Question

. Using the Minnesota Wheel briefly describe a potential action/intervention that a public health nurse could take to address the chosen indicator (Sexual transmitted disease). Discuss which of the three core functions (assessment, assurance, policy development) AND which 10 essential service (see Mod 1) the action addresses.

Answer 1

Public health nursing interventions operate an sexually transmitted disease such as HIV gannorea testing as part of screening and identifying individuals with unrecognised health risk factors or asymptomatic disease conditions in population.
Based on assessment of 3 types of screening described as mass screening, targeted screening and periodic screening. The PHN nurse practitioner performs a physical examination on a young poulation at ahealth clinic and, with their consent, includes tests for gonorrhea and chlamydia. The PHN counsels them regarding the risk and STD preventions. Some PHNs operate an STD/HIV testing site in metropolitan area. Targeting populations known to be at disproportionate risk for STDs. The PHNs screen for gonorrhea, syphilis, chlamydia, and other STDs and provide health teaching &counseling to all clients during the assessment rather than waiting for results because many clients do not return or do not choose to give their real names.
To control the STDs and prevent the actions goverment also have developed some policies to overcome this issue such as
1. Public health agency issues both federal and state family planning monies, which contracts out to local clinics for the provision of family planning services to low-income women.
2.The PHNs in the agency negotiate a requirement in the contract that clinics must routinely screen all family planning clients for STDs.
3. The public awareness programme is being conducted in society to make people aware about STDs, their symtoms, reson for spreading and precaustion need to be taken to be safe from setting suffered.
4. implementation of social marketing and outreach prior to screening are utilized when mass screening is planned
5. Provident opportunities for health teaching and counseling experts almost always present themselves, either implemented simultaneously with screening or as a feature of the interview conducted immediately afterward.
These all will implement the preventive meassure of STD control.

Following are essential service action need to be undertaking to address the issue.
1. Determine if the health risk or disease is an important threat to the population’s health.
2. Consider the extent to which the population believes the health risk or disease an important health problem.
3. Determine if adequate information exists about the outcomes expected from screening.
4. Determine if the risk or disease has a recognizable latent or early symptomatic state which makes early identification feasible.
5. Decide if the risk’s or disease’s natural course of history is understood sufficiently to allow early intervention.
6. Consider whether an acceptable treatment for the risk or disease exists.
7. Determine whether a suitable test exists.
8. Determine if the screening test is acceptable to the population of interest.
9. Arrange for further assessment/diagnosis and treatment for those with positive findings.
10. Determine whether adequate funds or resources exist to support the entire process.

Minnesota wheel for better understanding of subject is attached below hope I a hoto the mark to clear the subject