Population Assessment
The aim of the assignment is to demonstrate the role of the Advanced Nurse Practitioner (ANP) when assessing and analysing the health needs of a specific population. The author will focus on one specific disease, Chronic Obstructive Pulmonary Disease (COPD) in relation to South Asian men living in both the United Kingdom (UK) and in South Asia. In view of the large demographics of South Asia the author will specifically focus on Indian, Pakistan and Bangladeshi groups also making a comparison with the population residing in Ireland. The author will provide a critical and analytical discussion of the key findings in relation to the defined population demonstrating how the ANP role can take these findings forward to inform current practice and initiate the development and planning of a new service to meet specific health needs. Firstly, an overview will be provided on the financial burden COPD is currently having on the National Health Service (NHS). This will be followed by a critical discussion of COPD, detrimental factors and the impact on the South Asian population.
COPD is a growing concern worldwide and in the United Kingdom (UK) (Fletcher et al, 2010). COPD is a slow developing lung disease involving the airways, leading to gradual loss of lung function (NICE, 2010). COPD is the leading cause of mortality worldwide (Calverley and Walker, 2003) and projected to be the UK fifth leading cause of death and the second highest cause of emergency admission to hospital (Department of Health, 2005).
There are an estimated 4.8% of COPD cases in the UK, although only an estimated 1.5% of the population are correctly diagnosed (Stang et al, 2009). It’s estimated that 30,000 people a year die from COPD and 1.4% of the population consult their General Practitioner (GP) each year (Murray and Lopez, 2008).
Cost varies to treat COPD dependent on the severity of the disease; mild COPD costs £149 whereby treating severe COPD can cost up to ten times as much at £1037
COPD is a growing concern worldwide and in the United Kingdom (UK) (Fletcher et al, 2010). COPD is a slow developing lung disease involving the airways, leading to gradual loss of lung function (NICE, 2010). COPD is the leading cause of mortality worldwide (Calverley and Walker, 2003) and projected to be the UK fifth leading cause of death and the second highest cause of emergency admission to hospital (Department of Health, 2005).
There are an estimated 4.8% of COPD cases in the UK, although only an estimated 1.5% of the population are correctly diagnosed (Stang et al, 2009). It’s estimated that 30,000 people a year die from COPD and 1.4% of the population consult their General Practitioner (GP) each year (Murray and Lopez, 2008).
Cost varies to treat COPD dependent on the severity of the disease; mild COPD costs £149 whereby treating severe COPD can cost up to ten times as much at £1037
References: AGENCY FOR HEALTHCARE RESEARCH AND QUALITY. (2005). National Health Disparities Report. .America: Rockville. AHMED, N. (2001). Family Size and Sex Preferences Among Bangladeshi Women. Family Planning Journal. 12(13),pp.100-109. AMERICAN ASSOCIATION OF COLLEGES OF NURSING. (2005). The Essentials of Doctoral Education for Advanced Practice Nursing. America: Washington. ANDERSON, M. et al. (2010). Chronic Obstructive Pulmonary Disease and Long-Term Exposure to Traffic-Related Air Pollution: A Cohort Study. American Journal of Respiratory and Critical Care Medicine. 3(12),pp. 201-210 AYRES, S BRITISH LUNG FOUNDATON (2007). Public Survey: Awareness of COPD. British Lung Foundation. Available at: British Lung Foundation Website. <http://www.lunguk> (accessed 15th May 2011). BRITISH LUNG FOUNDATON (2009). British Lung Foundation briefing Chronic Obstructive Pulmonary Disease BRITTON, J. HOPKIN, J. (1999). Molecular Genetics of Chronic Obstructive Pulmonary Disease. Genetics and Pulmonary Medicine. Thorax 54 p(3),pp.245-252. CALKIN, S. (2010). COPD. Health Service Journal. 11(4), pp.21-24. CALVERY, P. WALKER, P. (2003). Chronic Obstructive Pulmonary Disease. Lancet. 362(21),pp. 1053-61. CHAN-YEUNG, M COLLINS, P. et al. (2010). Deprivation is Associated with Increased Healthcare Utilisation in Patients with Chronic Obstructive Pulmonary Disease. Thorax .(21)65, pp. 48-52. DEPARTMENT OF HEALTH (2005) DEWAR, M. CURRY, R. (2006). Chronic Obstructive Pulmonary Disease: Diagnostic Considerations. American Family Physician. 2(4), pp..669-76. FLETCHER, M. et al. (2010). Patients of Working Age with COPD have Reduced Quality of Life in Comparison to Available Population Norms; An International Survey. American Journal of Respiratory and Critical Medicine.181(6),pp.101-116. GALLEGO, F. (2008). A population Density Grid of the largest Cities in the World by Land Area, Population and Density. Population and Environment Journal. 8(2), pp.45-51. KOEING, M.et al. (1997). Influences of Care Upon Contraceptive Use in Rural Bangladesh. Studies in Family Planning. (28)4,pp.278-289. MURRAY,C. LOPEZ, A. (2008). COPD Mortality and Disability: Global Burden of Disease Study. Lancet. 349(16), pp.1498–1504. MURTAGH, E. et al (2008). Prevalence of Obstructive Lung Disease in a General Population Sample: The NICECOPD Study. Europe Journal of Epidemiology. 20(5), pp.443-453. NACUL, L. SOLJAK, M. MEADE, T. (2007). Model for Estimating the Population Pevalence of Chronic Obstructive Pulmonary Disease: Cross Sectional Data from the Health Survey for England. Population Health Metrics. (5)8, pp. 1186-1478-1486. <http://www.nice.org.uk> (updated May 2010, accessed12th May 2011). OFFICE FOR NATIONAL STATISTCS. (2004a). Census 2001- Ethnicity and Identity. London: Office for National Statistics. Available at: Office for National Statistics Website. <.http://www.statistics.gov.uk>. (accessed 15th June 2011). OFFICE FOR NATIONAL STATISTCS. (2004b). Census 2001- Housing. London: Office for National Statistics. Available at: Office for National Statistics Website. <.http://www.statistics.gov.uk>. (accessed 15th June 2011). PARKES, G. et al. (2008). Effect on smoking quit rate of telling patients their lung age: the Step2quit randomised controlled trial. British Medical Journal.336(764), pp. 598–600. PRIDE, N. SORIANO, J. (2008). Chronic Obstructive Pulmonary Disease in the United Kingdom: Trends in Mortality, Morbidity and Smoking. Pulmonary Medicine. (17)3, pp.95–101. RAHERISON, C RAHMEN, I. KILTY, I. (2006). Antioxidant Therapeutic Targets in COPD. Curriculum Drug Targets. 7(6), pp. 707-20. RENWICK, D ROBINSON, P. (2008). Ireland: Smoking Population up Since Ban. The Publican. (6),p.21. ROYAL COLLEGE OF NURSING. (2008). Advanced Nurse Practitioner. An RCN Guide to the Advanced Nurse Practitioner role, Competences and Program Accredition. London: Royal College of Nursing. SHIHADEH,A.. et al. (2004). Towards a Topographical Model of Narghile Water-Pipe Café Smoking: a Pilot Study in a High Socioeconomic Status Neighborhood of Beirut, Lebanon. Pharmacology Biochemistry and Behavior. 79(1), pp.75–82. STANG, P TANNER, K. (2000) Excellence, Equality and Educational Reform: The myth of South Asian Achievement Levels. Journal of Ethnic and Migration Studies. 16(3), pp. 349 – 368. THE NATIONAL HEALTH SERVICE INFORMATION CENTRE (2008) WORLD HEALTH ORGANISATION (2005). Indoor air pollution and health. < http://www.who.int/mediacentre/factsheets/fs292/en>. (accessed 12th May 2011). WORLD HEALTH ORGANISATION (2011). Chronic Obstructive Pulmonary Disease. <http://www.who.int/mediacentre/factsheets/fs315/en/index.html>. (accessed 12th May 2011).