Monthly Archives: May 2023

Three-part APA Paper….

Part 1: Reflect on how those experiences from the Discussion Post impact your nursing practice now?

Part 2: Discuss what ageing biases you have witnessed &/or perpetrated.

Part 3: Create a community education plan to address ageing bias.

The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials.

We see SWOT presented in a 4 block matrix:

Internal: S/W

External: O/Th

Choose a department in a hospital, such as labor and delivery, and provide an analysis that involves both internal and external matrices.

Use APA 6th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers.  All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page. Be sure to submit using Microsoft Word (Do not use PDF version or text version).

Chronic Stable Angina

E.H. is a 45-year-old African American man who recently moved to the community from another state. He requests renewal of a prescription for a calcium channel blocker, prescribed by a physician in the former state. He is unemployed and lives with a woman, their son, and the woman’s 2 children. His past medical history is remarkable for asthma and six “heart attacks” that he claims occurred because of a 25-year history of drug use (primarily cocaine). He states that he used drugs as recently as 2 weeks ago. He does not have any prior medical records with him. He claims that he has been having occasional periods of chest pain. He is unable to report the duration or pattern of the pain. Before proceeding, explore the following questions: What further information would you need to diagnose angina (substantiate your answer)? What is the connection between cocaine use and angina? Identify at least three tests that you would order to diagnose angina.

Diagnosis: Angina

1. List specific goals of treatment for E.H.

2. What dietary and lifestyle changes should be recommended for this patient?

3. What drug therapy would you prescribe for E.H. and why?

4. How would you monitor for success in E.H.?

5. Describe one or two drug–drug or drug–food interactions for the selected agent.

6. List one or two adverse reactions for the selected agent that would cause you to change therapy.

7. What would be the choice for the second-line therapy?

8. Discuss specific patient education based on the prescribed first-line therapy.

9. What over-the-counter and/or alternative medications would be appropriate for E.H.?

To Prepare:

• Review this week’s Learning Resources concerning treating patients with anxiety disorders.
• Reflect on a child or adolescent client you are currently counseling or have previously counseled at your practicum site who has been diagnosed with an anxiety disorder.

Post a 3- to 5-minute Kaltura video in which you do the following:

• Describe the client who has been diagnosed with an anxiety disorder. Note: Do not use the client’s actual name.

• Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.

• Identify any additional information about this client that may potentially impact expected outcomes.

Provide a minimum of three academic references no more than five years old . 

Support your approach with evidence-based literature in APA Format and proper citation, including introduction and conclusion.

TOPIC: Oswego Outbreak Case Study

Read the “Oswego Outbreak Investigation,” located in the Topic Materials.

Part 1

Complete the following:

1. Using the line listing in the Excel “Oswego Line Listing Workbook,” calculate the attack rate ratios for each food item using the table in the Excel “Oswego Attack Rate Table.” Create a separate 2×2 table for the food item you think is responsible for the outbreak and interpret the attack rate ratio for this food item. Refer to the “Creating a 2×2 Contingency Table” resource for guidance.
2. Using the line listing in Excel “Oswego Line Listing Workbook,” construct an epidemic curve by the time of onset of illness. What does this curve tell you regarding the average incubation period, source, and transmission? 
3. Using the incubation range and clinical symptoms, identify potential infectious agents that could be responsible for the outbreak (refer to the Topic Material, “Compendium of Acute Foodborne      and Waterborne Diseases”). Discuss your rationale.

Part 2

In a 500-750 word paper, evaluate the situation and present your findings. Including the following:

1. Does this case meet the definition of an “outbreak?” Why or why not?
2. Identify the steps required to investigate an outbreak. How did these steps help in investigating the Oswego event? Include the relevant information needed for each step to be successful.
3. Discuss the possible routes of transmission for the expected agent.
4. Based on this information, what control measures would you recommend? State whether they are primary, secondary, or tertiary prevention strategies.

General Requirements

Prepare this assignment according to the guidelines found in the APA Style Guide.

You are required to submit this assignment to LopesWrite. 

STUDY MATERIALS

Read Chapters 3-5 and 18 in Gordis Epidemiology.

Read “Types of Surveillance,” located on the London School of Hygiene and Tropical Medicine website. URL:http://conflict.lshtm.ac.uk/page_75.htm

Read “WHO Report on Global Surveillance of Epidemic-Prone Infectious Diseases – Introduction,” located on the World Health Organization (WHO) website. URL: https://www.who.int/csr/resources/publications/introduction/en/

Read “CDC 24-7 Fact of the Week,” located on the Centers for Disease Control and Prevention (CDC) website. URL:https://www.cdc.gov/about/facts/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fabout%2Ffacts%2Fcdcfastfacts%2Fsurveillance.html

Read “Two by Two Tables,” by Sullivan, Dean, and Pezzullo, from OpenEpi: Open Source Epidemiologic Statistics for Public Health (2013), located on the OpenEpi website. URL: http://www.openepi.com/TwobyTwo/TwobyTwo.htm

Read “Goodness of Measurement: Reliability and Validity,” by Bajpai and Bajpai, from International Journal of Medical Science and Public Health (2014). URL: https://www.ejmanager.com/mnstemps/67/67-1380953319.pdf

Use the “Compendium of Acute Foodborne and Waterborne Diseases,” located on the Centers for Disease Control and Prevention (CDC) website, to assist in completing the Oswego Outbreak Case History assignment. URL: https://www.cdc.gov/eis/casestudies/xoswego.401.303.compendium.pdf

View “How to Create an Epidemic Curve,” by Martin (2016), located on the YouTube website. URL: https://www.youtube.com/watch?v=dn84ezAzV4k

View “Know How to Interpret an Epidemic Curve?” by Martin (2017), located on the YouTube website. URL: https://www.youtube.com/watch?v=7SM4PN7Yg1s

Explore the National Notifiable Diseases Surveillance System (NNDSS) page of the Centers for Disease Control and Prevention (CDC) website. URL: https://wwwn.cdc.gov/nndss/

Explore Public Health Surveillance and Data page of the Centers for Disease Control and Prevention (CDC) website. URL: https://www.cdc.gov/surveillance/

a) Recommend strategies for improving the organization’s cultural competence with regard to patient engagement and communications. Be sure to use research to support your reasoning.

b) Suggest health promotion and disease prevention strategies for improving outcomes in terms of population health status. Be sure to use research to justify your suggestions. 

c) Recommend policies and strategies that increase the organization’s use of a population health approach to reduce costs and improve overall quality of care. Be sure to use research to substantiate your recommendations.

Read the following vignette about a child with ADHD and answer each of the three questions at the end:

Scott  is 8 years old. At 7 AM, his mother looks into Scott’s bedroom and sees  Scott playing. “Scott, you know the rules: no playing before you are  ready for school. Get dressed and come eat breakfast.” Although these  rules for a school day have been set for the past 7 months, Scott always  tests them. In about 10 minutes, he is still not in the kitchen. His  mother checks his room and finds Scott on the floor, still in his  pajamas, playing with miniature cars. 

Ten  minutes later, Scott bounds into the kitchen, still without socks and  shoes, and hair tousled. “You forgot your socks, and your hair isn’t  combed,” his mother reminds him. “Oh yeah. What’s for breakfast?” he  says. “Scott, finish dressing first.” “Well, where are my shoes?” “By  the back door where you left them.” This is the specially designated  place where Scott is supposed to leave his shoes so he doesn’t forget.

Scott  starts toward his shoes but spots his younger sister playing with  blocks on the floor. He hurries to her. “Wow, Amy, watch this—I can make  these blocks into a huge tower, all the way to the ceiling.” He grabs  the blocks and begins to stack them higher and higher. “Scott makes a  better tower than Amy,” he chants. Amy shrieks at this intrusion, but  she is used to Scott grabbing things from her. The shriek brings their  mother into the room. She notices Scott’s feet still do not have socks  and shoes.

“Scott,  get your socks and shoes on now and leave Amy alone!” “Where are my  socks?” he asks. “Go to your room and get a clean pair of socks and  brush your teeth and hair. Then come eat your breakfast or you’ll miss  the bus.”

1. What sort of problems would you expect Scott to have at school? 
2. What are some teachings you might provide for this parent?
3. What interventions would give Scott the best chance of having positive outcomes? 

Identify a population to assess and develop an evidence-based, primary care health promotion recommendations to deliver in their own communities (Ex: Hispanics-Diabetes, Africanamericans and Prostate Cancer,etc).

This an example of an student Posting:

 Each population has some specific health issues that can require health promotion programs. American Indian population attracts attention in this context because of the specific state of affairs. Although this population has several main health issues for which health promotion can be required, all these issues can be solved by following the directions that cause a generally healthy lifestyle.

According to the U.S. Department of Health and Human Services (n.d.), the main issues in the American Indian population is diabetes, obesity, and tobacco use. Even though those are three different issues, the health promotion for solving them is quite similar. Such promotions have to be generally focused on a healthy lifestyle. This means healthy nutrition – less fat and sweet food and more healthy food and balanced nutrition. The next item is physical activity – starting with such common advice as more walking and ending with making sport a healthy habit. This advice is also helpful for coping with tobacco use. This habit often appears when a person has stress with which it is hard to cope. However, sport is helpful in decreasing the level of stress, and therefore, it can be useful to break the smoking habit. Therefore, one can see that advice directed on causing a healthy lifestyle is helpful for coping with health issues, widespread in the American Indian population.

This way, one can see that even though the American Indian population has several main health issues that can require healthcare promotion programs, all these issues can be solved by following the directions that cause a generally healthy lifestyle. The issues of diabetes, obesity, and tobacco can be solved with healthy nutrition and physical activity.

Reference

U.S. Department of Health and Human Services. Health Promotion. Retrieved 20 March 2020, from https://www.ihs.gov/communityhealth/hpdp/

   Data Collection  

· Describe ALL data collection methods in detail (i.e. survey, interview, observation)

 Measurement Tools  

Describe each measurement tool/instrument used to measure study outcomes in detail. 

Participant Characteristics/Sociodemographic Findings

  · Must be descriptive and comprehensive

· Describe participant characteristics or sociodemographic findings

· Describe the findings of Tables/Figures to provide comprehensive information about participant characteristics as article provided

 All other Results/Findings 

· Describe ALL Other Results/Findings besides above participant characteristics in the article in detail for each Result item

· Each Result item must include Headings/Subheadings of Results as the article provided.

· Do NOT simply saying “pain level was decreased,” “adherence was increased” 

 Do NOT include contents from Discussion and/or Conclusion in the article.  

MUST USE ARTICLE ATTACH TO ANSWER QUESTION. ( CONTENT 11) is the name of the file. 

APA, No page limit as long as all questions are answered

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

Please use this format

Introduction

MyChart

Making Sense of So Much Data

Conclusion 

References