NRS 428 Epidemiology Paper Assignment

NRS 428 Epidemiology Paper Assignment

NRS 428 Epidemiology Paper Assignment

Descriptive epidemiology explores the risk factors of a given disease through a narration of the people, place and time. In the field of nursing, the analysis of people is of utmost paramount as it defines the population at-risk of a given condition (Naito, 2014). In Part One of this study, the role of descriptive epidemiology in nursing science was elaborated using a specific example of tuberculosis (TB). However, the descriptive analysis of the health issue explored in Part One remains incomplete as the depth of the data about the condition is inadequate. Essentially, it is imperative for Doctor of Nursing Practice (DNP) nurses to understand and identify the at-risk populations in nursing science (Hong et al., 2018). The premise guides in the development of an intervention plan in order to improve the overall health outcomes for the selected population group. As such, the present research delves into a description of the at-risk population with regard to TB infections in the United States of America. Moreover, the article explores how the selected population can be affected by nursing science and potential barriers arising from a given health promotion strategy. The excerpt also identifies stakeholders and potential agencies that can collaborate to provide a health solution on the spread of TB for the identified at-risk populations.

An Existing At-Risk Population

At-risk populations are people vulnerable to a given health condition related to inequalities in access to quality care. The individuals may be disenfranchised to quality health services due to their economic status, race, level of education and geographical location. One of the outstanding goals for the Healthy Population 2020 is to eliminate health disparities among the at-risk populations (Salinas, 2016). In order to address the inequities in quality care, the DNP needs to identify the population at risk of a given health issue and therefore familiarize themselves with the prevalence rates within the selected area. Besides, the DNP needs to identify specific distinctions regarding the health status of the selected population groups in order to assist in the formulation of an intervention plan.

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In the United States of America, the distribution and the magnitude of occurrences of different ailments are determined by the at-risk populations. Occasionally, the immigrant populations, the poor, the elderly and the sick comprise a majority of the at-risk populations in the US (Scott et al., 2015). Tuberculosis can be included as one of the infectious diseases that disproportionately affect different populations in the United States of America. Particularly, the vulnerable populations readily affected by the condition are differentiated based on the immigration status, geographical location, race and income status (Ai et al., 2016). Specifically, a high risk of transmission of TB is prevalent among migrants, displaced populations and injecting drug users. Besides, itinerant people and homeless populations bear the brunt of TB infections in the United States of America.

A high prevalence of TB occurs among the migrant populations and refugees especially among people from economically deprived countries. Particularly, the condition has a disproportionate impact on immigrants from Africa, Asia, and the Caribbean. These populations may encounter instances of social exclusion, disrupted social networks as well as reduced access to quality health care (Norheim et al., 2017). Besides, lack of trust, respect or understanding of the immigrants in the non-native countries affects the health-seeking patterns of this population hence they become vulnerable to infections such as TB. In 2017, the United States of America recorded the lowest rates of TB in which 2.8 per 100,000 people were reported. However, within the same year, 70% of the TB cases were diagnosed in non-native populations migrating in the country (Hong et al., 2018). According to the World Health Organization data of 2015, different immigrant populations recorded a varied number of individuals infected by the TB condition per 100,000 people. The Philippines recorded the highest at 322 while India had 217 people with the infection. Viet Nam had 137, Korea recorded 80 and China reported 67. Ecuador had 52 while El Salvador and Honduras recorded 43 each (Tibebu & Hebo, 2019). Immigrants from Guatemala had 25 people infected with the condition while Mexico recorded the least number at 21 individuals per 100, 0000 people.

The prevalence of TB is high among the displaced populations in the United States of America. The rates account for about 56% of the total infections of the condition. Displaced populations from Asia, Africa, and Latin America accounts for the highest incidence rates of the infection among the displaced populations (Salinas, 2016). TB cases among the homeless people are 20 times higher when compared to the infections among the general populations.

According to the Federal government Healthy people 2020, The SDOH is defined as “the conditions in the environment in which people are born, learn, live, play, work, worship, and age that affect a wide range of health, functioning, and quality of life outcomes and risks”. The Social Determined of health (SDOH), which affects the family health status, according to the assessment and interview, conducted on topic 2, identified the individual domain as an environmental factor affecting his Health.

The SDOH contributing to the family’s health status are conditions that make up our social, economic, and physical environments. The impact not only affects our physical health but also can have a major

influence on a person’s mental health and their misuse of alcohol and their family and quality of life.

The SDOH can be categorized into 5 domains

Neighborhood and built environment

Health and Health care

Social and community context

Education Access and Quality

Economic stability

NRS 428 Epidemiology Paper Assignment

Exposure to adverse SDOH factors can increase the level of stress experienced by individuals, which can raise the risk of experiencing mental health issues, and substance use problems, like alcohol abuse, these are some of the issues that are prevalent in this individual identified by our evaluation assessment. The reason these factors are prevalent is because of the environment the family is exposed to.

Based on the information gathered through the family health assessment we recommend the appropriate screenings for each family member begin at an early age, children are sometimes exposed to traumas like divorce, Neighborhood violence, alcohol or substance use by family, for example, and are disproportionately exposed to trauma likely to be vulnerable to substance use. However, exposure to adverse events during childhood is associated with an increased likelihood of developing mental health conditions and substance and alcohol abuse disorders in adulthood. Children living in poverty and racial and ethnic minorities are more likely to experience adverse childhood events, children with parents with mental health conditions also are more likely to develop mental health conditions, same with alcoholic parents, children are more likely to become alcoholics Lindsey M, (2020).

The health plan I choose for our individual plan of action will be a prevention model that initiatives focus on implementing coordinated strategies across different sectors in neighborhoods with social, economic, and environmental barriers because that leads to poor health outcomes and health disparities. Prevention improving the educational, economic, and health outcomes of the community through a broad range of family-based, social service, and health programs ODPHP, (2020

According to (PMC, 2020). Family-centered health promotion is a promising strategy because the family unit is both, a resource, and a priority group needing preventive services across the life course, growing numbers of successful efforts, family health systems are underutilized in health promotion practice, lacking, and hampering the collection of robust evidence of family health. Family unity plays a significant role in maintaining health and preventing disease because members may support and nurture one another through life stages and over time. According to “The family’s capacity to nurture, care, protect, teach, and influence throughout the life course makes it an effective entry point in the promotion and maintenance of individual and collective health and a vital component for public health practice.” The strategies of communication will be used with channels that can allow health messages that change people’s lives with interpersonal, small group, or community groups, Health communication strategies aim to change people’s knowledge, attitudes, and/or behaviors, for example:

Increase risk perception

Reinforce positive behaviors

Influence social norms

Increase availability of support and needed services

Empower individuals to change or improve their health conditions. (RHIH,2022).


“The family or household setting is the natural place where many health behaviors, good or bad, are developed, maintained, and changed. Preliminary research confirms that family-oriented health promotion and disease prevention are promising strategies because the family unit is both a resource and a priority group needing preventative and curative services across the life course. Furthermore, there are growing numbers of successful efforts, family health systems are underutilized in health promotion practice.” RHIH, (2022).

NRS 428 Epidemiology Paper Assignment Social Determinants of Health that Contribute to the Development of HIV/AIDS

The social determinants are factors influencing the risk of transmission of HIV/AIDs disease. Social activities influence the spread of the disease significantly and that is why community behavioral modification campaigns are developed to promote healthy lifestyles among people. The rate of transmission of the disease varies from one social setting to another due to various reasons. The social determinants for HIV/AIDS include sexual violence, gender inequality, marital status, migratory behaviors in search of employment, geographic locations, and stigma related to HIV/AIDS and legal status (Laurencin et al., 2018). Also, promiscuity is linked to the high spread of the disease. Victims of sexual violence such as rape are also most likely to contract the disease and that is why they must be tested. The incidences of HIV/AIDs cases among the victims of rape and sexual violence are high and this could be because the perpetrators of the crimes are sometimes influenced by the desire to revenge. Exploring social factors is important in the fight against HIV/AIDS because it focuses on reducing risky behaviors and promoting responsibility among the populations.

Assessment Description

Communicable Disease Selection

  1. Chickenpox
  2. Tuberculosis
  3. Influenza
  4. Mononucleosis
  5. Hepatitis B
  6. HIV
  7. Ebola
  8. Measles
  9. Polio
  10. Influenza

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Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.

Epidemiology Paper Requirements

  1. Describe the social determinants of health and explain how those factors contribute to the development of this disease.
  2. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
  3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?
  4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.
  5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.
  6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance.


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Epidemiologic Triangle as it Relates to the HIV/AIDS

The epidemiological triangle focus on the relationship between the host, agent, and environment. The triangle also helps in guiding the prevention measures. In this case, reducing the interaction between the agent, the host, and the environment. In this case, the agent refers to HIV which is a pathogenic micro-organism. The virus targeted the human CD4 cells and this means eliminating the receptors for the viral attachment into the host could reduce the infection rate. The host in the triangle refers to human beings. Human beings harbor the virus in their system (Bandera et al., 2018). Human beings act as carriers for the virus and they can spread it through sexual intercourse and blood transfusion among other methods as discussed above. The transmission and spread of the virus entirely depend on human behavior. Finally, the environment refers to the environmental factors facilitating the spread of the virus. Some of the factors include social pressure, lack of adequate healthcare system to create interventions for the vulnerable groups, and the increasing poverty rates in some areas that lead to prostitution or increased sexual activities for income.

Education and awareness creation are important tools for fighting the spread of HIV/AIDs. Education and awareness create consciousness among the population to avoid social activities that could predispose them to the disease. On the other hand, it also helps in preventing unwanted behaviors such as stigmatization which reduces the willingness of the people to go for screening and thus increases the risk of transmission. Lack of screening is associated with high transmission and spread of the disease by people who may not know that they have the disease. Other preventive measures have always included abstinence from sex and adherence to antiretroviral drugs.

Role of the Community Health Nurse in the Management of HIV/AIDS: NRS 428 Epidemiology Paper Assignment

Community health nurses play critical roles when it comes to the management of HIV/AIDS. Their involvement in the intervention processes aids in stopping the spread of the virus and subsequent reduction in the number of cases across different regions. Community health nurses facilitate case findings, data collection processes in the research processes to identify the required interventions, and follow-ups to determine the effectiveness of the required interventions. Win the increasing cases of HIV/AIDS; there is always the need for research processes that can help in the development of the epidemiological triangle; these studies require the intervention of the community health nurses, epidemiologists as well as other healthcare professionals (Bandera et al., 2018). Community health nurses play critical roles when it comes to the management of different complications associated with HIV/AIDS. In their process of engagement with the infected persons or victims, they often tend to enhance case findings, case reporting, data collection, and analysis, NRS 428 Epidemiology Paper Assignment.

Demographic data are critical for the health of the community. They enhance the research processes aimed at establishing effective research processes. The demographic data can establish the trends or rates of HIV/AIDS infections. Demographic data are often used to develop epidemiological methods for disease surveillance to determine the critical hazards associated with the disease. Demographic data are also used in the studies to identify the risk factors that may represent the critical control points in the management of HIV/AIDS.

Agencies Involved in Addressing HIV/AIDS-NRS 428 Epidemiology Paper Assignment

The agencies involved in fighting HIV/AIDS establish measures and protocols to reduce the spread of the disease. One of the agencies involved in addressing HIV/AIDS is the USAID (U.S Agency for International Development). The agency was established in 1986 to support the PRPFAR programs in more than 100 nations (Bandera et al., 2018). The agency is involved in the management of HIV/AIDS programs by targeting vulnerable populations or those at high risk of being infected by HIV/AIDs.

The agency offers support to the HIV/AIDs programs to various nations. They set goals for the various nations to eradicate the disease and improve adherence to the people on medications. The agency focuses on strengthening the primary healthcare systems to prevent and enhance the management of HIV/AIDS (Bandera et al., 2018). Furthermore, through constant research, the agency establishes new measures of reaching more populations in terms of screening and curbing the spread of the disease. Various agencies work together to achieve a synergized outcomes on fighting HIV/AIDs and promoting positive behavioral patterns among the populations.

Global Implication of HIV/AIDS: NRS 428 Epidemiology Paper Assignment

The impact of HIV/AIDs is wide-reaching. There are currently many orphans in the world courtesy of the HIV/AIDS disease. Therefore, the analysis of the burden of the disease should focus on both the social and financial impacts. It is estimated that about 770,000 people died of HIV/AIDS disease in 2018. The statistics show that many people have died over time and the number of people left as orphans is high. The majority of the orphans tend to be dependent and this shows that HIV/AIDS creates a significant economic crisis.

According to (Bandera et al., 2018), 1.7 million new infections new cases of HIV/AIDs have been reported this year with many families being destabilized due to death. For example, in cases where a family loses their breadwinner to the virus, their living conditions change significantly. Therefore, high incidences of HIV/AIDS are linked to high poverty levels.  Furthermore, government institutions have to spend a lot of money on HIV/AIDS drugs, screening, and health promotion. Besides, it takes a lot of resources to manage the complications arising from the infection.

The rise in healthcare costs is always addressed by developing measures aiming at reducing the spread of the disease among the populations. While many organizations donate funds to fight the disease, such measures may not be sustainable as many resources could be lost in the process. Therefore, reducing the spread of the infection is the main target in the minimization of the costs incurred in the health sector. Various foundations have been established include the Bill and Melinda Gates Foundation which supports many people living with HIV/AIDS in Africa (Bandera et al., 2018). HIV is endemic in some regions due to poor cultural and social practices. Statistics indicate that the disease is becoming endemic in sub-Saharan Africa, with an estimated prevalence rate of 12%; this is higher than the global prevalence rate of 5%.

NRS 428 Epidemiology Paper Assignment Conclusion

The Human Immunodeficiency Virus (HIV) affects many populations globally both directly and indirectly. The disease is mainly transmitted through sexual intercourse, though, people may also contract it through blood transfusion and sharing sharp objects with infected individuals. Early diagnosis is key in reducing the spread of the disease since people initiated on ARTs develop low viral load which has a lower infectivity rate. Furthermore, the efforts directed to fight the disease should be guided by epidemiological information; more efforts should be directed to the endemic regions. Creating awareness and educating the public on the burden of HIV/AIDS disease is important in its eradication.

NRS 428 Epidemiology Paper Assignment References

Bandera, A., De Benedetto, I., Bozzi, G., & Gori, A. (2018). Altered gut microbiome composition in HIV infection: causes, effects, and potential intervention. Current opinion in HIV and AIDS13(1), 73-80.

Labrique, A. B., Vasudevan, L., Kochi, E., Fabricant, R., &Mehl, G. (2016). eHealth innovations as health system strengthening tools: 12 common applications and a visual framework. Global Health: Science and Practice1(2), 160-171.

Laurencin, C. T., Murdock, C. J., Laurencin, L., & Christensen, D. M. (2018). HIV/AIDS and the African-American community 2018: a decade call to action. Journal of racial and ethnic health disparities5(3), 449-458.

Epidemiology Paper – Rubric

Epidemiology Paper-Chicken Pox

Chicken Pox is among one of the viral diseases that are highly contagious and prevalent among children. The condition is also referred to as Varicella and its early symptoms include the development of papule and vesicles accompanied by fever.  In the early years of the disease, scientists were unable to differentiate between chicken pox and small pox until in the 19th century. By the end of the 16th century, Italian scientist Giovani Fillipo describe the first case of chicken pox.Further research work was conducted and in 1767 William Heberden came up with the differentiation between chicken pox and small pox (Presti et al., 2019). After conducting more research, Von Bokay concluded in 1875 that chicken pox is highly contagious due to it causative agent. In his studies, Bokay also made an observation in 1909 that helped in the differentiation of the two diseases. In 1954, Thomas Weller first isolated the causative agent of chicken pox. The first attenuated vaccine of the disease was developed in 1972 by Michiaki Takahashi. The purpose of this paper is to discuss the epidemiology of chicken pox.

Description of the Disease

The disease is caused by a highly contagious virus, varicella zoster (VZV) that is air-borne. The virus can be spread from an infected person to other people through the droplets from coughing or sneezing that are inhaled by the uninfected person. The virus particles are transmitted when uninfected person comes into contact with the viral particles shed from the patients or through inhalation of contaminated air (Yu, Ashworth, Hughes, & Jones, 2018). There are other unlikely means like sharing items with an infected person and the items were in contact with the open blisters on the patient. Individuals who have never contracted the disease and have not been vaccinated are at a greater risk of contracting the disease. Virology experts consider the VZV to be spread within one to two days upon the blisters from the infected person burst open, however, the incubation period is about 14 to 16 days upon which the symptoms become visible (Presti et al., 2019). The initial stages of disease are characterized by cold-like symptoms of sore throat, fever, running nose and malaise.

The major onset of the major symptoms of disease is marked by the development of the red spots from the trunk and scalp region, and then they spread out to other parts of the body. Red spots also affect the mucus membrane and would be seen spread out in the mouth and also along the nasal cavity. The red spots develop into vesicles that have the shape of a teardrop and within a period of eight hours, they turn into crusty lesions (Gray & Cathie, 2019). Newly formed spots with continue with the development as the old ones dry off and disappear. Research findings reveals that it takes about five days for the development of the new lesions to cease but the crusts take up to twenty days to disappear from the body.

Furthermore, the disease is characterized by an irresistible urge of itching that causes the patient to scratch the vesicles hence increased risk of developing cellulitis. It is a skin condition caused by bacterial infection (Cassidy and McBrien, 2019). There are other symptoms such as inflammation of the brain tissue, death of the soft tissue of the skin, sepsis and a streptococcal infection associated with Reye Syndrome. These additional symptoms are only common to patients who have a weakened immune system. In most of the cases, the diagnosis of the disease is based on the observable symptoms such as fever and a rush. However, additional confirmatory test can be carried out by taking a specimen sample from the lesion and it is cultured for a period of five to ten days.

The treatment of chicken pox is focused on managing the symptoms associated with the disease. The symptoms to be managed include the fever and the itchy rushes on the skin. This treatment model, aims at helping the patient alleviate the discomfort of the symptoms as they might take longer than expected if not treated. It naturally takes about two to three weeks for the symptoms to disappear. The pruritus symptoms are managed by taking antihistamine drugs like Benadryl or Atarax (Shin et al., 2017).  The blisters are managed by using a wet compress. NSAIDS such as ibuprofen or acetaminophen are used to relieve the fever.

Additionally, given that the causative agent of the disease is a virus, the disease can further be managed by use of antiviral agents such as acyclovir and Val acyclovir. These pharmacological agents, help in healing process as they reduce the incubation period. The use of these agents is recommended immediately after being infected, to increase their efficiency and effectiveness (Duncan, 2019). The treatment program should also include adequate use of electrolytes to ensure that the patient is well hydrated. Moreover, hygiene is also considered a priority in the management of the disease. One should keep short nails and take frequent baths to keep the whole body clean.

The vaccine for chicken pox, Varivax, was developed and approved by the FDA in 1995. The vaccine has been used for many years and it is believed to have a 90 percent. The vaccine efficiency is low in children of age less than a year (Reisinger et al., 2019). The patient develops mild symptoms of chicken pox after receiving the Vivax vaccine, hence proving the effectiveness of the vaccine against the VZV. It is also effective in preventing contracting shingles. The VZV is also associated with shingles, which results from the virus being in a prolonged dormant stage within the Central Nervous System (CNS) that is reactivated over a period of time. There is high prevalence of chicken pox in children of age between one and four years, even though it is also still high in teenagers of up to age of 15 years. The virulence of the virus has decreased over the years. With the use of Vivax vaccine there has been significant reduction in the mortalities and comorbidities associated with chicken pox. However, in some regions of the world the disease is still a pandemic affecting approximately 10500 people who are hospitalized due to chicken pox annually (Senders, Bundick, Li, Zecca, & Helmond, 2018). The CDC report nodes that about 95% of the US adult population suffer from the disease in their lifetime.

The Infectious Disease Society of America, requires patients to report any case of chicken pox infections. The guidelines according to CDC, recommends that the in the intervention measures, three key areas have to be considered. That is; history of vaccination, how severe the disease is and the age of the patient. Information about epidemiologic, demographic and patient’s data relating to the infectious diseases should be reported. CDC also recommends use of technology by messaging the people concerning the chicken pox infections, spread and the symptoms to check out.

Social Determinants of Health

The determinants of health are conditions within our environment where we carry out our daily activities and have an impact on the quality of life we live and it is also associated with other risk factors that can affect our lives (Luyten & Beutels, 2016). The prevalence of chicken pox is associated with various social determinants in the community such as the level of education, the accessibility to quality and affordable healthcare, cultural and religious beliefs, economic conditions and the general public safety. There are other factors such as personal behaviors and genetics which can be linked to the prevalence of the disease even though there is no sufficient explanation from research to support this idea. There is need to carry out more systematic research to identify the linkage between these factors and the occurrence of the disease. Additionally, there is need to do more studies to help in understanding the overlapping impact of economic and social structures in the mortality and morbidity associated with the infectious diseases.

The communities in low economic status have a higher risk of developing the infectious diseases due to lack of resources to seek medical intervention and the preventive measures. Another factor associated with such populations is low level of literacy, lack of information and language barriers which negatively impact on the ability of people having relevant and appropriate information on the disease. Such people will not have adequate information about the vaccines, how to access them and the right timing to have the vaccine. Additionally, in such communities, the spread of such infectious disease like chicken pox is fast and could affect a large population as they lack sufficient information on preventive measures (Keefe, Lane, Heyman, & Congress, 2018). Since the disease is highly contagious, it is imperative that the social structures within the community are actively used, where awareness is raised on preventive measures.

The Epidemiologic Triangle

Epidemiological triage of infectious diseases like chicken pox includes three key areas, the host, environment and the causative agent. This epidemiological triage is crucial in determining the history related to the condition. The information gathered is crucial in the prevention of the spread of the disease (Hanson & Weinstock, 2016). It helps in identification of the weaker areas in the intervention process hence address the threats accordingly. The efforts are dedicated towards reducing the spread of the disease as well as reducing the severity of the disease hence cut down on the mortality rate. The epidemiologic triage aims at creating a linkage between the causative agent, that is the varicella zoster virus and the human who are the main hosts of the virus. This triage also provides explanation on the transmission mechanism of the virus and the predisposing factors to the infection.

Additionally, the triage provides information on the time of the year when there is a high prevalence of the disease (Smith, 2019). The disease prevalence is observed to be highest at the start of the spring and winter seasons in the US. In the months of March to May, the US records high cases of chicken pox while the lowest cases are reported between the months of September and November (Conway et al., 2018). This information is crucial as it helps the population be aware of the most dangerous seasons and come up with modalities of protecting themselves from the infection.

Topic 2 DQ 1

What are social determinants of health?  Explain how social determinants of health contribute to the development of disease.  Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain.

Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.

Social Determinants of health (SDOH) are conditions of living that stem from circumstances that they were born into. They include, housing, transportation, economic status, social environment, were we work, play, education, racial/ethnic and religious. These conditions set populations into groups which can be seen as an affect on our health (Falkner, 2018).

Social Determinants of health (SDOH) contribute to disease because of limitations in health care and access to it. Unfair barriers to practice healthy behaviors (CDC, 2021). Human made surroundings contribute to the community as a whole and individual behaviors that determine health. Acceptance to education and being compliant understanding their actions will affect improved health. Cost for care and treatment, nutrition, and the ability to access quality and quantity of needed food to meet nutritional needs are all part of the fallout from SDOH.

The chain of infection shows how the cycle continues; each part plays a major role in transmission. Within a community it can spread very quickly, and this community will suffer within the SDOH due to lack of healthcare accessibility. Nursing education on basic infection control practices in these communities can break the chain and decrease the number of those becoming ill. Handwashing is the most effective way to break the chain, covering a cough or sneeze, disposal of garbage and the use of disinfectants can be taught in schools (school nurse), community centers (nurse on site) and at all health care visits. Families can make this an activity that they can do together (CDC, 2022).

Center for Disease Control CDC (2021, September 15th). Achieving Health Equity by Addressing the Social Determinants of Health. Social Determinants of Health. National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).

Center for Disease Control CDC (2022, February 23rd). Handwashing in Communities: Clean Hands Save Lives.

Falkner, A. (2018). Health Promotion in Nursing Care. In Grand Canyon University (Eds.). Health & wellness across the continuum.

Social detriments of health (SDOH) are conditions that hinder or contribute to an individual’s well-being. Some of these conditions are where an individual is born, where they learn, grow, live, play and age. These different elements are some of the social, environmental, and economic factors that affect an individual’s ability to be in good health and maintain that health (Green, 2018).

SDOH contribute to the development of disease. Poverty, poor sanitation, contaminated water, limited healthy food sources, lack of good health care access, inadequate health systems, poor housing and social exclusion are all contributors to higher risks of illness (Green, 2018). People with these limitations are less likely to have the finances to afford good food, healthier lifestyles, good doctors, healthcare, and often live with poor housing conditions, contaminated water, and decreased transportation. If you think about an individual living with diabetes, it would be much more difficult for someone in these conditions to access the healthier foods, diabetes education, medications needed, frequent doctor visits and possible social support. They may have to work two jobs and exercise may not be a priority with the stress they have just to pay their bills.

The communicable disease chain model explains how germs like viruses and bacteria spread from person to person through a common series of events. There is a fundamental idea that the communicable disease chain model is designed to represent. There are 6 points where the chain can be broken. The chain includes the infectious agent such as a bacteria, a reservoir like dirty surfaces, a portal of exit such as an open wound, a mode of transmission such as inhalation, a portal of entry such as the respiratory tract, and a susceptible host such as a person especially someone who is receiving healthcare. To prevent germs from infecting people, the chain of infection must be broken. Any of the six points are a place where the chain of infection can be stopped (Infection Prevention and You, 2022).

Nurses can take steps to break the link with the disease chain. Washing hands with proper technique frequently, staying up to date with vaccines, covering coughs and sneezes and staying at home when sick, following rules for contact isolation and standard isolation, using personal protective equipment, using antibiotics and sterilizing equipment properly are all ways nurses can help break the chain (Infection Prevention and You, 2022).

Rubric Criteria

Total125 points


1. Unsatisfactory

2. Less Than Satisfactory

3. Satisfactory

4. Good

5. Excellent

National Agency or Organization That Works to Addresses Communicable Disease

National Agency or Organization That Works to Addresses Communicable Disease

0 points

Agency and description of contribution are omitted.

10 points

An agency or organization is identified, but discussion is vague or inaccurate in relation to the communicable disease chosen.

11 points

An agency or organization is identified, but discussion regarding efforts to address communicable disease is lacking.

11.5 points

An agency or organization is identified, but discussion regarding efforts to address communicable disease is brief.

12.5 points

An agency or organization is identified. A clear and accurate description of efforts to address communicable disease is offered.

Determinants of Health and Explanation of How Determinants Contribute to Disease Development

Determinants of Health and Explanation of How Determinants Contribute to Disease Development

0 points

Description of the determinants of health and their role in disease development is omitted or presented with many inaccuracies.

10 points

Paper partially describes the determinants of health in relation to disease development.

11 points

Paper identifies the determinants of health in relation to the communicable disease selected but does not include an explanation of their role in the development of disease.

11.5 points

Paper describes each determinant of health with a comprehensive discussion of their contribution to disease development and progression.

12.5 points

Paper comprehensively discusses the determinants of health in relation to the communicable disease, explains their contribution to disease development, and provides evidence to support main points.

Development, Structure, and Conclusion

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

0 points

No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.

5 points

Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose.

5.5 points

Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.

5.75 points

The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.

6.25 points

The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose.


Selects and integrates evidence to support and advance position/purpose; considers other perspectives.

0 points

Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.

5 points

Evidence is limited or irrelevant. The interpretation of other perspectives is superficial or incorrect.

5.5 points

Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.

5.75 points

Relevant evidence that includes other perspectives is used.

6.25 points

Specific and appropriate evidence is included. Relevant perspectives of others are clearly considered.

Thesis, Position, or Purpose

Communicates reason for writing and demonstrates awareness of audience.

0 points

The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.

5 points

The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience.

5.5 points

The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.

5.75 points

The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated.

6.25 points

The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

2 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

2.2 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

2.3 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

2.5 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

Role of the Community Health Nurse and Importance of Demographic Data

Role of the Community Health Nurse and Importance of Demographic Data

0 points

Discussion of the role of the community health nurse is omitted or unclear. An explanation of why demographic data are necessary to community health is omitted or unclear.

20 points

Discussion of the role of the community health nurse is vague, with no integration of case finding, reporting, data collecting, data analysis, or follow-up skills. An incomplete explanation of why demographic data are necessary to community health is provided.

22 points

Discussion of the role of the community health nurses is limited, with a brief overview of skills associated with community assessment and planning. An explanation of why demographic data are necessary to community health is summarized.

23 points

Discussion of the role of community health nurse is clear, with a comprehensive description of skills associated with community assessment and planning. An explanation of why demographic data are necessary to community health is presented.

25 points

Discussion of the role of the community health nurse is clear, comprehensive, and inclusive of the community nurse’s responsibilities to primary, secondary, and tertiary prevention through tasks such as case finding, reporting, data collection and analysis, and follow-up. A clear explanation of the importance of demographic data to community health is presented.

Global Implication

Global Implication

0 points

Global implication of the disease is omitted or unclear.

10 points

A discussion of the global implication of the disease is vague, with no integration of how this is addressed in other countries or cultures and if the disease is endemic to a particular area. An example is not provided.

11 points

A discussion of the global implication of the disease is limited, with some integration of how this is addressed in other countries or cultures and if the disease is endemic to a particular area. An example is provided.

11.5 points

A discussion of the global implication of the disease is clear, with a comprehensive description of how this is addressed in other countries or cultures and if the disease is endemic to a particular area. An example is provided.

12.5 points

A discussion of the global implication of the disease is clear, comprehensive, and inclusive with a comprehensive description of how this is addressed in other countries or cultures and if the disease is endemic to a particular area. An example is provided.

Epidemiologic Triangle (Host Factors, Agent Factors, and Environmental Factors

Epidemiologic Triangle (Host Factors, Agent Factors, and Environmental Factors

0 points

Description of the epidemiologic triangle is omitted or presented with many inaccuracies.

20 points

The communicable disease is described with some inaccuracies within the epidemiologic triangle. A visual description of the factors and interaction is not present.

22 points

The communicable disease is described accurately and clearly within the context of the epidemiologic triangle.

23 points

The communicable disease is described accurately within the context of the epidemiologic triangle. A brief description of factors and interaction is presented.

25 points

The communicable disease is described thoroughly, accurately, and clearly within an epidemiological triangle. A visual description of the triangle and how the components of the model interact is included.

Comprehensive Description of a Communicable Disease and the Demographic of Interest

Comprehensive Description of a Communicable Disease and the Demographic of Interest

0 points

Demographic of interest and clinical description are omitted or presented with many inaccuracies.

10 points

Limited and/or vague summary of demographic of interest and communicable disease is provided. Overview does not offer a clear representation of information necessary for epidemiological study.

11 points

Overview of the demographic of interest and clinical description of the communicable disease is presented with some inaccuracies of the clinical descriptors.

11.5 points

Clinical description of the communicable disease and demographic of interest is provided. Summary is brief but accurate.

12.5 points

Overview describing the demographic of interest and clinical description of the communicable disease is presented with a thorough, accurate, and clear overview of all of the clinical descriptors.


Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

0 points

Appropriate format is not used. No documentation of sources is provided.

3 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

3.3 points

Appropriate format and documentation are used, although there are some obvious errors.

3.45 points

Appropriate format and documentation are used with only minor errors.

3.75 points

No errors in formatting or documentation are present.

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