Finals 19931373

There has been a health outbreak! Choose an at-risk population, an epidemic, and respond to the following objectives from the CDC Epidemic Intelligence Service. You are to write a 2- 3 page paper, in APA format, include at least 5 references, and address the objectives below. You will include the primary NCHEC Area of Responsibility and Competency you are addressing in this assignment as a title on the first page of your document. What is the epidemic, who does it adversely affect, what is the first response to this epidemic, etc.  After you complete the paper, create a 1-page outbreak communication flyer, radio announcement, commercial transcript, etc. to release to the public (this is the presentation portion and is a separate submission) (follow the CDC and WHO outline for help, located in the Module 5 Resources). 

Possible Epidemics in the US: Salmonella Lung injury associated with e-cigarette use or vaping Listeria Brucella Measles Hepatitis A Hurricane Possible Epidemics Outside the US: Dengue Polio Chikungunya Typhoid fever (drug-resistant) Hurricane Situational Awareness

At the start of an investigation, you will need to assess the situation (11). The following steps will help you perform this task quickly: Identify affected or potentially affected populations (i.e., target audiences). Ask yourself, “Who is most at risk by the outbreak or public health threat?” “What populations are most vulnerable or at the highest risk and need to be reached first?” Identify behavioral factors that might place persons at risk. Ask yourself, “Are behavioral factors placing persons at risk?” If so, “What are they?” Can you recommend actions that persons and healthcare providers can take to confront these behavioral factors and thus reduce their risk (e.g., get vaccinated or wash their hands frequently)? If the risk is unknown, can you provide information to the public and media about what is being done in the investigation to identify what places persons at risk? Identify partners who might be able to reach affected persons or populations. In an ideal situation, strong relationships will exist. However, if such relationships do not yet exist, quickly identify what relationships are crucial for containing and stopping the outbreak. Ask yourself, “Are healthcare providers available who might reach the affected persons or populations quickly?” “Who are the community leaders who can help reach the affected persons or populations?” “Will the public look to specific partners or persons for advice or direction (e.g., religious leaders or local thought leaders)?” Decide who should talk with those influential persons and what the timing should be for doing so. Identify perceptions in the community that might affect communications. Listen to community members. Work to get a better understanding of how local authorities, affected persons, and community leaders perceive the situation (7). Listen to concerns, critiques, and fears. When possible, have a discussion before issuing directives. Gain an understanding of what community members might know and believe about the illness and potential cause. Also work to understand the language, culture, and socioeconomic factors in the community that should be considered. Use this information to refine your communication efforts. Tailor health-related recommendations or guidance and ensure that it is written in plain language to be more easily adopted or adhered to by the affected population and public health or healthcare entities. Build strong relationships with key persons in the community who can help you contain or stop the outbreak and can provide ongoing insights. Ensure that messages to the media and public resonate. The communications team will want to identify reliable information sources that can provide an ongoing assessment of current perceptions in the community (e.g., social media monitoring) (12). When you have this feedback loop in place, work to integrate the findings into ongoing decision making.

Communication Resources and Tools Often Used for Outbreak Responses Internet site. The response effort might need an Internet site to convey relevant and rapidly changing information about the outbreak. The site should be the main repository of scientific facts, data, and resources. All other communications should be based on the content of that site. Key information for the site might include the following: Data or case counts; Maps of the affected area; Guidance for affected populations, the public, travelers to or from the region, and healthcare providers who are caring for the affected persons; A section highlighting the newest information; and A multimedia section for the media and the general public. Call center. The response effort might benefit from having a call center equipped to answer inquiries from the affected population, the worried well, and healthcare providers seeking information. Guidance is available for entities that are establishing a call center during an outbreak response. Social media messages. Create social media messages from Internet site content. Communications staff should monitor social media regularly to identify and dispel myths and misperceptions. Clinician outreach resources. The response might require substantial communications with healthcare providers. Webinars, conference calls with partner organizations, videos for online clinical communities, or other forums might be considered to allow healthcare providers to access up-to-date information, ask questions, and obtain advice from other clinicians associated with the response. Digital press kit for the news media. A digital press kit with photos, videos, quotations from spokespersons, the latest data or information (e.g., graphics, charts, or maps), and information about how to obtain an interview is always helpful for reporters during an outbreak investigation. Tailor communication resources. The response might require translation for specific audiences, and communication materials might need to be tailored for reaching affected populations. Some responses use photo novellas, simple line art, text messaging, or community events to convey important information for specific audiences.

What to Include When Developing Outbreak-Related Messages Expression of empathy. What’s known and a call for action, including Who? What? When? Where? Why? How? What’s known and what’s not known, and how answers will be obtained for what’s not yet known Explanations of what public health actions are being taken and why. A statement of commitment. When additional information will be provided. Where to find more information in the meantime.

Ho 19951313

  H/O Attendance Questions

Due: by the start of class

Please answer the 5 questions below for attendance credit. Submit your answers to the proper assignment folder. Please do not share work. What are the components of a CBC lab and what does each component tell us about a child’s hematologic function? Explain the pathophysiology of Iron Deficiency Anemia?  How is Iron Deficiency Anemia diagnosed in the pediatric patient?  Discuss why a child admitted with sickle cell disease would require hydration, pain management and antibiotics as part of their treatment management.  What are the nursing considerations in preventing myelosuppression in a pediatric patient with leukemia?  What would you want to include in parent/patient education for a child with hemophilia?

Essay Due In 24 Hours 19940525

Answer the following question thoughtfully. 

Please limit your response to 1-2 pages (typed, double-spaced)

Why have you chosen nursing as your career path?

Community Assessment And Analysis Presentation 19948869

  

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

1. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”

2. Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.

2. Summary of community assessment: (a) funding sources and (b) partnerships.

3. Summary of interview with community health/public health provider.

4. Identification of an issue that is lacking or an opportunity for health promotion.

5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Throat Respiratory And Cardiovascular Disorders

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. 

CASE STUDY #2

CHEIF OF COMPLAIN: A 25-year-old Hispanic female, computer programmer presents to your clinic complaining of a 12-day history of a runny nose

SUBJECTIVE: States that her symptoms began about 12 days ago. She suffers from allergies; she gets a runny nose during the spring-time, pollen season. However, in the winter, her allergies are not a problem.

OBJECTIVE  DATA: 

VS: (BP) 115/75, (P) 89, (RR) 16, (T) 100.4°F (38°C), O2 sat 98% on room air

GENERAL: No signs of acute distress. Patient appears mildly fatigued. She is breathing through her mouth. Breathing easily. Voice has a nasal quality to it.

HEENT:Ear canals: normal; EYES: normal; NOSE: Bilateral erythema and edema of turbinates with significant yellow drainage on the right. Nares: Obstructed air passages

RESPIRATORY : CTA AP&L

NECK/THROAT: Posterior pharynx: mildly injected, scant postnasal drainage (PND), no exudate, tonsils 1+, no cobblestoning

HEART: Regular rate and rhythm, no murmur, S3, or S4

answer the following questions: What other subjective data would you obtain? What other objective findings would you look for? What diagnostic exams do you want to order? Name 3 differential diagnoses based on this patient presenting symptoms? Give rationales for your each differential diagnosis.

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

The Research Paper First Draft 19941109

Using the references you identified in the module 1, write a first draft of your paper in 2,500-3,000 words.

Include Abstract, Introduction, Methods, Results, Discussion, Conclusions, and References sections and headings.

Refer to one of the journal references you are using and copy its writing style/format rather than APA (You can also typically go to the journal’s home page and find links to their exact rules). Identify which journal format you are using on the title page.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Evidence Translation And Change 19951507

  

Evidence Translation and Change

Week 7

What are the common barriers to evidence translation in addressing this problem?

           There are many barriers when it comes to translating evidence into practice. In regards to obesity, the most common barrier to translate evidence-based changes locally, nationally, and globally are the stakeholders. According to Chamberlain College of Nursing, (2020, translating research into practice relies on the clinician knowing who the stakeholders are and getting them involved in the planning stage and in every aspect of the practice change. Some stakeholders may not be conducive to change. In order to adopt and launch a practice change, the change leader has to be able to sell the project to key stakeholders. For a project leader to get others to go along with a practice change, the leader has to be knowledgeable, motivated, and believe in the research he or she is presenting to the stakeholders.

           Additional barriers in translating research evidence into this practice problem would cost, available resources, and timing.  For instance, it is less likely for individuals living in a low socioeconomic community to prioritize a 30 minutes time slot five days a week for exercising activities. Barriers like work schedules, family commitment, and financial obligations may impede these practices. The lack of motivation may also be a factor. Most individuals may not have a membership to the local gym, and rain and cold weather may prevent walking in the local park. The lack of appropriate lighting in the parks may fend off participation in outdoor activities in the fall and winter months. According to Tucker, the individuals, the location, and the practice itself and have a huge role in influencing evidence-based practice (2017). For an evidence-based practice to be adapted effectively it must be realistic in all public health settings.

What strategies might you adopt to be aware of new evidence?

           I would create an interprofessional group to include clinical and research practitioners to discuss new and upcoming research evidence appropriate to the practice problem. Focus groups both locally and nationally as well as globally are great outlets to discover what is working in different areas of healthcare. Small focus group outlets in which to gather people with the same interest to discuss and present new research (Chamberlain College of Nursing 2020). I would sign up for alerts on new research, evidence-based practice interventions, and quality improvement publications on obesity throughout the country and globally. Tucker indicated that research experts are great resources to look into and introduce the latest pieces of evidence (2017). I also believe an expert Ph.D. colleague would be a great mentor to help guide me in this practice problem intervention. Dang and Dearholt indicated that a team approach between DNP and Ph.D. scholars influenced the best clinical outcome.  

How will you determine which evidence to implement?

           First, I would focus on finding evidence to support my practice intervention, base not only on research but evidence that supports the participants’ cultural values and beliefs. I would look at the available evidence and ask myself, whether this is appropriate for my particular demographic. There are many quality improvements in evidence-based research practice in healthcare that can be pilot to other practice problems.  I would look at the data for similarities and tailor it to this particular focus practice problem on a local level. The team would appraise the appropriate data and determine whether it is pertinent to obesity. Most importantly, I would communicate the evidence to all key stakeholders.

How will you ensure the continuation or sustainability of the change?

           To ensure continuity and sustainability of the practice change, I would look at the impact the change has had on individual participants, both locally and nationally. Since the intervention is patient-centered, I think it is appropriate to be familiar with the participant’s values and preferences. Without the support and commitment of the participants, the practice problem intervention will be ineffective. Taylor et al. wrote evidence-based practice is a combination of best evidence, patients choice, and the skillfulness of the practitioner (2016). I believed that persons who have had positive outcomes tend to continue to participate in activities more so than those who have had negative experiences. I would continue to involve participants and families in the planning and implementing phase of the intervention. I would also mandate ongoing training to all interprofessional team members. I would reinforce the ongoing review of the evidence to maintain current research. Clear and respectful communication and teamwork are also important in sustaining and continuing change. Evidence-based intervention is being carried out throughout the globe, I believe by working alongside interdisciplinary teams and familiarizing myself with the evidenced available will give me a global sustainability outlook.

Reference

Chamberlain College of Nursing. (2020). NR-701 Week 7: Translation of Evidence: Overcoming Barriers [Online lesson]. Downers Grove, IL: Adtalem.

Dang, D., & Dearholt, S. (2018) John Hopkins nursing evidence-based practice model and guidelines (3rded.). Sigma Tetu Tau Intentional.

Taylor M.V., Priefer, B.A. & Alt-White, A.C. (2016). Evidence-based practice: Embracing integration. Nursing Outlook 64(6) 575-582. doi.org/10.1016/j.outlook.2016.04.004

Tucker, S. (2017) People, practice, and places: Realities that influence evidence-based practice uptake. Worldviews on Evidence-based Nursing 14 (2) 87-89. Doi10.111/wvn.12216

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

Cat Questions

  

1) Complications of Cancer

 

Class the paper due this week focuses on cancer and asks you to discuss complications of cancer and the side effects of treatment. It is important that you differentiate between the two. Complications are caused by the cancer and not related to medication or treatment. Side effects are a result of treatment. To earn credit for one substantial reply, provide an example of a general complication caused by cancer and discuss the pathophysiology why it occurs. I do not want an essay on cancer. To earn credit provide only the information requested and share your source. Hint our pathophysiology text should be used to answer this question and complete your paper not the American Cancer Society. We introduce the ACS site as a source you would share with your patients.

  

One   common complication of Cancer

Related   pathophysiology (why It occurs)

 

 

Current   scholarly source designed for health care professionals

 

Reference

2) Our readings discuss that cancer has modifiable (behavior, social, environment) and unmodifiable risk factors (genetic, age, gender). In your paper you will need to include both modifiable and non modifiable factors.

Research a type of cancer and share two causes of the cancer,state if they are modifiable or non modifiable  Please do not post “smoking causes lung cancer”, do research and learn something beyond what the consumer knows. If you want to cover lung cancer research which types of lung cancer are related to smoking. This will be a great thread to get ideas for the paper.

  

Type   of Cancer

 

Cause   of the type of cancer

 

cause   of the cancer

Reference

Optional CAT #3 interventions for side effects caused by Cancer treatment

 

Class there are several types of treatments from cancer including surgery, radiation, various chemotherapies, immune therapy. Each has side effects, some for which the patient can apply interventions and some which require nursing or medical interventions. Choose a treatment for cancer, list one major complication and provide two nursing or medical interventions to prevent, lesson  or treat the side effect. Use the table below to earn credit.

Your source should be a pathophysiology text, med surg text or other source designed for health care professionals.

  

Cancer Treatment

Side Effect of Treatment

Nursing/ medical intervention to prevent or treat it.

 

1

 

2

 Reference

Nursing Research 19491443

  Benchmark – Capstone Project Change Proposal

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal: Background Problem statement Purpose of the change proposal PICOT Literature search strategy employed Evaluation of the literature Applicable change or nursing theory utilized Proposed implementation plan with outcome measures Identification of potential barriers to plan implementation, and a discussion of how these could be overcome Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

Health Assessment Assess And Document

 

Prior to class, and after reading/viewing the module assignment, select one of the following and conduct an assessment. Eyes Ears Nose Mouth

You may conduct the assessment on a fellow student, friend, or family member. Remember to secure their permission.

Collect both subjective and objective data using the process described in the textbook.

Then, document your findings and bring them to class.

Your instructor may ask that you submit your documentation. If so,

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.)