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I need to apply the 4 major points, apply 2 or more aspects of Bentham’s principle of utility, and apply 3 or more utilitarianism claims? 

In a 20 slide presentation, using at least 2 APA style cited references, complete the following:

1. You have several students with Asthma. Discuss the difference between an asthma action plan and an Individualized health plan. Create a PowerPoint or Prezi on asthma. The first 2 slides should be a description of these plans. Then create five slides to be used to train teachers about their students with asthma.
2. You have several epinephrine pens in your office for children with severe allergies. Discuss how you would collaborate with the head of nutrition in your school district to keep these students safe? Create a PowerPoint or Prezi on allergies. The first two would discuss how to collaborate with the nutrition department. Then create five slides that you would use to teach the bus drivers how to use an epinephrine pen. 
3. As a closing element, discuss the importance of collaboration for these two conditions.

Feel free to use other resources for your teachings and explanations, such as YouTube in your teaching.

The following post is from another student to wish I have to reply adding some extra information related to the post

APA

less than 10 % similarity

short answer

With the realization that pain is highly prevalent among older adults, please answer the following questions:  

Part One: What are some ways you as the nurse can utilize to determine pain in the older adult?

                  : What are some of the potential barriers related   to self-reporting of pain in the older adult?

Chronic pain is common in older adults but should not be taken as an everyday occurrence. Due to so many barriers, some patients may leave hospitals with unrelieved pain. Undertreatment increases the chances of developing more severe emotional, cognitive, and physical conditions such as anxiety, depression, and sleep problems. Therefore, nurses should perform a thorough pain assessment to prevent these conditions. 

As a nurse, I will carry out a thorough pain assessment to an older patient by obtaining the necessary pain history and performing a complete physical examination. For example, getting to know the patient’s age, any medication they might be taking, surgical history, allergies, and cognitive status will help see the risk and degree of pain. The right communication skills are essential in obtaining this information. I will give patients all the time they might require to consider and answer my question. In areas where I fail to get information from the patient, family members can answer questions on their medical history.

I will also use advanced tools such as pain thermometers, face pain scale, and verbal descriptor scale. Before releasing the patient, I will perform a physical exam on the pain complaint area to determine whether the tissue or site has full mobility without any issues. Overall, proper pain assessment is necessary to prevent treatment that could cause more problems.

Communication and cognitive barriers are the main factors that hinder self-reporting for older adults. The majority of adults at such ages experience sensory and motor ability problems that make them have communication difficulties. They will have a hard time explaining or quantifying pain. Worse still, it is hard to observe pain expressions in older adults. Diagnosis of dementia in people of this age group has also posed a challenge in pain assessment. Some patients fear the side effects and addiction that may result from taking pain medications also makes patients fail to self-report their pain. All these factors increase the risks of pain under treatment for the older people population. However, with proper education for healthcare workers, we can overcome such barriers. 

References

Bonham Howe, B. L. (2015). The Gerontology Nurse’s Guide to the Community-Based Health Network [PDF]. Springer Publishing Company, LLC, NY. Retrieved from https://www.pdfdrive.com/the-gerontology-nurses-guide-to-the-community-based-health-network-e177862497.html

Reviews, C. T. (2020). OUTLINES & HIGHLIGHTS FOR GERONTOLOGICAL NURSING: COMPETENCIES FOR CARE BY MAUK, KRISTEN L., ISB. Retrieved from https://www.pdfdrive.com/gerontological-nursing-e34319591.html

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

• Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
• Select an existing healthcare program or policy evaluation or choose one of interest to you.
• Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

• Describe the healthcare program or policy outcomes.
• How was the success of the program or policy measured?
• How many people were reached by the program or policy selected?
• How much of an impact was realized with the program or policy selected?
• At what point in program implementation was the program or policy evaluation conducted?
• What data was used to conduct the program or policy evaluation?
• What specific information on unintended consequences was identified?
• What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
• Did the program or policy meet the original intent and objectives? Why or why not?
• Would you recommend implementing this program or policy in your place of work? Why or why not?
• Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

Submit your completed healthcare program/policy evaluation analysis.

1. Define the apical impulse and describe its normal location, size, and duration.

2. Which abnormal conditions may affect the location of the apical impulse?

3. Explain the mechanism producing normal first and second heart sounds.

4. What is syncope?

5. Define the third heart sound.

6. Define pulmonic stenosis.

7.Define physiologic splitting.

Reply answering the questions above using APA format.

Gastrointestinal & Endocrine

42 year old, African American Female patient with a chief complaint of neck swelling that has progressively gotten worse over a period of a year.  She also confirms that she has loss weight without any changes to her diet.  Patient is tachycardic with a pulse of 102, anxious but no acute distress.

What other subjective data would you obtain?

 Subjectively we know the patient has complaints of neck swelling, weight loss, and difficulty swallowing.  Additional questions should be asked to gather additional information to aid in reaching a proper diagnosis for this patient.  Initial questions should be general such as any changes in bowel habits, how they feel in hot or cold weather and any changes in energy.  The most common thyroid diseases are Hypothyroid and Hyperthyroid.  These two diseases manifest with opposite symptoms.

What other objective findings would you look for?

 With the documented weight loss, tachycardia and anxiety.  Additional questions and testing should be geared towards Hyperthyroidism.  Key objective assessment findings for Hyperthyroidism include tachycardia, palpitations, weight loss, elevated T4 and T3, decreased TSH and diaphoresis.  When you have hyperthyroidism, your body is producing excessive amounts of the thyroid hormones T3 and T4. Since these hormones regulate your metabolism (how your body processes and uses energy), having too high a level will cause symptoms related to a high metabolism (Milas, 2019).

What diagnostic exams do you want to order?

 Diagnostic testing includes blood tests, iodine uptake scan and thyroid scan.  Blood tests are preformed to measure the levels of thyroid hormones. T4 and T3, must be high to diagnosis a patient with hyperthyroidism.  Thyroid stimulation hormone (TSH) is also measured and is low in hyperthyroidism.  The iodine uptake scan is used to measure the thyroid function by determining how much iodine is taken up by the thyroid gland.  Normal values are up to 25% in a 24-hour period.  If the percentage is above 35% in 24 hours the abnormal results could indicate hyperthyroidism, hashimoto’s or goiter.  Hyperthyroidism speeds up some of your body’s processes.  Thyroid scan is typically done at the same time as the iodine uptake test.  Thyroid scans use the emissions of gamma rays from radioactive iodine to obtain a picture of the thyroid (UCLA Health, n.d.).

Name 3 differential diagnoses based on this patient presenting symptoms? Give rationales for each differential diagnosis.

 Hyperthyroidism is an excessive concentration of thyroid hormones in tissues.  The most common causes of excessive production of thyroid hormones are Graves’ disease, toxic multinodular goiter, and toxic adenoma.  Graves’ disease is an autoimmune process in which antibodies stimulate the TSH receptor leading to overproduction of thyroid hormones.  With Graves’ symptoms include anxiety, moist skin, weight loss, enlarged thyroid gland, bulging eyes and palpitations.

References

Milas, K. (2019). Hyperthyroidism Symptoms. Retrieved November 20, 2020, from https://www.endocrineweb.com/conditions/hyperthyroidism/hyperthyroidism-symptoms (Links to an external site.)

UCLA Health. (n.d.). Radioactive Iodine Uptake Test. Retrieved November 20, 2020, from https://www.uclahealth.org/endocrine-center/radioactive-iodine-uptake-test

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.

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

Medicaid or Medicare: which program has greater impact in your state?  

           To determine which insurance has greater impact it is important to analysis some aspects associated with these programs (e.g., socio-demographic characteristics of the population covered). Typically, Medicare pays the major portions of medical bills, including hospitalizations and the implementation of this particular program does not result in unbound demand on the part of the recipients for covered services. In addition, it is important to keep in mind the eligible populations of both programs. For instance, Medicare is a federal program that provides health coverage for individuals who are 65+ or under 65 and have a disability, without taking into account their income. Conversely, Medicaid is a state and federal program that provides health coverage if you have a very low income. However, both programs work together to provide health coverage and lower your costs for their recipients (Leonard et al., 2017).

           According to recent data, more than 4.6 million patients are enrolled in Medicare in Florida and about 3.6 million patients in Florida are eligible for Medicaid in Florida, including approximately 235,000 children who are enrolled in the Children’s Health Insurance Program (CHIP). In my opinion, Medicare has a greater impact in Florida since this program covers the major portions of medical bills (about 80 %) and the number of people aged 65 or older in this state is higher when compared to other states. According to the results of a recent study performed by the Census Bureaus in 2018, Florida is one of the top three states with the highest percentage of elderly population in United States, in addition Texas and California. Furthermore, we have to keep in mind that patients covered by this program are 65 year-old or older or under 65 with a disability; therefore, the costs of health care are much higher since they suffer from medical chronic conditions and receive healthcare services characterized by high costs (e.g., mental health care, home health services, etc.) (Hu & Mortensen, 2018). 

References

Hu, T. & Mortensen, K. (2018). Mandatory statewide Medicaid managed Care in Florida and

hospitalizations for ambulatory care sensitive conditions. Health Research and Educational Trust, 53.1, 293-311. doi: 10.1111/1475-6773.12613.

Leonard, C. E., Brensinger, C. M., Nam, J. N., Bilker, W. B., Barosso, G. M., Mangaali, M. J. &

Hennessy, J. (2017). The quality of Medicaid and Medicare data obtained from CMS and its contractors: Implications for pharmaco-epidemiology. BMC Health Services Research (2017) 17:304, 1-7. doi:10.1186/s12913-017-2247-7. 

 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. 

Using health education and goups in the community