Select one of the public health issues that you described in the Week 1 (Obesity) assignment and explain how the ten essential services are addressing that issue in your community or state (Georgia). You should directly identify at least three of the ten essential services and show the relationship between the essential service and the public health issue. Present the information in 5–7 pages. Provide an overview of the issue, including the target population, the status of the public health issue, descriptive statistics, policy information, the involvement and role of key organizations, key activities, and any challenges that are related directly to addressing the issue.

Submission Details

 

10 Essential Services

Reference:

American Public Health Association. (2014). 10 essential public
           health services. Retrieved from http://www.apha.org/
           about-apha/centers-and-programs/quality-improvement
           -initiatives/national-public-health-performance-standards
           -program/10-essential-public-health-services

 

Assignment 2 Grading Criteria	Maximum Points
Provided an overview of the health issue and the target population with descriptive statistics.	20
Identified at least three of the ten essential services and explained the relationship.	20
Described the involvement and role of key organizations.	15
Discussed policy, key activities, and challenges that are being faced.	15
Presented a structured document free of spelling and grammatical errors.	10
Used at least five current references for support.	10
Properly cited sources using APA format.	10
Total:	100

 

Case #1

While seeing patients with your preceptor, you have the opportunity to meet a 46-year-old woman who presents for her yearly physical examination. Her medical history is notable for borderline hypertension and moderate obesity. Last year her fasting lipid profile was acceptable. Her mother and brother have diabetes and hypertension. At prior visits, your preceptor has counseled her on a low calorie, low fat diet and recommended her to start an exercise program. With her full time job and four children, she finds it difficult to exercise, and she eats out most of the time. She is 67” tall and weighs 213lbs today, no current medication, takes fish oil supplements when she remembers. She doesn’t smoke, only drinks juice or soda with each meal, 3-4 cups of coffee per day. Today: BP 145/95mm Hg, TC 230 mg/dL, LDL 132 mg/dL, HDL 38 mg/dL, triglycerides 240mg/dL, fasting plasma glucose is 177 mg/dL; HgbA1C is 8.4mg/dL. Her examination is notable for acanthosis nigricans at the neck but otherwise is normal.

1. What are your treatment goals for her?
2. What is your plan for drug therapy? 3. Please give five teaching points for each drug prescribed, use patient centered language.
3. Would you change your plan if her initial HbgA1C was 10.2mg/dL and her fasting blood glucose was 305mg/dL? If so what would be the alternative plan and what is your rationale? Case #2

MT is a 48 year old diabetic woman who presents with thickened, yellow toenails that are painful when she wears dress shoes. She also has some peeling of the skin on the soles of her feet. MT’s blood sugar levels are well controlled and last HbgA1C was 6.6mg/dL and fasting today 114mg/dL.  BP in office 120/84, P78, R 16, T 98.2, htg 66 inches, weight 165 lbs.  Medications are metformin 1000mg bid, Cimetidine 300mg tid, accupril 10mg po qd. Toenail culture comes back positive for fungus

 

1. List specific goals of treatment for her dermatological conditions?
2. What drug therapy would you prescribe and please explain your rationale.

1. Do you need to consider any monitoring before, during or after your therapy?

1. What are 5 patient centered teaching points for MT.