What are the biophysical, psychological, physical environmental, sociocultural, behavioral, and health system factors influencing health?

Case Study – The Elderly 

Scenario:As a community health nurse, you are working in an outpatient clinic in a community that serves mainly elderly clients.

This year, you noted that 85 percent of the visits resulting in hospitalization resulted from bronchitis, asthma, pneumonia, and influenza as compared to last year. At that time; the visits were due to colds, sore throats, influenza, bronchitis, and pneumonia, in order of frequency.

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Maria Perez, a 73-year-old Cuban American woman has been referred for community health nursing services following her discharge from the hospital. She smokes two packs of cigarettes per day. She was recently hospitalized as a result of a severe shortness of breath due to an asthma attack. The primary care provider prescribed respiratory treatments using Albuterol via jet nebulizer every 4-6 hours as needed. Mrs. Perez lives alone and has three cats to take care of. Case Study – The Elderly.

Instructions:

  1. Read the scenario above and answer the following questions:
    • What are the biophysical, psychological, physical environmental, sociocultural, behavioral, and health system factors influencing Mrs. Perez’s health? Case Study – The Elderly.

 

  • Describe at least three primary, secondary, and tertiary prevention strategies that would be appropriate in resolving Mrs. Perez’s health problems. Why would they be appropriate?

 

  • What activities related to health promotion and disease prevention would you plan for the late fall? Case Study – The Elderly.

 

  • How would you evaluate your nursing interventions? What criteria would you use to evaluate care?

 

  1. Your response should be 1 page.

 

APA Instruction:

 

1-Would need an Abstract. Good reference page format, citation and APT format

 

2- After submission, a rating of 0-15% similarity will be considered acceptable. Over 15% will not be considered acceptable.

3-NOTE:  Wikipedia is not a source to be used in any of the generated work; using it will result in a “zero” for the assignment. Case Study – The Elderly

 
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What characteristics of the project are similar to your organizational characteristics?

 

Can someone please complete this discussion board due on 4/23/17?

Assignment Objectives
Demonstrate the integration and utilization of key concepts and knowledge from prior courses to solve the selected problem
Apply critical thinking and relevant concepts to the final project
Primary Task Response: Within the Discussion Board area, write 400 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas:
In Week 1, you did a literature review. In your discussion, identify a project that you read about that most closely resembles the project that you are undertaking in this course. Answer the following:

  • What characteristics of the project are similar to your organizational characteristics?
  • What goals of the project are most similar to your proposed goals?
  • How might your results differ? Why?

I need at least 2 references in APA format

 
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The nursing shortage is making it difficult to recruit replacement nurses for the staff wh0 plans on retiring within the next couple of years.

The nursing shortage is making it difficult to recruit replacement nurses for the staff wh0 plans on retiring within the next couple of years.

RENFREY MEMORIAL HOSPITAL (RMH) CASE STUDY (ANSWER ATTACHED)

Renfrey Memorial Hospital (RMH) is a 200 bed regional hospitallocated in the Midwest. It has been in existence for 32 yearsand was named after a prominent philanthropist in the area, Mr.Gilbert H. Renfrey, who made many financial contributions toprojects in and around the community where Renfrey MemorialHospital is located. The hospital maintains the only 24 houremergency department in the area, as well as an “extended hours”urgent care clinic. The hospital is encountering a problemwith nursing staff retention. Sixty-eight percent of thenursing staff is over the age of 45, and facing retirement. The hospital commissioned a survey that revealed many of thenursing staff finds the work too physically demanding and many arefeeling physically exhausted and report emotional burn out aswell. Several of the survey respondents report they arestressed to the breaking point caring for aging parents in additionto working at Renfrey. In the past two years, the hospitalhas seen an exodus of nurses. The hospital has been forced touse temporary pool nurses from an agency. This has driven uppersonnel costs and also resulted in decreased rankings on patient satisfaction surveys. In addition, the nursing shortage is making it difficult to recruit replacement nurses for the staff wh oplans on retiring within the next couple of years. RenfreyMemorial Hospital faces significant staffing challenges ahead as itgrapples with these issues and the hospital board is veryconcerned. They know there must be some changes made in orderto prevent a major financial and human resources crisis in thefuture.


 

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Evaluate the employment of psychoactive drugs in the treatment of disorders over the lifespan from both an ethical and risk-benefits perspective.

Prior to beginning work on this discussion, read the required chapters from the text and review the required articles for this week. Over the course of the past weeks, we have considered the use of medications in the treatment of various psychological disorders. This discussion will provide you with an opportunity to give an informed appraisal on the use of drugs to treat disorders and defend your stance based on your judgment of the literature. In your initial post, describe what you believe are the greatest strengths and weaknesses of using the medications to treat psychological disorders.  Evaluate the employment of psychoactive drugs in the treatment of disorders over the lifespan from both an ethical and risk-benefits perspective. Summarize the theories of psychiatric disease and the scientific rationale behind its treatment through the employment of drug therapies. Explain what you believe to be the greatest challenges in the use of psychoactive medications over the next several years. Support your statements with references and logical arguments.

 
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Topic 1: Qualitative Research Design

Topic 1: Qualitative Research Design

Question descriptionTopic 1: Qualitative Research Design

Using the knowledge and insights gained from the textbook and other reliable sources answer the following. Define, in your own words, qualitative research. Locate and cite two different types of qualitative research articles related to your PICOT project. Provide a brief explanation of each design. Identify a potential qualitative research study that is important to nursing and describe which design you would use for this study, why you would use that design, and how the information generated from the study could be applied in nursing practice. Reflect on the value of qualitatitve research adding to the science, knowledge, and practice of nursing.

Topic 2: Practice – Evaluating Qualitative Research

  1. Using the four general areas for evaluating a qualitative study, post a summary of the article referenced in this unit: “Making critical appraisals of for summaries of Evidence-Based Medicine.”

Please note: Responses to the 2 topics above should be limited to not more than 1-2 pages each.

Reading

Textbook Readings

Evidence-Based Practice in Nursing and Healthcare

  • Chapter 6: “Clinically Appraising Qualitative Evidence for Clinical Decision Making”

Journal Readings

Please retrieve and read the following Journal articles from the Kaplan University Library. Articles can be located through a search in the CINAHL database, OVID database, Kaplan University Library (links to these are located under the Student Resources in Course Home) or by using the link at the end of the reference if provided.

Fielding, J., Fielding, N., & Hughes, G. (2013). Opening up open-ended survey data using qualitative software. Quality and Quantity, 47(6), 3261-3276.

Rothwell, E. (2010). Analyzing focus group data: Content and interaction. Journal for Specialists in Pediatric Nursing15(2), 176–180.

Ryan, F., Coughlan, M., & Cronin, P. (2007). Step-by-step guide to critiquing research. Part 2: Qualitative research. British Journal of Nursing (BJN)16(12), 738–744.

Ryan, F., Coughlan, M., & Cronin, P. (2007). Step-by-step guide to critiquing research. Part 2: Qualitative research. British Journal of Nursing (BJN)16(12), 738–744.

Smith, J., & Firth, J. (2011). Qualitative data analysis: The framework approach. Nurse Researcher, 18(2), 52–62.

Web Resources

Revisit NCQA website, specifically the Patient Experiences area.

Practice

  1. Read the following article “Making the Critical Appraisal for Summaries of evidence-based medicine: critical appraisal of summaries of evidence.” Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3738079/
  2. Post a summary of the article to Discussion Topic 2.
  3. Respond to the post of two of your peers, using the six research techniques used in qualitative research in your posting response, keeping in mind the four general areas for evaluating a qualitative study.
 
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species interactions

This week in Practice and Reinforce” the focus was on succession, so the forum this week will focus on species interactions. You saw just a few examples of adaptations that plants and animals have developed to protect themselves from predators. Your task for this forum is to seek out your own example of an adaptation that benefits a species of your choosing and present it to your classmates. This could be any type of animal with any adaptation covered in the lecture and reading materials: Mimicry, chemical defense, camouflage, warning coloration (just to name a few).

Research your chosen animal and create a new discussion post, addressing the following aspects:

Use the name of your chosen animal as the post title.

Points will be deducted for duplicate entries (unless the time stamps on both posts are very close together, suggesting they were being written at the same time).

Present your animal and your adaptation.

Discuss native habitat, other species the animal typically interacts with including predators and competitors.

Think about community interactions and co-evolution as you explore your chosen species.

Discuss how the animal’s adaptation helps them survive, as well as how its predators/competitors have evolved in response to this adaptation.

Include a picture to in your post.

(or at the very least a link to a site that has an image).

To receive full credit, you must:

  • Write in complete sentences that are thoughtful, well written, and free of typos.
  • Address all parts of the forum topic.
  • Use vocabulary presented in the learning materials appropriately.

orum Grading and Feedback

All forums will be graded using the following criteria. You must create one discussion and reply to at least one other post by 8 pm on Saturday to receive any points.

Criteria

0 Points

1 Point

1.5 Points

2 Point

Total Possible Points

Initial Discussion

Posts information that is off-topic, incorrect, or irrelevant to forum topic

OR

there is evidence of plagiarism

OR

did not post by the deadline.

Posts adequate information with superficial thought and preparation; doesn’t address all aspects of the forum topic.

Posts well developed information that addresses all aspects of the assignment; lacks full development of concepts.

Posts well developed information that fully addresses and develops all aspects of the forum topic.

2

Criteria

0 Points

0.5 Points

0.75 Points

1 Point

Total Possible Points

Vocabulary and Concept Integration

Does not attempt to integrate appropriate vocabulary and concepts presented in the learning materials

OR

there is evidence of plagiarism

OR

Did not post by the deadline.

Attempts to integrates appropriate vocabulary and concepts presented in learning materials, but does not include personal experiences, additional references and images when appropriate

AND

demonstrates a misunderstanding of concepts.

Integrates appropriate vocabulary and concepts presented in learning materials, but does not include personal experiences, additional references and images when appropriate

OR

demonstrates a misunderstanding of concepts.

Integrates appropriate vocabulary and concepts presented in learning materials, includes personal experiences, additional references and images when appropriate.

1

Follow-Up Postings

Posts no follow-up responses to others.

Posts shallow contribution to discussion (e.g., agrees or disagrees); does not enrich discussion.

Elaborates on an existing posting with further comment or observation.

Demonstrates analysis of others’ posts; extends meaningful discussion by building on thoughts provided by others.

1

Uniqueness of Discussion Topic

(When Applicable)

Topic selected is identical to a discussion posted earlier in the forum.

Topic selected is very similar to a discussion posted earlier in the forum. (i.e. you post about Bengal tigers when someone else already posted about Siberian tigers)

N/A

Topic selected is unique to other classmates
OR
time stamp of posting is within 1 hour of another post on the same topic.

1

Maximum Score

4 – 5

An example of how the discussion should look like

rctic wolves have many adaptations for living in the cold. One of them is size. The bigger the wolf are, the more warmth. Arctic wolves have two layers of fur. The outer one is thicker and conserves heat while the inner one is a waterproof layer, sort of like a scuba diving suit. That way they can survive snow and the cold, while the thickness and the ability to conserve warmth decrease during summer. Arctic wolves have smaller ears than other wolves since that also helps them conserve heat. The paws on a wolf are padded with fat to give them a grip on snow and ice and also to protect them from the cold ground. Arctic wolves must travel over large distances to hunt their main prey, musk ox and caribou (or reindeer). They will prey on smaller animals, such as arctic hares, arctic foxes, lemmings, and waterfowl. Sometimes, they will scavenge the leftover prey of a polar bear. Arctic wolves are carnivorous, and since there is such little plant life in the arctic anyway, they only eat meat.

Parents Arctic Wolf.

Baby Arctic Wolf.

 
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What does the seven-part communication model do for the study of gender and communication? 

COMM120 FORUM2
The Communication Process
What does the seven-part communication model do for the study of gender and communication?  In what parts of the model can you identify gender and its influence? Please use concepts from your course readings in your answer.
Some questions you may want to consider as you respond to the prompt:
· When I ask what the model does for the study of communication and gender, I want to know if it helps us point out places and ways in which gender affects communication. Keep in mind that this part of the question doesn’t ask about gender itself. Instead, it’s asking about how scholars think, and whether or not those patterns are useful tools to explore this general topic. Is the model useful? Would something else be more useful? Why?
· When I ask about the role of gender in each of the seven parts of the model (sender, receiver, context, message, channel, interference, and feedback), I’d like you to tell me if you can see any differences in the way people of different genders use or adapt to each part. For example, do people of a certain gender seem to use a specific channel or medium more often than other channels? Are there patterns to the type of feedback they give? How do gender characteristics diminish the effectiveness of a message–in other words, how do they interfere with communication? Questions like these should help with the second part of the prompt.

 
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Explain how you, as a social worker, might apply the grieving model of Kubler- Ross to your work with families in a hospice environment.

I have the “YES” perspective.  Minimum 450 words. A minimum of 1 reference.
“Is Psychology a Science?” a question debated in our course textbook, Taking Sides: Clashing Views on Psychological Issues (Gantt & Slife, 2015).   Please view the American Psychological Association web article “Science of Psychology,” located at http://www.apa.org/action/science/  as well as the LA Times article “Why Psychology Isn’t a Science,” located at http://articles.latimes.com/2012/jul/13/news/la-ol-blowback-pscyhology-science-20120713
 
Read the article corresponding with your assigned “Yes” or “No” position, and then go the APUS Online Library and locate a published article that provides evidence in support of the perspective of your assigned Gantt & Slife (2015) article author for this week.

 The death of a loved one is a significant event that everyone experiences. An individual’s social environment, including societal and familial cultural factors, may influence how an individual approaches death or grieves the loss of someone else who dies. You can anticipate addressing grief in your social work practice and, therefore, should develop an understanding of the grieving process.
Two models of grieving—the Kubler-Ross and Westburg models—identify stages through which an individual progresses in response to the death of a loved one. Understanding the various ways individuals cope with grief helps you to anticipate their responses and to assist them in managing their grief. Select one model of grieving—the Kubler-Ross or Westburg model—to address in this assignment.
Addressing the needs of grieving family members can diminish your personal emotional, mental, and physical resources. In addition to developing strategies to assist grieving individuals in crisis, you must develop strategies that support self-care.
In this Assignment, you apply a grieving model to work with families in a hospice environment and suggest strategies for self-care.
 
Submit a 2- to 3- APA page paper in which you:

  • Explain how you, as a social worker, might apply the grieving model of Kubler- Ross to your work with families in a hospice environment.
  • Identify components of the grieving model that you think might be difficult to apply to your social work practice. Explain why you anticipate these challenges.
  • Identify strategies you might use for your own self care as a social worker dealing with grief counseling. Explain why these strategies might be effective.

References:
Zastrow, C. H., & Kirst-Ashman, K. K. (2016). Understanding human behavior and the social environment (10th ed.). Boston, MA:  Cengage Learning

 
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Psychological and Sociological Influences of Psychopathic Behavior

Discussion

Psychological and Sociological Influences of Psychopathic Behavior Review the video, In the Shadow of Feeling, and reflect on the various childhood psychological and sociological influences that can contribute to psychopathic behavior.

Carefully review the Grading Rubric for the criteria that will be used to evaluate your journal entry.

Waypoint Assignment Submission

The assignments in this course will be submitted to Waypoint.  Please refer to the instructions below to submit your assignment.

Click on the Assignment Submission button below. The Waypoint “Student Dashboard” will open in a new browser window.

Browse for your assignment.

Click Upload.

Confirm that your assignment was successfully submitted by viewing the appropriate week’s assignment tab in Waypoint.

For more detailed instructions, refer to the Waypoint Tutorial.

Final Case Study Topic and OutlineFor your Final Case Study, due in Week 5, you will explore, in depth, one well-known criminal case. You may select your own case, or select from one of the following: Jeffery McDonald, Andrea Yates, Jeffrey Dahmer, Ted Bundy, Aileen Wournos, John Wayne Gacy, Philip Markoff (the Craigslist killer), Scott Peterson, Anthony Sowell, or Dennis Rader (BTK strangler).

For this assignment, select a well-known criminal case and locate at least three scholarly articles from the Ashford Library that discuss the case or provide support for certain aspects of the case, such as a particular psychological theory explaining behavior, a link between a personality disorder and criminal behavior, etc. You may also use websites to explore your criminal case. Provide an outline of your Final Case Study, in addition to the title page and references page. For further information regarding the proper format for an outline, visit the Ashford Writing Center. Each topic or step of the outline should include two to three sentences regarding what will be discussed in that section. This should be a detailed outline with specific information regarding the case that you have selected.

The paper must be one to two pages in length and formatted according to APA style. You must use at least three scholarly resources from the Ashford University Library other than the textbook to support your claims. Cite your sources within the text of your paper and on the reference page. For information regarding APA, including samples and tutorials, visit the Ashford Writing Center, located within the Learning Resources tab on the left navigation toolbar, in your online course.

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

Waypoint Assignment Submission

The assignments in this course will be submitted to Waypoint.  Please refer to the instructions below to submit your assignment.

Click on the Assignment Submission button below. The Waypoint “Student Dashboard” will open in a new browser window.

Browse for your assignment.

Click Upload.

Confirm that your assignment was successfully submitted by viewing the appropriate week’s assignment tab in Waypoint.

For more detailed instructions, refer to the Waypoint Tutorial.

 
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How do policymakers evaluate which health care services should be financed through government programs?

How do policymakers evaluate which health care services should be financed through government programs?

With coinciding concerns about health care costs and the imperative to improve quality of care, health care providers and others face difficult decisions in the effort to achieve an appropriate balance. Such decisions often are addressed in the policy arena. How do policymakers evaluate which health care services should be financed through government programs? How do ethics-related questions and other considerations play into this evaluation process? Is it possible to contain costs and provide accessible, high-quality care to all, or is the tension between cost and care inherent in the U.S. health care delivery system? These questions are central to health care financing decisions in the United States.

For this Discussion, you will focus on the policy decision-making process that determines what types of care are covered by public and private insurers and the ethical aspects of such financial decisions.

To prepare:

Read the following case study, “Hard Economic and Finance Choices in US Healthcare” (Milstead):
Case Study 1: Hard Economic and Finance Choices in US Healthcare
Applied economics is all about managing scarce resources. Economics is an amoral field of study: it is neither moral nor immoral. Morality and values are determined by individuals at the personal level and by group consensus or majority opinion at the national level. State and federal governments determine the ‘will of the people’ about how to use scarce resources for the good of a nation.

The U.S. health care system is an exemplar of scarcity: primary care physicians, substance abuse treatment centers, trauma centers, registered nurses, and the money to pay for goods and services. Finance is all about how to pay for goods and services. The Medicare Payment Advisory Commission (MedPAC) is appointed by the Executive branch of the federal government to make decisions about what the Medicare program will and will not pay for. In this role, MedPAC makes decisions about medications, procedures and treatments. Examples of MedPAC decisions include coverage for left ventricular assistive devices as a destination therapy, coverage for bariatric surgery, and in 2010, coverage of the drug Provenge™. By law, MedPAC is not allowed to use price or cost of any treatment in its decision-making processes.


 

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