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Good public health program

nstructions

Good public health program planners are able to clearly describe, descriptively and/or analytically, the priority population and use that information to guide them when developing an intervention (activity) to address the specific problem.

In your final deliverable consisting of both an 8–10-page report and a 15–20-slide PowerPoint presentation, you will use the information from the pre-intervention elementary school asthma study to create an education plan for asthma prevention among school children in four schools, based on the social ecological model. See the model illustration below.

The graphic represents the socio-ecological model.

The findings and recommendations in your paper and PowerPoint presentation must be supported by your primary data results and peer-reviewed literature. Give reasons and examples in support of your positions. Cite all sources using APA format.

Click here to install Minitab Software.

You may review the following resources:

  • CDC. (2013). Colorectal cancer control program (CRCCP): Social ecological model. Retrieved from http://www.cdc.gov/cancer/crccp/sem.htm
  • CDC. (2012). Program Performance and Evaluation Office (PPEO)—Program evaluation: A framework for program evaluation. Retrieved from http://www.cdc.gov/eval/framework/index.htm

Report

Your plan should be delivered in an 8–10-page report and include:

  • Clear explanations of each level of the ecological model and how it addresses the problem.
  • Positions supported by the asthma data and statistics from this course, which support the need for the education program.
  • Calculations indicating if there is a significant difference in asthma prevalence between four schools (A, B, C, and D) using Statistical Inference and t-Tests. Refer to the help files in the Minitab application specifically for Statistical Inference and t-Tests.
  • A well-supported answer to the question: Is there one school that has a greater need than others for priority in asthma education and why?

PowerPoint Presentation

Your 15–20-slide PowerPoint presentation should summarize your informatics research completed in Weeks 1–4, and your final needs assessment findings and recommendations. The PowerPoint presentation must include:

  • Relevant information from your asthma study, and be visually stimulating with graphics and pictures as appropriate
  • References both within the PowerPoint slides and a full citation on the last slide
  • Speaker notes on each slide plus an audio file of your narration of the presentation using the “record narration” feature

Submission Details:

  • Submit your 15–20-slide presentation in MS PowerPoint format and your 8–10-page report in a MS Word format to the Submissions Area by the due date assigned.
  • Name your document SU_PHE6203_W5_A2_A_LastName_FirstInitial.doc and your PowerPoint presentation SU_PHE6203_W5_A2_B_LastName_FirstInitial.ppt.

Attachments

Submissions

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  • Activity Details

Task: Submit to complete this assignment  Due January 9 at 11:59 PM

Assessment

Rubrics

  • PHE62

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Physical Examination

Janet, a 20 year-old college student, is experiencing a five-week history of itchy eyes and nasal congestion with watery nasal discharge. She also complains of a “tickling” cough, especially at night, and she has had episodes of repetitive sneezing. Janet gets frequent “colds” every spring and fall.

Physical Examination

Vital Signs: Temp, 98.8; BP 110/68; Pulse 72; Respirations 18

Skin: Flaking erythematous rash on the flexor surfaces of both arms

Head, Eyes, Ears, Nose, and Throat: Tender over maxillary sinuses; sclera red and slightly swollen with frequent tearing; outer nares with red, irritated skin; internal nares with red, boggy, moist mucosa and one medium-sized polyp on each side; pharynx slightly erythematous, with clear postnasal drainage

Lungs: Clear to auscultation and percussion

Discussion Questions:
1. Provide three differential diagnoses based on Janet’s subjective and objective data and discuss your reasoning for each.

2. What additional history questions would be useful in your evaluation of Janet?

3. Discuss the pathophysiological process of your primary diagnosis.

4. Differentiate the types of hypersensitivity mechanisms.

5. As per your analysis, what type of hypersensitivity reaction is Janet experiencing?

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Health Care Reform

Module 4 – Case

Health Care Reform/ Integration and Reflection

Case Assignment

The health care reform debate is not a new one. The plan for a  national system was a Hillary Clinton platform when she was First Lady.  In 2010, President Barrack Obama signed into law the Patient Protection  and Affordable Care Act (PPACA). President Donald Trump is now looking  to “repeal and replace” the PPACA.

It is incumbent on us all to become as informed about health care  reform as possible because it affects us, our family, and loved ones.  Use the module readings and your own research to respond to the  following questions:

  1. List and briefly describe 3 of the recommendations for health care reform from experts, interest groups, etc.
  2. Discuss how the Patient Protection and Affordable Care Act (PPACA) fits (or does not fit) with the recommendations.

Length: Submit a 3-page paper, not including the cover page and the reference list.

Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should also follow these Assignment Expectations.

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Long-Term Care for All

Case

Long-Term Care for All

The newly elected governor of a small state in which the elderly comprise 26% of the total population—twice the national average—is eager to fulfill his campaign promise. He had run for office on the slogan “long-term care for all.” The elderly in the state had overwhelmingly voted for him. Now in office about 9 months, his advisors tell him that providing long-term care services for all citizens in the state will be next to impossible because of high demand for the services. The governor, however, remains undeterred. The cornerstone of his proposed policy includes three things: (1) Develop a state-sponsored long-term care insurance plan. The insurance premiums will be income based, and will cost at least 15% less than a midlevel private long-term insurance plan being sold in the state. (2) Make it mandatory for all citizens, old and young, to purchase LTC insurance, either from the state or from a private insurance company. (3) Place restrictions on the use of nursing home and assisted living services in favor of community-based services.

Questions

1.  Give specific reasons why the governor’s policy may not work, pointing out specific problems that would likely arise.

2.  Will the policy work in a large state, everything else being equal? Give reasons.

 

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Therapeutic interventions

Module 5 discussion Therapeutic interventions for client with severe Anxiety or Panic

In this discussion, we’ll discuss anxiety, effective and ineffective interventions, and stress management. Please include the following in your initial posting:

Describe a client from your clinical setting or work who experienced severe anxiety or panic. Include a brief history and three most pertinent medications.

Describe the assessment process for this patient.

Identify at least one effective and one non-effective nursing intervention. Why did they work? What didn’t work?

Name and describe two stress reduction techniques you have used and whether they were helpful or not in reducing stress.

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pharmacokinetic and pharmacodynamic processes

Write a 3-page paper APA in-text citations, 4 references that addresses the following:

Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the case study below:

Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following:

  • Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun
  • Aspirin 81 mg daily
  • Metformin 1000 mg po bid
  • Glyburide 10 mg bid
  • Atenolol 100 mg po daily
  • Motrin 200 mg 1–3 tablets every 6 hours as needed for pain.

Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.

Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.

Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.

Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes.

Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

Describe how changes in the processes might impact the patient’s recommended drug therapy.

Be specific and provide examples.

Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

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pediatric patient

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

  1. Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
  2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
  3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

Please use the following link for reference:  https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/2

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.

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healthcare field

150-180 words APA format with references and in-text citations. 

Within the healthcare field we as nurses and future practitioners are faced daily with changes in our field. Whether it be current trends in healthcare, changes within our organizations or laws we embrace the changes to aid in the improvement of quality of care for the patients. Along with changes we are also faced with the many stressors that occur within our practice of work. Many stressors can occur such as issues with nurse patient ratios, healthcare breaches, and most importantly nursing shortages. The main stressor here I would like to focus on is nursing shortages with increased workloads. Retention is a key topic when addressing nursing shortage. According to Laureate Education, issues within healthcare will become more and more of a challenge for healthcare workers, therefore it is imperative to be able to adapt to the stressors (Laureate Education, 2015).

My organization is a non-profit healthcare facility. Located in Norfolk, VA we are a Level one trauma center as well as Magnet recognized organization. Working in such a facility in the heart of our community, we are faced with many challenging work shifts, difficulty workloads and most importantly a nursing shortage. I have seen in my organization units working understaffed, nursing managers and other members of leadership forced into staffing to take on patient assignments to not place the entire burden on bedside nurses. The assignments are heavier at times, the patients are a lot sicker and we seem to feel that we don’t have enough help in certain areas to properly treat our high acuity workloads. These types of issues place major stresses on staff members. Everyone becomes overwhelmed, displayed angers amongst staff, longer working hours, while feeling unappreciated at times.  Over the years the nursing shortage has been a huge issue with some of the factors being lack of properly trained educators, an abundance of turnover rates as well as challenging workloads (Haddad & Tony-Butler, 2019).

Addressing Issues  within Organizations

For such current issues within my organization, being in a leadership role I have seen the forefront of all that is being done to address our nursing shortage. For instance, we hold daily meetings that incorporate our staffing support services. This allows all members in our organization at the leadership level the insight on what extra staff help we have for the next few shifts. This allows everyone to critical think and plan ahead about areas where shortages may be occurring to plan for coverage of the gaps. Another area of tackling staffing issues within my organization has been incentive pay. Staffs are offered “call pay” which is extra pay for working extra shifts. Staff will be paid double pay for providing their time with covering staff shortages on certain units. This has allowed nurses to pick up extra hours to cover shortages decrease intense workloads, as well as offering a pay incentive. My organization has also extended contracts to travel nurses to work different assignments ranging 10-13 weeks. Having these nurses come in also works because those units critically short are offered help from a nurse assigned to them and only them for this period of time. Now although this is a temporary fix, we have had some of these nurses become our own staff nurses which increases our staffing.  With nursing shortages in our organization, it has been more common for staff to adjust and work with what they have. The Affordable Care Act (ACA) has made various ways to implement measures within healthcare to support the many struggles faced in this field, therefore allowing organizations to change delivery systems for improvement of patient care (Pittman & Scully-Russ, 2016). Although we still may seem to not see much change happening, many organizations such as my own are working hard to support their team members.

References

Haddad LM, Toney-Butler TJ. Nursing Shortage. [Updated 2019 Jan 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK493175/

Laureate Education (Producer). (2015). Leading in Healthcare Organizations of the Future [Video file]. Baltimore, MD: Author.

Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health, 14, 1–15. https://doi-org.ezp.waldenulibrary.org/10.1186/s12960-016-0154-3

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Adult Assessment Tools or Diagnostic Test

  • Evaluate validity and reliability of assessment tools and diagnostic tests
  • Analyze diversity considerations in health assessments
  • Apply concepts, theories, and principles related to examination techniques, functional assessments, and cultural and diversity awareness in health assessment
  • Apply assessment skills to collect patient health histories

Assignment 1

Assignment (3–4 pages, not including title and reference pages):

Assignment Option 1: Adult Assessment Tools or Diagnostic Tests:
Include the following:

Please select one of the following

Mammogram

Prostate-specific antigen (PSA) test

Pap smear

 

A description of how the assessment tool or diagnostic test you were assigned is used in healthcare.

What is its purpose?

How is it conducted?

What information does it gather?

Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting. At least 5 references not more than five years old.

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Organizational Behavior and Business Influences

Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One

You are a family nurse practitioner (FNP) employed as a contract (1099 independent contractor) in a busy primary care practice for 2 years. The providers in the group include one physician, who is also the owner of the practice, and two other nurse practitioners, who are staff employees (W2 employees). The owner of the practice recently made comments about the need to produce more revenue. You relate with his concerns and feel that you have several strategies that could be helpful. Your contract is up for renewal in 3 months. You are highly satisfied with your job and want to stay with the group. You see 20 patients per day on average and take call every third weekend.

Discussion Question:

What negotiation strategies should you use to propose a contract renewal? How does your role as a 1099 contractor benefit the practice over the W2 employees? What evidence will you present to the practice to reinforce your value in the practice both in terms of revenue and patient satisfaction? Consider any additional services you may be willing to provide under your contract. Use logical reasoning, and provide evidence based rationales for your decisions.Keep in mind that your negotiation terms and conditions must be within the legal scope of practice for an ANP.

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