Essentially, a practice guideline aims at developing the evidence based endorsements for screening population that is at a high risk of breast cancer.

Frameworks for Assessing High Risk Factors in Populations
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Essentially, a practice guideline aims at developing the evidence based endorsements for screening population that is at a high risk of breast cancer. To give a decision making process, the approach takes an account of significance of framework in the set intrusions and difficulties in regulating interventions across various vicinities (Suter, 2016).The paper discusses a framework of a healthcare, the growth of interests of any public health taking a new approach in explaining the health settings. There are three steps that ought to be used these are asking, collecting and calculating, and finally understanding and applying the results
Approaches to prevention
Framework 1
Natural history means the way a disease advances over a period of time from an early stage to its termination as frailty, death or recovery due to lack of treatment. Natural history of a disease is categorized into two that is preclinical and clinical phase (Macha, 2012). In preclinical stage, the illness has not advanced yet but its grounds are laid by the appearance features that errand incidence.
In clinical stage it is further broken down into four parts these includes Asymptomatic, Early disease, full blown, and termination. It is important to learn about natural history since one plans for preventive actions, adjusts time for the best execution of screening. It also helps one to forecast prognosis and evaluate intrusions. There are three levels of prevention that are influenced by phase of a disease. They include Primary, secondary and tertiary prevention.
In primary prevention one seeks to do away with particular diseases via reduction.one may be advised to change behaviors that cause the disease. Also one might enhance resistance to effects of exposing the disease that is vaccination (Macha, 2012). It can be done by specific protection or health promotion. Secondary focuses on strategies to stop the illness from progressing. These include detention and screening for early stages, follow up and treatment, for example malaria treatment or diagnosis and cancer screening. Finally tertiary directs at managing and rehabilitating the patient, to reduce complications and extend the years one can live. A good example of tertiary prevention is special needs children in their clinics (Suter, 2016).
Effectiveness and Safety
Effectiveness
Once a system, such as screening termination program, is termed as successful, it gives analysis.
Safety
Prevention procedures are connected with probable threats. The threats are results of prevention expertise as it may be misused in predictable practice, such as surgical impediment.

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References
Suter II, G. W. (2016). Ecological risk assessment. CRC press.
Macha, K., and McDonough, J.P. (2012). Epidemiology for Advanced Nursing Practice. Sudbury, MA: Jones & Bartlett.

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