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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.

Student needs to know, compare and contrast the different categories of “shock” and the 

medicines used to treat “shock”

write two pages in APA stile with minimum of two referencies. 

Community health nurses conduct community health assessments (CHA) to examine the health status indicators for a specific community to identify key health problems and health-related resources in the community. Salman, Turek, and Donovan (2020) indicate that a CHA helps them plan services for families, individuals, and the community. A windshield survey allows a healthcare professional to get a visual overview of the community while driving around, researching, and recording his or her observations. During this drive, healthcare professional notes trends and conditions in the community that impact the population’s health. This data gives insight and background for conducting CHA or working in the community. In this windshield survey tool, the community under observation is Flagami, a neighborhood in Miami-Dade County, Florida.

Community Description

Flagami is a lower-middle-income community in Miami-Dade County, Florida, located on the western part of the Red Road and southeast of the Tamiami Canal. The average elevation of the neighborhood is 3 feet. Alameda and Fairlawn are subdivisions and sub-neighborhood within the community, respectively. The former lies on the western edge of the Tamiami Canal, and the latter comprises a large portion of the western end of the neighborhood. The majority of the community members are of Hispanic origin, followed by whites and African Americans. The physical appearance of most people indicates that they are neat and have a specific place of residence. The neighborhood is dominated by parks, coffee shops, and restaurants. Public schools are above average, based on neatly constructed structures. Flagami offers a variety of housing opportunities. The majority of homes in the community have one storey homes, colonial-themed two storehouses, and aluminum houses. The neighborhood also has some apartments and condominiums. Most of the houses were built in the 1990s, apart from the aluminum houses. Even though most homes have small yards, they are well-maintained with flowers and shrubs. The lighting is adequate, with security lighting systems on roads and inside the community. The community has many attractions sites, including a botanical garden, ocean breeze Water Park, and a boardwalk.

Community Health Status

Flagami has numerous health problems. An assessment report by The Florida Department of Health in Miami-Dade identifies factors, trends, and vents that can potentially impact community well-being and the value of life in Miami-Dade County. The report indicates the leading issues that are likely to affect health in Flagami include mental health, lack of affordable housing, gun violence, and opioid addiction (The Florida Department of Health in Miami-Dade County Releases Forces of Change Assessment Report, 2018). Opioid addiction is a major risk in HIV infections since heroin users are at high risk for contracting the virus when they share syringes and injection paraphernalia. Opioid addiction could be the primary cause of the high HIV cases among Hispanics in the community. Nationally, Florida ranks second in HIV infection cases.

The Role of the Community as a Client

The community as a client is a concept that allows community health nurses to focus on increasing the community’s health benefits instead of individual needs. Even though nurses may work with individuals and communities, the resulting changes affect the entire community. In Flagami, the Florida Department of Health in Miami-Dade County is a significant health resource. The Department’s Forces of Change Assessment creates an inclusive assessment of the residents’ well-being and value of life. The assessment acts as an essential resource for health improvement within the neighborhood. It assists the Miami-Dade community in working or reducing threats and exploiting opportunities to protect and enhance community health. Community health nurses are obligated to collaborate with the Florida Department of Health to respond to the high rates of mental health, gun violence, and opioid addiction in the community (Florida Department of Health in Miami-Dade County, 2020). Nurses can promote mental health and prevent mental illness in the Flagami community by identifying people at increased risk and screen. Also, the nurse can collaborate with the Department to map risk factors and identify resources and assets. Secondly, the community nurse can prevent opioid addiction in the community by implementing interventions for people at risk and building community resilience. Lastly, nurses can prevent gun violence in the Flagami community by taking a leadership position in educating parents and adolescents about injury and violence prevention. 

Healthy People 2020

The leading health indicators in Miami-Dade County that aligns with the Healthy People 2020 objectives are clinical preventive services of chronic diseases. The Florida Department of Health Bureau and Chronic Disease Prevention has defined goals and established objectives that address the Healthy People 2020 initiatives’ health needs. The Bureau has identified key chronic conditions that include cancer, arthritis, diabetes, nutrition, overweight and heart disease, and stroke (Healthy People 2020 | Florida Department of Health in Miami-Dade, 2020). For instance, the Department promotes recommended levels of physical activities to improve diet and nutrition and prohibit tobacco use to lessen cardiovascular disease and enhance the quality of life. The Department has also introduced early detection and access to high-quality care to reduce cancer mortality and morbidity. To reduce the burden of diabetes mellitus to persons in the community, the Department has implemented initiatives to reduce health disparities and increase the accessibility of quality healthcare in Miami-Dade and its communities. These goals align with Healthy People 2020’s preventive services goal to prevent and detect illness at more treatable stages, thereby reducing disability, risk of illness, early mortality, and medical care costs (Florida Department of Health in Miami-Dade County, 2020).

Conclusion

Flagami is a lower-middle-income community in Miami-Dade County, Florida. The key health problems in this community are mental health, lack of affordable housing, gun violence, and opioid addiction. Nurses play a role in the community through programs of prevention and screening. The majority of people in the community use their own cars as a principal transport. The Florida Department of Health is an essential resource in this community, representing the various ways of assessing community health needs. The Department collaborates with community health professionals to devise and implement strategies that promote healthcare. The Department’s health objectives also align with the Healthy People 2020 goals in preventive services.

ANSWER TO THE POST ABOVE 

APA STYLE (IN TEXT CITATIONS AND REFERENCES)

150 WORDS

PLAGIARISM FREE

· NURS 6501: Advanced Pathophysiology

At least 3 ciatations APA Format. 7th Edition

Required Reading

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

· Chapter 32: Structure and Function of the Cardiovascular and Lymphatic Systems; Summary Review

· Chapter 33: Alterations of Cardiovascular Function (stop at Dysrhythmias); Summary Review

· Chapter 35: Structure and Function of the Pulmonary System; Summary Review

· Chapter 36: Alterations of Pulmonary Function (stop at Disorders of the chest wall and pleura); (obstructive pulmonary diseases) (stop at Pulmonary artery hypertension); Summary Review

Note: The above chapters were first presented in the Week 3 resources. If you read them previously you are encouraged to review them this week.

Week 4: Alterations in the Cardiovascular and Respiratory Systems

Cardiovascular and respiratory disorders can quickly become dangerous healthcare matters, and they routinely land among the leading causes of hospital admissions. Disorders in these areas are complicated by the fact that these two systems work so closely as contributors to overall health. APRNs working to form a similarly close partnership with patients must demonstrate not only support and compassion, but expertise to guide the understanding of diagnoses and treatment plans. This includes an understanding of patient medical backgrounds, relevant characteristics, and other variables that can be factors in their diagnoses and treatments.

This week, you examine alterations in the cardiovascular and respiratory systems and the resultant disease processes. You also consider patient characteristics, including racial and ethnic variables, and the impact they have on altered physiology.

Learning Objectives

Students will:

· Analyze processes related to cardiovascular and respiratory disorders

· Analyze alterations in the cardiovascular and respiratory systems and the resultant disease processes

· Analyze racial/ethnic variables that may impact physiological functioning

· Evaluate the impact of patient characteristics on disorders and altered physiology 

Module 2 Assignment: Case Study Analysis

An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other.

Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.

Photo Credit: yodiyim – stock.adobe.com

An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

Case Study. 

A 65-year-old patient is 8 days post op after a total knee replacement. Patient suddenly complains of shortness of breath, pleuritic chest pain, and palpitations. On arrival to the emergency department, an EKG revealed new onset atrial fibrillation and right ventricular strain pattern – T wave inversions in the right precordial leads (V1-4) ± the inferior leads (II, III, aVF).

Assignment (2-pages case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following

· The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.

· Any racial/ethnic variables that may impact physiological functioning.

· How these processes interact to affect the patient.

These points needs to be properly addressed. 

The purpose of this assignment is to evaluate access to care and how health care reform improves access to care for all populations.

Write a 1,250-1,500 word paper answering the following questions:

1. What is access to care?
2. How does service availability affect access to care?
3. How do affordability, physical accessibility (delivery), and acceptability (quality) of services affect access to care?
4. What are some barriers to access to care?
5. How is equity of access measured?
6. What are two health care reform measures that have been implemented in the last 10 years to increase access to care? Describe each health care reform measure.
7. Were these health care reform measures successful in increasing access to care? Why or why not?

Support your writing with three to five scholarly peer-reviewed resources.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

• Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
• Review the Resources for guidance and develop a PICO(T) question of interest to you for further study.

Removing Restriction, PLEASE READ instructions. Its a NEW ASSIGNMENT. Don’t copy from last week’ paper. 

MINIMUM OF 3 REFERENCES

INCLUDE HEADINGS showing all questions are answered.

To Prepare:

· Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study. (My topic from last week paper= Removing restrictions on nurse practitioners’ scope of practice)

· Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.

· Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

· Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).

· Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.

· Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

Distinguish the pathophysiology, clinical manifestations, and treatment modalities of different alterations in function from Erythrocytes.

please check that attachment and read the rubric. it has all the required information, some of them that you need to look up. make sure to write about disaster and triage protocol in the first part. 

 Debate topic: Nursing curriculum needs an overhaul: Redesigning a nursing curriculum VS. Nursing education is providing the ultimate educational experience for nursing students and no adjustment is required

Given that you will be graduating very shortly, reflect back on your academic journey. Consider the courses that you took for your general education requirements and your nursing courses. Please answer the following questions:

1. What courses did you enjoy and why?
2. What courses did you not enjoy and why? Did the course meet the QSEN requirements?
3. What would you change regarding the nursing curriculum? What courses would you remove and/or add? Remember all courses added must adhere to the QSEN competencies and meet approval of the WSBON.
4. Has Covid impacted nursing education for the better in any way or has it provided a significant barrier to learning?

Come to class prepared to discuss these questions. Be prepared to discuss your rationales for any changes you would implement.

Please upload your answers to the above questions into Canvas.

Here is the link for the QSEN Institute to reveiw the QSEN competencies for pre-liscensure nursing education

https://qsen.org/competencies/pre-licensure-ksas/ (Links to an external site.)

Here is a link for the WBON self evaluation for approval of nursing curriculum. If you have suggestions for curriculum changes, use this tool to review if a suggestioned revision would meet the approval of the WSBON

https://dsps.wi.gov/Documents/fm3028.pdf

Here are a few articles that may be helpful on this topic

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4796347/ (Links to an external site.)

https://www.ncbi.nlm.nih.gov/books/NBK209885/ (Links to an external site.)

https://www.researchgate.net/post/How-Will-COVID-19-Reshape-Nursing-Education-Globally