Walden University
Epidemiology and Population Health
NURS 8310
Dr. Toby Turner
May 14, 2014
Major Assessment
In the United States healthcare system, there is a significant quality and cost challenges surrounding chronic care diseases. The Centers for Disease Control (CDC) states more than seventy-five percent of our nation-state’s health care expenditure is chronic care conditions. The major chronic care population affecting the astonishing expense is cardiovascular disease (CVD, 2012). There is a tremendous need for population health management on several fronts, namely, people, place and time. The goal is to introduce nurse-led interventions through a Health Promotion and Prevention model that recognizes the linkages in promoting and social change effectively, as a change agent focusing on health disparities of adults affected by cardiovascular causation.
Population Health Problem
According to Healthy People (HP) 2020, as relates heart disease and stroke, “is to improve cardiovascular health and quality of life through prevention, detection, and treatment of risk factors for heart attack and stroke; early identification and treatment of heart attacks and strokes; and prevention of repeat cardiovascular events" (Lloyd-Jones, Adams, & Brown, 2010, p. 170).
One characteristic of this health problem, cardiovascular disease, is examining it in terms of, people or a population that are diagnosed with this chronic health condition. Normally, a persons’ heart serves as a main pump organ of the body. It is the rhythmic muscular contraction of the heart that circulates blood throughout the body. There are adverse medical conditions as a result of peoples’ lifestyles that affect the cardiac functioning over time. Some main factors resulting in cardiovascular disease risk are high blood pressure, high LDL cholesterol, and smoking (CDC, 2012). About half of Americans (49%) have at least one of these three
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