Healthy people 2020

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Healthy people 2020

Question descriptionThis assignment is aligned with the module objective “Demonstrate community assessments and apply the principles of epidemiology.” As part of the written assignment, you will complete the following tasks:

  • Identify one health problem you believe to be the most prevalent in your community. You may want to check with your local health department or a community health nurse. Also consider researching the morbidity/mortality rates health problems in your community. School nurses and are an excellent resource person to contact.
  • Analyze the problem using Milio’s framework for prevention from the module 1 readings (Chapter three in your text, pp 41)
  • Choose one of your nursing diagnoses and describe how your identified community health problem applies.
  • Consult Healthy People 2020 to find the national goals that are closely related to your chosen diagnosis (p.90)
  • One long-term goal, minimum of three short-term goals and Intervention(s) (p.89)

Points: 40

Due Date: Sun, Jan 28 by 11:59 p.m. Eastern Standard Time (EST) of the US.

References

Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)

Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.

Style

Unless otherwise specified, all the written assignment must follow APA 6th edition formatting, citations and references. Click here to download the Microsoft Word APA 6th edition template. Make sure you cross-reference the APA 6th edition book as well before submitting the assignment.

Number of Pages/Words

Unless otherwise specified all papers should have a minimum of 600 words (approximately 2.5 pages) excluding the title and reference pages.

 
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You will analyze overall health care trends population trends disease trends local trends and competitors utilization of services and other factors to determine whether or not to recommend opening a home care service. Your recommendation will include specific services provided staff required financial concerns and a plan to build patient referrals. Show less

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You will analyze overall health care trends population trends disease trends local trends and competitors utilization of services and other factors to determine whether or not to recommend opening a home care service. Your recommendation will include specific services provided staff required financial concerns and a plan to build patient referrals. Show less

Bright Road Health Care System is experiencing an increase in numbers of older adult patients and al Show more Bright Road Health Care System is experiencing an increase in numbers of older adult patients and also has a problem with a high readmission rate within 30 days of discharge for Medicare patients. The Board of Directors of Bright Road Health Care System is thinking of expanding services to include a home health agency in the community. The Board of Directors has charged the Chief Executive Officer (CEO) to work with the student their health care consultant to help determine whether or not to develop this service. You will analyze overall health care trends population trends disease trends local trends and competitors utilization of services and other factors to determine whether or not to recommend opening a home care service. Your recommendation will include specific services provided staff required financial concerns and a plan to build patient referrals. Show less

 

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Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures.

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Question description
Nursing Research and Evidence-Based Practice
In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care.
Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP).
To prepare:

  • Consider a recent clinical experience in which you were providing care for a patient.
  • Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?
  • What questions have you thought about in a particular area of care such as a procedure or policy?
  • Review Chapter 2, pages 36—39 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question.
  • Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.
  • Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.
 
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A 65-year-old Caucasian female presents with a chief complaint of cough for two weeks.

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A 65-year-old Caucasian female presents with a chief complaint of cough for two weeks.

She has been complaining of dry cough since the past two weeks and low grade fever
that started two days ago, and was as high as 101 orally. She has had a decreased
appetite but no nausea and vomiting. The cough occurs during the night and she needs
to sit up in a chair to be able to breathe easier. The cough is mainly dry, rarely
productive.
She had been prescribed inhalers in the past; they have been helpful but she does not
use them on a routine basis. She has been prescribed antibiotics in the past as well and
that seems to help when she is acutely ill. She has been suffering from shortness of
breath for the past two weeks following any kind of activity mainly because of the dry
cough. She thinks it’s possible that there’s some problem with her “heart.” She is also
complaining of slight sore throat, especially in the morning and feels she may have lung
cancer.
The patient’s symptoms have been worsening over the past two days.
She has had similar episodes in the past. The last was three months ago when she had
to go to the emergency room and they told her that she needed to be hospitalized. She
declined hospitalization at that time and was treated and released. She says they gave
her antibiotics and an inhaler before discharging her. She mentioned that though it took
some time to feel better, there was gradual improvement in her condition following that
treatment. According to her, this is the worst episode that she can remember. She’s very
concerned today that she could have pneumonia and might require hospitalization.
She is seeking medical attention today because of the fever and prolonged nature of her
illness. PMH

 

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Discuss how affirmative action and discrimination have affected the following:

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Discuss how affirmative action and discrimination have affected the following:

Discuss how affirmative action and discrimination have affected the following: 1.Economic Situation 2.Emotional Factors 3.Public Policies (healthcare laws,workplace,universities, etc.) 4.Philosophical Aspect: an application of any of the ethical theories: Examples: Natural Law Theory (Virtue Theory)

 

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“Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry”

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Topic 1: Define and Describe Your Foreground and Background Information
In Unit 1 you identified a PICOT question. Using the same question, rewrite the question for your peers and define the difference between foreground and background information as it relates to your PICOT question. Also, provide a general overview on what evidence is available.
See the Discussion Board grading rubric on the Course Home.
Topic 2: Rapid Appraisal Checklists
Comment about how you can apply the checklists, referenced in the Practice section of Activities, into your research for feedback from your instructor and peers.
Reading
Textbook Readings
Evidence-Based Practice in Nursing and Healthcare

  • Chapter 1: “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry”
  • Chapter 2: “Asking Compelling, Clinical Questions”
  • Chapter 3: “Finding Relevant Evidence to Answer Clinical Questions”
  • Chapter 4: “Critically Appraising Knowledge for Clinical Decision Making”
  • Chapter 5: “Critically Appraising Quantitative Evidence for Clinical Decision Making”

Journal Readings
Irwin, M., Bergman, M., & Richards, R. (2013). The experience of implementing evidence-based practice change: A qualitative analysis. Journal of Oncology Nursing, 17, 548–49.
Melnyk, B., Fineout-Overholt, E., Stillwell, S., & Williamson, K. (2009). Igniting a spirit of inquiry: An essential foundation for evidence-based practice. American Journal of Nursing, 109(11), 49–52.
Newhouse, R. (2006). Evidence and the executive: Examining the support for evidence-based nursing practice. Journal of Nursing Administration, 36(7/8), 337–340.
Welford, C., Murphy, K., & Casey, D. (2011). Demystifying nursing research terminology: Part 1. Nurse Researcher, 18(4), 38–43.
Welford, C., Murphy, K., & Casey, D. (2012). Demystifying nursing research terminology: Part 2. Nurse Researcher, 19(2), 29–35.
NOTE:
Please, concentrate more on topic 1.

 
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Defend or critique the primary alternative sources of healthcare funding in the United States.

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Financing Healthcare and Public Health Insurance”  Please respond to the following:

  • Defend or critique the primary alternative sources of healthcare funding in the United States. Analyze the main effect on the resource owner of one (1) of the following means of financing healthcare: insurance premiums, tax subsidies, and mandated benefits. Provide at least one (1) example which illustrates the selected effect to support your response.
  • Analyze the key types of policies required for the delivery of a public health insurance program, and hypothesize their main effects on the achieveNo plagiarism please.
    Will need minimum of 150 words for each response, APA Style, double spaced, times new roman, font 12, and and Include: (1 reference for each response within years 2015-2018) with intext citations.
    Discuss the most common screening test and diagnostics used throughout pregnancy and the purpose of the tests. When during pregnancy are tests performed and what is the protocol when an abnormal test or diagnostic is found?
    ment of social goals overall. Provide at least one (1) example of such effects to support your response.Depending on the situation if an abnormal screening test comes the patient should be aware of and counsel the risk of having the baby and the percentage of survival of the fetus. It will be up to the parents of the unborn child to decide whether they should continue with the pregnancy. I have seen a patient who was advised to end the pregnancy because of the high risk of the death of the mother. depending on
 
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 Pathophysiology of concussive injuries and treatment

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Discussion:

PLEASE USE at least one SCHOLARLY PEER-Review REFERENCE, this book below

Jarvis, C. (2016). Physical examination & health assessment (7th ed.). St. Louis, MO: Elsevier.

Randy Adams is a 38-year-old male patient of Dr. Joseph Reynolds who was admitted yesterday morning for 24-hour observation for mild concussion following a motor vehicle accident. Randy lost consciousness during the accident and was very confused when he arrived in the ER after EMS transport. He is an Iraq war veteran and he seemed to think after the accident that this all happened in Iraq. Dr. Reynolds is concerned that Randy has some residual problems from a couple of explosive incidents that occurred while he was in Iraq. The physician is unsure whether Randy’s current symptoms are from the car accident or from prior injuries so he has referred him for consultations to both a neurologist and to a behavioral health specialist.

Based on the above please discuss the following.

1. Pathophysiology of concussive injuries and treatment

2. Neurological assessment tools used in your current practice setting (if not presently working, please describe one used during prior employment or schooling)( We use the Glasgow Coma Scale)

3. Current best practices associated with post-traumatic stress disorder (PTSD)

4. Nursing interventions you would include in this patient’s plan of care

 
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What is the significance of the first and last codons of an mRNA transcript?

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UNIT 3 BIOLOGY IP

Assignment Type: Individual ProjectDeliverable Length: Three parts – submitted in the Graphic Organizer,  Points Possible: 125Due Date: 1/25/2013 11:59:59 PM  CT
Complete all three parts and answer all questions.
Download
https://mycampus.aiu-online.com/courses/SCIE206/Assignment_Assets/U3IP_Graphic_Organizer.docGraphic Organizer for answering all questions and genetics exercises in this assignment.

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Assignment Type: Individual Project Deliverable Length: Three parts – submitted in the Graphic Organizer,  Points Possible: 125Due Date: 1/25/2013 11:59:59 PM  CT
Complete all three parts and answer all questions.
Download
https://mycampus.aiu-online.com/courses/SCIE206/Assignment_Assets/U3IP_Graphic_Organizer.docGraphic Organizer for answering all questions and genetics exercises in this assignment.
Part I: Genetics – From Genes to Proteins, Mutations
Background: DNA represents the architectural blueprint for all living systems, encoding specific instructions in the sequence of its four nitrogen-containing base pairs that are necessary for building the organism.
During the process of transcription, the information in the DNA codons of a gene is transcribed into RNA.
A change in the DNA sequence, for example as a result of a “mistake” during DNA replication, is defined as a mutation. Mutations may result in a change in the “blueprint,” which may then change the resulting protein product.
Assignment details for part one:
Transcribe and translate EACH of the three following DNA gene sequences. Turn these in using the graphic organizer. The letters represent the DNA N-base sequences of the genes.
The first is the original gene. The next two are mutations of the original. Note that the changes (mutations) are shown in red.
Original Gene sequence 3′-T A C C C T T T A G T A G C C A C T-5
Mutated gene sequence 1 3’-T A C G C T T T A G T A G C C A T T-5′
Mutated gene sequence 2 3’-T A A C C T T T A C T A G G C A C T-5’
Also, answer the following questions:
What is the significance of the first and last codons of an mRNA transcript?
What meaning do these mRNA codons have for protein synthesis?
Did the mutations result in a change in the final proteins? If so, describe the change.
In general, why might a change in amino acid sequence affect protein function?
Part II: Inheritance of Traits or Genetic Disorders
Background: Cystic fibrosis is an inherited…

 
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Identify appropriate diagnostic and laboratory testing needed.

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Complete the following chart:
MN577 Unit 9 Pregnancy Case Review Chart
Description of the case chosen:
Case #1: Jane
Jane is a 42-year-old G4P2103. Jane is divorced and works long, hard hours as a real estate agent. Jane was having irregular and heavy menses for 6 months, and then they abruptly stopped 3 months ago. Jane has been having nausea and vomiting for 6 weeks but attributed it to having the flu recently. She also admits to gaining about 10 pounds in the last few months and experiencing breast tenderness. Jane comes to the clinic today to discuss menopause symptoms and treatment. During the visit, a urine pregnancy test came back positive. During the exam, you palpate a 16-week-size uterus and get fetal heart tones of 165. Jane is in disbelief.

Subjective data, identify both given and needed data Objective findings, identify both given and needed data Diagnostic or laboratory testing needed with rationales List of three differential diagnoses with rationales Medications and or treatments needed with rationales Patient education needed Referrals for collaborative care needed with rationales

· Make sure to address all sections. Do not leave any section blank.
· Include relevant subjective and physical objective findings.
· Identify appropriate diagnostic and laboratory testing needed.
· List at least three differential diagnoses with rationales for choosing.
· Identify usual medications, treatments, or patient education needed.
· Determine referrals for collaborative care.
· Summarize the case study and include any further research, diagnostics, procedures, or follow-up needed.
· Provide evidence-based references.

 
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