Health Maintenance Plan for a Selected Disease in a Selected Population

The purpose of this assignment is to develop a health maintenance plan for a selected Disease, such as asthma, hepatitis, hypo and hyperthyroidism, and coronary artery disease, in a selected Population.

 
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Discussion reply 1

How can we identify health risks, strengths, and needs in our comprehensive health assessment?There are numerous ways that we can identify health risks, strengths, and needs in our comprehensive health assessment. First and foremost, obtaining a chief complaint followed by a history of present illness is essential to a comprehensive health assessment. This determines why the patient is seeking care and provides the healthcare provider insight on what patient health concerns exist. Upon beginning a comprehensive health assessment it is also necessary to identify who is the best source to retrieve information from, whether it be the patient or a family member, and to determine if the source is a reliable one or not. This ensures the most accurate and detailed information is collected. Health risks, strengths, and needs can be determined by obtaining a past medical history, social history, family history, and review of systems (Bates, 2021). Proficiently performing a comprehensive health assessment, including a collecting a detailed health history is a core competency of the advance practice registered nurse (APRN) role. It is important to recognize that novice APRN’s face many challenges in collecting detailed health histories. It is evidenced that by clinical practice, simulation, and reflection, skills can be developed to proficient levels (Ingram, 2017).Give two examples with rationale for each.Obtaining a family history is a vital component of a comprehensive health assessment to determine health risks and needs. For example, an 19 year old female presents to clinic for her first annual comprehensive health and physical examination. She has not seen a primary care physician since she was established with her pediatrician as a minor. She has never been to a gynecologist. She recently lost her mother to breast cancer and has no other immediate family. She believes her grandmother passed away from some form of gynecological cancer. She denies ever being screened for BRCA. By discovering past family history, it is extremely important to refer this patient for genetic testing and cancer screening. If family history was not addressed, the risk for cancer would not have ever been discovered.Obtaining a social history is also a vital component of a comprehensive health assessment to determine health risks and  needs. For example, a patient presents to clinic with complaints of recent shortness of breath and cough with hematuria present. During collection of a social history, he denies smoking or other inhalants. He is currently unemployed. However, it is determined during inquiry that he was a welder in a chemical plant and has previously been exposed to asbestos. In addition, it is discovered that his insurance is ending due to a loss of job related to his recent symptoms and inability to work. A risk factor for cancer was discovered due to the collection of a social history. Also, the need for social work and case management arose to aid in the facilitation of workman’s compensation, financial assistance, and health insurance.

 
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Critical thinking 1

Initial post with a minimum of 250 words and must contain at least (2) professional references, properly cited in the current APA format.Discussion Topic:Identify and describe one psychological and one philosophical obstacle to critical thinking that you currently struggle with. Without getting too personal, give examples of how these obstacles impede your critical thinking and problem-solving skills. Lastly, discuss at least one strategy you intend to employ in overcoming each obstacle and why you think these strategies will be successful.

 
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Peer answers Workplace Environment Assessment

Respond to two of your colleagues  by sharing ideas for how shortcomings discovered in their evaluations and/or their examples of incivility could have been managed more effectively.APA FormatMin 2-3 resources

 
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discussion 1

discuss150 wordsapa referencesChronic Disease Patterns in Developing CountriesInteresting global trends exist worldwide when examining health patterns in developed and developing countries. When examining chronic disease patterns, especially diabetes and cardiovascular disease (CVD), the rates continue to increase and threaten the nation’s ability to improve its population’s health (Holtz, 2019). Multiple social, economic, and behavioral factors intertwine to create these conditions and changes in patterns (Purnell, 2013).Compared to their counterparts in wealthy nations, working-age persons in less developed nations have less access to preventative treatment, are more exposed to health risks such as air pollution, inadequate nutrition, and lax anti-smoking regulations, and are more likely to develop chronic diseases (Purnell, 2013). In the last 20 years, chronic illness deaths have increased by more than 50% in low- and middle-income countries (LMICs), according to a report from the Council on Foreign Relations (Tavernise, 2014). The rise is a result of a change in the patterns of mortality around the world, where infectious diseases, such as malaria and tuberculosis (TB), have significantly decreased and are no longer the primary causes of death within these underdeveloped countries (Tavernise, 2014).When examining the CVD and diabetes rates in developing countries, chronic diseases disproportionately strike younger populations in developing countries (Tavernise, 2014). Likewise, once afflicted with chronic diseases in developing countries, the individual has limited payment resources and is more likely to die as a result of the disability from the chronic disease state (Purnell, 2013). Lower-income countries report that approximately 40 percent of their deaths from chronic diseases occur in people younger than 60 years old, compared to 13 percent in developed countries (Tavernise, 2014).Coronary heart disease (CHD) is the primary cause of death in affluent nations and one of the main contributors to the disease burden in emerging nations (Gaziano et al., 2010). The LMIC accounted for three-fourths of all CHD-related deaths worldwide (Anand et al., 2020). The rapid growth in the prevalence of CHD in most of these nations is caused by socioeconomic status (SES) change, an increase in life expectancy, and the acquisition of risk factors connected to a more prominent lifestyle (Healthy People 2020, 2022). As obesity continues to increase globally, so does the prevalence of diabetes and heart disease (Purnell, 2013). The incidence of diabetes in low-income countries has been steadily increasing, with four out of five of the world’s diabetics living in developing countries (Tavernise, 2014).While improving access to effective therapies will help ease the burden of the disease process, if effective preventative services and lifestyle changes are not undertaken, the management strategies will be useless (Purnell, 2013). If the patterns continue, it might have serious repercussions, such as catastrophic health costs and impoverishment among already low-income communities (Gaziano et al., 2010). At the national level, the result could reduce economic productivity and put further strain on already overburdened health systems (Purnell, 2013). Limited funding prevents many treatments and preventative strategies and lessens the chances of favorable outcomes by more than 80 percent (Anand et al., 2020).Chronic diseases continue to plague our world and threaten every nation’s ability to improve its population health (Healthy People 2020, 2022). Although these trends were once associated with developed nations, the presence of chronic disease health issues has become the focus in many developing countries (Gaziano et al., 2010). Critical lifestyle interventions are needed to mitigate the burden of injury from these prevalent disease conditions (Holtz, 2019). There is power in prevention and preventative strategies aimed at health improvement, and disease prevention is a starting point for the reformative health status of every nation’s people (Healthy People 2020, 2022).JoAnneReferencesAnand, S., Bradshaw, C., & Prabhakaran, D. (2020). Prevention and management of CVD in LMICs: Why do ethnicity, culture, and context matter? BMC Medicine, 18, 7. https://doi.org/10.1186/s12916-019-1480-9Gaziano, T.A., Bitton, A., Anand, S., Abrahams-Gessel, S., & Murphy, A. (2010, February).  Growing epidemic of coronary heart disease in low- and middle-income countries. Current Problems in Cardiology, 35(2):72-115.  https://doi: 10.1016126969

 
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Nurse executive Leadership

As the Institute of Medicine seminal report has progressed through the decades, progress toward goals and new needs are identified. Currently, 2020-2030 plans are being developed.Review theFuture of Nursing 2020-2030.Consider the current and future challenges identified:The role of nurses in improving the health of individuals, families, and communities by addressing social determinants of health and providing effective, efficient, equitable, and accessible care for all across the care continuum, as well as identifying the system facilitators and barriers to achieving this goal.The current and future deployment of all levels of nurses across the care continuum, including in collaborative practice models, to address the challenges of building a culture of health.System facilitators and barriers to achieving a workforce that is diverse, including gender, race, and ethnicity, across all levels of nursing education.The role of the nursing profession in assuring that the voice of individuals, families, and communities are incorporated into the design and operations of clinical and community health systems.The training and competency-development needed to prepare nurses, including advanced practice nurses, to work outside of acute care settings and to lead efforts to build a culture of health and health equity, and the extent to which the current curriculum meets these needs.The ability of nurses to serve as change agents in creating systems that bridge the delivery of health care and social needs care in the community.The research needed to identify or develop effective nursing practices for eliminating gaps and disparities in health care.The importance of nurse well-being and resilience in ensuring the delivery of high-quality care and improving community health.Consider your role as a leader in developing the Future of Nursing in 2020 and beyond.Include the following aspects in the discussion:Choose one of the needs above (do not use one a peer has chosen if possible)Search the database for one recent scholarly article that explores the topicSummarize your plan to participate in this needDiscuss how your leadership style influences your planNOTE- JUST WRITE 100 WORDS

 
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I need help with my hw

I need help with my hw. Below is the link to the video needed. Just copy and paste to browser.https://webapps.srm-app.net/CanvasContent/SF/WCU_NURS_440_OL_TEMPLATE/Presentations/Nurs440%20DNR%20Case%20Study/story_html5.html

 
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Healthcare

5-7 pages healthcare.

 
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Homework

What are potential barriers to forming an effective relationship with families?  What, if any, might be potential conflicts of interest?Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

 
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microbiology

classroom discussion assignment on covid

 
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