Health assessment

  

Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement.

Poverty and its impact on population health. 1400 words due 10/27/2020

 

Visit https://www.census.gov/topics/income-poverty/poverty.html  (copy and paste this link to the browser) 

1) You will need to access statistics related to poverty using the link above. 

2) 200 words. What adverse health outcome can poverty have on population health? 

3) 400 words. Make notes on the prevalence of poverty and homelessness in Peoria, Illinois. 

4) 400 words. Identify the socioeconomic factors contributing to poverty and homelessness in that region. 

5) 400 words. Think of ways of reducing poverty and homelessness.  Provide at least 5 ways to reduce poverty and the impact each will have on the population. 

Essay should be in APA 7th edition format with at least 4 references. Include information from chapter 22 of the attached textbook. 

cxc

  

In a 5- to 10-slide PowerPoint presentation, address the following:

Provide an overview of the article you selected. (see article below)

  

Aznar-Martínez, B., Pérez-Testor, C., Davins, M., & Aramburu, I. (2016). Couple psychoanalytic  psychotherapy as the treatment of choice: Indications, challenges and benefits. Psychoanalytic  Psychology, 33(1), 1–20. https://doi-org.ezp.waldenulibrary.org/10.1037/a0038503

What population is under consideration?

What was the specific intervention that was used? Is this a new intervention or one that was already used?

What were the author’s claims?

Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?

Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

  

The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature.

Please ensure that your slides are not too crowded and that they address the above questions in a succinct and understandable manner.

I would advise that you use the questions as headings so you can respond to them appropriately.

Please read the article embedded in the weekly 3 lesson on how to appraise an article to help you analyze and appraise your chosen article appropriately. (see article below)

https://class.content.laureate.net/1e1ce6ecc1ae4b8d716fba6fdac46401.pdf

Community Nursing week # 5 DQ 1 student reply

 

Less than 10 % similarity

References APA

This is another student post to which i have to react adding some extra information related this post. 

short answers

 

Emerging Infectious Diseases

To what could your neighbor have been exposed, and how could the exposure have occurred?

           Zika virus is an infectious disease influenced by microbial adaption and change and travel (DeMarco & Healey-Walsh, 2020). CDC (2019) identifies various symptoms of the Zika Virus, including fever, rash, headache, joint pain, conjunctivitis, and muscle pain. From the list of symptoms gathered from my neighbor, she may be infected with the virus. It is transmitted by mosquitoes that carry the virus, and a bite transmits the virus into the bloodstream. It is also possible for the virus to be transmitted sexually and through blood transfusion, as the virus remains in the body for a while, affecting people differently, and there may not be any signs or symptoms available in the person.

What advice would you give your neighbor?

           Mayo Clinic (2018) identifies risks of miscarriages linked to the Zika virus, making it crucial that the neighbor immediately sees a doctor. Although the symptoms go away after a week of rest and hydration, it poses a risk to the fetus by causing microcephaly, a potentially fatal congenital brain condition (Mayo Clinic, 2018). It can also cause other neurological disorders, which can be damaging to a developing fetus. Reduced body movement due to too much muscle tone after birth, eye damage, joint problems, and brain damage and reduced brain tissue are other complications and defects that the virus may cause to a child (Mayo Clinic, 2018). Since the virus remains in the bloodstream for about a week, conducting a blood test would confirm the virus’s presence or lack thereof. There is no known treatment for the virus, which makes prevention the best alternative available. Pregnant women should avoid traveling to places associated with the virus due to the various complications it ay have on fetus development.

Reference

CDC, A. (2019, May 21). Zika virus: Symptoms, Testing, & Treatment.

Retrieved September 30, 2020, from https://www.cdc.gov/zika/symptoms/index.html

DeMarco, R. F. & Healey-Walsh, J. (2020) Community and Public Health Nursing (3th Edition).

Philadelphia: Wolters Kluwer

Mayo Clinic, A. (2018, December 21). Zika virus.

Retrieved September 30, 2020, from https://www.mayoclinic.org/diseases-conditions/zika-virus/symptoms-causes/syc-20353639

wk 3 pharm assign 6521

Assignment: Asthma and Stepwise Management

Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment, making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening ones. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors.  

Photo Credit: Getty Images

One method that supports the clinical decision making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To Prepare
  • Reflect on drugs used to treat asthmatic patients, including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients, including adults and children.
  • Consider how you might apply the stepwise approach to address the health needs of a patient in your practice.
  • Reflect on how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.
By Day 7 of Week 3

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

  • Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.
  • Explain the stepwise approach to asthma treatment and management for your patient.
  • Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.

Week 3: Respiratory System

Asthma and chronic obstructive pulmonary disease (COPD) are significant public health burdens. Currently, more than 25 million people in the United States have asthma (HealthyPeople.gov, 2019). As an advanced practice nurse, you will likely encounter patients who will present with respiratory disorders, including asthma or COPD. Understanding specific treatment protocols as well as the types of pharmacotherapeutics used to treat respiratory disorders is important to ensure the effective and safe delivery of advanced nursing practice.

This week, you will evaluate drug therapy plans for patients who present with asthma and analyze the stepwise approach to asthma treatment and management from a patient in your professional practice.

Reference: HealthyPeople.gov. (2019). Respiratory diseases. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/respiratory-diseases

Learning Objectives

Students will:

  • Evaluate drug therapy plans for asthma
  • Assess the impact of asthma treatments on patients
  • Analyze the stepwise approach to asthma treatment and management

Learning Resources

Required Readings (click to expand/reduce)

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.
Chapter 62, “Drugs for Asthma and Chronic Obstructive Pulmonary Disease” (pp. 557–579)
Chapter 63, “Drugs for Allergic Rhinitis, Cough, and Colds” (pp. 580–588)

Document: APA Presentation Template

Required Media (click to expand/reduce)

Speed Pharmacology. (2020). Drugs for asthma and COPD (Made Easy) [Video]. https://www.youtube.com/watch?v=-DVZ9pl0rGY
Note: This media program is approximately 14 minutes.

Speed Pharmacology. (2017). Antihistamines (Made Easy) [Video]. https://www.youtube.com/watch?v=D5PHANcdA_E&t=25s
Note: This media program is approximately 10 minutes.

Optional Resources (click to expand/reduce)

National Heart Lung and Blood Institute. (2007). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma. Retrieved from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm

This web resource presents guidelines for diagnosing and managing asthma and outlines treatment recommendations for specific age groups.
 

The Affordable Care Act

Create a PowerPoint presentation of 14-16 slides with speaking notes on the new regulations impacting the practice as a result of the Affordable Care Act.

Introduction

The Patient Protection and Affordable Care Act (PPACA or ACA) was signed into law by President Barack Obama in 2010. The ACA attempts to increase access to care, reduce cost, and improve quality. Nearly 50 different reform initiatives were implemented between 2010 and 2017. Although primary care is a major focus of the act, these additional initiatives are focused on 10 different areas, including public health, prevention of disease, community health, and increasing revenue provisions to pay for the reform (Niles, 2021). The law has been controversial due to the mandate that all Americans must purchase health insurance.

The U.S. government plays a significant role in the operation of the country’s health care system. Quality, access, funding, education, and preventative services are all influenced by the U.S. government (Niles, 2021), and the Affordable Care Act (ACA) has further increased the role and involvement of the government in health care. All health care administrators must be knowledgeable on the role of the government.

Numerous governmental organizations exist, such as the U.S. Department of Health and Human Services (HHS), the Centers for Disease Control (CDC), the National Institutes of Health (NIH), the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), the Centers for Medicare and Medicaid Services (CMS), the Occupational Safety and Health Administration (OSHA), and the Office of the Surgeon General to name a few. Each organization exists for a specific purpose and has a specific mission. Your role as an administrator will be to understand the scope of these agencies and to help your organization meet or exceed the governmental mandates imposed by each.

Reference

Niles, N. J. (2021). Basics of the U.S. health care system (4th ed.). Jones & Bartlett Learning.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Analyze current health reform, policy, and regulation in U.S. health care. 
    • Explain the Affordable Care Act and its impact on the U.S. health care system and on the practice of health care in the United States.
    • Analyze current trends in policy and predict future reforms.
    • Explain how health care reform and policy have impacted health care quality and cost.
    • Explain how regulatory agencies have evolved to address health reform and policy.
  • Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others. 
    • Produce a presentation that conveys understanding of the topic, its context, and its relevance.
    • Use academic writing conventions such as APA formatting and citation style, or others as required.
    • Produce writing that includes minimal grammar, usage, and mechanical errors, including spelling.

Instructions

Imagine you are an office manager for a ten-physician primary care practice. You have been asked by the physician group to research and give a presentation on the new regulations impacting the practice as a result of the Affordable Care Act. Using the resources provided, plus at least two other peer-reviewed articles based on your own research, develop a PowerPoint presentation of 14–16 slides, complete with speaking notes. Address the following:

  • Explain the Affordable Care Act and its impact on the U.S. health care system and on the practice of health care in the United States.
  • Analyze current trends in policy, and predict future reforms as a result of the current state.
  • Explain how regulatory agencies have evolved to address health reform and policy.
  • Explain how health care reform and policy have impacted health care quality and cost.

You might want to (but do not have to) organize your presentation using the following outline:

  • Slide 1: Title of the Presentation.
  • Slide 2: Brief explanation of the purpose of the presentation.
  • Slide 3: The Affordable Care Act.
  • Slide 4: Impact on the U.S. Health Care System.
  • Slide 5: Impact on the Practice of Health Care in the United States.
  • Slides 6–7: Current Trends in Policy.
  • Slide 8: Future Reforms.
  • Slides 10–12: The Role of Regulatory Agencies (one slide per agency you address).
  • Slide 13: Impact to Quality.
  • Slide 14: Impact to Cost. 
  • Slide 15: Concluding Summary.
Presentation Requirements

Your presentation should consist of:

  • 14–16 bulleted slides.
  • Speaker notes that fully explain each slide.
  • A minimum of two peer-reviewed references, in addition to resources offered in this course or that you find yourself, including government websites.
  • Appropriate APA citations and peer-reviewed references on each slide, as necessary.
General Guidelines for PowerPoint
  • Keep the design simple. Font: Arial or Verdana, size 24-point, minimum.
  • Keep the slides concise: 5–7 bullet points per slide and 5–7 words per bullet. Use speaker notes to explicate the bullets.
  • For best color contrast, use light text on dark background (for example, yellow on black, white on dark blue).
  • Use the proper slide layout. For example, if a slide has a title and text, it is created using the correct Title and Text layout.

lit review

Your paper needs to follow the following criteria: 

  1. Choose a problem faced by clients in your practice area that you think is important and would like to learn more about. 
  2. Use your knowledge of PICO to develop a well-build narrow clinical question. For example: In adult patients with total hip replacements (P), how effective is pain medication (I) compared to aerobic stretching (C) in controlling post-operative pain (O)? (the development of the PICO question should not be including in the paper). 
  3. Write a five (5) page literature review paper on the standing knowledge of the chosen question. 
  4. Include a minimum of five (5) journal articles, at least three (3) from nursing journals. However, make sure that the (5) journals are the one’s analyzed and synthesized in the results and discussion sections. 
  5. The body of the paper should be made of the following titled sections: Title (introduction), Methods, Results, Discussion, and Conclusion. 
  6. Provide a specific and concise tentative title for your literature review paper (You may use the results or at least the variables in the title). 
  7. Abstract is not required 
  8. Include a 1-page introduction of your topic (background information), the focus/aim of your review. The introduction should include a statement of the problem, briefly explain the significance of your topic study, and act to introduce the reader to your definitions and background. Must include your main statement (i.e. the purpose of this review is…{PICO Question}). 
  9. The method section should include sources, databases, keywords, inclusion/exclusion criteria, and other information that establish credibility to your paper. 
  10. The results should summarize the findings of studies that have been conducted on your topic. For each study you should briefly explain its purpose, procedure for data collection and major findings. This is the section where you will discuss the strengths and weaknesses of studies. 
  11. The discussion should be like a conclusion portion of an essay paper. It serves as a summary of the body of your literature review and should highlight the most important findings. Your analysis should help you to draw conclusions. In this section you would discussion any consensus or disagreement on the topic. It can also include any strengths and weaknesses in general of the research area. If you believe there is more to research, you may include that here. 
  12. Finally, you will need to conclude your paper. At this point you have put substantial effort into your paper. Close this chapter with a summary of the paper, major findings and any major recommendation for the profession. 
  13. In general, your paper should show a sense of direction and contain a definite central idea supported with evidence. The writing should be logical, and the ideas should be linked together in a logical sequence. The ideas need to be put together clearly to the writer and to the reader. 
  14. Papers will be graded by rubric. Please take time to review the rubric so that you are aware of the expectations for the review paper. 
  15. Format references and citations using APA guidelines.

THIS IS FOR A BSN NURSING CLASS. PLEASE FOLLOW THE ABOVE INSTRUCTIONS

Sambeh

 

In this assignment, you will review the interactive Upper Respiratory Case Study patient scenario and analyze the data to determine the health status of the patient. You will need a minimum of two evidence-based practice articles to include clinical practice guidelines, as well as the course textbook.

All papers must conform to the most recent APA standards.

RUBRIC:

 

Clinical Case Study Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Clinical Case Study Rubric – 100 PointsCriteriaExemplary
Exceeds ExpectationsAdvanced
Meets ExpectationsIntermediate
Needs ImprovementNovice
InadequateTotal PointsContent of Clinical Case StudyThe writer demonstrates a well-articulated understanding of the case study subject matter in a clear, complex, and informative manner. The case study content and theories are well developed and linked to the course content, assignment requirements, and practical experience. The case study includes relevant material that fulfills all objectives of the assignment.

Cites three or more references, using at least one new scholarly resource that was not provided in the course materials.

all instruction requirements noted

30 pointsThe writer demonstrates an understanding of the subject matter, and the components of the case study are accurately represented with evidence-based practice, ethics, theory, and/or role content. Course materials and scholarly resources are present to support required concepts. The paper includes relevant material that fulfills all objectives of the case study.

Cites two references.

Most instruction requirements are noted.

26 pointsThe writer demonstrates a moderate understanding of the subject matter. as evidenced by components of the case study and use of evidence-based practice, theory, or role-development. Course content is present but missing depth and or development.

Cites one reference.

23 pointsAbsent application to evidence-based practice, theory, or role development.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Significant content of case study is vague, inaccurately portrayed, or missing.

No references cited.

Submits assignment late.

20 points30Analysis and Synthesis of Case Study Content and Meaning with Content Related to Preventative GuidelinesThrough critical analysis, the submitted case study provides an accurate, clear, concise, and complete summary of the scenario.

Information from scholarly resources is synthesized, providing new information or insight related to the context of the assignment by providing both supportive and alternative information or viewpoints

Includes all major and minor relevant risk factors based on standard preventative guidelines for age and gender and treatment/follow-up plans.

all instruction requirements noted.

30 pointsCase study is complete, providing evidence of further synthesis of course content via scholarly resources.

Information is synthesized to help fulfill the case study requirements. The content supports at least one viewpoint.

Submission provides clarification of the assignment by correctly answering all posed questions within the instructions.

Includes all major risk factors and most minor relevant risk factors based on standard preventative guidelines for age and gender (i.e.’ to two minor risk factors are missing and/or one incorrect treatment plan).

Most instruction requirements are noted.

26 pointsLacks clarification or new information. Scholarly reference supports the content without adding any new information or insight. Case study content may be confusing or unclear, and the summary may be incomplete.

Risk factors are partially complete (i.e., missing one to two major risk factors or three to four minor risk factors, or two incorrect treatment plans).

Missing some instruction requirements.

23 pointsSubmission is primarily a summation of the assignment without further synthesis of course content or analysis of the scenario.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Multiple risk factors missing (e.g., three major risk or five to six minor risk factors or three incorrect treatment plans, or four or more major risk factors or seven or more minor risk factors or four or more incorrect treatment plans).

Scholarly reference(s) are incorrect or inappropriate for the topic case.

Missing several instruction requirements.

Submits assignment late.

20 points30Application of Knowledge To Clinical Aspect of Patient EncounterThe summary of the case study provides validated information via scholarly resources that offer a multidisciplinary approach to the scenario provided.

The student’s application in practice is accurate and plausible, and additional scholarly resources supporting the application are provided.

all questions posed within the assignment are answered correctly in a well-developed manner, applying knowledge with citations for validation.

Includes all relevant subjective and objective data; diagnostic testing; routine care to be provided; patient education; anticipatory guidance; review of previous diagnostics; and follow-up of acute concern and chronic health issues, etc.—based on assignment instructions.

all instruction requirements noted.

30 pointsA summary of the study, findings, and knowledge gained from the assignment is presented.

Student indicates how the information will be used within their professional practice.

all questions posed by the study are answered correctly.

Includes most of the routine content (subjective and objective data; diagnostic testing; routine care to be provided; education; anticipatory guidance; review of previous diagnostics; and follow-up) (is missing two minor details or one major detail).

Most instruction requirements are noted.

26 pointsComponents of the case study are summarized with minimal application to evidence-based practice, theory, or role development, thus presenting a more superficial analysis of content between the assignment and the broader course content. Synthesis of course content is present but missing depth and or development.

Student’s explanation of how the information will be used within their professional practice is vague or incomplete.

One of the questions posed is not answered and/or one of the questions is answered incorrectly.

Includes some of the routine content (subjective and objective data; diagnostic testing; routine care to be provided; education; anticipatory guidance; review of previous diagnostics; and follow-up) (is missing three minor details or two major details).

Cited one reference.

Missing some instruction requirements.

23 pointsAbsent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Content of case study is inaccurately portrayed or missing.

Student’s explanation of how the information will be used within their professional practice is not feasible or appropriate, or student fails to explain how the information will be used within their personal practice.

Omits routine content (subjective and objective data; diagnostic testing; routine care to be provided; education; anticipatory guidance; review of previous diagnostics; and follow-up) (is missing four to five minor details or three major details or six or more minor details or four or more major details.

Two or more questions are not answered and/or are answered incorrectly.

No references cited.

Missing several instruction requirements.

Submits post late.

20 points30OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise, with a logical flow of ideas.

5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed, with minimal issues in content flow.

4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.

There are no spelling, punctuation, or word-usage errors.

5 pointsCorrect and consistent APA formatting of references and cites all references used.

No more than two unique APA errors.

The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThree to four unique APA formatting errors.

The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.

Multiple grammar, punctuation, or word usage errors.

3 pointsFive or more unique formatting errors, or no attempt to format in APA.

The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).

The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

2 points5Total Points100