Assignment on Rheumatoid Arthritis

My topic is Rheumatoid arthritis

Project 2 Instructions/ Steps

Research information about your health outcomeand respond to theitemsbelow.

1.What is the name of your health outcome?

Rheumatoid arthritis

2.What is your age group of interest for this project?You can specify an age range or be more general, such as all ages, pediatric, adult, adolescent, etc.Your responses to the remaining questionnaire itemsmust be applicable to the age group you selected.

3.How is your health outcomediagnosedand/or determined? Be specific. For example, type 2 diabetes can be diagnosed by using a blood test called glycated hemoglobin A1C (also called \”A1C\”). Normal A1C is <5.7%; prediabetes is 5.7-6.4%; diabetes is 6.5% or more on two consecutive tests.

4.Does your health outcomehave a sub-clinical stage? Is so, what is this sub-clinical stage typically called and how is it diagnosed? For example,type 2 diabetes has a sub-clinical stage called prediabetes which is diagnosed by having an A1C measure of 5.7-6.4%.

5.What are three risk factors for your health outcome?

6.List three adverse health outcomes that results from your health outcome.

7.Is there a cure for your health outcomeand/or can the healthoutcomebe managed? Explain your answer by discussing the cure and/or how it is managed.

8.List at least three primary prevention strategies for your health outcome. If there are not three, explain why.

9.List at least three secondary prevention strategies for your health outcome. If there are not three, explain why.

Appendix A: SDM Health OutcomeQuestionnaire(page 2)

10.List at least three tertiary prevention strategies for your health outcome. If there are not three, explain why.

11.What is the incidence rate for your health outcome?

12.What is the prevalence rate for your health outcome?

13.What is the mortality rate for your health outcome?

Appendix B: SDM Visioning Process(page 1)You will use information from the SDM Health OutcomeQuestionnaire and basic skills/knowledge gleaned fromthe Homer & Hirsch paper and the instructor’s SDM demonstration to construct your SDM.The steps below are designed to guide you through the process.Thereis more than one correct answer.

 1.On the following blank page, construct the basic populationflows modelfrom non-health outcometo mortality..At a minimum, your basic population flows model mustcontain astock for each of the following: non-diseased/low-riskpeople, non-diseased/high-risk people, diseased people, mortality cloud. If applicable, include a stock for pre-diseased people, diseased/uncomplicated people, diseased/complicated people, and cured, recovered, in remission, or controlled people.Also include the flows (thick or double-lined arrows) between the stocks.

2.Identify leverage points in the flows by using either a circle or an hourglass icon.

3.Map out causal influences using thinner, single-lined arrows for risk factors, treatments, and prevention strategies: primary, secondary, and tertiary.Include plus (+) and minus (-) signs at the tip of the causal influence arrows to indicate a positive (increase flow) or negative (decrease flow)influence on the rate of people moving from one stock to another.

4.Using examples from your SDM, discuss the leverage points and causal influences where you think public health could achieve the greatestimpact if we were able to make changes in the system(changes in primary, secondary, and tertiary prevention). Explain your rationale for selectingthe leverage points and causal influences you discuss.Be sure to discuss incidence, prevalence, and mortality related to your health outcome

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