Discussion: An Epidemic in the Community
To prepare for this Discussion, visit the CDC Wonder site in this weeks resources. Investigate the incidence and prevalence of TB in your community. What information did you find? Analyze how your community compares to county, state, or national data for the same topic. Was the incidence and prevalence of each higher or lower than you expected?
Consider the following scenario: This is Debbies first year working as a nurse at the local health department in a rural county. Most of her days are spent in the clinic seeing clients who often do not have health insurance.
Over the past month, Debbie has noticed that several young Hispanic men have come to the health department, each diagnosed with tuberculosis. Debbie is concerned about what the outbreak of tuberculosis among the migrant workers could mean for the community. Through a community health profile, Debbie identifies the group of migrant farm workers as being at highest risk for contracting tuberculosis.
Using the Epidemiologic Triangle concept, consider the relationship among causal agents, susceptible persons, and environmental factors. Then, respond to the following:
    As a BSN-prepared community health nurse, what steps should Debbie take next?
    Considering economic and social considerations within the community, what are the primary, secondary, and tertiary interventions that Debbie might use in managing this outbreak?
    Can similar interventions be applied to your community and its TB prevalence?
    What considerations need to be addressed within your community that are different form Debbies community?

https://wonder.cdc.gov/

    Grid View
    List View
    Excellent    Proficient    Basic    Needs Improvement
Required Content
Analyzed the economic and social issues of Hispanic men diagnosed with tuberculosis using the epidemiologic triangle in the scenario provided.    Points Range:5 (10.00%) – 5 (10.00%)
Initial post contains well developed and insightful analysis that brings new insight into the discussion .    Points Range:4 (8.00%) – 4 (8.00%)
Initial post contains reasonable analysis that brings insight into the discussion.    Points Range:3 (6.00%) – 3 (6.00%)
Initial post contains minimal analysis that brings limited insight into the discussion.    Points Range:0 (0.00%) – 2 (4.00%)
Initial post lacks analysis and/or that brings little or no insight into the discussion.
Required Content
Compared the status of tuberculosis for own community and considered appropriate interventions.    Points Range:9 (18.00%) – 10 (20.00%)
Initial post contains well developed and insightful analysis that brings new insight into the discussion .    Points Range:8 (16.00%) – 8 (16.00%)
Initial post contains reasonable analysis that brings insight into the discussion.    Points Range:7 (14.00%) – 7 (14.00%)
Initial post contains minimal analysis that brings limited insight into the discussion.    Points Range:0 (0.00%) – 6 (12.00%)
Initial post lacks analysis and that brings little or no insight into the discussion.
Required Content
Analyzed the role of the nurse in epidemiologic surveillance and primary, secondary, and tertiary prevention.    Points Range:9 (18.00%) – 10 (20.00%)
Initial post contains well developed and insightful analysis that brings new insight into the discussion .    Points Range:8 (16.00%) – 8 (16.00%)
Initial post contains reasonable analysis that brings insight into the discussion.    Points Range:7 (14.00%) – 7 (14.00%)
Initial post contains minimal analysis that brings limited insight into the discussion.    Points Range:0 (0.00%) – 6 (12.00%)
Initial post lacks analysis and that brings little or no insight into the discussion.
Response Posts
Entered the discussion thread on 3 separate days. Wrote at least two posts to two separate peers.

Responses are appropriate to the topic, substantive, and promoted discussion by one or more of the following:
contributing insight to move the discussion forward.
offering substantial and/or different points of view and asks questions to add to discussion
including extra references or websites for peers to consider
relating discussion to different areas of practice and applying concepts to practice

**Additional points may be deducted for late posting per the University late policy.    Points Range:13.5 (27.00%) – 15 (30.00%)
Response posts add substantial ideas and perspectives that invite further analysis and discussion. Participated 3 or more days in the classroom and responded to more than 2 classmates.    Points Range:12 (24.00%) – 13.4 (26.80%)
Response posts are proficient and provide adequate analysis and discussion. Participated 3 days in the classroom and responds to at least two classmates.    Points Range:10.5 (21.00%) – 11 (22.00%)
Response posts are limited and provide minimal analysis and discussion. Participated less than 3 days in the classroom and/or responds to less than two classmates.    Points Range:0 (0.00%) – 10.4 (20.80%)
Response posts are inadequate and provide no analysis of discussion and/ or there is no participation in the classroom.
Writing and Format
Uses evidence to support a claim and give credit to the source. Uses course learning resources and seeks additional scholarly resources to support ideas. Displays sentence, paragraph, and essay skills. Writes in a scholarly, well-organized manner using own words by synthesizing evidence/resources. Paraphrases to avoid plagiarism of the source. APA: No more than one short, unique quote with correct APA format. Appropriate use and format of in-text citations and reference list.    Points Range:9 (18.00%) – 10 (20.00%)
Writer demonstrates excellence in all sentence and paragraph level skills within discussion board posts to meet the 4000 Level Academic Writing Expectations.    Points Range:8 (16.00%) – 8 (16.00%)
Writer demonstrates proficiency of most sentence and paragraph level skills within discussion board posts to meet the 4000 Level Academic Writing Expectations with only one format or writing issue needing to be addressed.    Points Range:7 (14.00%) – 7 (14.00%)
Writer demonstrates minimal skill in meeting sentence level and/or paragraph level skills within discussion board posts to meet the 4000 Level Academic Writing Expectations with less than or equal to three format or writing issues needing to be addressed.    Points Range:0 (0.00%) – 6 (12.00%)
Writer demonstrates inadequate skill in meeting the sentence and/or paragraph level skills to meet the 4000 Level Academic Writing Expectations with four or more format or writing issues needing to be addressed.