Measles Outbreak 2013
Amanda Beasley
Western Governor’s University
Describe a Specific Communicable Disease Outbreak
In early April 2013 a measles outbreak was discovered in North Carolina. By mid-May the outbreak had been identified in Stokes and Orange Counties via 23 active cases. Every case was linked back to a family that had spent 3 months in India and had not been vaccinated. By the 16th of April the state laboratory of Public Health was able to confirm the diagnosis, with the last known case being confirmed on May 7th. The investigation of this outbreak revealed 4 patients with a confirmed diagnosis that had received one of vaccination of the two part series. The other 19 cases had not ever been vaccinated.
The North
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The other 4, had received 1 vaccination in the 2 shot series. (North Carolina Department of Health and Human Services, 2015)
Effects of Outbreak on My Community
A measles outbreak in my community would cause massive strain on our resources at the local level. Being the small community we are, the threat of spreading the disease is always a real concern. There are two banks, two gas stations, 18 churches and 5 schools within the county limits. The hospital in neighboring Pasquotank is relatively small for the areas it serves, the emergency room has eight fast track beds, twenty six main side (including tow trauma bays) and 13 chest pain beds, the other floors hold a maximum census of 30 with 6 nurses. The strain on the hospital and healthcare staff would be significant, the other floors stay at full census almost daily without any outbreaks. I do believe depending on the number affected it would be comparable to when the flu hits our community hard and the emergency room has long wait times and the chest pain unit is used as overflow for admitted patients without beds. These count for long stays and short supplies. The hospital requires all employees to be up to date on all vaccinations, however the risk to passing the disease to other patients is a concern. The fast track area is where we set up isolation for contagious disease, as it provides distance from the main but is still within close proximity to the nurse’s station. The need for all hands on
Although most people think they can get away with picking an easy topic for their senior projects it turns out to be a little more complex than that. Growing up my ideas and passions would always seem to be changing but when I finally became set in my ways at least in knowing what I would like to pursue the Nursing Program was up to par. I chose to do mine on Nursing in the ED (emergency department) because this is a field I would love to go into so I can be of service to those in need of any medical care, to always have a stable job to rely on, and further more to be able to excel in the field of medicine. I would love to be one of the people on call to respond to the needs of another individual in their time of need. Anyone could only
This essay will discuss a clinical skill in which I have become competent in practicing as a student nurse.
Along the northern-end of Utah’s Wasatch Front is a scenic region of land known as Weber County. This county ranges from the peaks of the Wasatch Mountains into a portion of the Great Salt Lake of the lower valley. The Weber and Ogden rivers and their tributaries run through its valleys (Weber County, 2015). Weber County is the second smallest county in land mass and has the fourth largest population in the state. County population in 2012 was 236,000 (94% urban, 6% rural), comprised of the communities of Ogden, Farr West, Harrisville, Hooper, Huntsville, Marriot-Slaterville, North Ogden, Plain City, Pleasant View, Riverdale, Roy, South
Close contact with anyone who is experiencing a fever, cough or shortness of breath and has traveled from the Arabian Peninsula within the past fourteen days should monitor their health beginning with last day of exposure and seek medical attention if they become ill (U.S. Department of Health and Human Services, 2015).
Thirty-nine (35%) of the California patients visited one or both of the two Disney theme parks during December 17–20, where they are thought to have been exposed to measles, 37 have an unknown exposure source (34%), and 34 (31%) are secondary cases. Among the 34 secondary cases, 26 were household or close contacts, and eight were exposed in a community setting. In addition, 15 cases linked to the two Disney theme parks have been reported in seven other states: Arizona (seven), Colorado (one), Nebraska (one), Oregon (one), Utah (three), and Washington (two), as well as linked cases reported in two neighboring countries, Mexico (one) and Canada (10).”(CDC, February 11, 2015)
An infection in my community would quickly become an outbreak of measles and would probably spread quickly infecting many and claiming lives of young and old. A Measles outbreak is a strong possibility due to a large religious group with thousands of members in my community that do not believe in vaccinations, and only allow for limited healthcare. Popular organic lifestyles and refusal of vaccinations are believed to have aided in spread of a recent outbreak of Measles in California. The virus detected in California was identical to one that caused a large outbreak in the Philippines last year. The California outbreak that was noted from December 2014 to February 2015 notes that there were 125 confirmed cases, and 15 of the cases were confirmed to have been linked to the
This paper received all 4s on the grading rubric. I mention this so you can eval the paper appropriately. I hope it helps.
Family nursing is not all about patient centered care, it is focused on the needs of the family as a whole (Nursing theory). The main goal for family nursing is to improve any health concerns by assessing the needs,problems,influences, and strentghs of the family (Journal of nursing). There are four four types of approaches to family nursing. The four types of approaches to family nursing are, family as context, family as client, family as system, and family as component of society (the book). The purpose of this paper is to define, discuss, and give examples of the four types of approaches to family nursing.
Nursing can be a demanding career, but the benefits far much outweigh the challenges. Most importantly, it’s the rewards it offers by allowing an opportunity to make a difference in another person’s life through the provision of care when they need it. Just as Patricia Benner theorized in her book “Novice to Expert,” nursing encompasses both educational knowledge and extensive clinical experience acquired throughout one’s career. This far, I continue to acquire knowledge and clinical knowhow which will promote proper and efficient care to patients. Since I began practicing one year ago in a long-term healthcare facility, I have interacted with patients, families, physicians and other members of the healthcare team to coordinate patient’s care which has enabled me to gain confidence in myself. While I cannot deny that it was difficult to transition from a student to a licensed nurse, I learnt to overcome these challenges and focus on my strengths. Practicing as an LPN has provided a platform to learn and gain experience even though the duties and responsibilities are limited by the scope of practice.
County Health Rankings & Roadmaps. (n.d.). County Health Rankings & Roadmaps. Retrieved August 1, 2014, f
NOTE: You will create a new Word document for this Assignment instead of typing directly into this document.
The general condition of the homes in Rockport is diverse. Many of the homes are multi-million dollar structures while others are dilapidated and in need of serious repair. People seen in the downtown area are walking but away from that area, most people are travelling in cars. Some people are travelling on bicycles or golf carts in designated areas. Three areas of public housing are noted but there are no visible signs of public transportation. Numerous campaign signs are visible throughout the entire community. One adult day care and two child day centers are noted during the survey. Two grade schools, one middle school, two private church schools, and one high school are seen during the survey.
Nies, M. A., & McEwen, M. (2015). Community/Public health nursing: Promoting the health of populations (6th ed.). St. Louis, MO: Saunders/Elsevier.
1. We will provide coloring sheets for the younger children with several fruits and vegetables in each color group. We will provide an attractive display of rainbow foods for sampling.
Communicable diseases are present in every community, city, state, village and country throughout the world. They are easily spread and, in some cases and places, easily prevented. International travel and parents not vaccinating their children are major contributors to the measles outbreak. As a nurse it is pertinent that we are educated on the signs, symptoms and the treatment of any communicable disease. It is imperative that we are also able to educate the general public on them as well.