ph 210 89

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Question

Question 1: What is an example from the recent news that made you think about public health research methods and why? Please link to the news article you are discussing!

INSTRUCTIONS:

Give your post a clear title that reflects your main points

Write all posts and comments with proper spelling, grammar, and punctuation

After writing your own post be sure to also respond to at least two classmates

  • Recommended word limit is 100-150 words for main post, 50-100 words for responses to classmates

You are strongly encouraged to post your initial forum discussion 24 hours prior to the due date so your classmates have time to read and respond. You will not receive full credit if you do not post your forum with enough time for your classmates to reply or if you do not reply to at least two classmates.

  • Question 2: Post one scholarly article and one popular source on a specific health issue you care aboutYou can post the URLs (websites) for your sources into this discussion, or click on “Upload Document” or “Attach” to upload the actual articles.Print the citation and abstract for each.

Question 3:

  • Find two more scholarly sources on a specific health issue you care about.

Begin drafting your Reflection and Analysis – Determinants of a Health Issue.

  • Reflection and Analysis – Determinants of a health issue 5 pts

Genitourinary

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Discussion Prompt

65-year-old male presents to your clinic with frequent urination. He complains of painless, frequent urination approximately every 45 minutes to an hour for the past 5 months. He states he hates visiting doctors because they always try to find something wrong with him. His wife made him this appointment, but he thinks his problem is just because he is getting older. He denies any pain on urination or any blood in the urine. He also denies any difficult voiding. No foul odor is in the urine or discharge from the penis. He has tried to reduce his liquid consumption, but it has not made much of a difference. He denies any pelvic pain or rectal pain. He has not had any labs done in the past 5 years. Also, he has not had a physical done in 10 years. Physical exam reveals an African American male in no apparent distress. Abdomen is soft, nontender, no masses or distensions on palp. No hepatosplenomagaly. DRE reveals an enlarged, firm, smooth, symmetrical prostate. Provide the most likely diagnosis based on the HPI and PE. In addition, provide your interpretation of the cues found in the assessment. List at least 3 possible differential diagnoses and justify your rationale. Develop therapeutic plan options based on quality, evidence-based clinical guidelines.

NRS465 Literature Evaluation Table

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QUESTION

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

This assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (published within the past 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

My PICOT Question: In critically ill patients in intensive care units (P), how does the implementation of evidence-based interventions targeting the reduction of Ventilator-Associated Pneumonia (VAP) (I) compared to standard care practices (C) affect the incidence of VAP (O) within a six-month period (T)? (File Attached At Bottom)

Identify the content, forms, and/or techniques of work of art (e.g., architecture, fine art, literature, and/or drama).

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QUESTION

Read/review the following resources for this activity:

Textbook: Chapter 1, 2, 3, 4, 5, 6

Lessons: Week 1, 2, 3

Minimum of 1 scholarly source (in addition to the textbook)

  • Instructions
  • This week you will use your readings from the past two weeks as a point of departure to create your own artistic production and a reflection paper.
  • Part 1: Art Creation
    Select one of the visual art pieces from Chapters 1-6 or the lessons from Weeks 1-3 to use as a point of inspiration. Create a painting, sculpture, drawing, or work of architecture inspired by your selected art piece.

Part 2: Reflection
Write a reflection about the relationship between your art production and the inspiration piece. Include the following in the reflection paper:

Introduction

Inspiration Piece

Include image.

Record the title, artist, year, and place of origin.

Briefly explain the background of the inspiration piece.

Your Art Piece

Include image.

Provide a title.

  • Explain the background of your piece.
  • Connection

Explain the thematic connection between the two pieces.

  • How are they similar and different?
  • Are they the same medium? How does the medium impact what the viewer experiences?
  • How do the formal elements of design compare to one another?
  • Original Artwork Requirements

Methods: paint, watercolor, pencil, crayon, marker, collage, clay, metal, or wood (Check with your instructor about other methods you have in mind.)

  • No computer-generated pieces
  • Your assignment is not graded on your skill or ability as an artist. 

Health and medical case

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CASE1

A male patient is a 42-year-old with a 5-year history of hypertension first diagnosed during pre-employment. Her family history is positive for hypertension. He is complaining of headache, has been taking lisinopril 20mg /daily. In spite of regular taking this antihypertensive regimen, his blood pressure remains elevated, ranging from 150 to 160/95 to 110 mm Hg. Physical assessment was unremarkable except for the presence of obesity. Serum sodium 138 rnEq/L (135 to 147 rnEq/L); potassium 4.1 rnEq/L (3.5 to 5 rnEq/L); BUN 19 mg/dL (10 to 20 mg/dL), creatinine 0.9 mg/dL (0.35 to 0.93 mg/dL), total cholesterol 268 mg/dL ( <245 mg/dL), triglycerides 120 mg/dL (<160 mg/dL), and fasting glucose 105 mg/dL (70 to 100 mg/dL).

1. What is the treatment plan for this patient?

CASE2

A 52-year old woman, housewife, has 5 children. Her BP repeatedly is 160/105. She refused to take antihypertensive drugs as she feels fine and has no complaint. Few days, she starts to complain of chest pain when she climbs 3 floors. This pain disappears without medication.

1. What is the most likely diagnosis of this patient?

2. What are the important points in history you need to ask about?

3. Enumerate essential investigations

4. What are the drugs used in the treatment of these conditions?

UNIT 7 568

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QUESTION

Topic: Dermatological Case Study

RB is a 27-year-old female who presents to the primary care clinic for evaluation of a rash on her right arm. Possible causes range from insect bites to smallpox, but most likely the problem will lie somewhere in the middle of that continuum. The differential diagnoses tick away in our heads as we begin our evaluation of RB. The rash is vesiculopapular, moderately erythematous and localized to the right forearm. There are excoriated areas indicating scratching due to itching. She reports that the rash started this weekend. The rash itches day and night. No other family members have a rash. She has never had a rash on her arms before. No one in the family has a history of asthma, allergies, or eczema. She reports no new soaps, perfumes, lotions, creams, detergents or other topical agents being used at home. You notice there are no burrows. The rash is in a linear distribution. Her activities this weekend included pulling weeds around the fence and trees in her yard. Her vitals are: blood pressure 123/74, respirations 20, pulse 68, and temperature 97.9.

Case Questions:

What additional assessment information should be obtained?

What are the differential diagnoses for this patient?

What management will be recommended for the patient?

What patient education should be included?

Public Health1

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QUESTION

Activity: Design your own medical care system.

Congrats!  You were just elected President of the United States!  First up on the agenda is to roll out your new plans for the US’s medical care system called, “[insert  your last name here] Care”.  Sounds nice!  Now, tell us about [Last name] Care and why you think it will work.  (Note, you should watch Video 1 and read Chapter 26 before completing this Discussion).

Draw a visual of your Health Care System Plan (see example below from Ashely Hodgson’s Video 1). Take image of it and upload (try using a google drive link to share image).  NOTE:  Your new Health Care System Plan can be a modification of existing models, or completely radical, or just brand new, but it should be reasonable!

people, government, government insurers, private insurers, doctors, hospitals, other (justify)

Briefly describe your plan in words.

  • What about it do you think will be effective? What about it do you think may be ineffective? Who are all the parties that pay for medical costs associated for health care in your system? Is there room for private insurers in your health care system? Briefly, why or why not? Does your health care system operate differently for those with pre-existing medical conditions? Briefly, why or why not?

Project Week 1 Leadership

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QUESTION

Identify a clinical certification used in a clinical setting. See Week 2 lesson for examples.

Identify a target population of RNs in a clinical setting that is unaware of the benefits of certification on patient outcomes and leadership skills. Population needs to be two or more RNs from the identified clinical setting for which the certification would apply.

  • Example:
  • i.Certification: CNOR (Certified Nurse Operating Room)

ii.Target population: Operating room registered nurses

iii.Setting: Operating room

  • Answer the questions below about your progress in the Direct Care Part 1: Assessment and Diagnosis assignment.

i.Review comments about your target population and clinical certification from your instructor in Grades.

ii.If your target population and clinical certification are approved or not approved, it will be marked in the Assignment Comments.

iii.If not approved, follow your instructor’s directions for next steps. You may have to resubmit your information.

Please answer this then progress to second part thank you.

  • Please address the following areas on the provided template:

Identify a problem (diagnosis) based on your assessment

Important: The problem you identify will be utilized in Parts 2, 3, and 4 of the Direct Care Project.

Write the problem diagnosis (See template)

i.Process to obtain clinical certification

ii.Cost of application and testing

  • iii.Requirements prior to certification
  • iv.Examination QUESTION

v.Renewal time and process

  • vi.Required items for renewal
  • i.From Chamberlain Library

ii.Full Text only

iii.No more than 5 years old

iv.In English

v.Peer-reviewed

vi.Include the permalink

PICOT question

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QUESTION

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this discussion question, you will create a clinical guiding question known as a PICOT question. The PICOT question must be relevant to a nursing practice problem (coordination of health care, assessment, education, patient support, trauma prevention, recovery, health screenings, etc.).

After reviewing the relevant topic materials:

  1. Select a nursing practice problem of interest.
  2. Develop a PICOT question using the template and example provided below.
  3. Identify two articles, one qualitative and one quantitative, related to the problem of interest. Provide an APA-formatted reference for each article, and explain how each relates to your PICOT question. Be sure to identify which article is qualitative and which article is quantitative. These articles may be used in this week’s assignment.

PICOT question intervention format:

In_______________(Population), how does _______________ (Intervention) compared to _______________ (Comparison) affect _______________ (Outcome) within______________(Time, optional)?

Example: In critically ill patients in an Intensive Care Unit (ICU) (P), how do daily 2% chlorhexidine cloth baths (I) compared to daily disposable non-antimicrobial cloth baths (C) affect the incidence of health care-associated infections (HAIs) (O)?

Demonstration

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QUESTION

You will create a short Power Point presentation teaching your audience how to put into practice the fundamental principles that influence transcultural interaction and communication. You will develop a 4-slide presentation, a title slide, presentation slides with narrative notes and a reference slide. Review the information below prior to starting your PowerPoint presentation.

Scenario:  

Everyone entering a healthcare system should obtain evidence-based care that is culturally and linguistically appropriate. The U.S. Department of Health and Human Services’ Office of Minority Health developed the Culturally and Linguistically Appropriate Services Standards (CLAS Standards) to improve quality, advance health equity and help eliminate health care disparities (Andrews et al., 2020).

Utilizing 4 (2 from Communication and Language Assistance and 2 from other area of standards) of the National CLAS Standards, in your own words, build a 4 slide presentation teaching your peers how to address the standards at your work place.

The PowerPoint?presentation should be in APA format and include: 

Title slide (include your name and section number) and brief introduction of project (1 slide No narrative notes)

4 total CLAS Standards (2 slides Narrative notes in APA format with APA formatted citations)

Select 2 of the 4 Communication and Language Assistance Standards

Select 2 of any other standards from:

  • Governance, Leadership, and Workforce, or
  • Engagement, Continuous Improvement, and Accountability.