Monthly Archives: May 2023

Choose one of the following case study descriptions and answer the following questions:

Case study 1: Adolescent male (17) with cough. Admits to smoking cigarettes and occasional marijuana.

Case study 2: Adult Female (29) Lives near and works in sugar cane fields. Family Hx asthma.

Case study 3: Elderly male (80) with COPD (Emphysema).

1. What questions would you ask the client to elicit pertinent information that would assist in developing a health promotion plan?

2. What evidence-based practice health promotion nursing interventions (strategies) would you suggest for this patient?

3. What resources and/or technology applications could be provided to guide the patient in self-management of their condition? Be specific by providing an actual, usable app or website.

Please review the Discussion Rubric for detailed requirements of your posts.

TOPIC: Measuring Morbidity: Prevalence and Incidence

Read the scenario below and complete the assignment as instructed.

Scenario

In Community X (population 20,000), an epidemiologist conducted a prevalence survey in January of 2012 and reported an HIV prevalence of 2.2%. Over the next 12 months, the department of health reported an additional 50 new HIV cases between February 2012 and January 2013. The total population stayed constant at 20,000.

Part 1

1. How many people had HIV in January 2012? Present or describe the formula you used to arrive at your answer.
2. Calculate the incidence rate assuming no HIV-related deaths over the 12-month period. Present or describe the formula you used to arrive at your answer. Be sure to clearly indicate the numerator and      denominator used in your calculation and include an appropriate label for the rate.

In a summary of 200-250 words, interpret the results and discuss the relationship between incidence and prevalence. Discuss whether or not the epidemiologist should be concerned about these new HIV infections, assuming a previous incidence rate of 0.5 per 1,000 person-years prior to this updated risk assessment.

Part 2

A rapid test used for diagnosing HIV has a sensitivity of 99.1% and a specificity of 90%. Based on the population prevalence of 2.2% in 2012, create a 2×2 table showing the number of true positives, false positives, false negatives, and true negatives. Calculate the positive predicative value and negative predictive value for this test. Refer to the “Creating a 2×2 Contingency Table” resource for guidance.

In 200-250 words, discuss whether or not the epidemiologist should recommend this test as part of a universal HIV screening program. Provide rationale for your recommendation applying the positive and negative predictive values. Present or describe the formula you used to arrive at your answer.

STUDY MATERIALS

Read Chapters 14 and 15 in Gordis Epidemiology.

Read “Association or Causation: Evaluating Links Between ‘Environment and Disease,'” by Lucas and McMichael (2005), located on the World Health Organization website. URL: https://www-ncbi-nlm-nih-gov.lopes.idm.oclc.org/pmc/articles/PMC2626424/pdf/16283057.pdf

Read “Weak Associations in Epidemiology: Importance, Detection, and Interpretation,” by Doll, from Journal of Epidemiology (1996). URL: https://www.jstage.jst.go.jp/article/jea1991/6/4sup/6_4sup_11/_pdf

Read “Causal Inference Based on Counterfactuals,” by Hofler (2005), located on the BioMed Central website. URL: https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/1471-2288-5-28

Read “Multicausality: Confounding,” by Schoenbach (2004), located on the Epidemilog.net website. URL: http://www.epidemiolog.net/evolving/Multicausality-Confounding.pdf

View “Sensitivity and Specificity – Explained in 3 Minutes,” by Martin (2014), located on the YouTube website. URL: https://www.youtube.com/watch?v=FnJ3L-63Cf8

View “The Relationship Between Incidence and Prevalence,” by Patwari (2013), located on the YouTube website. URL: https://www.youtube.com/watch?v=1jzZe3ORdd8

Use the “Creating a 2×2 Contingency Table” resource to assist with the completion of the Measuring Morbidity: Prevalence and Incidence assignment, as needed.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

1. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
2. Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
2. Summary of community assessment: (a) funding sources and (b) partnerships.
3. Summary of interview with community health/public health provider.
4. Identification of an issue that is lacking or an opportunity for health promotion.
5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

What is a definition of family that encompasses the different family structures prevalent today? Discuss the importance of acknowledging nontraditional family structures. Explain how family systems theory can be used to better understand the interactions of a modern family (traditional or nontraditional).  

add references, 250 words

Many of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches.

What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions.

What is your leadership philosophy? In this Assignment, you will explore what guides your own leadership.

To Prepare:

• Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
• Reflect on the leadership behaviors presented in the three resources that you selected for review.
• Reflect on your results of the CliftonStrengths Assessment, and consider how the results relate to your leadership traits.

The Assignment (2-3 pages):

Personal Leadership Philosophies

Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:

• A description of your core values
• A personal mission/vision statement
• An analysis of your CliftonStrengths Assessment summarizing the results of your profile
• A description of two key behaviors that you wish to strengthen
• A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide      examples.
• Be sure to incorporate your colleagues’ feedback on your CliftonStrengths Assessment from this Module’s Discussion 2.

You should use your own words to demonstrate your understanding of the topics/criteria for this assignment.   Significance of research, quantitative and qualitative, sampling

After discussion with your preceptor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based change proposal. Explain how your proposal will directly and indirectly impact each of the aspects.

PLEASE I NEED SOMEONE WITH KNOWLEDGEMENT TO HEALTH OR NURSING

Criteria: 12 SLIDES IN POWERPOINT FORMAT, NO MORE THAN 12 OF CONTENT

APA STYLE

2-3 REFERENCES NO MORE THAN 5 YEARS OLD

NO PLAGIARISM

TOPIC: HEMATURIA

1)Presents the case including CC, HPI, Hx, ROS and PE findings concisely

2) List possible differential diagnosis with supporting/excluding criteria.

3)What labs or tests are typically ordered concerning this condition? What results should the
Does NP expect to see with this diagnosis?

4)What medications are typically prescribed for this condition? List specific drugs, starting doses, dose ranges, precautions to keep in mind when prescribing these drugs.

5) What are the outcomes expected or unexpected for this specific condition? Moreover, What patient outcomes will trigger a referral?

6)Provide patient teaching materials specific to their condition

IF SOMETHING IS NOT UNDERSTOOD YOU CAN CONTACT ME.

PLEASE I NEED YOU TO ANSWER IN THE PRESENTATION THE 6 QUESTIONS ABOVE, USE THE WORD DOCUMENT AS A GUIDE BUT NOT DO THE SAME, JUST ADD IN THE PRESENTATION WHAT I WROTE IN THE 6 QUESTIONS ABOVE PLEASEE

Responses to at least two classmates’ postings should be approximately 200 words and should be thoughtful, substantial, polite and more extensive than a simple “well done” phrase or “I agree.” Consider points of agreement, disagreement, assumptions, and value judgments. You will be able to respond to others after you submit your initial post. Your grade will be affected by how thoughtful your replies and initial questions are answered.

A barrier that causes concerns and prevents the application of evidence-based practice within a school setting is the lack of cooperation, noncompliance, and communication. This is a truth that corresponds when working with school professionals, parents, and children. When individuals have poor interest in applying practice that is relevant in the child’s health needs, it domino’s their school work, poor grades, high absences, frequent hospital or doctor visits. As well as financial burdens on working parents who have to take time out from work to care for their ill ones. School nurses are a vital part of a school team, they help identify and reduce health, safety, and social risk factors that affect school attendance. Research shows that almost 93% of absences are related to health issues (NASN, 2018). The health problems seen in the school setting are asthma, allergies, diabetes, obesity, seizure disorders, anxiety, and attention deficit disorder that are responsible for child chronic absenteeism. This is why it is important to eliminate barriers that interrupt the application of evidence-based practice. Creating a cohesive environment for the student both in school and at home, can help the child maintain wellness, and improve attendance, therefore their learning. A student with diabetes must be educated on the diagnosis, the causes for both low and high blood sugars, teach the signs and symptoms and the consequences of not having their insulin administered. Teaching also applies to those in direct care of the child, whether it is a para, social workers, teachers, and parents. 

Reference

National Association of School Nurses. (2018, June). School nurses: An integral member of the school team addressing chronic absenteeism (Position Statement).  https://www.nasn.org/advocacy/professional-practice-documents/position-statements/ps-absenteeism

reply2

Resistance to change has been an issue and a barrier in attempting to introduce evidence-based nursing practices. Unfortunately, there have been instances when employees were alerted to evidence-based practices which would ensure the patient’s health was not at risk, only to have a supervisor ignore the need. From past experiences, allowing staff to continue performing unsafe procedures was easier for the supervisor than addressing the situation. Therefore, having nurses fully engaged and willing to implement an evidence-based practice (EBP) is ineffective without a culture that supports it (Stillwell, Fineout-Overholt, Melnyk & Williamson, 2010).

     One of the first steps in addressing any issue begins with communication at the administrative level. This step is critical to avoid putting patient’s care at risk. All communication should be documented with examples of the evidence-based practice and changes needed for successful implementation. It is also important to remain diligent with follow-up meetings to ensure the issue is being addressed with steps outlined for resolution.

                                                                           Reference

Stillwell, S.B., Fineout-Overholt, E., Melnyk, B.M., Williamson, M. (2010). Evidence-Based Practice, Step by Step: Asking the Clinical Question. AJN The American Journal of Nursing: March 2010 – Volume 110 – Issue 3 – p 58-61. doi: 10.1097/01.NAJ.0000368959.11129.79