• Focusing on women’s health:
  • Name and describe the components and rationale of the gynecological health history.
  • Define and describe each component of the GTPAL system used to document pregnancy history.
• Following the guidelines of the United States Preventive Service Taskforce (USPSTF) what screening recommendations would you do to G.R. a 66-year-old female patient who visits you at the office for the first time (last visit to her PCP 5 years ago) with only positive health history of hysterectomy 10 years ago due to fibroids.
• A 35-year-old women with a BMI of 40 comes in asking about combined hormonal contraception’s. You explain the contraindications for hormonal contraception include (name more than 4 contraindications).

Guided Reflection

Mason is a 55-year-old homeless man who you are seeing today for the first time. He is a smoker and states that he has frequent colds and a routine morning cough. He used to be short of breath just walking up hills, but he now has difficulty breathing with everyday activities and is having trouble finding food because he cannot walk very far. He just wants medicine to help him survive on the streets. On examination, you find him using his accessory muscles to breathe. His vital signs are 99°, 100 beats per minute, 28 respirations/min., and blood pressure 140/90. Breath sounds are distant with end-expiratory wheezes. He has a slight barrel chest and neck vein distention.

Investigate population health and epidemiological data to learn about prevalent disease trends within your geographic region. Compare and contrast your findings with disease rates and trends in a different geographic area of your choosing.

Statistics from valid, reliable sources such as professional population health-focused organizations, governmental agencies, local and state health departments, and the Centers for Disease Control and Prevention are appropriate sources to validate assessment findings.

Include the following sections (detailed criteria listed below and in the grading rubric)

1. Prevalent Infectious and Chronic Diseases
   1. Describe the selected geographic region.
   2. Identify the prevalent infectious and chronic diseases in the region.
   3. Compare and contrast the prevalence of those diseases in a separate geographic region of your choosing, noting similarities and differences.
   4. Discuss the variables that contribute to the noted similarities and differences.
   5.  Provide an in-text citation from one scholarly source to support your writing. 
2. Application of the Epidemiological Model
   1. Select and describe one of the prevalent diseases noted in the previous section.
   2. Discuss physical and social determinants of health that influence the disease process.
   3. Identify and explain one epidemiological model that will be applied to the selected disease (e.g., Epidemiological Triangle, Web of Causation, or another legitimate epidemiological model).
   4. Apply the epidemiological model to the selected disease in a well-developed, comprehensive manner, addressing the entire model.
   5. Provide an in-text citation from one scholarly source to support your writing. 
3. Levels of Prevention
   1. Explain the levels of prevention used within population health practice.
   2. Discuss one primary prevention to address the disease.
   3. Discuss one secondary prevention to address the disease.
   4. Discuss one tertiary prevention to address the disease.
   5. Provide an in-text citation from one scholarly source to support your writing. 
4. Reflection
   1. Describe how the advanced practice nurse can monitor the application and efficacy of the prevention strategy.
   2. Discuss how you will apply the identified prevention strategies in your practice.
   3. Reflect on what you have learned from this assignment.