Population Assessment Heather Curtis NURS 7356 July 17, 2014

Population

�  Five women, 16 years and older, who suffer from two or more headaches a week.

� Location: Church

Goal

� The overall goal of this assessment will be to identify women who suffer from frequent headaches (2 or more headaches per week) and further educate these women about headaches.

Objectives

� The objectives for this assessment are to educate the population on ◦  Identification of headache type. ◦  Identification of triggers for headache ◦ Ways to seek relief from headache ◦  Identification of Red Flags in headaches

Headache Type

� Migraine Headache � Tension Headache � Cluster Headache

v Primary Headache v Secondary Headache

Headache Triggers

�  Stress � Weather �  Strong Scents �  Food Intake � Alcohol � Caffeine

Headache Triggers

�  Skipping Meals � Hair Accessories � Exercise � Poor Posture �  Smoking � Hormonal Changes

Relief from Headache

� Pharmaceutical Treatment � Non-pharmaceutical Treatment

Red Flag Warnings with Headaches �  Complaint of “the worst headache in my life” �  Headache that gets worse over time �  Onset of headaches in persons older than 40 �  Sudden severe headaches �  Headache associated with fever, stiff neck or

rash �  Headache that starts after a head injury �  Headache with unusual symptoms such as

passing out, visual disturbances, or problems walking or talking

Survey Tool

� Beth Israel Deaconess Medical Center questionnaire for headaches

� Headache Questionnaire

Health Disparities of Targeted Population

� Gender � Genetics �  Socioeconomic status ◦  Education ◦  Income ◦ Occupation

Factors Affecting Overall Health of Targeted Population

�  Stress � Caffeine intake � Caffeine cessation � Lack of sleep � Lack of understanding

Strategies for Health Promotion

� Headache prevention � Understanding triggers � Lifestyle � Medication � Headache journal

Conclusion

� Headache Types � Headache Triggers � Relief from Headaches � Red Flag Warnings with Headaches

References �  Aetna. (2014). Types of Headaches. Retrieved from http://www.intelihealth.com/article/types-of-headaches �  Baldacci, F., Bonuccelli, U., Borelli, P., Nuti, A., Poletti, M., Vedovello, M., Veragallo, A., and Ulivi, M. (2013). How aware

are migraineurs of their triggers? American Headache Society. 53, 834-837. doi: 10.1111/head.12083. �  Beth Israel Deaconess Medical Center. (2010). Patient Questionnaire – Headache. Retrieved from http://www.bidmc.org/

Centers-and-Departments/Departments/Anesthesia-Critical-Care-and-Pain-Medicine/Comprehensive-Headache-Center/~/media/Files/CentersandDepartments/AnesthesiaCriticalCareandPainManagement/Headache%20Center/PatQuestionnaire.ashx

�  Center for Disease Control and Prevention. (2010). QuickStats: Percentage of adults who had migraines or severe headaches, pain in the neck, lower back, or face/jaw, by sex. Morbidity and Mortality Weekly Report. 59(47), 1557. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5947a6.htm?s_cid=mm5947a6_w

�  Center for Disease Control and Prevention (2013). BAM! Body and mind, questions answered.. Retrieved from http://www.cdc.gov/bam/body/pillow-qa.html

�  Clinch, C.R. (2001). Evaluation of acute headaches in adults. American Family Physician. 63(4):685-693. �  Foley, M. (2009). Preventing Headaches. About.com Headaches and Migraines. Retrieved from http://

headaches.about.com/od/preventingheadaches/a/preventheadache.htm �  HealthyPeople2020. (2014). Disparities. Retrieved from http://www.healthypeople.gov/2020/about/disparitiesAbout.aspx �  Marcum, J. (2007). My aching head. Vibrant Life. 23.1, p.30. �  MayoClinic. (2012). Headaches and hormones: What’s the connection? Chronic Daily Headaches. Retrieved from http://

www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/in-depth/headaches/art-20046729?pg=1 �  National Headache Foundation (2007). Impact of Migraine. Migraine Prevention Summit Proceeding. Issue 3, 1-12.

Retrieved from http://www.headaches.org/pdf/Monograph12.pdf �  University of Miami Miller School of Medicine. (2014). Headache. Retrieved from http://uhealthsystem.com/health-library/

neuro/disorder/headache �  WebMD. (2014). Slideshow: Surprising Headache Triggers. Retrieved from http://www.webmd.com/migraines-headaches/

ss/slideshow-surprising-headache-triggers?bookmark=true&login=true# �  World Health Organization. (2012). Headache disorders. Retrieved from http://www.who.int/mediacentre/factsheets/fs277/

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