Discussion response

Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”


Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.

Words Limits

  • Response posts: Minimum 100 words excluding references.

discussion 1

My diagnosis pertains to the increased number of people dying from heroin overdoses in my community. My diagnosis is: Risk of death related to drug overdose from drug abuse/addiction among addicts in Clark County, Ohio related to disrupted family life, grief, helplessness, hopelessness, loneliness as evidenced by increasing number of drug overdoses due to heroin use.

The paradigm ecosocial epidemiology focuses on the macro-level socio-environmental factors that examine the origins of a heath issue which then allow for interventions to be put in place (Nies & McEwin, 2015) .

The ecosocial epidemiology paradigm of drug overdose deaths are drug abuse supported by the National Institute on Drug Abuse states that early risk factors that contribute to drug abuse are lack of parental supervision, lack of bonding with parents, drug abuse by a parent/caregiver, drug abuse among peers, drug availability and poverty. Behaviors that are early risk factors are early aggressive behavior, lack of self-control, poor classroom behavior, academic failure, poor social skills (Preventing Drug Use Among Children and Adolescents, 2018) . The key risk periods in children’s lives are during major transitions such as moving from elementary to middle school and middle school to high school. These transitions can be stressful and lonely. Another risk period is when young adults leave home and go to college, the risk for abuse is very high (Preventing Drug Use Among Children and Adolescents, 2018) .

By identifying these risk factors in a child or adolescent the family, school, and community can focus on interventions that lower the child’s risk and develop healthy behaviors strengthening the child and preventing future drug abuse (Preventing Drug Use Among Children and Adolescents, 2018) .


Nies, M. A., & McEwin, M. (2015). In Community/Public Health Nursing 6th Edition (pp. 2-16). St. Louis: Elsevier.

Preventing Drug Use Among Children and Adolescents. (2018, January 22). Retrieved from National Institute od Drug Abuse.

Discussion 2

When looking at diseases and prevention, there are several factors that play into preventing them disease and giving our patients the tools they need to live with a certain disease. When looking at it from an epidemiology view, we look at the determinants of health and disease which is the principal of public health (Nies & McEwen, 2014).

In the control and prevention aspect of things, there are a couple of different models out there to help us. We can use the person-place-time model, which looks at the demographics, time and place of the disease and its pattern. The descriptive model looks at the distribution and frequency of diseases. The analytic model looks at the cause and the relationships of the disease. Last but not least the epidemiological triangle looks at the host, agent and environment and how they all work together.

Where I am from a large portion of the work force works in factories, which increases the risk for lung cancer in my area greatly. One of the biggest factories in my area produces oil, which in turn produces harmful gases/fumes/etc. Upon doing my research on the topic the Ohio Department has the 27.9% in my area has lung cancer and has died from it. The national average is 25.9% (Ohio Department of Health, 2017). The amount of gases that are inhaled from the people that work at the factories only further increases their risk for lung cancer and dying from it.

Using the person-place-time model helps one see the dynamics of how inhaling the fumes from the factories increase the risk of getting lung cancer. I have seen many patients throughout my career who have lung cancer from the factory or working in a coal mine, etc. The patient suffer greatly and if there was something I could do to help them I would.


Nies, M. A., & McEwen, M. (2015). Community/public health nursing: promoting the health of populations. St. Louis, MO: Elsevier.

Ohio Department of Heatlh. (2017). Allen Couty Cancer Profile. Retrieved January 21, 2018, from https://www.odh.ohio.gov/-/media/ODH/ASSETS/Files/…

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