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MEASURES OF MORBIDITY AND MORTALITY (USES OF EPIDEMIOLOGY)

Module 2 – Case

MEASURES OF MORBIDITY AND MORTALITY (USES OF EPIDEMIOLOGY)

Case Assignment

Twenty-five children in Fallsburg Elementary School (with a population of 60 pupils) received their immunization against whooping cough to protect the school’s student population. In your role as health officer, you collected the documentation from parents on the first day of school. You found that 25 students had received their immunization against the disease. You have been asked to explain some basic epidemiologic concepts to the parents who did not have their children immunized.

You have been tasked to do the following:

  1. Define the term population at risk and indicate which of the elementary students are not at risk.
  2. Also describe the difference between incidence and prevalence.

Be sure to justify your response with evidence from the literature.

Length: 2–3 pages, excluding title page and references.

Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric that is linked within the course. Review it before you begin working on the assignment.

Your work should also follow these Assignment Expectations.

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Quantitative Analyses

Part 1: Quantitative Analyses

· Follow the step-by-step instructions provided in the Instructions: Quantitative Analysis Assignment document in this week’s resources on using the Excel program to conduct descriptive analyses of quantitative data.

· The Quantitative Data Excel Assignment spreadsheet that you will need is in the resources for this week.

· For this Assignment, you will need to describe the findings from your analyses and summarize what they tell you about these patients and the extent of the adverse events they experienced during their hospitalization by completing the Summary Data Analysis Form in this week’s resources.

Part 2: Qualitative Analyses

· Follow the step-by-step instructions provided in the Instructions: Content Coding of Student Pet Peeves document in this week’s resources. The document provides detailed instructions on the step-by-step process of conducting the content analysis for this part of the Assignment.

· Access the Perceived Pet Peeves Data document located in this week’s resources that includes the narrative descriptions of 10 students about their “pet peeves’ in courses they have taken. (In other words, what are the things that detracted from their learning experiences in these courses)?

o The analytic method you will use to analyze the narrative data for this Assignment is called content analysis. It requires you to read each student’s narrative and then code its content using thematic categories on a coding sheet.

· Access the Code Sheet: Student Pet Peeve Data document located in this week’s resources to carry out the coding as defined in the instructions.

o For the written part of this assignment, you will need to describe the most common types of “pet peeves” that students have about their courses.

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neuromuscular examination

Respond to at least two of your colleagues who selected a different factor than you, in one of the following ways:

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Share insights based on your own experience and additional research.

 Main Post

A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.

Heart Murmurs

Heart murmurs can be common in healthy infants, children, and adolescents. These murmurs are often innocent and result from normal patterns of blood flow through the heart.  “Although most are not pathologic, a murmur may be the sole manifestation of serious heart disease” (Frank, J., Jacobe, K. 2011). If a murmur is detected, a thorough evaluation is needed.

Scenario

In this scenario, I would most likely have referred this patient out to a pediatric cardiologist. I would be hesitant because he has no family history and exam is negative. Only reason I would like to send him to a pediatric cardiologist is because he is young, even though he has no signs of symptoms, I could be missing something. The cardiologist would be able to do a more in-depth examination. The cardiologist could order an echo, ECG, and chest X-Ray. This 16-year-old male has a high-grade murmur, which can be heard at the apex of the heart, which could suggest MVR or MVP or aortic stenosis. “Certain characteristics of the murmur may be considered red flags, prompting stronger consideration for structural heart disease. These include a holosystolic murmur, grade 3 or higher should warrant a referral” (Frank, J., Jacobe, K. 2011).

Genetic Factor

Genetics can play a role in cardiac murmurs. Mostly, murmurs are discovered when a child is just a few days old or younger than 6 months. Usually, there will be signs and symptoms present with genetic murmurs in newborns and young children. Sometimes, in the older child, there will be a murmur present that does not cause symptoms or problems, but other times these asymptomatic murmurs can be deadly. Family history is an important factor and can be helpful when diagnosis an older child with a murmur. If during the scenario the mother had stated a family history of cardiac issues, I would not hesitate to send this patient to a cardiologist.

References

 

Frank, J., Jacobe, K. (2011). Evaluation and Management of Heart Murmurs in Children. American Family

Physician. 1;84(7):793-800. Retrieved from https://www.aafp.org/afp/2011/1001/p793.html

Mayo Clinic. (2019). Heart Murmurs. Retrieved from https://www.mayoclinic.org/diseases-

conditions/heart-murmurs/symptoms-causes/syc-20373171

Stanford Children’s Health. (2019). Heart Murmurs in Children. Retrieved from

https://www.stanfordchildrens.org/en/topic/default?id=heart-murmurs-in-children-90-P01806

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large medical facility

Are you ready to present the policies for your two compliance plans in a way that all employees will understand at a large medical facility where you are the Compliance Officer?

In a 4-page paper, describe the policies for each of the two compliance plans. Break each policy section into 2 pages each. Remember to support your policies for the two plans with a total of three research sources, cited at the end in APA format. (That’s 1-2 research sources per plan.)

Polices you should consider covering for each plan come under the key compliance elements: Compliance Standards, High-Level (personal) Responsibility, Education, Communication, Monitoring/Auditing (for Safety), Enforcement/Discipline, and Response/Prevention.

Look these over in your research and then select just two of these key elements and write your policies under them for each of your two compliance plans. (Your policies for each plan can zero in on different key elements.)

Example:A compliance plan about washing hands between patients might describe policies for High Level (personal) Responsibility and Monitoring/Auditing (for Safety)
A compliance plan about charging patients for Diabetes Management Education as a Physician Visit might describe policies for Compliance Standards and Enforcement/Discipline.

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Delusional Thought Processes. 

The Assignment

Examine Case Study: Pakistani Woman with Delusional Thought Processes. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

  • Decision #1
    • Which decision did you select?
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
  • Decision #2
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
  • Decision #3
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

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social media

Assignment Details:

Perform the following tasks:

· Complete the reading assignment and the interactive lesson before attempting this assignment.

· Read the case study located in the Assignment Worksheet section below and answer the questions that follow

· Ensure that your responses are free of spelling and grammar errors.

· Cite all sources used to support your responses in APA format.

 

Assignment Worksheet:

Ø Case Study

Read the following case study and answer the questions that follow:

Grace Speak is a fourth-year student at Best University. She and her fellow classmates are working hard in their final courses and preparing for exams. Inspired by the teamwork that the healthcare profession espouses, Grace gets an idea for a study group. She thinks it will really help to share case experiences, course notes, and study tips. Unfortunately, several members of her peer group live out of town, which makes it difficult for them to participate fully. Grace is torn, as she does not want to exclude them from the study group. When she voices her concerns to a classmate, her friend suggests using social media tools as the primary medium for sharing information.

Questions 

1. Two required elements that a single social media site must have to meet the needs of her study group are the ability to share ideas and experiences (chat), and share information (store documents). Research several social media sites that meet both of the required elements for Grace’s group. Select one social media tool, include its website, and explain your rationale for selecting that tool.

Selected Social Media Tool (and website)

[Write your response here.]

Rationale

[Write your response here.]

2. Grace discovers that not all of the members of the group use the social media tool she selected. In your own words, create a set of simple instructions that other members of the group could follow to ensure full group participation.

[Write your response here.]

3. Grace decides to establish a set of “ground rules” from the outset when she forms the study group. Create a set of “ground rules” that will help to create a group with full participation by all members and that will not place members of the group at risk, for either privacy or academic (plagiarism) concerns. Provide your reasoning for the “ground rules” you established.

Ground Rules

[Write your response here.]

Rationale

[Write your response here.]

4. In a specific week, the assignment is particularly challenging. One of the students in the study group offers to post the “answers” he received from a student who completed this same assignment last year from the same instructor. Grace knows that one of her close friends in the study group is at risk of failing if she does not do well on this assignment. Describe how Grace might handle this situation to reduce the academic risk of plagiarism for herself, her friend, and other members of the study group.

[Write your response here.]

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analysis of disease and healing

What aspects of the topic readings do you find the most interesting? What is your view of the analysis of disease and healing in the readings? Explain

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SWOT Analysis

The SWOT Analysis must be done on the Medical University of South Carolina in Charleston, S.C.

SWOT Analysis

This week’s assignment will allow you to generate content that you will incorporate into the Market Analysis section of your Final Project. To prepare for this assignment, read Chapter 4 of the course text and the article by Simoneaux and Stroud (2011). You may also want to review the recommended article by Valentin (2001).
During the analysis stage, you consider external factors that pose possible threats to or provide opportunities for your organization and compare these factors against your HCO’s internal operation to diagnose its strengths and weaknesses. Many HCOs have found it useful to conduct a SWOT analysis. SWOT is an acronym for strengths, weaknesses, opportunities, and threats. Strengths and weaknesses refer to elements that are internal to the organization; opportunities and threats are external to the organization. An effective SWOT analysis helps the marketing team determine the healthcare organization’s position in a particular market place as well as the positions of its competitors. By analyzing the current market and the deficiencies of the HCO’s competitors, and by assessing the HCO’s internal strengths and weaknesses, the marketing team can reposition the organization to meet and exceed the needs of its customers.
For this assignment, you will conduct a detailed SWOT analysis of your chosen healthcare organization for your Final Project. Discuss your selected organization’s strengths, weaknesses, opportunities, and possible threats.
The SWOT analysis should include the following five components:

  • Strengths – An organization’s resources and capabilities that can be used as a basis for developing a competitive advantage.
  • Weaknesses – Limitations of an organization to meet the needs of its determined customer base.
  • Opportunities – External conditions that may reveal certain new opportunities regarding profit and growth.
  • Threats – Factors or changes in the external environment that may present threats to the organization.
  • Summary/Recommendations – After conducting your SWOT analysis, write a paragraph in which you provide your recommendations to the CEO of your chosen healthcare organization. Also state how you will use this information to create a marketing plan that will ensure the following:
    • The organization’s resources are not wasted
    • Time is well spent
    • Marketing efficiently is improved

The assignment

  • Must be four to five double-spaced pages in length (not including the title page and references page) and formatted according to APA style
  • Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Must use at least three scholarly sources in addition to the course text.
  • Must document all sources in APA style.
  • Must include a separate references page that is formatted according to APA style.

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Theory of Caring

Provide a critique Kristen Swanson’s Theory of Caring, making sure to identify benefits, consequences and feasibility of application in clinical practice as a family nurse practitioner. Provide evidence using 2 (two) scholarly articles in order to support your critique.

APA Style, three references.

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clinical issue

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Develop a PICO(T) question to address the clinical issue of interest for the Assignment.
  • Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
  • Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
  • Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

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