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Spring 2013 Group Project Anthony Peltier William Berlin Cheryl Veres Catherine Drzewiecki

Nurs 340 – Community Health Nursing Sexually Transmitted Disease: A Problem for Kent County Nursing. Spring 2013 Group Project Anthony Peltier William Berlin Cheryl Veres Catherine Drzewiecki Lynn Bingham. Sexually Transmitted Disease (STD) in Kent County: Chlamydia, Gonorrhea, & Syphilis.

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Spring 2013 Group Project Anthony Peltier William Berlin Cheryl Veres Catherine Drzewiecki

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  1. Nurs 340 – Community Health NursingSexually Transmitted Disease: A Problem for Kent County Nursing Spring 2013 Group Project Anthony Peltier William Berlin Cheryl Veres Catherine Drzewiecki Lynn Bingham

  2. Sexually Transmitted Disease (STD) in Kent County: Chlamydia, Gonorrhea, & Syphilis Kent County experiences an elevated incidence of these STDs related to:

  3. Cost of STDs

  4. Position Statement / Community Problem Diagnosis

  5. Chlamydia: Kent County Vs. U.S. Rates http://wonder.cdc.gov/std-std-race-age.html

  6. 2011 Kent County Statistics: Chlamydia • Kent county data supports an increased risk and incidence in the 15 – 24 year old demographic • Kent county data further supports an increased risk in the female 15 – 24 year old demographic http://www.accesskent.com/Health/HealthDepartment/Publications/CD_reports_htm/2012/cd1212.html

  7. Gonorrhea: Kent County Vs. U.S. Statistics http://www.accesskent.com/Health/HealthDepartment/Publications/CD_reports_htm/2012/cd1212.html http://wonder.cdc.gov/std-std-race-age.html

  8. 2011 Kent County Statistics: Gonorrhea • Kent county data supports an increased risk and incidence in the 15 – 24 year old demographic • Kent county data further supports an increased risk in the female 15 – 24 year old demographic http://www.accesskent.com/Health/HealthDepartment/Publications/CD_reports_htm/2012/cd1212.html

  9. Syphilis: Kent County Vs. U.S. rates http://www.accesskent.com/Health/HealthDepartment/Publications/CD_reports_htm/2012/cd1212.html http://wonder.cdc.gov/std-std-race-age.html

  10. 2011 Kent County Statistics: Syphilis • In this case the data does not support elevated rates in the 15 – 24 year old demographic. The highest rates are observed in the 25 – 44 year old demographic • Also, the data does not support the higher rates in females. Higher rates are seen in males. http://www.accesskent.com/Health/HealthDepartment/Publications/CD_reports_htm/2012/cd1212.html

  11. Highest Incidence is Seen in Young People (15 – 24) for These STDs

  12. Review of the Data Supports A review of the data supports our position that an STD outreach campaign focused on testing and education in the 15 – 24 year old demographic would provide the most value in reducing STDs in Kent County.

  13. Healthy People 2020: Emerging Issues http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=37

  14. Recommendation of Behavior Counseling for Prevention of STDs • The U.S. Preventative Services Task Force (USPSTF) (2008) recommends high-intensity behavior counseling to prevent sexually transmitted diseases for all sexually active adolescents and for adults at increased risk for STDs. http://www.uspreventiveservicestaskforce.org/uspstf08/sti/stirs.htm

  15. Role of Kent County Health Department (KCHD) and Public Health Nurses http://www.accesskent.com/Health/HealthDepartment/ and http://www.accesskent.com/Health/HealthDepartment/

  16. CDC STD Prevention Guidelines

  17. Existing Resources - Community Strengths • Active public health department (KCHD) http://www.accesskent.com/Health/HealthDepartment/Publications/pdfs/h_cdrep3.pdf

  18. Community Barriers

  19. Dorothy E. Johnson’s Behavioral System Model Johnson’s Behavioral system has broad application in this area of nursing as negative/high risk behavior can be rooted in early environmental interactions. Johnsons model states that: • Individuals maintain stability and balance through adjustments and adaptation to the forces that impinges them. • Individual as a behavioral system is composed of seven subsystems: the subsystems of attachment, or the affiliative, dependency, achievement, aggressive, ingestive-eliminative and sexual. • Disturbances in these causes nursing problems http://currentnursing.com/nursing_theory/introduction.html

  20. Interventions-Who, What, When, Why, How http://www.cdc.gov/std/program/community.pdf

  21. Interventions

  22. Outcomes

  23. Evaluation

  24. References • Centers for Disease Control and Prevention. 2011 Sexually Transmitted Disease Surveillance. Retrieved from: http://www.cdc.gov/std/stats11/adol.htm • Blandfor, J.M., Chesson, H.W., & Gift, T.L. (2004). The Estimated Direct Medical Cost of Sexually Transmitted Diseases Among American Youth, 2000. Perspectives on Sexual and Reproductive Health. 36 (1) Retrieved from http://www.guttmacher.org/pubs/journals/3601104.html • PubMed Health. Chlamydia. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002321/ • Centers for Disease Control and Prevention. Program Operations Guidelines for STD prevention: Community and Individual Behavior Change Interventions. Retrieved from: http://www.cdc.gov/std/program/community.pdf • http://www.cdc.gov/std/prevention/default.htm

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