Besides curative care, preventive service is vital in ensuring a healthy society. It curbs the spread of diseases, illnesses, and other related complications. Screening is one of the ways through which preventive service can be executed in a population. Common conditions that can be screened include diabetes, depression, gonorrhea, lung cancer, and cervical cancer. Particularly, cervical cancer remains a menace in the world today. Thus, extensive screening processes are on demand to control it. In Imperial County in State of California, I will contact cervical cancer screening as an ideal way of controlling the condition. The paper examines the theory behind cervical cancer screening in California State, screening purposes, population, screening activity, outcome goals, location, cost, and an overall summary of the process.
Theory or Conceptual Model
The theory of care-seeking behavior can be applied to support this noble initiative. It can enhance the participation of women and other members of the society in the screening exercise. Social-demographic factors, habits, norms, beliefs, and clinical factors are primary constructs in this case (Latunji & Akinyemi, 2018). According to their theory, care-seeking behavior is influenced by demographic and clinical factors through psychosocial constructs such which include habits, norms, and beliefs (Latunji & Akinyemi, 2018). For instance, the presence of medical facilities, equipment, and medical providers can influence people to deviate from their norms, beliefs, and habits and engage in the screening exercise that is vital to their health. This explains why the screening exercise has to be well planned, announced, and made accessible by all women within Imperial County.
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Screening Purposes
First, the screening initiative will aim to influence people in Imperial County in the state of California to be keen with the health and seek screening services and medication as a way of caring for their health. Imperial County is ranked at position 56 in terms of health factors and 31 in of health outcomes (County Health Rankings, 2019). It means that people here do not have access to appropriate clinical and socio-demographic factors that can influence them to overcome their norms, beliefs, and habits and seek screening services. The screening initiative will come in handy to influence them to develop care-seeking behavior and screen for cervical cancer. Secondly, the aim of the screening exercise will be to detect precancerous changes that may cause cervical cancer if left untreated. This will significantly improve their health. Therefore, the screening exercise will aim to trigger the development of care-seeking behavior and treats precancerous changes hence prevent the development of cancer.
Population
According to The United States Census (n.a), Imperil County in the state of California had 181,827 people in the year 2018. Women in the county who constitute 48.7% of the population, however, the exercise will target women aged between 21 and 29 years. Women from the white, black, American India, Asian, Native Hawaii, and Hispanics races will be included in the exercise (The United States Census, n.a). The exercise will be contacted on the population to detect precancerous changes and offer appropriate advice.
Screening Activity
The screening activity will involve women between the age of 21 and 29 years. This will be done with the Pap test method alone (USPSTF, 2019). To start with, I will ask the each participating women to undress from the waist down and lie on the examination table. Kneels will be bent and heels placed on stirrups. After that, I will carefully insert a speculum to hold vaginal walls apart. This will give me a good view of the cervix. At this point, I will use a spatula and soft brush to collect samples for examination. I will store the sample in a special liquid. The bottle or container will be labeled with the name of the women being testing and moved for examination under a microscope. The characteristics of the cells will be examined keenly. A negative result will mean that cells have been observed and determined to be normal. Abnormal cells will mean that one is positive; hence, treatment is necessary. For those that are negative, I will teach them the essence of coming after every three years to ensure that treatment is initiated early if abnormal cells are detected. I will advise those that test positive to adhere to treatment to prevent the development of cervical cancer.
Outcome Goals
I purpose to enable women aged between 21 and 29 in Imperial County to realize their condition as far as cervical cancer is concerned.
I purpose to encourage and teach this lot of women the essence of caring for their bodies through screening to avoid adverse effects in their health in the future.
Location
This exercise will be carried out at Woman's Improvement Club in Imperial County on Tuesday. I will need five tends, furniture, five large tables, five small tables, and twenty chairs, stationery, one thousand notebooks and five pens, a vehicle, and a telephone. These facilities will ease my work during that screening exercise. Woman's Improvement Club is an ideal location since it is strategically placed and with ample space.
Cost
The whole cervical cancer screening initiative will cost $130,000
| Item | Cost |
| Rent | $10,000 |
| Furniture; tables and chairs | $30,000 |
| Tents | $20,000 |
| A hired car for transport to the area | $10,000 |
| Three Security officers | $10,000 |
| Laboratory technician | $10,000 |
| Three nurses | $18,000 |
| Notebooks and pens | $10,000 |
| Communication, water, and power | $12,000 |
Summary
The screening activity will enable people to develop care-seeking behaviors that are vital to their health. As a clinical factor, the exercise will influence them to overcome habits, norms, and beliefs that could prevent them from observing their health. Secondly, the exercise will enable women to understand their status and take appropriate action. Those that test negative will be keen to take frequent tests, and those that test post will be recommended to seek medications promptly. The exercise will involve leaders, nurse educators, and practitioners who will interact with patients and equip them with appropriate information concerning the program and its essence.
Conclusion
Cervical cancer remains menace in many parts of the globe. A comprehensive screening exercise is essential to prevent it by detecting the precancerous cells early and taking medications. At Imperial county in the state of California, the exercise will enable women to develop a care-seeking habit, know their status, and seek medication when appropriate. Imperial County in the state of California had 181,827 people in the year 2018, and 48.7% are women. Pap test method will be used for women =n aged between 21 and 29 years. The screening exercise will be carried out at the Woman's Improvement Club and will cost $130,000.
References
County Health Rankings. (2019). Imperial, California. Retrieved from https://www.countyhealthrankings.org/app/california/2019/rankings/imperial/county/factors/overall/snapshot
Latunji, O. O., & Akinyemi, O. O. (2018). Factors Influencing Health-Seeking Behaviour Among Civil Servants In Ibadan, Nigeria. Annals of Ibadan postgraduate medicine , 16 (1), 52–60. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143883/pdf/AIPM-16-52.pdf
The United States Census. (n.a). Imperial County, California. Retrieved from https://www.census.gov/quickfacts/imperialcountycalifornia
The United States Preventive Services Task Force (USPSTF). (2019). USPSTF A and B Recommendations. Retrieved from https://www.uspreventiveservicestaskforce.org/Page/Name/uspstf-a-and-b-recommendations/
