Tag Archive for: nursing

health issues

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Assessment/Interview

Select a community of interest. It is important that the community selected be one in which a CLC group member currently resides. Students residing in the chosen community should be assigned to perform the 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. Complete the “Provider Interview Acknowledgement Form” and submit with the group presentation.

Develop one set of interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community. Compile key findings from the interview, including the interview questions used,   and submit with the  presentation.

Traditional Male Circumcision

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The icebreaker for this Discussion is as follows:

I would like you to share a quote with the class that reflects something about you, your life, and your experiences.

Please read Traditional Male Circumcision in Eastern and Southern Africa: A Systematic Review of Prevalence and Complications, located at http://www.who.int/bulletin/volumes/88/12/09-072975/en/, and, after doing so, address the following question:

Is there a line between protecting cultural traditional healing and protecting people’s lives/health? If so, what is the line? Who determines it?

Please remember that every student is entitled to express his or her opinion and that differences of opinion must be communicated in a respectful manner.

community teaching

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Note: This is an individual assignment. Applying what you have learned thus far, develop a community teaching proposal designed to address the needs of your community.

Select one of the following as the focus for the teaching plan:

  1. Primary Prevention/Health Promotion
  2. Secondary Prevention/Screenings for a Vulnerable Population
  3. Bioterrorism/Disaster
  4. Environmental Issues

Complete the “Community Teaching Work Plan Proposal.” This will help you organize your plan and create an outline for the written assignment.

  1. After completing the teaching proposal, review the teaching plan with a community health and public health provider in your local community.
  2. Request feedback (strengths and opportunities for improvement) from the provider.
  3. Complete the “Community Teaching Experience” form.

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 Turnitin. Please refer to the directions in the Student Success Center.

Evaluation Table

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Evaluation Table

Use this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research

 

Full   citation of selected article

Article #1

Article #2

Article #3

Article #4

 

Dubin, J (2018)

Pediatric obesity in primary practice. Pediatric   Nursing .44(4), 202-206.

Hargreaves, m., Orfield, C., Honeycutt, T., Vine,   M., Cabili, C., Coffee- Boden, B., Fisher, S. (2017). Addressing childhood   obesity through multisector collaboration: Journal of community health, 42   (4) 656-663

Kitson, S (2018). Intervention for weight in   obesity to improve survival in women with endometrial cancer. Retrieved from https//www.waldenulibrary.org

Ruopeng An, Mengmeng Ji, & Zhang.   (2017). Effectiveness of social media intervention on weight related behavior   and body weight status. American Journal of health behavior 41(6), 670-682

 

Conceptual Framework

Describe the theoretical basis for the study

 

Design/Method Describe the design

and how the study

was carried out

 

Sample/Setting 

The number and

characteristics of

patients,

attrition rate, etc.

 

Major   Variables Studied

List and   define dependent and independent variables

 

Measurement

Identify   primary statistics used to answer clinical questions

 

Data   Analysis

Statistical   or

qualitative

findings

 

Findings   and Recommendations

General   findings and recommendations of the research

 

Appraisal

Describe   the general worth of this research to practice. What are the strengths and   limitations of study? What are the risks associated with implementation of   the suggested practices or processes detailed in the research? What is the feasibility   of

use in   your practice?

 

General Notes/Comments

 

Levels of Evidence Table

Use this document to complete the levels of evidence table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research

 

Author   and year of selected article

Article #1

Article #2

Article #3

Article #4

 

 

Study Design

Theoretical basis for the study

 

Sample/Setting 

The number and

characteristics of

patients

 

Evidence   Level *

(I, II, or III)

 

Outcomes

 

General Notes/Comments

* Evidence Levels:

  • Level I

Experimental, randomized controlled trial (RCT), systematic review RTCs with or without meta-analysis

  • Level II

Quasi-experimental studies, systematic review of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only, with or without meta-analysis

  • Level III

Nonexperimental, systematic review of RCTs, quasi-experimental with/without meta-analysis, qualitative, qualitative systematic review with/without meta-synthesis

  • Level IV

Respected authorities’ opinions, nationally recognized expert committee/consensus panel reports based on scientific evidence

  • Level V

Literature reviews, quality improvement, program evaluation, financial evaluation, case reports, nationally recognized expert(s) opinion based on experiential evidence

 

Outcomes Synthesis Table

Use this document to complete the outcomes synthesis table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research

 

Author   and year of selected article

Article #1

Article #2

Article #3

Article #4

 

 

Sample/Setting 

The number and

characteristics of

patients

 

Outcomes

 

Key   Findings

 

Appraisal   and Study Quality

 

General Notes/Comments

health care organization in your community

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Select a health care organization in your community to conduct an interview with an appropriate risk management employee. The organization can be your current employer, or a different health care facility in your community. Acute care, urgent care, large multi-provider private medical clinics, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. Make sure to select an individual who can provide sufficient information regarding how that organization manages risk within its facility to answer the questions below.

In your interview, address the following:

  1. Identification of the challenges the organization faces in controlling infectious diseases.
  2. Risk management strategies used in the organization’s infection control program, along with specific examples.
  3. How the facility’s educational risk management program addresses key professional issues, such as prevention of negligence, malpractice litigation, and vicarious liability.
  4. Policies the facility has implemented that address managing emergency triage in high-risk areas of health care service delivery.
  5. Strategies the facility utilizes to monitor and maintain its risk management program.

Post-interview, compose a 750-1,000 word summary analysis of the interview to include the questions above as well as the following elements:

  1. A brief assessment of the organization’s risk management program, including what works well and what could work better (the pros and cons).
  2. Action steps you would take to improve the program. Select one area and provide your rationale and possible steps required to implement your suggestion.

Cite appropriate references as needed to support your statements and rationale.

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 Turnitin. Please refer to the directions in the Student Success Center.

scholarly articles.

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Module 3 DQ 1 and DQ 2

Tutor MUST have a good command of the English language

These are two discussion questions

DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please

Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. 

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

Please separate the two DQ with their reference page

My project is CLABSI prevention

Topic 6 DQ 1

Describe a survey, instrument, or tool that you plan to use in your project. Describe the tool in terms of name, number of items, how it is answered (Likert scale, yes/no, open answers, etc.), and the total score. Describe the level of measurement for this instrument. Support with references.

DQ 2

Describe the validity and reliability of the instrument you chose in Topic 3 DQ 1. How is this different from external and internal validity?

Describe the theory

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This week, you will develop a PowerPoint presentation reviewing the theories from each module. Please select one theory from each module (1-8) and answer the following questions. You should have two slides per theory:

  • Describe the theory
  • Provide 3 examples of how the theory applies to current practice
  • Provide 3 positive patient outcomes resulting from utilizing the theory
  • Explain 3 benefits to nursing satisfaction when utilizing the theory
  • Describe two barriers to using the theory in practice and at least one method for overcoming each barrier (support methods with sources)
  • Support from literature clearly noted throughout

The PowerPoint presentation should include at least two outside references and the textbook. The presentation should contain 2 to 4 slides per theory, for a total of 16 to 32 slides.

financial management concepts

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Apply financial management concepts to a case study for a healthcare organization. The project helps examine the fundamentals of healthcare finances, assets, budgets, cost and financial analysis. You will create and/or review financial statements and reports, then provide a recommendation based on issues identified in the case. You will have an opportunity to critically analyze a financial case and provide recommendations.

The following link provide several cases to choose from. Choose a case that interests you, based on the overall description and noted financial challenge or issue.

http://www.warbirdconsulting.com/category/healthcare-case-studies

The first part of your project will require you to choose a financial management case. Review the provided cases related to healthcare and financial management and choose a specific case. The case you choose you will use throughout the course to complete your project assignments.

Submit a minimum 2-page report that:

Identifies the topic and case you have chosen.
Describes the financial issues outlined in your case.
Describe perspectives of the financial challenges.
Briefly discusses its relevance specifically to financial management in a healthcare organization.
You will need to use a minimum of (3) scholarly/academic sources for your research. You will need to incorporate the sources into the content and use a minimum of (1) in-text citation per source. Examples of scholarly sources include academic journals, peer-reviewed articles, and case studies. The references should specifically address related financial challenges outlined in your case and/or offer additional perspectives. Academic scholarly journals can be access through the Rasmussen Online Library. You can explore Article by Subject (Health Care or Business), to start your search.
Include an APA formatted reference page to document your sources.

Urethral meatus

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In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

GENITALIA ASSESSMENT

Subjective:

  • CC: “I have bumps on my bottom that I want to have checked out.”
  • HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
  • PMH: Asthma
  • Medications: Symbicort 160/4.5mcg
  • Allergies: NKDA
  • FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

  • VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia
  • Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney
  • Diagnostics: HSV specimen obtained

Assessment:

  • Chancre
  • PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To prepare:

With regard to the SOAP note case study provided:

  • Review this week’s Learning Resources, and consider the insights they provide about the case study.
  • Consider what history would be necessary to collect from the patient in the case study.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

To complete:

Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study.  Using evidence based resources, answer the following questions and support your answers using current evidence from the literature.

  • Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  • Analyze the objective portion of the note. List additional information that should be included in the documentation.
  • Is the assessment supported by the subjective and objective information? Why or Why not?
  • Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis?
  • Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.

Managed Care Organizations,

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Assignment

Complete ALL of the bullet points below:

Compare and contrast each of the three questions related to Managed Care Organizations, Medicare, and Medicaid with one another and explain how they were similar and different to each other.

  • Managed care organizations emphasize physicians’ responsibilities to control patient access to expensive hospitalization and specialty care, a principle dubbed “gatekeeping.” Some argue that “gatekeeping” is unethical because it introduces financial factors into treatment decisions. Others say it improves quality by promoting the use of the most appropriate levels of care.
  • Medicare is an area that often gets overlooked and is seen as a burden financially. Discuss alternatives to ease the drain on Medicare resources.
  • Medicaid is shouldering an ever-increasing burden of cost for long-term care for the elderly, with enormous impacts on state budgets throughout the nation. Discuss alternatives to ease this drain on Medicaid resources.

Please submit one APA formatted table, (minimum 1500 words) that highlights the above content make sure to include a title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.