August 2021 – Page 2 – mystudenthelp

Denver Development tool

https://www.aafp.org/afp/2017/0701/p36.html

Please reflect on the use of the Denver Development tool in regards to a patient you saw during clinical hours.

What would this tool tell you about your patients?

Do you feel it is beneficial to the care of our patients to know where they are developmentally? Why or why not?

Do you think this tool is a benefit for patients and families?

What are some barriers to the use of this particular tool?

Do you feel any of your patients you cared for during in person clinical would benefit from additional resources based off of their developmental state? If yes, what resources would you recommend? If no, why don’t you feel that they would benefit?

Do you feel that there are better ways to assess development in our patients? Is there another developmental tool you feel is more appropriate? Which one and why?

You may use the How to Screen resource if you feel like you need additional help. Please site this in APA if you use it.

This should be 2-3 pages, in APA format, proper grammar/spelling/sentence structures.

An estimated 15% of children in the United States have at least one developmental delay, yet less than one-fifth of those children receive early intervention services before three years of age. Many barriers exist to implementing initial screening and referral, but screening tools can be easily incorporated into the workflow of the primary care practice with preparation. The use of a validated screening tool at regular, repeated intervals, in addition to physician surveillance at well-child visits, may improve early detection. Early intervention is effective in high-risk children and associated with improvements in cognitive and academic performance. Parent-completed tools are preferable to directly administered tools in the primary care setting because of time constraints. The most extensively evaluated parent-completed tools are the Ages and Stages Questionnaire and the Parents’ Evaluation of Developmental Status. Family physicians should be familiar with currently available screening tools and the limitations and strengths of these tools. Additional evaluations and referrals are recommended if screening suggests developmental delays are present.

The prevalence of any developmental delay is estimated at 15% in U.S. children three to 17 years of age.¹ Only 3% of all children received public early intervention services by three years of age in 2014.² The percentage of school-aged children receiving public intervention services reaches a peak of 12.5% between the ages of nine and 12 years.² Risk factors for developmental delay include male sex, lower socioeconomic status, perinatal risk factors, and lower level of maternal education.¹^,³^,⁴ Table 1 indicates the prevalence of delays in specific domains such as cognition and language.⁴^,⁵ Identification of developmental delays and their etiology allows for the implementation of interventions and treatment plans specific to the disorder.

Culminating Experience – Part 1 | Personal/Professional Mission

Culminating Experience – Part 1 | Personal/Professional Mission Statement and Core Competencies in Public Health

Los Angeles Pacific University

PUBH 690

Culminating Experience: Part 1

My mission statement is to always provide best health care services to the patients and uphold professionalism through dynamic learning. My career goal on the other hand is to ensure that I become a recognized and respected public health officer in the entire public health sector. From my mission statement, providing the best health care services to the patients integrates the competency of patient care. To be able to competently offer best services as a public health officer, I need to take the patient preferences and safety into consideration. Practice-based learning and improvement is also integrated in the case where I will have to be dynamic with the different changes in the public health sector so as to be recognized and respected in the sector (Davies, 2014).

Scabies outbreaks have been very frequent in assisted living facilities as well as nursing homes in Los Angeles county. The main reason may be attributed to the fact that there may sometimes be overcrowded. Another factor that may be associated with the frequent outbreaks may be the fact that staff and the residents of these facilities live in close proximity. Scabies can be transmitted through different means. It can be transmitted from one person to another through direct contact of the skin through parasites known as spider mites. The spider mites burrow into the skin and lay their eggs under the skin (Webber and C.A.B. International, 2020).

Other ways that scabies can be transmitted is through equipment or clothes in case of clustered scabies. In the case of nursing homes and assisted living facilities, crusted scabies is more frequent as it is frequent on the elderly due to their lowered immune systems. The crusted scabies is more contagious as they form large crust of sin that easily falls off and can survive for up to three days (Webber and C.A.B. International, 2020). If a person comes into contact with the crusts in that timeframe they can get infected and later on transmit to others and eventually becoming an outbreak.

The study will be conducted using evidence-based practice (EBP). The reason for choosing this approach for the study is because of its benefits and the results that are projected. Evidence-based practice (EBP) has been described as best when it comes to problem solving goals. The approach also incorporates best clinical practices that are obtained from studies and clinicians experience (Davies, 2014). The approach also adopts conscientious approach on the expertise of the clinician, patient values and inclinations to produce improved clinical outcomes and patients’ safety (Howlett, Rogo, and Shelton, 2021).

The study will focus on the elderly population in nursing homes and other people in assisted living facilities. The reason to target this population is to be able to find out what their values are as well as their different preferences. The study will also help in understanding their experiences in the different facilities in order to understand what they face on a daily basis and how to improve their health.

The study is still in the planning stage and it will be implemented by the end of the year after completion of the necessary preparations. The possible methodology for the proposed study will be prospective observation research for the target population. In earlier review, institutional outbreaks and mainly outbreaks in residential care facilities for the elderly and even hospitals showed a median infection rate of 38%. The outbreaks were recorded to persist for longer periods. For all the infections on scabies, 83% of the patients were recorded to have crusted scabies (Cassell et al., 2018). The review also showed that many people accounting for 51% of the people that had scabies were asymptomatic.

The core competencies that align with my Culminating Experience emanate from Master of Public Health (MPH). The core competency that go with public health would be Socio-Ecological & Behavior Health Core Competencies. The ultimate goal of any health care practice is to promote health, well-being and safety of the patient. The study for scabies will help in understanding the problems that the patients are going through and be able to work towards making their lives better. Scabies is one of the diseases that can make the patients suffer and live unhealthy lives and this artifact will help promote patient safety.

My concern on the frequent outbreaks in these facilities is very high. The reason am concerned is because scabies is a preventable disease and it should not be left to infest the elderly and other people in assisted living and leave them suffering.

References

Cassell, J., Middleton, J., Nalabanda, A., Lanza, S., Head, M., & Bostock, J. et al. (2018). Scabies outbreaks in ten care homes for elderly people: a prospective study of clinical features, epidemiology, and treatment outcomes. The Lancet Infectious Diseases, 18(8), 894-902. https://doi.org/10.1016/s1473-3099(18)30347-5

Davies, J. (2014). Nursing & Health Survival Guide: Evidence Based Practice. Taylor and Francis.

Howlett, B., Rogo, E. J., & Shelton, T. G. (2021). Evidence based practice for health professionals: An interprofessional approach. Burlington, MA : Jones & Bartlett Learning.

Webber, R., & C.A.B. International. (2020). Communicable diseases: A global perspective. Wallingford, Oxfordshire; Boston, Massachusetts: CABI, Boston, Massachusetts: Credo Reference.

Culminating Experience

Assemble your final paper to include all identified areas of your Culminating Experience:

Abstract (Overview): Provide an overview describing your Culminating Experience, and address the following:
- Key points about the who, what, when, where, why, and how of your Culminating Experience.
- Strong problem statement.
- Discussion of target population(s).
- Description of the public health function (agency or organization).
Introduction/Background: Provide background information of your Culminating Experience, include the following items:
- Description of public health issue.
- Discussion of history and context for health issue.
- Literature review.
- Description of the epidemiologic burden of public health issue as well as its impact on the greater population.
Methodology: Provide information regarding the methodology of your Culminating Experience, include the following items:
- Description of the population demographics.
- Additional details about the organization/agency as it relates to the Culminating Experience.
- Description of instruments/tools (i.e., surveys, etc.) that are used by the organization.
- Description of how the organization achieves its mission, vision, and goals.
Conclusions and Statement related to the Vision of the MPH Program: Summarize your Culminating Experience conclusions and your own professional outlook, including the following items:
- Critical analysis of your Culminating Experience and/or accomplishments related to the Culminating Experience.
- Discussion of the potential immediate and long-term of impact on the target population.
- Implications of professional experience on public health practice.
- Statement connecting the Culminating Experience to the Vision of the MPH Program:
  - Vision: Through a Christian worldview, educate students to strategically address the health needs of populations from the individual to the global level using a variety of health promotion and education strategies.
  - Education is competency-based in order to comply with current national efforts to improve the quality and accountability of public health training programs.
6 Tenets of being a Public Health Ambassador
- Christian-worldview
- Honesty
- Resiliency
- Integrity
- Servant-Leadership
- Transformation

Requirements

Citation Requirements: 10 references minimum for the Introduction/Background
- Word Count:
  - Abstract (Overview): 150-200
  - Introduction/Background: 300-350
  - Methodology: 200-250
  - Conclusions and Statement: 300-350
- APA Formatting

Assemble your final paper to include all identified areas of your Culminating Experience:

Abstract (Overview): Provide an overview describing your Culminating Experience, and address the following:
- Key points about the who, what, when, where, why, and how of your Culminating Experience.
- Strong problem statement.
- Discussion of target population(s).
- Description of the public health function (agency or organization).
Introduction/Background: Provide background information of your Culminating Experience, include the following items:
- Description of public health issue.
- Discussion of history and context for health issue.
- Literature review.
- Description of the epidemiologic burden of public health issue as well as its impact on the greater population.
Methodology: Provide information regarding the methodology of your Culminating Experience, include the following items:
- Description of the population demographics.
- Additional details about the organization/agency as it relates to the Culminating Experience.
- Description of instruments/tools (i.e., surveys, etc.) that are used by the organization.
- Description of how the organization achieves its mission, vision, and goals.
Conclusions and Statement related to the Vision of the MPH Program: Summarize your Culminating Experience conclusions and your own professional outlook, including the following items:
- Critical analysis of your Culminating Experience and/or accomplishments related to the Culminating Experience.
- Discussion of the potential immediate and long-term of impact on the target population.
- Implications of professional experience on public health practice.
- Statement connecting the Culminating Experience to the Vision of the MPH Program:
  - Vision: Through a Christian worldview, educate students to strategically address the health needs of populations from the individual to the global level using a variety of health promotion and education strategies.
  - Education is competency-based in order to comply with current national efforts to improve the quality and accountability of public health training programs.
6 Tenets of being a Public Health Ambassador
- Christian-worldview
- Honesty
- Resiliency
- Integrity
- Servant-Leadership
- Transformation

Requirements

Citation Requirements: 10 references minimum for the Introduction/Background
- Word Count:
  - Abstract (Overview): 150-200
  - Introduction/Background: 300-350
  - Methodology: 200-250
  - Conclusions and Statement: 300-350
- APA Formatting