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Essay Instructions: B. Pamphlet addressing non-scientific community and presentation
Addresses Learning Outcome:
? Recognize risk factors leading to disease and identify preventive measures and treatments.
This assignment is designed for you to demonstrate your ability to communicate your knowledge of a disease to the lay (Nonscientific) audience.
Create an informative pamphlet for a nonscientific community about the chosen chronic or preventable disease. Give a brief description of the disease, including its symptoms and signs, explain the effects of the disease on the healthy body function of cellular, tissue, organ, and organ system levels, relating the effects to the observed symptoms. Analyze the risk factors contributing to the onset of the disease and preventive steps available to the targeted audience. Describe how a person suffering from the disease can maintain a desirable quality of life as well as minimize or slow the progress of the disease. Discuss available diagnostic and therapeutic tools and possible outcomes of the disease. Describe current research and possible future research directions.
The Topic that I chose was Meningitis
3. Write the pamphlet and be prepared to discuss it.
At a minimum, your pamphlet should contain the following required elements:
? Introductory paragraph describing your subject and its importance
? Body of the pamphlet
?
o Addresses signs, symptoms
o Explains effects of the disease on healthy body functions, and relates this to signs and symptoms
o Analyzes risk factors and preventive steps
o Describes maintenance of quality of life
o Discusses diagnostic and therapeutic tools
o Explains expected outcomes and prognosis
o Describes current areas of research into prevention, treatment or cure
o Describes possible future areas of research into prevention, treatment or cure
? References
? Conclusion - summary of your findings
List all references at the end of your pamphlet. You must use at least five references from credible, scientifically rigorous sources and cite them using American Psychological Association (APA) style. Two or more references should be from the UMUC Library. The references cited should be no older than seven years (published 2004 - 2011). References should be listed on a separate page that does not count toward the required length of the paper.

Essay Instructions: WEEK 7

Women’s Health/Maternal/Child Issues
1. The Role of Women in Rural Areas
2. Preventive Health Care
3. Family Planning
4. Birthing
5. Infant mortality and morbidity

REQUIRED READING:

Maternal, Infant, and Child Health in Rural Areas
http://srph.tamhsc.edu/centers/rhp2010/07Volume1MIC.htm

Preventive Health Care Visits
http://mchb.hrsa.gov/ruralhealth/child/11phcv.htm

Pregnant Rural Women More at Risk
Poverty, social deprivation among factors boosting odds of preeclampsia, hypertension
http://health.usnews.com/articles/health/healthday/2008/11/14/pregnant-rural-women-more-at--risk.html


Additional readings that may be of interest

Rural Women’s Health Project:
http://www.rwhp.org/index_2.html

Rural Women Health Resources
http://www.raconline.org/info_guides/public_health/womenshealthfaq.php#access

Rural Women of New Zealand:
http://www.ruralwomen.org/

Rural Women in Canada:
http://www.actew.org/projects/pwpsite/snapshots/rural.html

Rural Women Zone:
http://www.wowwomen.com/ruralzone/frontpage.html

Rural Women and Menopause
http://www.sciencedaily.com/releases/2008/02/080219100643.htm

Behavioral Health Needs of Rural Women
http://www.apa.org/rural/ruralwomen.pdf



This week’s presentation from Doreen!

The Role of Women in Rural Areas

Role as a wife: Amish women value marriage. They believe in submitting themselves to their husbands. The husband is the head of the wife and the wives take good care of the husbands through patience, charity, humility and good smiles.

Role as a mother: Amish women deliver their babies at home. The older women believe in having as many children as they could. The younger women believe the ideal number of children to have is 6. The average Amish give birth to 6.5 children. Slightly over 10 percent of Amish families have 10 or more children. So there is little to no family planning in these communities. Some women have admitted to using them even though they are forbidden.

Role in the Community: Women in the Amish community work in the homes and close to their homes. The women provide childcare, as well as, oversee the garden, preserve food, cook, clean, wash, sew and supervise the yard work. They also mow the laws with push mowers without engines. Those that live on a farm assist the men with barn chores, feeding calves, milking cows, gathering eggs and harvesting crops and vegetables. A few women do clerical jobs or bookkeeping if their husbands own a shop. They do not believe in working away from home.



Preventive Health Care

Being and maintaining good health is important in the Amish community, yet the Amish society does not really believe in preventive healthcare. The limitations on health care are due to religious faith, geographic, or financial reasons. Amish people will often see a physician for pain or accidental injury, but they will not receive vaccinations or prenatal care. Since immunizations are rare for the Amish, many children are not immunized which leaves the entire community unguarded against many commonly preventable diseases. Some medical problems go untreated and are ignored. They often treat themselves with herbal remedies and also base their faith in God to heal them.

In September 2004- February 2005, there was an outbreak of Pertussis in the Amish Community in Delaware. Pertussis affected 345 preschool aged children. Other diseases that are not commonly seen in urban communities such as polio and rubella have been noted in the Amish communities.

Studies examining rural areas have shown that only 73.2 percent of children in small rural areas received preventive health visits compared to 78 percent in urban areas.
Children from birth to 5 years living in small rural areas that received preventive health care were 85.8 percent compared to 89 percent from urban areas.


Preventive Health Care Visits
http://mchb.hrsa.gov/ruralhealth/child/11phcv.htm



Infant Mortality and Morbidity:

When compared to other industrialized nations, the U.S. is ranked 26th in infant mortality.
There has been increased rates of infant mortality in rural than urban area. Rural residents that have normal birth weight infants were found to have higher rates of post neonatal mortality than urban residents. Rural residents were also shown to have poorer birth outcomes than women residing in urban counties. They were reported to have lower birth weights, shorter gestations, lower Apgar scores, longer hospital stays, higher costs, and greater distance traveled for delivery than urban women.

Some of the factors attributing to infant mortality and morbidity are low birth weight, preterm birth, delayed or lack of prenatal care, mother under age 20 and over age 40, poverty, race/ethnicity, age, education and availability and access to medical resources, such as lack of available local prenatal and obstetrical care all contributes to the infant mortality and morbidity rates.

Maternal, Infant, and Child Health in Rural Areas
http://srph.tamhsc.edu/centers/rhp2010/07Volume1MIC.htm


Please answer these 2 questions:

DISCUSSION QUESTIONS

1. In an attempt to lower infant mortality rates and increase prenatal care, you decide to build your own clinic. What services will you provide for the rural women? Keep in mind their time restraints, many kids at home, commute, etc.

2. What incentives would you provide to keep them coming to the clinic before and after they give birth? Why did you choose to use this as an incentive?