• What are the responsibilities of community and public health nurses in promoting health and decreasing illness and injury in populations, families, and individuals? Provide specific examples from your community.

1 page

Question- Discussion post

Bad Speech Analysis

Instructions:

Watch the video then evaluate the speech by addressing the following: 

• Audience: What was the speaker’s target audience? How do you know?
• Introduction: Identify the speaker’s attention-getter, topic, and thesis. Did the attention-getter grab your interest? Why or why not? What was the speaker’s thesis or central idea? 
• Body: What pattern of the organization did the speaker use? What types of persuasion did the speaker use? Were they effective? Why or why not? 
• Conclusion: Did the speaker end strongly? Why or why not?  
• Presentation Aids: How did the speaker use presentation aids? 
• Delivery: Was the delivery of the speech effective? Why or why not?

Bad Public Speaking Example 1

 Please be sure to validate your opinions and ideas with citations and references in APA format. 

Peer Response

Bad Speech Analysis

Instructions:

Please post 1 peer response.

In the response post, include the following:

• What suggestions would you offer the speaker to strengthen the speech?
• What advice would you give the speaker?

Please be sure to validate your opinions and ideas with citations and references in APA format.

References:

XCELatBinghamton. (2009, January 7). Bad public speaking example 1 [Video]. YouTube. https://www.youtube.com/watch?v=Lc2OP1OMCRE

Here are your week 3 assignments.  Please try to do as much in your own words as possible.  I will take away points if I feel your work is completely taken from an article or the book.  I want to know what YOUR thoughts are, not someone else’s.  Please proofread your work prior to handing it in so that spelling and punctuation errors are fixed.  I will take off points for this also.  Grammar is an essential piece of your work.  When you’re out on your own working after school,  you will need to communicate with many different types of people and you want to present yourself as the professional you are.

#1:  5 points Write a complete nursing care plan based off of this nursing diagnosis:  Deficient knowledge related to preparation for the hospitalization.  Your patient is a 4 year old boy.

#2:  5 points What is considered a fever in a child?  What medications would be used to control fever?  What non-medication interventions can be done to decrease fever?  Write out a script on parental education that you would tell a parent with a child with a fever.

#3:  6 points Fluid calculation needs in children are based on their weight.  Please figure out the following fluid requirements needed for 24 hours then amount you would infuse per hour.

        a. 8 kg infant

         b. 14 kg toddler

        c.  21 kg child.

For each of these children, what is their weight in pounds?

#4  Here’s some dosage calculations (1 point for each)

       a.  Doctor’s order: Give 125 mg of medication once a day.  Medication label says 1 tablet = 250 mg.  How many tablets should be administered daily?

        b.  Doctor’s order:  Give Tetracycline syrup 150 mg po once daily.  Medication labels says Tetracycline syrup 50/mL.  How many mL should be administered per day?

        c.  Doctor’s order: Meperidine 20 mg IM q4h prn for pain.  Child is rating pain 8/10 based off the FACES scale  Medication label states Meperdine 40 mg/ml.  How many mL would you give for one dose?

        d.  Doctor’s order: Heparin 3,000 units subcutaneously now.  Medication label reals 5,000 units/mL. How many milliliters will be administered for this patient?

Presbycusis refers to the loss of hearing that steadily happens in many people as they age. Loss of hearing is a typical issue related to aging. “Approximately 30-35% of adults 65 years and older suffer from hearing loss. Studies also show that 40 to 50% of individuals 75 years and older suffer from hearing loss” (Purnami et al., 2020, p. 1). “Some of the signs and symptoms of presbycusis are slurred or mumbled speech, conversations that are difficult to comprehend, high pitched sounds such as “th” and “S” which are tough to hear, overly loud sounds and tinnitus” (Zhang et al., 2020, p. 2).Sensorineural hearing misfortune is brought about by issues of the auditory nerve or inner ear. Presbycusis is, for the most part, a sensorineural hearing issue. Steady changes in the inner ear commonly cause this issue. The combined impacts of repeated subjection to everyday construction work or loud traffic sounds, noisy workplaces, devices that make noise, and loud music can lead to sensorineural hearing issues. The sensorineural hearing usually begins because of lost hair cells which are tactile receptors of the inner ear. This hearing loss can also happen due to genetic and aging factors, different ailments, and adverse effects of specific prescriptions like ibuprofen and individual anti-infection agents (Purnami et al., 2020). Presbycusis might be brought about by changes in the blood supply channels towards the ear due to cardiovascular illnesses, hypertension, vascular conditions brought about by diabetes, or other circulatory issues.The hearing loss can be subtle, moderate, or profound. Sometimes, presbycusis may be a conductive hearing problem, which means loss of sound affectability is brought about by variations from the norm of the outer ear and middle ear. The inconsistencies may incorporate the tympanic membrane’s decreased capability, also called the eardrum or diminished capacity of the three small bones found in the ear that convey ripples of sound from the tympanic membrane to the inner ear. The presbycusis differential diagnosis encompasses noise exposure, trauma, perilymph fistula, autoimmune disease, otosclerosis, Meniere disease, metabolic dysfunction, infection, genetically inherited presbycusis, and exposure to ototoxic agents (Cheslock, 2020).Some of the interventions which are available for patients with presbycusis to remove the wax blockage, surgical procedures whereby a doctor can insert tiny tubes that assist in draining the ear if the patient has repeated infections, use of cochlear implants if the patient has a severe hearing impairment, or use of hearing aids if the inner ear is damaged (Zhang et al., 2020).There are three different kinds of retinal and macular diseases. These are:• Stargardt disease is an inherited retinal issue that usually leads to vision loss in children or adults.• Wet macular degeneration is a severe eye disorder causing blurred vision and is caused by unusual leaking blood vessels that leak blood or fluid into the macular.• Dry macular degeneration is the deterioration of the retina whereby a tiny yellow deposit called drusen forms under the retina.

ReferencesCheslock, M. (2020). Presbycusis. PubMed. https://pubmed.ncbi.nlm.nih.gov/32644646/. (Links to an external site.)Purnami, N., Mulyaningsih, E. F., Ahadiah, T. H., Utomo, B., & Smith, A. (2020). Score of Hearing Handicap Inventory for the Elderly (HHIE) Compared to Whisper Test on Presbycusis. Indian Journal of Otolaryngology and Head & Neck Surgery, 1–5. https://doi.org/10.1007/s12070-020-01997-5  (Links to an external site.)Zhang, W., Yu, Z., & Ruan, Q. (2020). Presbycusis-Related Tinnitus and Cognitive Impairment: Gender Differences and Common Mechanisms. Multiple Chronic Conditions – Overview and Management of Chronic Disease Clusters. https://doi.org/10.5772/intechopen.90956 (Links to an external site.).Hearing Eye Age-Related Diseases, discussion board week 5.docx

REPLY 2

Hearing and Eye Age-Related Diseases

Over the past years, hearing and age-related diseases have been a threat to human lives and are a rising difficulty for most health professionals. In society, the widespread of low vision and hearing problems have increased continuously with age among all the racial and ethnic categories. Similarly, age-related and hearing diseases are expensive and, therefore, a menace to the aged’s potentiality to live singly. In the 2013 Eye and Hearing Prevalence Research Group report, it was revealed that the hearing and age-related diseases double each year; also, one among the 28 American adults above 40 years are associated with eye and hearing diseases (Teutsch & Rechel, 2012). As such, the focus of this essay is threefold: To define presbycusis and identify its signs and symptoms, etiology, and differential diagnosis. To create three interventions-education measures with a patient with presbycusis and lastly, to list, define, and elaborate on three different retinal and macular diseases age-related.

Presbycusis, its Signs and Symptoms, Etiology, and Diagnosis

Presbycusis refers to the loss of hearing, which frequently takes place in aged individuals. The disorder mostly limits the hearing of high pitched sounds. For instance, the aged find it challenging to hear closer sounds of birds’ chirping or ringing of a phone.  The symptoms include the address of other individuals seeming slurred, the challenge in hearing and telling high pitch sounds, difficulty in understanding conversations, the occurrence of tinnitus, and particular sounds seeming or overloud or irritating (Teutsch & Rechel, (2012). Presbycusis’ diagnosis and etiology reveal that the disorders cause it regarding the inner or auditory nerve. The changes in the significant year as an individual gets older cause the disorder. The disorder can also be caused by overloud sounds such as traffic, equipment, or music. Additionally, it can be caused by the changes in the blood supply in the body due to the conditions of heart diseases or high blood pressure. 

Interventions-Education Measures of a Patient with Presbycusis

There are various interventions prescribed for hearing disorders. In surgical intervention, there is the implant of the cochlear. The implant process involves a multiplex electronic device that acts as a replacement of the internal ear cochlea. The process is essentials in enabling the patients to understand the sound and speech wave. Secondly is the management intervention. The intervention involves the devices of the hearing aids and aural rehabilitation. The hearing aid is essential in helping advance the hearing of the aged. In pharmaceuticals intervention, includes the transcription of pharmaceutical drugs such as Tankan, eblesen, and antioxidant therapy. The drugs are essential in the treatment of the hearing disorder. 

Retinal and Macular Diseases Age-Related

There are different retinal and macular diseases related to age. Firstly is the dry Age-Related Macular Degeneration (AMD). It is a condition that involves the macula layers getting continually thinner and defunctioning of their functionality. In its initial stages, the color of the macula changes, and tiny drusen are seen, which leads to the deterioration of the retina.  In wet AMD, newly advanced blood vessels implant in the choroid layer just next to the retina. It is also called choroidal neovascularization. The newly created vessels are usually weak leading to the leaking of fluids, lipids, and blood, which gets into the retina, causing scar tissue formation, which stops the functionality of the retina cells (O’Keefe-McCarthy, 2009). Lastly, the Stargardt is also another type of macular degeneration, majorly caused by a recessive gene in individuals. 

In conclusion, hearing and age-related eye disorder is a significant issue that needs various recommendations. Presbycusis is a hearing disorder that occurs in older adults. Its symptoms are associated with the difficulty of understanding the sound waves. The intervention measures for a patient with Presbycusis include management intervention, surgical intervention, and pharmaceutical intervention. The retinal and macular diseases age-related include the wet AMD, Stargardt, and the dry AMD.

References

O’Keefe-McCarthy, S. (2009). Technologically-mediated nursing care: The impact on moral agency. Nursing Ethics, 16(6), 76-796.

Teutsch, S., & Rechel, B. (2012). Ethics of resource allocation and rationing medical care in a time of fiscal restraint: US and Europe. Public Health Reviews, 34(1), 1-10.

All replies must be constructive and use literature where possible

Your assignment will be graded according to the grading rubric.

200 words each reply

Post a Psychiatric case studies a brief summary of patient visit and demographic at least 2 psychiatric diagnosis for each case, and therapeutic intervention for each case.  5 or more cases for one page. 

 Purpose

The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced nursing practice. Scholarly information obtained from credible sources as well as professional communication are required. Application of information to professional experiences promotes the analysis and use of principles, knowledge, and information learned and related to real-life professional situations. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared. 

Activity Learning Outcomes 

Through this discussion, the student will demonstrate the ability to: 

1. Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care (CO1) 
2. Apply concepts of person-centered care to nursing practice situations (CO2) 
3. Analyze essential skills needed to lead within the context of complex systems (CO3) 
4. Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings (CO4) 

I.   Application of Course Knowledge: of Course Knowledge: 

The student post contributes unique perspectives or insights gleaned from personal experience or examples from the healthcare field. The student must accurately and fully discuss the topic for the week in addition to providing personal or professional examples. The student must completely answer the entire initial question. 

Integration of Evidence: The student post provides support from a minimum of one scholarly in-text citation with a matching reference AND assigned readings OR online lessons, per discussion topic per week.

1. What is a scholarly resource? A scholarly resource is one that comes from a professional, peer-reviewed publication (e.g., journals and government reports such as those from the FDA or CDC).
   • Contains references for sources cited
   • Written by a professional or scholar in the field and indicates credentials of the author(s)
   • Is no more than 5 years old for clinical or research article
2. What is not considered a scholarly resource?
   • Newspaper articles and layperson literature (e.g., Readers Digest, Healthy Life Magazine, Food, and Fitness)
   • Information from Wikipedia or any wiki
   • Textbooks
   • Website homepages
   • The weekly lesson
   • Articles in healthcare and nursing-oriented trade magazines, such as Nursing Made Incredibly Easy and RNMagazine (Source: What is a scholarly article.docx; Created 06/09 CK/CL Revised: 02/17/11, 09/02/11 nlh/clm)
3. Can the lesson for the week be used as a scholarly source?
   • Information from the weekly lesson can be cited in a posting; however, it is not to be the sole source used in the post.
4. Are resources provided from CU acceptable sources (e.g., the readings for the week)?
   • Not as a sole source within the post. The textbook and/or assigned (required) articles for the week can be used, but another outside source must be cited for full credit. Textbooks are not considered scholarly sources for the purpose of discussions.
5. Are websites acceptable as scholarly resources for discussions?
   • Yes, if they are documents or data cited from credible websites. Credible websites usually end in .gov or .edu; however, some .org sites that belong to professional associations (e.g., American Heart Association, National League for Nursing, American Diabetes Association) are also considered credible websites. Websites ending with .com are not to be used as scholarly resources

IV.  Professionalism in Communication: The post presents information in logical, meaningful, and understandable sequence, and is clearly relevant to the discussion topic. Grammar, spelling, and/or punctuation are accurate.

resources:

DeNisco, S.M. & Barker, A. M. (2015). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.

• Chapter 5: Influencing and Leading Change in the Complex Healthcare Environment: The Role of the Advanced Practice Nurse p. 110-116.
• Chapter 6: Interprofessional Collaboration for Improving Patient and Population Health p. 123-135
• Chapter 7: An Overview of U.S. Healthcare Delivery p. 174- 176 The Systems Framework

Lis, G. A., Hanson, P., Burgermeister, D., & Banfield, B. (2014). Transforming graduate nursing education in the context of complex adaptive systems: Implications for master’s and DNP curricula. Journal of Professional Nursing, 30(6), 456—462. https://doi.org/10.1016/j.profnurs.2014.05.003 003 

Research Critique Paper (Nursing)

Please follow APA 7th edition 

Attached:

Instructions, Rubric and Articles for reference and citation. 

• Develop effective documentation skills for group therapy sessions *
• Develop diagnoses for clients receiving group psychotherapy *
• Evaluate the efficacy of cognitive behavioral therapy for groups *
• Analyze legal and ethical implications of counseling clients with psychiatric disorders *

Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.

Then, in your Practicum Journal, address the following:

• Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.
• Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for each client.
• Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.

Peer 1 

My practicum takes place at a child daycare center. This past week I spent time with the four and five year- old children. We talked about our teeth. When asked to raise their hand if they brushed their teeth, I was surprised to find that out of fifteen children, only eight had. This provided a good teaching opportunity about the function of our teeth.

We looked at pictures of teeth and learned that they help us bite, chew, talk, and help us smile. Then I read the book Why Should I Brush My Teeth. They were so enthralled with the twelve-page story. Afterward, I answered some of their questions about their teeth.

One of the Healthy People 2020 goals is to prevent dental caries. I believe that childcare centers can serve as educators for oral health. This can be achieved by offering water instead of fruit juice and sending home flyers to parents about healthy foods. 

I learned that I must shorten my lessons. Children ask a lot of questions, and I felt as if I needed to answer them all. My preceptor kept pointing to her watch. I do not know why I thought this would be easy.

Office of Disease Prevention and Health Promotion. (2014). Oral Health. Healthy People 2020. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/oral-health

Peer 2

This week was rather interesting. Just a reminder I am doing my capstone at A.L.I.C.E hope a non-profit organization that helps people deal with different trauma they are going through with the main one being domestic violence. My preceptor asked me to attend a banquet where she was getting honored for all her work within the community. This week my preceptor went met with different community leaders to discuss a plan to help victims of domestic violence. She also told me that she is a two-time survivor of domestic violence and that this is something close to her heart and she wanted women to know that they can get away and feel safe.

We had a client call and said she was feeling really down and felt like everywhere she went her partner was following her. She said she started receiving calls and when she answered the person hung up in her face. She said she felt like she can’t live like this anymore. We met up with her and helped get her numbers changed. We also set her up with temporary housing with a security system so she feels a little safer. My preceptor also talked with her to see where her mind was because she knew other women that committed suicide and did not want this to happen. The lady says he feels safer and is going to set up an appointment with the therapist. At that moment I never realized how traumatic or emotionally draining. This made me want to help even more. Everyone deserves to feel safe at home and not constantly looking over their shoulder. Women who have dealt with domestic violence may have depression or even experience PTSD. October is domestic violence awareness month and my preceptor mentioned to me that many people think domestic violence is only physical and she says that a myth. She said domestic violence is physical, mental, verbal, emotional, financial, and psychological abuse. 

References 

DomesticShelters.org. (2020, October 14). Domestic Violence Survivors at Higher Risk for Suicide. Retrieved October 15, 2020, from https://www.domesticshelters.org/articles/health/domestic-violence-survivors-at-higher-risk-for-suicide

 Step 1: Pull out your food journal (Assignment 2.1)

Using your own diet analysis,  set up a dietary consultation as if you were with a client. The client may be fictional or yourself

• Create a clear goal for your “client”.  Weight loss or weight gain.  It can be a made up goal or one that you have for yourself. 
• Analyze your diet by looking at the food entries in the and exercise over the duration of your journal (Are there too many carbs? Too few calories? Too much junk food? ) . Where is your client now and how can you optimize their health SPECIFICALLY! I need the details. 

Some things to include:

• Determine any dietary suggestions to get your client to their goal. What are the changes you suggest to get them to their ideal weight. 
• Does the client (or you) eat more or less over the weekend?
• Does the client (or you) eat more or less during the week?
• Do your exercise patterns change during the week compared to the weekend?
• Does the macronutrient content (Fat, Protein, and Carbohydrates Percentages) work towards the overall goal for yourself or your “client”? If yes, Explain why.  If no, How can you improve to meet the nutritional goal?
• Based on your Food log, clients body composition, and overall health goal- determine if the goal was realistic to achieve.  If yes, explain why.  If not, how would you help them to create a realistic goal. 
• When might you check or reassess your client to see if your plan is working?

Your food/life changes recommendations paper should be a minimum of 2-3 pages in length total, APA formatted, properly cited reference page, 12 point font

Step 2: Create a Food Journal Portfolio

Include:

• Title page
• Personal Food Journal
• Food Journal Analysis
• Food Recommendations for a fictional client or yourself
• Reference Page

All components to your portfolio must be presented in essay style APA format, include properly cited reference page, title page, and 12 point font