PUBLIC HEALTH DISCUSSION

QUESTION

Please respond to one question for each reading:

Q1. Save the Crabs. The authors discuss ways to assure quality and quality control when designing effective health messages. For the “Save the Crabs” campaign, what are some ways that the planners either addressed one to two of the quality components they would need to do to assure these components?

Q2. Save the Crabs. How does this campaign apply either product, price, place or promotion (the social marketing mix) for one of their several specific audience segments? How did they determine it was the right approach? Do not repeat the segment and component of the marketing mix already discussed by other students.

Q3. Thackeray et al. Integrating Social Media and Social Marketing.

Thackeray describes social marketing concepts that can be applied to social media, then lays out 4 steps to accomplish your social marketing goals. The first step is understanding your audience segment. Then the next steps are based on that segment. So first, let’s consider the target of your PSA’s. What would you need to learn about them in order to design the most appropriate social media campaign? Then how might the social media choices differ for that group and service or retail providers serving that population? (OR, how would these 4 steps need to be carried out in the Save the Crabs case example?)

Q4. Thackeray et al. Integrating Social Media and Social Marketing.

One of those steps is deciding what your purpose will be for using social media, and 5 possible purposes are outlined. Pick one and explain how you would apply it to engage your intended PSA audience (or apply to the Save the Crabs campaign, or the First Five examples in the lecture). How does this article help in refining the purpose and uses of social media, based on the 5 purposes? How does the purpose defined in step 2 point us in the right direction for planning strategy and the right social media platform?

https://www.thensmc.com/resources/showcase/save-th…

Charma Peer Response

Question

Relate to another journal reading

  • Peer response to Charma 
  • The current facility where I am completing my clinical rotation treats a lot of Attention Deficit Hyperactivity Disorder (ADHD) patients from childhood to adulthood. When a child (6-12 y/o) comes to the clinic with concerns of ADHD symptoms, parents and teacher accomplish a form, namely the Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS) and the Vanderbilt Assessment Scale Teacher informant. It is a rating scale that is developed to assist a clinician in determining potential ADHD symptoms by having the parent recall the child’s behavior in the past 6 months. It also screens other neurodevelopmental disorders such as Oppositional Defiant Disorder (ODD), Conduct Disorder (CD), anxiety, and depression (Anderson et al., 2022).Basically, The VADPRS is a 55-item parent-report assessment for ADHD (18 items), ODD (8 items), CD (14 items), and anxiety/depression (7 items). It also includes an eight-item school performance and social functioning subscale. Answers are rated using a 4-point Likert scale (never to very often) while performance is graded based on a 5-point Likert scale (problematic to above average). It also identifies the type of ADHD (Inattentive, hyperactive/impulsive, and combines) based on the score.Another resource that is being utilized is the Generalized Anxiety Disorder-7 and 2 (GAD-7 & GAD-2) that is used in assisting clinicians in the diagnosis of anxiety disorders encountered in primary care settings (Sapra et al., 2020). The GAD-7 tool is a validated 7-item tool while the GAD-2 covers the first two questions in the GAD-7 which are critical component of any anxiety disorders. It is easy to administer and yields a good sensitivity and specificity in diagnosing common anxiety disorder.References:Anderson, N., Feldman, J., Kolko, D., Pilkonis, P., Lindhiem, O. (2022). National norms for the vanderbilt ADHD diagnostic parent rating scale in children. Journal of Pediatric Psychology, 47(6), 652-661. doi: 10.1093/jpepsy/jsab132.Sapra, A., Bhandari, P., Sharma, S., Chanpura, T., Lopp, L. (2020). Using generalized anxiety disorder-2 (GAD-2) and GAD-7 in a primary care setting. Cureus, 12(5). doi: 10.7759/cureus.8224.less

discussionn.

QUESTION

An 82-year-old man recently returned to the long-term care facility after hospitalization for open reduction internal fixation of the right hip. He has been divorced for over 50 years and has two adult children who visit him frequently in the nursing home. He has a 5-year history of mild to moderate dementia and known urinary tract infections. His last recorded mini mental state examination (MMSE) registered 18, which was 3 months ago. While in the hospital, he did have an indwelling catheter for 4 days. He has been incontinent since his return to the hospital but the staff their attributes this to the catheter and his deconditioned state following hospitalization. His medications include donepezil, memantine, and acetaminophen for pain and fever as needed. He has no other known medical problems except a history of multiple urinary tract infections throughout his lifetime that, according to his son, have required extensive antibiotic treatment. He enjoys drinking regular coffee throughout the day, says it is a habit he has had since his days in the service years ago. His family members and the nursing staff report that he has been very restless and has been unable to use the urinal on time the past couple of days.

Vital signs: T 99°F, HR 80, RR 18, BP 128/78, BMI 22. 

Chief Complaint: Foul smelling urine, incontinence, restless

Discuss the following:

1) What additional subjective data are you seeking to include past medical history, social, and relevant family history?
2) What additional objective data will you be assessing for?
3) What are the differential diagnoses that you are considering?
4) What laboratory tests will help you rule out some of the differential diagnoses?
5) What radiological examinations or additional diagnostic studies would you order?
6) What treatment and specific information about the prescription that you will give this patient?
7) What are the potential complications from the treatment ordered?
8) What additional laboratory tests might you consider ordering?
9) What additional patient teaching may be needed?
10) Will you be looking for a consult?

Grand Round presentation

Question

I need the powerpoint presentation. I will make the part of the video that includes me. CHF could be the topic for the case 

GRAND ROUNDS PRESENTATION 

Students will present a patient they have cared for during this clinical rotation?by?observing the following guidelines:??? 

Patients must have an acute disease focus; for example, CHF, MI, DKA, or COPD.?? 

You will need to complete your presentation using a PowerPoint presentation with a video.? 

Your PowerPoint presentation or link to the video must be uploaded to Moodle under Assignments. 

The time allowed is 10-15 minutes. One?point will be deducted for every minute or fraction of a minute beyond the 15 minutes allowed.? 

The presenting student will be evaluated on knowledge of the topic,?speaking ability, clarity, overall organization, quality of references, and overall professionalism of the presentation.? 

Grand Rounds will contain the following?information:? 

Subjective Data (10 points)

  • Precise presentation of potential subjective date to include:

Demographics (Pt’s initial, age, sex, race)

Chief Complaint

History of Present Illness (HPI)

Review of Systems (ROS)

Past Medical History (PMH)

  • Past Social History (PSH)

Social History

  • Objective Data (10 points)

Precise presentation of findings on Physical Examination (PE):

  • Include relevant negatives (minimum of 5)

Include relevant positive (minimum of 5)

  • Diagnostics (10 points)

Laboratory/diagnostic tests ordered (include rationale/guidelines).

Minimum of 3 studies with rationale for each

In the absence of diagnostic testing, which tests are recommended

Diagnosis / Differential Diagnosis (20 points)

Include and list primary diagnosis

List a minimum of 3 Differential Diagnoses.

Must include data used to rule in or rule out every one of the differential diagnosis

Include national guidelines that support each diagnosis 

Etiology Epidemiology (5 points)

  • Give an inclusive definition/describe the etiology of the disorder.  Include:

Incidence/Prevalence 

  • Age 

Race 

  • Gender 

Morbidity/Mortality 

  • Health Economics

Pathophysiology / Genetics (10 points)

  • Question of pathophysiology and genetics involved in the disorder

Physical Exam (PE) Findings (10 points)

  • Complete and concise presentation of signs and important PE findings of the disorder.

Assessment / Treatment / Evidence-Based Guidelines (20 points)

  • Provide patient diagnoses 

Describe guideline treatment plan to include:

Pharmaceuticals with correct dosages,

Patient education,

Prevention/health promotion strategies,

Follow-up visits (if any).

Referrals

Provide evidence-based guidelines to support treatment plan

  • Presentation (5 points)

Presentation is professional

  • Professional attire

Knowledge of subject and fluidly of presentation

Adheres to time criteria

HCAD 670: Healthcare Administration Capstone: 2017 Las Vegas Mass-Shooting

Question

Course Outcomes for Assignment: 

Apply and integrate the concepts and knowledge gained in prior general management and health care administration courses to industry-relevant challenges. 

Assess the relevant strategic decision-making and implementation issues within a health care organization.

2017 Las Vegas Mass-Shooting

The Investigative Assistance for Violent Crimes Act of 2012, signed into law in January 2013, defines a mass killing as one resulting in at least 3 victims, excluding the perpetrator. On the evening of October 1, 2017, Stephen Paddock, a 64-year-old man from Mesquite, Nevada, opened fire upon the crowd attending the Route 91 Harvest music festival on the Las Vegas Strip in Nevada. Between 10:05 and 10:15 p.m. PDT, he fired more than 1,000 rounds of ammunition from his 32nd-floor suites in the Mandalay Bay Hotel, killing 60 people and wounding 411, with the ensuing panic bringing the injury total to 867. About an hour later, Paddock was found dead from a self-inflicted gunshot wound in his room. This incident was the deadliest mass shooting committed by an individual in modern United States history.  University Medical Center of Southern Nevada,

Your assignment: In a MEMO format please discuss the following about the 2017 Las Vegas Mass Shooting Disaster Response: 

What were three areas that went well with the response?

What were three significant challenges with the response?

What were three ways in which the response could have been improved?

  • During Week One, we discussed Fayol’s Five Functions of Management: (a) Planning, (b) organizing, (c) coordinating, (d) commanding, and (e) controlling. As the Chief Operating Officer (COO), how would you augment your healthcare facility’s disaster preparedness? Discuss how you would exercise Fayol’s Third Function of Management, coordinating to enhance your facilities’ mass casualty preparedness. You must reference Fayol to receive credit for this area.
  • Ensure that your assignment is in the APA 7th edition format with a cover page, separating your sections by the appropriate APA Level Headings. Also, make sure you include a reference page and at least five references.

discussion*

QUESTION

Mrs. P. is an 80-year-old woman recently discharged from a 24-hour observation stay at the hospital after being diagnosed with acute bronchitis. She has a history of heart failure, hypertension, osteoarthritis, GERD, and hyperlipidemia. She has no history of smoking. While in the hospital she was prescribed doxycycline, prednisone 15 mg to taper, and a tiotropium inhaler. Her current list of daily medications prior to hospitalization includes metoprolol succinate 12.5 mg, pantoprazole 40 mg, atorvastatin 10 mg, lisinopril 10 mg, furosemide 40 mg, potassium chloride 20 meq bid, acetaminophen 650 mg bid for pain and tramadol 25 mg as needed. She lives alone but will reside temporarily with her daughter while she recovers. Her discharge report indicated resolving bronchitis, no exacerbation of heart failure, and stable arthritic pain. Today she reports 1 week after discharge with her daughter for a primary care appointment, and they both were concerned about the number of medications she was prescribed and wanted her medications reviewed. In further review, she was found to have lost weight over the past 6 months of 5 lbs and her current BMI is 25. She states that the weight loss may be due to a change to a healthier diet and reducing sodium as instructed. She also reports no symptoms of GERD for the past 6 months and minimal arthritic pain because of regular use of acetaminophen and daily walking in the halls of her independent living facility. Upon examination her lungs are clear to auscultation and no evidence of lower extremity edema.

Discuss the following:

1) In reviewing her medication list and current symptoms and clinical signs, which
medication could the nurse practitioner consider de-prescribing.

2) Once the patient has completed the prednisone taper, which medication could the nurse
practitioner begin to reduce given the patient’s reported symptoms.

3) Given the absence of an exacerbation of heart failure and compliance with a reduced
sodium diet, what other medication(s) adjustments could the nurse practitioner consider at
this time.

Discussion 2, Cardiovascular.

QUESTION

Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.

Case Study Questions

  1. For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.
  2. What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?
  3. Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?
  4. How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.
  5. Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.

SW NA.

QUESTION

Objective: This assignment is designed to help you articulate the challenges associated with providing social work to students in schools. 

*Reflect on the below event involving a student, as a school social worker what may prompt you to respond in a manner that is different from what other staff such as the school teachers, administrators, or nurses might expect?

*Consider the Code of Ethics: “Best interest of the child(ren)” who may be experiencing challenges based on race, ethnicity, disability, gender identity, or sexual orientation. 

Example Event:

This is only an example.  

A first grade student comes to school wearing oversized clothing and smells of cat urine.  The child’s siblings are older and all appear to be dressed in size appropriate attire; however, they, too, smell of cat urine. The class teacher complains of the smell and appearance of the child and complains to you and the vice-principal that the student’s condition is both heartbreaking and a cause of disruption to other students in the class.  Both the teacher and the vice-principal believe you should immediately report this to Child Welfare Services (CWS).  You believe you should speak with the child and perhaps the siblings and parents to get a clearer picture of what may be occurring as this does not sound as if it a suspicion of abuse or neglect yet. In addition, you know by law that teachers are not allowed to defer their duty to report and, if a report should be made, it should be from the teacher who has first hand knowledge of the concern. 

Answer:

How would you address this? Remember the sociological imagination and taking on a broader perspective than “judging” the individual.

Provide feedback to at least two of your group members using correct grammar and sentence structure.  Responses must demonstrate insight and foster continued learning.  Responses that are short and  do not demonstrate effort, such as simply stating “Good idea. I agree,” will not receive full points. 

Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles.

QUESTION

Assessment 03 Applying Ethical Principles
For this assessment, you will develop a solution to a specific ethical dilemma faced by a health
care professional. Before you complete the instructions detailed in the courseroom, first select
one of the ethical dilemmas below to be the focus of your assessment.
After you have selected one of the ethical dilemmas from below, return to the detailed
instructions in the courseroom to complete your assessment.

Case Study: End-of-Life Care for a Minor
Timothy Collins, a vibrant 16-year-old high school junior known for his passion for music and
soccer, has been battling an aggressive form of leukemia for two years. Despite the initial hope
and a brief period of remission, recent tests have shown that the leukemia cells have multiplied
aggressively. The prognosis is grim.
After enduring multiple rounds of chemotherapy, bone marrow transplants, and countless
hospital stays, Timothy, weary from the side effects and the emotional toll of the disease,
expresses a wish to his primary oncologist, Dr. Angela Foster, to discontinue his treatments. He
has been researching and wishes to enter hospice care, hoping to spend his remaining time in
the comfort of his home, surrounded by his loved ones.
His parents, Mr. Robert Collins, a bank manager, and Mrs. Lydia Collins, a schoolteacher, are
devastated by Timothy’s decision. They have been tirelessly researching and believe that a new
experimental treatment overseas might offer a glimmer of hope. They cannot fathom giving up
and want to explore every possible avenue to save their only child.
Dr. Angela Foster, a seasoned oncologist with over 20 years of experience, finds herself in one
of the most challenging situations of her career. She deeply respects Timothy’s maturity and his
right to have a say in his care. However, she also understands the desperation and pain of the
Collins family. The principles of beneficence and autonomy are at odds in this situation. While
she wants to act in the best interest of Timothy, she also recognizes the rights of the parents
and their wishes for their minor son.

M3: Healthcare Data Based Management and Workflow Design PT 2

Question

Introduction to the Assignment

This is a continuation from the Module 3 Database Management assignment. 

A workflow design is a diagram illustration of the actions and steps in a prescribed sequence. Workflow design is used to show the steps of a process. 

In this portion of the project, we will use the scenario and data from Module 3. We will analyze the data, make recommendations based on the findings, create a workflow design based on 1 of the recommendations, and reflect on lessons learned. The information will be added to the slide presentation from Module 3.

Skill Building Resources

Review and use the information provided in the Skill-Building and Practice section located after the Getting Started Module.

Scenario: (My Program is MSN in Nursing Leadership)

MSN Administration Students

  • MSN Students Other Programs

As a nurse leader, you received information that there is an increasing number of adverse drug events in the organization, and the President of the organization requested a report showing the current data. Before developing a quality improvement initiative, you must first determine the reasons for the adverse drug events. You will need to compile and analyze the data for the report.

INSTRUCTIONS

1. Please read the instructions and the rubric carefully! Use the feedback from the module 3 assignment to incorporate into the module 4 assignment. 

2. Using the slide presentation from Module 3 and add slides at the end for the following topics:

Analysis of Findings

Review the data in the graph and tables

Identify 3 or more observations/findings based on the data

Recommendations 

Review the observations/findings that you identified

Identify are 3 or more recommendations to address the findings you observed

Review the literature and include 2 or more journals supporting your recommendations. 

Workflow Design  

Create a workflow design based on at least 1 recommendation you identified

Use a variety of basic shapes, lines, and connectors 

Show the points/locations (using color or symbols) in the workflow indicating the use of technology in the process

Provide a key/legend to show the colors, shapes, identify the technology