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health department websites,

Using resources such as the CDC, state and county health department websites, and various local resources, identify an opportunity for improved health behavior in an individual client. Your paper should be 1 – 2 pages in length in addition to the cover page and reference page. You should use a minimum of three references to support your work.

Be sure to cover the following:

  • Identify an opportunity to for improved health behavior in an individualized client.
  • Identify short and long term goals for the achievement of the overall health goal.
  • Using Healthy People 2020, identify which problem you are working on improving.
  • Recognize local resources to aid in the resolution of the identified problem.
  • Assist in the evaluation in the response to interventions.

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Calculating Odds   Ratio

Calculating Odds   Ratio

Data can be qualitative or quantitative. Qualitative data is helpful to generate a hypothesis and gather information if little is known about an expected association. Focus groups, key informant interviews, and case studies are types of qualitative data collection methods used to identify common themes from which to build a hypothesis. Quantitative data collection and analysis is used to test a hypothesis and make comparisons to determine the direction and strength of a potential association. The Behavioral Risk Factor Surveillance System (BRFSS) is cross-sectional panel survey used to collect quantitative data on adult behaviors and risk factors. It is one of the largest U.S. health data collection efforts. The data can be used to analyze associations on a state or country level. Follow the steps to obtain a 2×2 contingency table (also known as a “cross tabulation”) crossing binge drinking with depression.

1. Retrieve the “BRFSS Web-Enabled Analysis Tool” resource provided in the Topic Materials.

2. Select “Cross Tabulation.”

3. Select “2015” for the year.

4. Select “Arizona” for the state.

5. Select “Alcohol Consumption: Binge drinkers (males having five or more drinks on one occasion, females having four or more drinks on one occasion)” for Step 2 Select Row.

6. Select “Chronic Health Conditions: Ever diagnosed with a depressive disorder, including depression, major depression, dysthymia, or minor depression” for Step 3 Select Column.

7. Skip Steps 4 and 5.

8. Select “Sample Size” for Step 6 Select Statistics and run the report for the cross tabulation.

Part 1

Using the data from the cross tabulation results, calculate the odds ratio for depression among those exposed to binge drinking. Interpret the odds ratio and discuss if the odds ratio is a good estimate of the relative risk in this situation. Why or why not? Show your 2×2 table and all calculations. Present or describe the formula you used to arrive at your answer.

Part 2

Use the Topic Material, “BRFSS Web-Enabled Analysis Tool,” located on the CDC website, and run a report for two variables of interest to you. Create a 2×2 table and calculate the odds ratio for this association. Interpret the odds ratio and discuss the public health importance of the association. Show your 2×2 table. Present or describe the formula you used to arrive at your answer.

Refer to the “Creating a 2×2 Contingency Table” resource for guidance in creating 2×2 contingency tables.

General Requirements

APA style is not required, but solid academic writing is expected.

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.

Use the “BRFSS Web Enabled Analysis Tool,” located on the Centers for Disease Control and Prevention (CDC) website, to complete the topic assignment.

URL:

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Nurse Manager Skills Inventory

Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

  1. Personal and professional accountability
  2. Career planning
  3. Personal journey disciplines
  4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation 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 Turnitin. Please refer to the directions in the Student Success Center.

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: Reducing Disease Risk

Case Study 1: Reducing Disease Risk[1]

 

 

 

Mary P. is a 57-year-old operating room nurse who works full-time at a local hospital. She is 65 inches tall and weighs 160 pounds. She has a family history of diabetes and heart disease and was recently diagnosed with high blood cholesterol. She has declined the cholesterol-lowering medication her doctor prescribed, and says she would like to explore other methods for lowering her cholesterol first. For the past few weeks, Mary has been taking a tablespoon of coconut oil every day after reading on the Internet that this will lower her cholesterol. She admits she has little time or energy to exercise. Her diet history reveals she often skips breakfast or has a donut or bagel with cream cheese at work. She drinks several cups of coffee each morning with cream and sugar. Lunch is a salad with crackers and iced tea with sugar in the hospital cafeteria. She occasionally drinks one or two glasses of wine in the evening, especially after a stressful day at work. She lives alone and relies on frozen dinners or other convenience foods in the evening. An analysis of her diet reveals an average daily intake of 200 grams carbohydrate, 50 grams protein, and 80 grams of fat.

 

 

 

1.   Taking into account her current lifestyle and personal food preferences, what food habits might be difficult for Mary to change?

 

2.   How might her emotions contribute to her food and drink choices?

 

3.   Using Table 1-2, calculate Mary’s average daily kcalorie intake from carbohydrates, protein, and fat. Add these figures to together to arrive at her total daily caloric intake.

 

4.   What percentage of her daily calories is provided by carbohydrates? Protein? Fat?

 

5.   Compare the composition of Mary’s diet with the Acceptable Macronutrient Distribution Ranges (AMDR).

 

6.   How would you use the information above to make dietary recommendations for Mary?

 

7.   What are some credible sources of nutrition information from Table H1-1 that could provide information to help Mary lower her blood cholesterol?

 


[1] Contributed by Barbara Quinn.

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Culture of Patient Safety

Assignment Description

A Culture of Patient Safety

Read this article:

Sammer, C. & James, B. (2011, September 30). Patient safety culture: The nursing unit leader’s roleOJIN: The Online Journal of Issues in Nursing,16(3), Manuscript 3.

In the Hospital Hope scenario, what do you think was the most important factor that led to the change in practice in the SICU?

If you worked in a facility that needed a practice change, what framework would you use and why?

Assignment Expectations:

Length: 1250 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two scholarly sources plus the textbook are required.

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professional development

There are 10 major segments: one for each clinical objective. For each segment, you will need to include:

· A brief statement describing the purpose of given objective in your professional development

· Then identify supporting evidence and how each contributes to meeting the given objective

· Then briefly explain how the chosen evidence items (e.g. artifacts) illustrate your change and progression in the program

I have provided the artifacts so all you are doing is just comparing the before and after by answering the questions above.

Feel free to send me a sample or first answer

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Applying Nursing Theory Discussion

Applying Nursing Theory Discussion

Instructions:

  1. Select one of the following scenarios related to a specific nursing. Think about what you would do in the scenario presented and post your ideas.
  2. Post two discussion questions based on the readings along with your answers.
  3. Read and then respond to at least two of your classmate’s postings.
Theorist Scenario
Florence Nightengale
  1. Using Nightengale’s concepts of ventilationlightnoise, and cleanliness, analyze the setting in which you are practicing nursing (working as an employee or student).
  2. Using Nightengale’s theory, evaluate the nursing interventions you have identified for an individual patient in your facility or practice.

    OR

  3. Your hospital patient is an 82 year-old woman. She does not have immediate family and has been living alone in her own home. Her hospitalization was unanticipated; it followed a visit to the emergency room for a burn on her lower leg. The patient has been hospitalized for 14 days. She pleads with you to allow her friend to bring her dog, a 16-year-old Scotty Terrier, to the hospital. She tells you that none of the other nurses have listened to her when she asked them about such a visit. Based on Nightingale’s model, and 13 cannon, what actions would you take for this patient?
Betty Neuman
  1. Martina is a middle-aged Hispanic woman who brings her family to a local free clinic to obtain medical care. She works part time in a restaurant for minimum wage. She lives in a small apartment with her daughter and four preschool children; her daughter speaks only very broken English. Martina’s medical diagnoses are hypertension, arthritis, and depression.

    Use the Neuman System Model as a conceptual framework to respond to the following:

    1. Describe the family as a system.
    2. How does the dominant Anglo culture impact on  the family’s stability as a system?
    3. What stressors (actual and potential) threaten the family?
    4. What additional assessment data are needed related to Martina’s medical diagnoses?
    5. What additional assessment data are needed related to the family’s health status?
    6. How will cultural differences influence planning for prevention as intervention at primary, secondary, and tertiary levels?

      OR

  1. Using the Neuman System Model, organize a patient care conference in your workplace to deal with a patient situation that has been difficult to manage.  Involve caregivers from nursing and at least one other disicpline to discuss each of the following:
    1. What factors comprise the patient’s normal and flexible lines of defense and lines of resistance?
    2. What stressors are  causing the problems with this patitent? What is the patient’s reaction to the stressor? What is each discipline’s perspective on the problem or isssues that are involved?
    3. How is the situation influenced by the patient’s family system? By the patient’s environment?
    4. What would be the ideal coutocme in this situation from each discipline’s perspective?  From the patient’s perspective?
    5. What goals would be appropariate to neogotiate with the patient?
    6. What primary, secondary, and tertiary prevention-as-interventions would support attainment of these goals?
Imogene King
  1. Think about and write your personal definitions of environment, health, nursing, and person. (Do these sound familiar to you?). Compare your definitions with King’s definitions. How are they similar? How are they different? Are they more alike than different? If they are more alike, develop a plan to use King’s framework and theory more extensively in your paper (and practice).

    OR

  2. Does the philosophy of one of the agencies in which you have practiced encourage the involvement of the patients in their care? If so, does mutual goal setting occur? If not, what changes would you suggest to promote more active involvement of the patients in their own care?

    Analyze an interaction  you have had with a patient. Were you able to achieve a transaction as King describes it? If so, think about what you did differently with this person? If not, think about the interaction and try to identify why the transaction was not achieved?

Hildegard Peplau
  1. During the therapeutic relationship, patients may distort their perceptions of others. Therefore they may relate to the nurse not on  the basis of the nurse’s realistic attributes, but wholly or chiefly on the basis of interpersonal relationships existing in their environment. With  the patient and nurse roles you have described above, discuss how these distorted perceptions may affect the patient’s care and the nurse-patient relationship.

    OR

  2. Considering the nurse-patient relationship created in question #1 above, discuss the phases and the changing roles that would be considered when working with this patient. Consider experiences in which you would 0r/and would not be able to accomplish the appropriate goals for each phase of the nurse-patient relationship.
Madeleine Leininger Discuss the usefulness of the Culture Care: Diversity and Universality Theory in the  21st Century to discover nursing knowledge and to provide culturally congruent care. Take into consideration the current trends of consumers of healthcare, cultural diversity factors, and changes in medical and nursing school curricula. Listed below are some examples of trends and changes you may want to consider in your discussion:

  1. The importance of transcultural nursing knowledge in an increasingly diverse world
  2. An increase of lay support groups to provide information and sharing of experiences and support for patients and/or families experiencing chronic, terminal, or life-threatening illnesses or treatment modalities from diverse and similar (common) cultures.
  3. Use of cultural values, beliefs, health practices, and research knowledge in undergraduate, alternative medicine, herbs, vitamins, minerals, and other over-the-counter medications, which demand a transcultural knowledge base.

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f neurological and musculoskeletal disorders.

As you examine the patient case studies in this module’s Resources, consider how you might assess and treat patients presenting symptoms of neurological and musculoskeletal disorders.

· Review the interactive media piece assigned by your Instructor.

· Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece.

· Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.

· You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment.

Write a  2-page summary paper that addresses the following:

· Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.

· Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.

· What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.

· Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

You will analyze the decisions you will make in the decision tree exercise and reflect on your experiences in proposing the recommended actions to address the health needs in the patient case study.

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public health center

I need a response for each peer. Response posts must be minimum 100 words each. Word document , double space, APA 6th

Peer 1

Antimicrobial resistance is an important issue the public health center is battling with presently. The resistance occurs after the mutation of microorganisms following the continuous exposure to antimicrobial drugs and antivirals. The resistance threatens the health of humans and animals with the resistant organisms increasing the infectious diseases. WHO’s suggestion is that the world may be heading to a post-antibiotic era in the 21st century where minor injuries and common infections can kill (“How to stop antibiotic resistance? Here’s a WHO prescription”, 2015).

Nurses can help with practical contributions by seeing to a reduction of inappropriate prescription of antibiotics and professionally backing of antimicrobial stewardship. The latter is an approach for promoting and monitoring if antimicrobials are used judiciously for the preservation of their effectiveness in the future (Beović et al., 2017. Since nurses play significant roles in inpatient care aspects, they can hence be influential in the use and prescription rates during varying patient care stages.

Both Global disease and domestic disease surveillance entails tracking, detection, assessment, and response to health events.  However, domestic disease surveillance involves systematic data collection, comprehensive analysis, and interpretation of data from households (Nsubuga et al., 2006).  Global disease surveillance, countries, and public health entities across the globe gang up efforts to ensure capacity building to ensure preparedness for global health emergencies (“Global Health Surveillance”, 2012)

Early detection of diseases averts the occurrence and re-occurrence of such infectious diseases, thus minimizes global health threats. Family nurse practitioners have the capability of making long-lasting relationships with patients. These nurses, therefore, empower individuals to make positive health choices as well as influence them to adopt healthy lifestyle practices that help in the prevention of non-communicable diseases such as diabetes. They also ensure that the surveillance programs cover the most remote at-risk population.

Peer 2

Nurses can improve Policies in the use of Antibiotics

Nurses and nursing organizations can improve policies and encourage the judicious use of antibiotics in humans. Nurses implement most of the policies in the health care sector because they deal with patients directly. They also administer antibiotics to patients, and thus, they can get first-hand feedback from patients (Malani et al., 2012). Therefore, nurses should collect data about the effectiveness of different antibiotics and their side effects from patients. They can use their organizations to channel the information to policymakers, who can respond appropriately. Consequently, policymakers can stop the use of certain antibiotics or increase the dosage, among other changes. Nurses and nursing organizations should also conduct scientific studies about different antibiotics to identify their effectiveness and drawbacks (Malani et al., 2012). The findings of these studies can enable policymakers to make policies that can help humans to use antibiotics cautiously.

Disease surveillance refers to the process of monitoring the spread of a disease to identify its progression and spread patterns. It involves collecting, analyzing, and interpreting data about a condition, especially during an outbreak (Lombardo & Buckeridge, 2012). The gathered information can help in identifying the risk factors of a disease, its impacts on members of the society, and the population that is at risk. Global disease surveillance refers to the process of monitoring the spread and progression patterns of disease worldwide. Conversely, domestic disease surveillance refers to the process of monitoring the spread and progression patterns of a disease locally. There is a correlation between the two because the information that is obtained in domestic disease surveillance can be used in global disease surveillance (Lombardo & Buckeridge, 2012). More importantly, Family Nurse Practitioners play a crucial role in both domestic and global disease surveillance. They interact with patients at a family level and collect useful data about the spread and progression patterns of certain diseases, locally and globally.

Below is the original homework if you need it:

Examine how might nurses and nursing organizations improve policies to encourage the judicious use of antibiotics in humans? Identify the correlation between global disease surveillance and domestic disease surveillance, and the significant role the family nurse practitioner plays.

 

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research components

Instructions:

The focus of this week’s assignment is identifying research components. You will be responsible for reviewing two articles (listed below) and completing the following tasks for each one:

Summarize each article utilizing the Week 2 research template.
Identify and describe the problem, purpose, and hypothesis or research questions of each study.
Analyze and discuss the significance of the research to nursing practice.
Identify two details to support the research as qualitative or quantitative.
NOTE: If a component is absent, student receives a zero for that component.
Cite all sources in APA format.

Bortz, A., Ashkenazi, T., & Melnikov, S. (2015). Spirituality as a predictive factor for signing an organ donor card. Journal of Nursing Scholarship, 47(1), 25-33. doi: 10.1111/jnu.12107

Dinkel, S., & Schmidt, K. (2015). Health education needs of incarcerated women. Journal of Nursing Scholarship, 46(4), 229-234. doi: 10.1111/jnu.12079

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