Monthly Archives: May 2023

Can children with a cognitive impairment from Down syndrome have a range of cognitive impairment? If so, explain how some children may become higher functioning than others.  Cite your sources. 

Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

• Decision #1 
  • Which decision did you select?
  • Why did you select this decision? Why did you not choose the other two medication options? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. 
  • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
• Decision #2 
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision?  Why did you not choose the other two medication options? Support your response with evidence and references to the Learning Resources. 
  • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
• Decision #3 
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Why did you not choose the other two medication options? Support your response with evidence and references to the Learning Resources. 
  • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Case study Link: https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/08/mm/co-morbid_addiction_etoh_and_gambling/index.html 

Parkinson’s disease

        Grading rubric

NR283 Pathophysiological Process RUA
NR283 Pathophysiological Process RUACriteriaRatingsPtsThis criterion is linked to a Learning OutcomeIntroduction of Disease (20 points/20%)Required criteria: One (approximately 200 words) paragraph, Includes disease description, and Includes epidemiology of disease

20.0 ptsIncludes no fewer than 3 requirements for section.

18.0 ptsIncludes no fewer than 2 requirements for section.

16.0 ptsIncludes no less than 1 requirement for section.

7.0 ptsPresent, yet includes no required criteria.

0.0 ptsNo requirements for this section presented.
20.0 pts
This criterion is linked to a Learning OutcomeEtiology and Risk Factors (20 points/20%)Required criteria: Common causes of the disease or condition, Risk factors for the disease or condition Impact of age, Prevalence based on gender, Influence of environment, Genetic basis of disease, Lifestyle influences, All information supported by current

20.0 ptsIncludes no fewer than 8 requirements for section.

18.0 ptsIncludes no fewer than 7 requirements for section.

16.0 ptsIncludes no fewer than 6 requirements for section.

7.0 ptsIncludes 5 or fewer requirements for section.

0.0 ptsNo requirements for this section presented.
20.0 pts
This criterion is linked to a Learning OutcomePathophysiological Processes (20 points/20%)Required criteria: Describes changes occurring at the cellular, tissue, and/or organ level that contribute to the disease process, Describes adaptation of the cells and body in response to the disease, Relates disease processes to manifested signs and symptoms.

20.0 ptsIncludes no fewer than 3 requirements for section.

18.0 ptsIncludes no fewer than 2 requirements for section.

16.0 ptsIncludes no less than 1 requirements for section.

7.0 ptsSection present, yet includes no required criteria.

0.0 ptsNo requirements for this section presented.
20.0 pts
This criterion is linked to a Learning OutcomeClinical Manifestations & Complications (20 points/20%)Required criteria: Describes the physical signs and symptoms that are important in considering the presence of the disease, Identifies signs that contribute to diagnosis of the condition, Identifies symptoms that contribute to diagnosis of the condition, Identifies complications of the disease, Discusses the implications to the patient when complications are left untreated.

20.0 ptsIncludes no fewer than 4 requirements for section.

18.0 ptsIncludes no fewer than 3 requirements for section.

16.0 ptsIncludes no fewer than 2 requirements for section.

7.0 ptsIncludes 1 or fewer requirements for section.

0.0 ptsNo requirements for this section presented.
20.0 pts
This criterion is linked to a Learning OutcomeDiagnostics (10 points/10%)Required criteria: Includes list of common laboratory and diagnostic tests used to determine the presence of the disease, Discusses the significance of test findings in relation to the disease process.

10.0 ptsIncludes no fewer than 2 requirements for section.

7.0 ptsIncludes 1 or less requirement for section.

0.0 ptsNo requirements for this section presented.
10.0 pts
This criterion is linked to a Learning OutcomeAPA Style and Organization (10 points/10%)Required criteria: References are submitted with assignment, Uses appropriate APA format (6th ed.) and is free of errors, Grammar and mechanics are free of errors, Paper is 2-3 pages, excluding title and reference pages, At least two (2) scholarly, primary sources

10.0 ptsIncludes no fewer than 5 requirements for section.

9.0 ptsIncludes no fewer than 4 requirements for section.

8.0 ptsIncludes no fewer than 3 requirements for section.

4.0 ptsIncludes 1-2 requirements for section.

0.0 ptsNo requirements for this section presented.
10.0 pts

You are a project manager at a food agricultural organization and you are assigned to review nutritional policies.

1). Write the nutritional policies

2). Identify five stakeholders and their roles in the implementation of the nutritional programs at the community level.

I need a process recording done for some with a diagnosed psychiatric condition such as depression or bipolar disorder, must follow the rubric and guidelines, must include the interactions and questions you asked.

Choose one health-promoting behavior in which you personally could but don’t engage. Identify factors, as defined in the health promotion model, which contribute to your decision not to participate. Include immediate competing alternatives.

2. Analyze factors that contribute to your participation in a health-promoting activity and place each factor under the appropriate label from the health promotion model.

3. Consider your own philosophy of health and prepare your description of wellness. Is absence of disease more prominent than positive, active statements of health?

4. Anticipate the health-promoting behaviors important at various stages of development across the life span. What health promotion topics do you include in your practice?

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation 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.

AttachmentsRunning head and page header in APA 6th edition-1.pdf
References in APA format using Microsoft Word.pdf
Examples of Citations and References from OWL Purdue APA.pdf
APA-6th-Edition-Template-without-Abstract-1.docx
APA-6th-Edition-Template-with-Abstract (2).docx
Example of References format.pdf

Assignment:

Your submission should be a minimum of 2000 words (maximum 2500 words) in length and should completely answer the proposed questions/items as listed under “Overview”. You should have a minimum of three (3) references. APA formatting is required and all responses should be combined into a single document for submission

Overview

In this module, you will complete a full assessment of your own community. 

Defining the Community

Your community can be any geographically defined county, city, or town. Clearly delineate the following dimensions before starting the process of community assessment:

• Describe the population that is being assessed?
• What is/are the race(s) of this population within the community?
• Are there boundaries of this group? If so, what are they?
• Does this community exist within a certain city or county?
• Are there general characteristics that separate this group from others?
• Education levels, birth/death rates, age of deaths, insured/uninsured?
• Where is this group located geographically…? Urban/rural?
• Why is a community assessment being performed? What purpose will it serve?
• How will information for the community assessment be collected?

Assessment

After the community has been defined, the next phase is assessment. The following items describe several resources and methods that can be used to gather and generate data. These items serve as a starting point for data collection. This is not an all-inclusive list of resources and methods that may be used when a community assessment is conducted.

The time frame for completion of the assessment may influence which methods are used. Nonetheless, these items should be reviewed to determine what information will be useful to collect about the community that is being assessed. It is not necessary to use all of these resources and methods; however, use of a variety of methods is helpful when one is exploring the needs of a community.

Data Gathering (collecting information that already exists)

Demographics of the Community

• When demographic data are collected, it is useful to collect data from a variety of levels so comparisons can be made.
• If the population that is being assessed is located within a specific setting, it may be best to contact that agency to retrieve specific information about that population.
• The following resources provide a broad overview of the demographics of a city, county, or state:
• State and County Quick Facts—Easy access to facts about people, business, and geography, based on U.S. Census data: https://www.census.gov/quickfacts/fact/table/US/PST045219
• Obtain information about a specific city or county on these useful websites: www.epodunk.com and www.city-data.com

Information from Government Agencies

• Healthy People 2020—this resource is published by the U.S. Department of Health and Human Services. It identifies health improvement goals and objectives for the country to be reached by the year 2020: http://www.healthypeople.gov/
• National Center for Health Statistics—this agency is part of the Centers for Disease Control and Prevention; this website provides statistical information about the health of Americans: https://www.cdc.gov/nchs/index.htm
• National Vital Statistics System: http://www.cdc.gov/nchs/nvss.htm
• Centers for Disease Control and Prevention (CDC)—The CDC website contains a large amount of information related to the health of the American population. The search engine within this website can be used to find relevant information: http://www.cdc.gov
• Federal agencies with statistical programs: http://www.fedstats.gov/agencies
• Every state in the United States has its own specific health improvement plan and goals that are based on the Healthy People 2020 document. This information may be available on the state health department website.
• State and local health departments provide information related to vital statistics for the community.

Other Data Sources

• America’s Health Rankings—this website provides information about various health indicators for each state: https://www.americashealthrankings.org/
• Other relevant data sources may be found by conducting an Internet search related to the topic that is being examined through the community assessment.

After data are collected from various sources, it is important to review the information and to identify assets and areas for improvement in the community by comparing local data (if available) versus state and national data. This will facilitate organization of the information that has already been obtained and will provide direction for the next step of the process.

Data Generation (data are developed that do not already exist):

Windshield Surveys

With the use of public transportation or by driving a vehicle around the community, one can observe common characteristics of the community.

Examples of key observations to make when one is assessing the community through a windshield survey include the following:

• Age of the homes in the community
• Location of parks and other recreational areas
• Amount of space between homes and businesses
• Neighborhood hangouts
• Transportation in the community
• Quality and safety of streets and sidewalks
• Stores and other businesses
• People out in the community
• Cleanliness of the community
• Billboards or other media displays
• Places of worship
• Healthcare facilities

Participant Observation

Spend time observing the population that is being assessed. Through observation of interactions among group members, much can be learned about the community, including the following:

• Developmental level of the population
• Effectiveness of peer-to-peer interactions
• Respect for peers and others
• Safety in the environment
• Economic status

Informant Interviews

Informants could be people who are familiar with and interact with the population on a regular basis.

Examples of questions that may be asked of key informants include the following:

• Strengths/assets of the community
• Areas of improvement for the community
• Concerns of community members
• Access to health care
• Emergency plans for natural or man-made disasters

Focus Groups

Focus groups (usually small groups of 6-12 people) can be helpful when one is gathering information about specific areas of concern within the population. Use of a focus group involves open dialogue about the population, whereas an interview or survey yields only individual responses.

• Focus groups may be effective for assessing the following:
• Satisfaction with services provided
• Community resources used
• Transportation issues within the community
• Safety within the community
• General concerns of members of the population

Surveys

Surveys may be used to collect data from the community. Selecting a sample of the target population may prove helpful in the collection of data that are easier to analyze. It is important to ensure that the sample is representative of the target population.

A survey should be developed that takes into consideration the developmental level of the group that is being assessed. Questions should be written at the appropriate developmental level, so they are answered in a way that makes the data useful. Surveys might include closed-ended (yes/no), multiple choice (several responses to choose from), Likert scale (Strongly Agree/Agree/Neutral/Disagree/Strongly Disagree), or open-ended (“why”/“how”) questions.

Topics that may be addressed in a survey include the following:

• Demographic information
• Status of employment  
• Safety within community
• Safety in environment
• Personal safety (seatbelts, helmets, etc.)
• Stressors/stress management patterns
• Risky behaviors
• Support systems
• Volunteer/community activities
• Rest patterns
• Nutrition     
• Dental hygiene
• Health promotion activities

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.

   Health care in the US has been a significant contention source, especially after the passing of the Affordable Care Act. The new health legislation was a significant move for the US towards providing universal, affordable care to its citizens. However, some associated issues have plagued the healthcare system, causing the need for healthcare reforms. According to Doyle et al. (2017), people agree that the healthcare system wastes the country’s GDP as much as 5%. The main reason why there is a need for healthcare reforms is that healthcare costs have skyrocketed. For instance, an average family consisting of four family members increased their average costs by little over 7%. US healthcare is in dire need of improvement. The US is among the most developed countries in healthcare, but its healthcare spending is at an all-time high, with poor patient outcomes. The third reason for healthcare reforms is to curb the economic ramifications of healthcare fraud. The US loses between just over 50 billion to nearly 200 billion every year to fraud. The government could direct the money to offset the cost of Medicare.

2-     The Benefits

According to the Centers for Medicare and Medicaid Services (2016), there are ten crucial benefits. They include ambulatory patient services, hospitalization, mental health, substance abuse disorders, habilitative and rehabilitative devices and services, preventive and wellness services, and chronic disease management. The other five are emergency services, maternity, and newborn care, prescription drugs, laboratory services, and finally, pediatric services, which also include vision and oral care.

3- The Successes of ACA

For instance, ACA has allowed young people to remain under the coverageof their parents’ medical plans until they reach 26. In the past, insurancecompanies disallowed coverage once the children attained the age of 19. Byallowing cover for children, it increased the rates of young people withinsurance coverage. ACA also insured the preexisting conditions of thepopulations. In the past, insurance companies denied coverage to people withpreexisting conditions. These conditions also include injuries and medical illnessesthat people have before the commencement of their health plans. It alsoprovided cheap and affordable insurance premiums, providing insurance to alarge number of American citizens. The law also required employers who had morethan 50 employees to cater to their workforce’s health insurance, ensuring thatemployees had access to medical cover. Failure to comply with this resulted inemployers paying a fine.

4-The Failures of ACA

Unfortunately, the law has also had some failures in the course of its existence. For instance, the healthcare costs have continued to rise despite claims made by proponents. Another failure is that since its inception, the law had massive public opposition. Polls taken after its enactment showed this, and proponents claimed that it would rise in popularity over time. That has not been the case, with many people wanting the law repealed. The law was especially unkind to businesses with large numbers of employees as they had to cater to the health insurance requirements of their employees. Businesses had to drop many of their employees to a part-time status not to face the wrong side of the law. Another failure is that the government runs the program. Many conservatists believe that market-based solutions to healthcare are better than the government. Their thoughts are that providers are likely to offer better services when consumers make choices at a much lower cost.

References

Centers for Medicare and Medicaid Services. (2016). Information on essential health benefits (EHB)

benchmark plans. The Center for Consumer Information & Insurance Oversight. //www. cms.

gov/cciio/resources/dataresources/ehb. html (Accessed Nov 22, 2016).

Doyle Jr, J. J., Graves, J. A., & Gruber, J. (2017). Uncovering waste in US healthcare: Evidence from

ambulance referral patterns. Journal of health economics, 54, 25-39.

Edited by JENNY TASE on Oct 6, 2020, 10:38:30 PM 

Mexican American culture