paradigm
shift in healthcare related to technology 

-Elaborate how
technology can improve health outcomes in your population

Chosen
Evidence-Based Technology Use in Disease or Risk Factor

-Describe and
summarize the evidence-based technology identified that has been shown to
improve the condition or Risk Factor for your patient population chosen.

-Compare and contrast
the positives and negatives of using this technology use chosen.

Conclusion

-Recap points
discussed in the paper

-Importance of
advancements in technology

Optional
Resources:

https://www.thelancet.com/gbd/summaries

https://www.healthdata.org/research-analysis/library/what-global-burden-disease-gbd

Remember

The
Assignment must be free of plagiarism (0%). Do not copy-paste or
use a past students work as all files submitted in this course are registered
and saved in turn it in program. Copy-paste from websites or textbooks will not
be accepted or tolerated. APA, 7th ed. must be followed. Academic articles must include the 2020-2024 period,
bibliographic reviews prior to these years are not accepted. Please see College Handbook with reference to Academic
Misconduct Statement.

Example.

The following example can be followed by
you to carry out your assignment

                                                                 Community Health Project

The
management of pediatric healthy issues demand and effective plan to set
behaviors and responsibilities. This part of the project will offer a short
description of interest aggregate with a health concern related to adolescent
pediatric population. Several questions will be implemented to identify the
potential areas of strength and immediate need form this affected group.  

                                                               Selected Aggregate and Description

According to Vesco, Anderson, Laffel, Dolan, Ingerski, and Hood
(2010), the management of diabetic mellitus type one in adolescent population
requires a consistent health behavior and supportive approach from family.
These behaviors are influenced by the coordination between family, health
institution, educational institution, and community resources. Health
professional are involve in the observation of adolescent diabetes management
as well as the development of better community program to provide a reliable
guidance  according to this transitional
stage. According to Leifer (2011), management of diabetes mellitus must be
proportional between both parties (family and health professional), criteria
disagreement about how to perform a controlling disease task can affect the
improvement and understanding of the disease. For this reason communication
skills must be provided to the family to avoid conflicts around the task
management. Recent research probe an increase of the prevalence of diabetes
type one in children and adolescent in the last two years. This incident is
related with different inappropriate behaviors, such as weight management,
dietary habits, physical inactivity, and no conscious behaviors about insulin
management. To treat such risk factors an advocacy program must be reinforced
and created to decrease the incident of death and coma cases related with this
issue.

                                                                           Objectives and Hypothesis

The overall objective of this study was to determine the
feasibility and effectiveness of a

systematic intervention to foster a
supportive environment to address the nutritional and life style problems faced
by adolescents aged 12-19 years by making existing health services more
accessible to them and providing them education that will enable and manage
their life style and risk factors for obesity and diabetes mellitus.

Objectives:

1.     
Improve the knowledge and altitudes, reduce the risk
factor for adolescent obesity and diabetic mellitus

2.     
Improve the knowledge and altitudes; reduce adolescent
physical inactivity as a risk factor for obesity and diabetes mellitus.

3.     
Improve the life style of adolescent by providing
information about weight management at adolescent schools and out – of
school 

Hypothesis

1-     
The study shows a greater improvement of the adolescent
life style management as part of the community health program.

2-     
 Study show a
greater improvement in school education base in nutritional and physical
inactivity in reference to adolescent attitudes and behaviors

3-     
Study show an improvement of lack adolescent knowledge
and altitudes to prevent obesity and diabetes mellitus  

 

Aggregate Strength and Need Questions

One `of the question that helps us to identify a problem affecting
adolescent population is: “What does advocacy for adolescent children
mean?”  Advocate provides support to
nurse’s decision makers, and help to find an appropriate solution to manage the
health issue. The second question that will contribute to the conduction of the
advocacy plan will be:   “How health care
professionals advocate for diabetes type one adolescent?” Community nurses must
have a guideline to start the advocacy plan. This guideline must provide the
resources needed and knowledge to make such plan functional. The third question
able to expedite the project will be:  
“Which are the factors that can impede a development of a community
advocacy plan?” There are factors able to interfere with the development of the
plan; nurses must identify the basic needs of target population to achieve
planned goals and outcomes. Vesco, Anderson, Laffel, Dolan, Ingerski, and Hood
(2010), community program must include strategies according to the adolescent
transition stage to support the delivery of the information and implementation
of advocacy plan.

Aggregate Identification and Description

The study is conducted at Hialeah city. According to Johnson
(2010), more than 15% of adolescent population suffers diabetes type one
considering obesity as a main risk factor of such health issue. This urban area
include:  Hispanic restaurant, fast fatty
foods, and high schools holding more than four vending machines at the schools
containing high risk items affecting the adolescent health behavior. A lack of
educational strategies and dysfunctional guideline prevention program is also
identified as part of the aggregate on interest.

 

Christoffel’s Conceptual Framework

According to Stanhope and Lancaster (2010), Christoffel’s
conceptual framework, advocacy is related with three important stages. The
first stage is information, this stage makes focus into gather information
about a specific health concern, identify factors that contribute to the
extension of the problem, and barriers that impede an implementation of a
public health program. According to Johnson (2010), the data is collected from Hialeah
Florida statistics, which is reveals a 143028 cases thatrequire hospitalization
due to diabetes complications. Such report involves both high school seniors
and adult population. The major concern is about adolescent population, which
is show a more difficult adapted behavior to diabetes management. A search area
shows several commercial centers and a strong marketing cultural program that
affect the implementation of a diabetes prevention community health program.

            

According to Stanhope and
Lancaster (2010), a Strategy stage focuses into use the information obtained
from stage one and identify the most important population needs to improve a
current public health program. This stage will include the contribution of the
community, legislators, policies statement, and identified objective.  The application of this segment of
Christoffel’s framework will contribute to translate research findings to
health professionals, community school counselors and high school nurses to
create a partnership with interest into help the affected population. According
to Balcazar, Rosenthal, Brownstein, Rush, Matos, and Hernandez (2011), the
health care workers, and the community are considered a strong workforce that
will help to improve the public health. The major goal of this task force
activity is to develop an educational program to improve disease management and
preventive measures. An actual plan will be conducted to decrease the incidence
of adolescent diabetes mellitus at Hialeah city. Such plan will be submitted to
Hialeah representative and commercial centers to gain funds to support such
campaigned.

According to Stanhope and Lancaster (2010), in the stage three,
Action, the previous identified strategies will be implemented. A volunteer
community program will be developed in order to change attitudes and behaviors
toward the current public situation. Brochures will be design with appropriate
engagement according to target population. High schools interview and
in-services will be conducted to encourage healthy eating habits and avoid
physical inactivity. Evidence-base practice findings related with diabetes
management and prevention will be provided to supported institution to increase
the funds that will solidify the planned public health program.

Demographic Information

According to Hialeah
US Census Bureau. (2011), Hialeah
is a community that includes a total population of more than 200.000 of
habitants. From this amount of individuals a 48% are male, a 52% are females,
and both genders include a 10% of total population between 20 and 40 years, and
10% under twenty years. The population is very diverse but the highest
percentage involve a 93% of White Caucasian (containing white Hispanic), and
95% are Hispanic from different origins. It includes a larger Cuban population,
several fast roots for transportation, and two high schools attending Hialeah
community. One of these educational institutions has award recognition as a
best high school, according to United States News Report. In contradiction with
this finding, the statistic reveals a 7.4% of population speaking English, and 92%
of population speaking Spanish. The educational level is low, more than 75% of
the Hialeah community does not finish high school, and only 47% complete the
high school program.

According to Waters, Davis, and Mehmet-Radji (2007), the
adolescent population health surveys may face different challenges. Adolescent
show a rebellion behavior against the established norms, which may interfere in
the progress of the survey sampling method. In this project, a survey will be
conducted at both Hialeah high school center, the amount of the participant
will be according to each school grade. Example includes:  nine grade (386 students), ten grade (349
students), eleven grade (302 students) and 12 grade (128 students). This tool
will be developed by several multiple choice questions that will make easier
the implementation of this tool. Such survey contains questions that reveal
reliable independent information variable, such as ethnicity, sex, educational
level, and others. The survey reveals that a 92% of the students are Hispanic,
including 45% males, 55% females, and 87% that speak Spanish and difficult
English comprehension. This finding will affect the educational performance of
this group, which is decrease the educational level of both institutions.

Survey Questions

According to Waters, Davis, and Mehmet-Radji (2007), the
development of this survey will measure the level of comprehension of the
population and how much supported they feel as part of the community. Different
questions are included as part of the survey. Examples include:  “What does advocacy for adolescent means?”
Two multiple choice statements describing the meaning of advocacy will be
provided.  A 95% fail into answer this question
properly, which is probe the lack of knowledge of this group about public
health community support. The second questions will be “How the health care
workers advocate by adolescent children?” In this question a survey select all
that apply question format will be implemented, different methods used by
nurses to conduct an advocacy plan will be mentioned, the student must choose
at least two of them (including teaching). A 90% of the high school students
provide incorrect answers, which is show the poor health promotion program
developed by the institution. The third question is more related with the
barriers affecting the implementation of the advocacy plan. This question will
be formulated following multiple choice formats. Most of the students choose
language barrier and lack of knowledge affecting the understanding and the
application of such project. In order to improve the understanding of the
students another two questions will be added to the survey. For example:  “Are you consider yourself overweight?” and
“Which of the following do you consider a risk factor to develop a diabetes
mellitus?”A 35% consider themselves overweight and a 65% have being unable to
identify diabetic risk factor.

According to Healthy People 2020, (2012), the adolescent
transitional stage marked a significant transformation from adolescent into
adults. They face many life challenges as diabetic patients. One of the
challenges is peer pressure. This factor can affect the management of the
disease and led the adolescent to suffer serious consequences. For this reason
an important goals of healthy people 2020 is provide enough educational
material about diabetes to risk population as well as to improve the quality of
physical education at the school setting. Another important goal is to improve
the awareness of the adolescent community about the need for healthy weight,
and dietary management as well as the improvement of physical activity.
Following this goals different questions will be formulated. Examples
include:  “Do you think that diabetes
educational material will help you to prevent and manage the disease easier?”
and “Do you consider physical activity and weigh management important to
maintain yourself healthy.

A pre test was conducted to address the study of some dependent
variables like: identification of risk factors, knowledge, altitudes, and
management. The results reflex in 20% able to recognize risk factors, 38% show
lack of knowledge about life style management, 15% reflects inappropriate
behaviors toward to nutritional and exercises practices, and 40% of the
adolescent show dysfunctional management of diabetes mellitus risk
factors. 

Correlational Data

The spread of educational material will help to control, and
prevent the progression of the diabetes mellitus between adolescents. According
to the Bureau of Chronic Disease Prevention and Health Promotion (2012), in
Florida 9.5% of the population under age of 18 years suffer diabetic mellitus;
including a10.4% of male’s gender, and 8.7% of female’s gender. At Hialeah 2.5%
of the Hispanic population suffer diabetic mellitus in comparison with the
national score, which is reveals a 25.8 million proportional to 8.3% of the
total population between children and adolescent suffering diabetes mellitus.
According to the Bureau of Chronic Disease Prevention and Health Promotion
(2012),the percentage of obesity between 12 to 19 years has an increase of more
than triple in the last 30 years. The percentage of obesity in adolescent in
2008 reveals a five percentage of teenagers suffering overweight, which is
increase to 18.1% on 2011 in relationship with an increase of weight above the
95^th percentile for basal metabolic index (BMI). In the city of Hialeah
10% of adolescent is obese in comparison with the national score, this
percentage include a weight variance above or equal 95^th percentile
for BMI. From this 10% value a six percentage represent females and 14, 8% is
male in correlation with an overall score of 10.3%.

According to Healthy People 2020, (2012), the major cause of this
problem is potentiating for different factors. Example includes:  lack of knowledge and parental support into
provide a healthy diet, inadequate parents role model performance, poor school
weight management program and physical inactivity. This findings support the
goals planned for healthy people 2020 in to increase the awareness of
adolescent population about to assist to community programs about weight
management and avoidance of a sedentary life. The improvement of the physical
activity and the change of dietary behaviors will decrease the risk for
obesity, and the developmental progression of diabetes type one, and diabetes
type two among adolescent.

 

Diabetes mellitus is placed between the first seven causes of
death of United States. This chronic disease produces divesting results between
different age groups. People with diabetic mellitus will have a life expectancy
up to 15 years; they will be at risk for heart diseases by twice in comparison with
others chronic conditions and isa leadingcause of renal failure, peripheral
conditions, and acute blindness. Diabetes mellitus is more frequent in
pubescent. There are different factors that can precipitate the onset of the
disease, such asthe stress of the school, emotional, stress, and infections.
During poverty the sex hormones antagonist the insulin, which is may to
contribute to development of the disease. This paper will include the
interventions needed to meet project goals and outcomes as well as the
influences needed to enact the program. Two important reasons that probe if the
program would be or would not be cost effective will be described.

Diabetic Adolescent Outcome Goals

The main purpose of this community project is to reduce and manage
the risk for developing diabetes mellitus among adolescent population According
to Stanhope and Lancaster (2010), an effective program must be started with a
general program goal and then advance with the specific objective that will
support the accomplishment of the program goal. An outcome goal from this
project will be:  to decrease the
incidence of diabetic adolescent at Hialeah by implementing a dietary
counseling program in all high schools by the year 2012. The specific objective
for this goal will be as follows:  to
open a health fair program by providing dietary approaches to improve quality
of life of adolescent who have or are at risk of diabetes mellitus in all
Hialeah high schools between August and December 2012. An extra outcome goal
will be more related with the prevention and control of certain risk factors
associated with diabetes. For example: increase prevention behaviors in
adolescent at risk for diabetes by improving weight loss behavior by the year2012.
The specific objective to this goal will be: Increase the proportion of
adolescent at high risk for diabetes who report an increase of their level of
physical activity by providing an individual health behavior change activity
program in all Hialeah high schools between March and December 2012.

Interventions to Meet Planned Goals

According to Valen, Narayan, and Wedeking (2012), Hispanic
population needs new approaches to provide effective education and meet the
planned goals. This project has a special focus into reduce the risk factors
that led adolescent population to manage and prevent diabetes mellitus. The
implementation of health fair program will make more emphasis in the dietary
management of the disease.. This program will include different areas in
response to the following questions, such as “what foods will be able to
increase my weight and blood sugar?”       According
to Field-Berner, and Balgopal (2011), diabetic patient and patient at risk for
diabetes are found to have lack of knowledge about management, and prevention.The
answer previous question will be provided by the explanation and distribution
of approval material as brochures, and pamphlets following evidence-base
practice. The information will include the foods able to turn in blood sugar
(rice, fruits, and dairy products, honey, frosting foods, and others),
encourage to decrease the consumption of high fat diet (chips, crackers,
cheeses), and recommend the consumption of high fiber diet (whole grain,
vegetables, beans). Another area will be created when the students must be
weight and teach about how to calculate the body max index and what to do to
correct the overweight issue. This area will provide choices that will help the
adolescent to change unhealthy behaviors and incorporate physical activity
between their daily priorities. The high school student will have a free
screening test for detecting high blood sugar and hypercholesterolemia
supported by local hospital institutions.

Description of Resources to Adopt Program

According to Begley, Haddad, Christensen and Lust (2009), the
health fair program increases the education and awareness ofaffected
populationabout inappropriate health behaviors and disease management. The
implementation of a health fair volunteer program will be needed to achieve the
planned goals. This program will include a multidisciplinary approach of
severalforces, such as community including neighborhoods, and commercial centers.
Hialeah commercial center will provide samples of the food recommended to
adolescent to reinforce dietary healthy behavior as well as the providing of free
tickets to encourage adolescent to assist to different exercise community
program for a time of six months. This collaboration will introduce the
adolescent to a social network that will reinforce change of behavior and
better physical management.

According to Begley, Haddad, Christensen and Lust (2009), the health
fair program provides cooperating educational sessions that involve several
settings, institutions, health professionals, and the community. The
collaboration of more than three hospitals in Hialeah will support the
distribution of educational material about dietary management and physical
activity. The free diabetic screening will be implemented in coordination with
local health institutions, schools directors, and educational nurses. The
support of Hialeah legislator will be needed to carry out the project
successfully at the minimum cost. Legislator will reinforce the distribution of
educational material to Hialeah adolescent community and will provide a
sufficient budget to maintain this campaign for a period of two years. These
funds will cover all the equipment and items (lancets, glucometers, scales,
free designs, ect) needed to develop the plan as well as other extra expenses
needed to make effective the implementation of the project.

A post test was conducted after the campaign and 100% of the
adolescent population improves the life style management in comparison with the
maximum score 120%. The 100% of the population improve the knowledge about life
style management, 85% of the adolescent show improvement of altitudes toward to
nutritional and exercises practices, and 95% of the population shoe an
improvement in possible strategies to manage diabetes mellitus  

 

Two Cost Reasons

According to Begley, Haddad, Christensen and Lust (2009), the
health fairs have a tendency to use volunteer approach. For this reason the
cost will be low, and the program will have a short duration. The educational
material and health screening will be at little or no cost, which is support
the distribution of reliable information to the affected population at low
cost. The sponsors in charge to support medical screening will not be responsible
for covering the follow-up expenses is positive results are obtained but
appropriate direction will be provided it is needed. For these reasons health
fairs program is considered a cost-effective method to improve community health.

 

Conclusions

Health promotion concepts and strategies must be implemented by
health professional and not health professional population. The help of the
community will play an enormous role in to prevent, protect and manage certain
conditions that will raise level of public health. This part of the project
planned outcome goals to improve the quality of life of diabetic adolescent
community. The subject included a description of interventions needed to meet
the goals as well as the needed influences to adopt and implement the program.
The reasons explained why health fair is considered a low cost effective
program was described as part of this matter. 

 

 Reference

Begley, K., Haddad, A., Christensen,
C., & Lust, E. (2009). A health education program for undeserved community
youth led bt health professions students. American
Journal of pharmaceutical education, 73(6), 1-7.

Bureau of Chronic Disease Prevention
and Health Promotion. (2012). Diabetic Statistics. Retrieved from http://www.doh-state.fl-us

Feild-Berner, N., & Balgopal, M.
(2011). Knowledge is Power. Journal of
Science and Children, 49(3), 32-36.

Healthy People 2020. (2012). Diabetic
Adolescent Objectives. Retrieved from http://healthypeople.gov

Hialeah US
Census Bureau. (2011). People Quick Facts. Hialeah Florida Population
Information and Source. Retrieved from http://www.quickfacts.census.gov

Stanhope,
M., & Lancaster, J. (2010). Foundations
of nursing in the community: Community-Oriented practice. (3^rded.).
St Louis, MO: Mosby/Elsevier.

Valen, M., Narayan, S., &
Wedeking, L. (2012). An innovative approach to diabetes education for a Hispanic
population utilizing community health workers. Journal of Cultural Diversity, 19(1), 10-17.

Vesco, A., Anderson, B., Laffel, L., Dolan, L., Ingerski,
L., & Hood, K. (2010). Responsibility sharing between adolescent with type
1 diabetes and their caregivers: Importance of adolescent perceptions on
diabetes management and control. Journal
of Pediatric Psychology, 35(10), 1168-1177.

Winsett, R., Stender, S., Gower, G.,
&Burghen, G. (2010). Adolescent self-efficacy and resilience in
participants attending a diabetes camp. Journal
of Pediatric Psychology, 36(6), 293-296.