Advanced health assessment for patients and populations — d028 prfa

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The link 

Crab Apple Valley Communicable Outbreak Simulatio

This is the link to the outbreak scenario simulation.

Instruction see below 

A.   Create a multimedia presentation (suggested length of 22 slides) on your investigation of the outbreak scenario. You may use the attached “Crab Apple Valley Communicable Outbreak Simulation Multimedia Presentation Template.”

Note: While you need to create a presentation, you do not need to present it. 

Note: The multimedia presentation for this performance assessment should be uploaded as a separate attachment and should not be included in the e-portfolio or submitted as a link. 

B.   In your presentation, provide your presenter notes for each slide in the presentation, including the appropriate level of explanation, analysis, and discussion of the outbreak scenario.

C.   In your presentation, provide a title slide that includes each of the following components:

•   your name

•   the title of the presentation

•   title of course

•   instructor Name

•   the date the presentation was submitted

D.   In your presentation, provide a slide that includes an outline of the main topics that will be included in your presentation in the order they will be presented.

E.   In your presentation, describe the background of the outbreak scenario from part A by doing each of the following:

1.   Describe the key components of the case definition for the outbreak scenario.

2.   Explain the 10 steps used in the outbreak investigation and include an example for each step.

F.   In your presentation, discuss methods used to determine the existence and scope of the outbreak scenario.

1.   Discuss the active and passive surveillance methods used to identify cases in the outbreak scenario.

2.   Provide the number of suspect cases in the entire outbreak scenario.

3.   Provide the number of probable cases in the entire outbreak scenario.

4.   Discuss the mode of transmission for the outbreak scenario for both locations, including specific examples from the scenario.

5.   Discuss how the cumulative incidence can be utilized with the outbreak scenario.

6.   Calculate the cumulative incidence for the entire outbreak scenario.

G.   In your presentation, justify your study design choice to guide your analysis of the outbreak scenario by doing the following:

1.   Construct a purpose statement for your outbreak scenario research project.

2.   Describe the data collected for the outbreak scenario research project from parts F1 and F2.

3.   Present a screen capture of the outbreak plot that is clear and provides correct information.

a.  Analyze the significance of the epi curve.

4.   Analyze the significance of the incubation period of the outbreak scenario.

5.   Describe the differences between an endemic, an epidemic, and a pandemic.

a.   Discuss whether this scenario outbreak is experiencing an endemic, epidemic, or pandemic.

6.   Calculate the case fatality rate.

a.   Describe the significance of the case fatality rate.

7.   Calculate the primary and secondary attack rates.

a.   Describe how the primary and secondary attacks occurred.

H.   In your presentation, discuss the three measures of outbreak management for the outbreak scenario.

1.   Provide a rationale for the control measures that should be implemented in the outbreak scenario.

2.   Formulate a plan to disseminate information on the outbreak to other agencies and the public.

I.   In your presentation, reflect on your learning experience by responding to each of the following questions:

•   What do you know now about investigating an outbreak that you did not know before?

•   Based on what you have learned, what might you do differently if given the opportunity to investigate an outbreak?

•   In what ways can you apply the concepts you have learned to your current clinical practice?

J.   Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

This interactive simulation will provide you with valuable principles to use as an advanced practice nurse in your community. 

We hope you will learn information that you can apply in your organizations, transforming them into proactive facilities ready for any healthcare challenge in the future.  

This web-based activity is designed to enhance your knowledge regarding public health outbreaks.  

This activity will improve your ability to investigate collect and analyze epidemiological information and construct a plan to enhance safety for the community. 

Crab Apple valley is a city in the four corners area of the Western US., and is known for its independence and self-reliance. The Population of 125.000 is divided into Rural, suburban, and urban sections. The Rural area is comprised of farmers who grow apples and crab apples. The suburban area comprises local businesses, private houses, and townhomes with one Urgent care and several clinics, and a private medical office. The Urban section has apartment buildings, several large department stores, supermarkets, industry, and a community hospital that serves the residents. Manny symptoms, a 40-year-old farmer, just purchased a 100-acre apple orchard and farmhouse in the rural section of town. As he was more closely inspecting the property, he noticed many dirt mounds between the rows of trees. In the evening he discovered many tiny, red itchy bites on his ankles. He completed the inspection and returned to the farmhouse to manage the itching. Initially, he wiped them down with alcohol, then considering they might be chiggers rather than fleas, he took a bath in very hot water. No chiggers appeared.  

“chiggers are bugs so small you need a magnifying glass to spot them. They aren’t dangerous, but their bite can leave you with an urge to scratch.  Their favorite spots are moist, grassy areas like fields forests, and lawns. Chigger bites often show up in clusters around the waist or lower legs. Your skin may also turn red or have a hives-like rash. Chiggers don’t spread diseases. But too much scratching could cause more skin irritation or infection. If you think you’ve been around chiggers, take a bath or shower and scrub your skin with soap and water. Using hot water, wash your clothes and any blankets or towels that touched the ground. Then treat your bites with an OTC anti-itch cream.” 

Despite experiencing mild flu-like symptoms with a temperature of 100f on July 30th, he visited several farmer’s markets in the suburban area and three local markets in the city to investigate potential sales opportunities for his produce. There are approximately 120 Vendors and attendees at the farmer’s markets and another 80 among the three local markets. The following day he noticed discomfort in his groin, which spreads rapidly to other lymph node locations.  Several hours later, he began to experience breathing difficulty and a developing productive cough. Growing a bit more concerned about his symptoms, he called the neighbor who sold him the farm to ask for the name of the local medical provider. He decided to wait until the next day to ensure the symptoms persisted and avoid an unnecessary trip. Later that day, the neighbor called to ask how he was feeling. The farmer did not answer the phone.. The neighbor called again but assumed the farmer must have been asleep as he did not answer. The following morning the concerned neighbor knocked on the farmer’s door and peeked in the window when there was no response.. He observed the farmer lying motionless on the floor. He entered through the unlocked door and called Emergency Medical Service(EMS). EMS began resuscitation efforts and transported Manny to the local Emergency Room. All efforts were unsuccessful despite the 20-minute code. Seventy-three(73) of the local farmers market attendee and city produce purchasers had also presented to the Emergency Department with flu-like symptoms. Sixty-two ( 62)  required additional testing. All were very disturbed to hear that Manny was brought into the hospital in critical condition and did not survive. The next morning the EMS workers presented to the ED with reported flu-like symptoms, Lymph node tenderness, and cough. Give of those hospital employees in attendance during Manny’s code also reported experiencing the same symptoms(MD, RN. Respiratory therapist, X-ray tech, lab tech). By the end of the week, thirty-one(31) of the four hundred and eighty(480) employees manifested symptoms. The hospital had to take the next steps, but what were they? Furthermore, what was causing this illness? 

Ten-step approach to outbreak investigation. Identify surveillance team-> establish the existence of outbreak->Verify Diagnosis -> Construct Case definition-> find cases->Conduct research study->Evaluate hypothesis -> Implement Control Measures-> Communicate Finding-> maintain Surveillance. 

Hypothesis  

Independent Variable: Individuals attending the farmer’s market 

Dependent Variable: plague 

Measurable: Cumulative incidence  

Tested: elevated serum antibody titer (s) to Yersinia pestis fraction1 (F1) antigen  

Predict Outcome: individuals exposed will contract the disease 

State Theory: in clear, concise, and easy-to-understand language  

Remember to reflect on your learning experience by responding to these three questions: A what do you know now that you did not know before? 

B how would you envision your role as an outbreak team member if given the opportunity? 

C in what way (s) can you apply these concepts to your current clinical practice? 

Please provide constructive feedback on the outbreak scenario to help us generate continuous quality improvement. 

Cumulative incidence is calculated as the number of new events or cases of a disease divided by the total number of individuals in the population at risk for a specific time interval. Researchers can use cumulative incidence to predict the risk of a disease or event over short or long periods.  

***Individuals who have person-to-person contact with the plague at the farmer’s Market will contract the disease**** 

Total number of new cases/ population at risk per 100,000 or 1,000 

Residential area by Zipcode calculates the cumulative incidence for the individual zip codes and the total population of Crab apple valley and includes the information in your presentation. Enter the cumulative incidence value for each zip code and totals.  

Zip code 

Population size 

Outbreak from Crab apple valley  

Outbreak Golden Valley hospital 

Total plague cases reported from8/1/21-8/7/21 

Cumulative incidence  

92307 

25,000 

32 

10 

42 

 

92308 

10,000 

10 

15 

 

92309 

50,000 

13 

 

92310 

40,000 

12 

11 

23 

 

Totals 

125,000 

62 

31 

93 

 

 

AJM2 Task 1:
COMMUNITY OUTBREAK ASSESSMENT

College of Health Professions, Western Governors University

D028:Advanced Health Assessment for Patients and Populations

Sherri Cantey

2.21.23

(Important!)

You will have robust speaker notes for every slide except the References slide.

Presenter notes must be scholarly with full sentences and paragraphs. Do not use bullet points on your presenter notes.

Spelling, punctuation, and grammar must be accurate.

In-text citations must be included either on the slide or in the speaker notes.

Indent each new paragraph in the speaker notes.

Speaker notes should be in APA format. However, double spacing is not required.

When submitting the PowerPoint for evaluation, you must first save it to your desktop you must first save it to your desktop as a .ppt or .pptx document or as a .pdf file and then submit.  Do not submit a LINK to your PowerPoint as it will be returned for revisions. 

Use bullet points on the actual slides to highlight key information from speaker notes.

If pictures are used on the slides, and they are stock images from Word, they do not have to be referenced. Pictures that do NOT come from Word stock images will need in-text citations and a reference list entry.

1

TOPIC OUTLINE

Crab Apple Valley Communicable Outbreak.

Flu like symptoms.

KEY COMPONENTS OF A CASE DEFINITION OF AN OUTBREAK

Case Definition:

The case definition for this outbreak scenario is a 40 years old farmer who purchased a 100-acre apple orchard and farmhouse in the Rural section of town. The same day in the evening he noted tiny ,red, itch bites on his ankles.

Developed discomfort to his groin and lymph node tenderness and spreading rapidly toother lymph nodes with a few hours later he has Difficulty breathing developed productive cough.

STEPS OF THE OUTBREAK INVESTIGATION

Establishing a Team: A team of health professionals should be established to investigate the outbreak.

Collecting Data: Information should be collected on potential cases, including demographic information, symptoms and other relevant data.

Analysis: Data should be analyzed to identify patterns and possible sources of the outbreak.

Developing Hypotheses: Hypotheses should be developed about the source of the outbreak.

Evaluating Control Measures: Control measures should be evaluated to ensure they are effective.

Terminating the Outbreak: The outbreak should be declared terminated when the number of new cases has decreased to a certain level.

SURVEILLANCE METHODS

SUSPECT CASES

PROBABLE CASES

MODE OF TRANSMISSION

UTILIZATION OF CUMULATIVE INCIDENCE

CALCULATION OF CUMULATIVE INCIDENCE

RESEARCH PROJECT PURPOSE STATEMENT

DATA COLLECTION

OUTBREAK PLOT SCREEN CAPTURE

Describe the Significance of Epi Curve shown above

13

INCUBATION PERIOD

DIFFERENCE BETWEEN OUTBREAK TYPES

Discuss Outbreak type

15

CASE FATALITY RATE

Describe the significance of the case fatality rate

16

PRIMARY AND SECONDARY ATTACK RATES

OCCURRENCE OF ATTACKS

Describe how the primary and secondary attack rates occurred

18

OUTBREAK MANAGEMENT PRINCIPLES

Provide a rationale for the control measures that should be implemented in the outbreak scenario

19

DISSEMINATING INFORMATION PLAN

REFLECTION

• What do you know now about investigating an outbreak that you did not know before?

• Based on what you have learned, what might you do differently if given the opportunity to investigate an outbreak?

• In what ways can you apply the concepts you have learned to your current clinical practice?

21

REFERENCES

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