Planning better health for future

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As a healthcare professional, understanding where to locate evidence-based resources in order to help your patients benefit from that knowledge will be useful in your career.

One such resource is The National Center for Health Statistics. The Center has established Healthy People 2020 for tracking the nation’s health.

In this assignment, you will begin from the topic you selected and propose a culturally competent, as defined by SAMHSA, community based health program. Go to the Healthy People 2020 website and find the Topics & Objectives.

Once you have located the 42 topic areas discussed on the website, choose a topic in which you are interested. Write a 1,250-1,500-word paper in which you propose a community health program related to the topic you selected.

Include the following in your proposal: An overview of the program you are proposing. What is it? Who are the population(s) it will serve? A rationale for the program. A discussion of how the program will be established as and will remain culturally competent. A discussion of how the program could be affected if budgetary restraints limited research in that field.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located on 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.

Employee Benefits – Healthcare

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Employee Benefits – Healthcare

– Research the impact of rising healthcare costs, changes in health care coverage offered by employers, national healthcare issues. The affordable health care act has been in place now for 9 years. By design, there were years of upcoming changes and impacts for employers. We are still dealing with those today. I would like to look at todays impact, future impact and examine where healthcare might go next. This is a topic I am passionate about because I am the “voice” of my companies’ benefit package as a Human Resources Representative. It’s not easy telling your employees that their benefits premiums are increasing or that their deductible is increasing. With the research project, I hope to obtain some current information that may help me in my upcoming open enrollment. Academic Level : Bachelor Paper details What is a Research Paper? This is the expanded version of your Research Proposal. A research paper should be 10-12 pages in length and should cite 10-15 sources. Sources must be documented using the APA format. The Purpose of your Research A research paper is more than the sum of your sources, more than a collection of different pieces of information about a topic, and more than a review of literature in a field. A research paper analyzes a perspective or argues a point. In an analytical research paper, you do research to become an expert on a topic so that you can restructure and present the parts of the topic from your own perspective. An argumentative research paper needs to support your stand on an issue. An argumentative research paper uses information as evidence to support a point. To learn more about “What A Research Paper Is” link to the Writer’s Complex’s Research Room Opens in a new window. Research Paper Format Use the following format for the research paper as your “guide”. Note the word “guide” because you may find a need, given the specific topic you have selected, to modify. Remember that this is a research paper – not a longer version of an essay. The research paper should contain the following format: Title page, Purpose of Study, Opening Statement, Assumption or Hypothesis, Discussion of Findings, Recommendations, Conclusion/Summary, and Reference Page. Title Page – It should be concise and descriptive – creative wouldn’t hurt! Your names, course name and number, college and term should be listed. Purpose of Study – The final project should include a succinct statement that explains why you selected the particular area of interest and why it lends itself to a research paper. State the purpose of your research and why it interests you. You should also identify the audience for your work. Opening Statement, Assumptions or Hypothesis The project is a rigorous academic exercise and should be carefully thought out from beginning to end. It is imperative that you resist presentation of opinion as fact, and instead develop assumptions or hypotheses without reaching conclusions before you investigate the topic. The opening statement, argument or hypothesis focuses your ideas for the paper; it’s your argument, insight or viewpoint summarized into a sentence or two that gives the reader your main idea. It present the rationale for you paper and clearly indicates why it is worth exploring. If you are not sure about how to refine, narrow or broaden your thesis, please visit “Finding Your Thesis” the Empire State College’s Writing Resource Center Opens in a new window. Discussion of Findings You must demonstrate that you have expanded your knowledge of the subject. This is where you must cite between 10-15 sources using the APA format. This section should discuss and offer an interpretation of the sources you cite. Choose the sources carefully. They should demonstrate your understanding of the research issues related to your topic and show your ability to critically evaluate/integrate the literary sources. Recommendations

Can reducing wait time in Ambulatory Care Clinics positively impact the psychodynamic status of the patient needing urgent care as opposed to shorter wait time in Private Practice and patient’s outcome within one year.

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Evidence-Based Practice Proposal – Section B: Problem Description Write a paper of 500‐750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following: 1. Describe the background of the problem. Tell the story of the issue and why it deserves attention. 2. Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc. 3. Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization. 4. State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence‐based practice is introduced to identify the expected changes. 5. 5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources. 6. Develop an initial reference list to assure that there is adequate literature to support your evidence‐based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR‐699 Search Method Example” to assist you. 7. 7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem. 8. Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence‐based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted. Prepare this assignment according to the APA guidelines. NO ABSTRACT NEEDED. Search Method Example Search Method A comprehensive electronic search was completed using the following databases: Cochrane Central Register of Controlled Trials Cochrane Database of Systematic Reviews National Guideline Clearinghouse CINAHL Ovid Medline The search included English-only published articles between 1990 and 2005. Key words used in the search were: Pediatric asthma education Self-management Self-monitoring Grade school children Systematic reviews Randomized controlled trials Search results revealed 75 publications. The abstracts were screened and 10 studies were relevant to pediatric asthma education involving self-management, self-monitoring behaviors, self-efficacy, and educational programs with various interventions. These studies included three systematic reviews, five randomized control trials (RCT), one cohort descriptive study, and one qualitative study. Refer to Appendix A for a complete reference list.

Re-define POCOT question Can reducing wait time in Ambulatory Care Clinics positively impact the psychodynamic status of the patient needing urgent care as opposed to shorter wait time in Private Practice and patient’s outcome within one year. Population– Ambulatory Care Clinics patient Intervention – Reducing waiting time in Ambulatory care clinics Comparison – Shorter wait time in Private Care Clinics Outcome – Creating positive impact on patients’ psychodynamic status

Health Promotion in Minority Populations

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Description

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group. In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following: Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group? What are the health disparities that exist for this group? What are the nutritional challenges for this group? Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors. What health promotion activities are often practiced by this group? Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why? Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content. 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. You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Employee Benefits – Healthcare – The impact of rising healthcare costs

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Employee Benefits – Healthcare – Research the impact of rising healthcare costs, changes in health care coverage offered by employers, national healthcare issues. The affordable health care act has been in place now for 9 years. By design, there were years of upcoming changes and impacts for employers. We are still dealing with those today. Look at todays impact, future impact and examine where healthcare might go next.  It’s not easy telling your employees that their benefits premiums are increasing or that their deductible is increasing.

Leveraging Technology to Identify Population Health Concerns and Relevant Policies

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Technology is a vital tool in collecting and analyzing health care data. In the realm of population health, data is gathered and analyzed to identify potential and actual health care trends and issues. For example, the Centers for Disease Control and Prevention has numerous resources for data distribution and reporting that can be useful. Additionally, there are standards and relevant policies that prescribe how data can be gathered and used, and what technology is appropriate for specific contexts. A clear understanding of regulations and best practices will assist the health care provider to ensure that data and information collection meets current standards to effectively manage chronic diseases, and to promote health and wellness in individuals, communities, and populations. In your initial post, address the following. Be sure to follow the requirements for initial postings found in the Faculty Expectations Message (FEM). Select a population that is of interest to you or relevant to your current practice. Identify at least two aspects of technology that could be used to collect or analyze population health data. Explain how the technology could be leveraged to help identify health concerns in your selected population. Discuss any policies that are relevant (or need to be created) and that must be taken into account for working with your identified technology or chosen population in the practice environment where you work or with which you are most familiar.

Construct a Parent Involvement Plan

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For this assignment, you have read Chapters 1-12 in your textbook and reflected on parents as partners in education. Now reflect on what you have learned about families and schools working together. Your textbook describes the movement toward engaging families and communities as partners in education. You have been named principal of an early childhood school or director of early childhood programming in a school district. One of the biggest issues that you face as a new administrator is that the parents and community have not had an active role in the school and have actually been made to feel less than welcome. The parents of students with disabilities and English language learners are even less active than others. You were selected as the next leader in this setting because you discussed the importance of parents and community in your interview. Using the content of your reading, create a parent involvement plan with the following: Compose a yearlong plan with activities to involve parents of all students in your school or center. Write goals and objectives for the program. Use the six types of parent/family involvement to develop specific activities for involving families and for providing services to them. Support the activities you suggest with research and examples from published literature. Explain how you would involve fathers, language-minority families, and families of children with disabilities. A timeline for your plan. Include an appendix that contains the following: A parent bulletin board that illustrates the various components of your parent involvement program. Two interest finders should be included. Support the activities you suggest with research and examples from published literature.

American Socioeconomic Inequalities in Health Outcomes

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 The minimum length for the essay should be five typed pages . Spacing should be no greater than double- spaced, and font size should not exceed 12 pt font. Margins should be no greater than 1 inch. : Socioeconomic Inequalities in Low Birth Weight in the United States, the United Kingdom, Canada, and Australia Martinson, Melissa L ; Reichman, Nancy E American journal of public health, April 2016, Vol.106(4), pp.748-54 Review of Socioeconomic Disparities in Lower Extremity Amputations: A Continuing Healthcare Problem in the United States. Girijala, Raghavendra L ; Bush, Ruth L October 5, 2018 Cureus, Vol.10(10), p.e3418 Reducing Disparities In Access To Health Care. Shelley, John ; Kilgore, Meredith ; Cherrington, Andrea Health affairs (Project Hope), December 2017, Vol.36(12), p.2211

CLABSI (central line associated bloodstream infection)

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Using only the Chamberlain College of Nursing library: (1) Locate evidence that is relevant to your chosen nursing practice problem. Explain how you believe the evidence is relevant to your chosen nursing practice problem. (2) Explain why you chose the evidence (3) Provides a complete APA reference to the evidence (must include authors, year, title of the evidence, title of the resource) (4) Evidence must be published within the last 10 years (5) Provides the per-malink

Advanced Health Assessment

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In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. GENITALIA ASSESSMENT Subjective: CC: “I have bumps on my bottom that I want to have checked out.” HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed. PMH: Asthma Medications: Symbicort 160/4.5mcg Allergies: NKDA FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) Objective: VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs Heart: RRR, no murmurs Lungs: CTA, chest wall symmetrical Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney Diagnostics: HSV specimen obtained Assessment: Chancre PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. To prepare: With regard to the SOAP note case study provided: 1. Consider what history would be necessary to collect from the patient in the case study. 2. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? 3. Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. To complete: Using evidence based resources, answer the following questions and support your answers using current evidence from the literature. 1. Analyze the subjective portion of the note, List additional information that should be included in the documentation. 2. Analyze the objective portion of the note. List additional information that should be included in the documentation. 3. Is the assessment supported by the subjective and objective information? Why or Why not? 4. Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis? 5. Would you reject/accept the current diagnosis? Why or why not? 6. Identify 5 possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature within the last 3 years a. Diagnosis 1, why b. Diagnosis 2, why c. Diagnosis 3, why d. Diagnosis 4, why e. Diagnosis 5, why Conclusion References all, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. Chapter 16, “Breasts and Axillae” (pp. 350-369) Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby. Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.Chapter 3, “Adult Preventative Care Visits” (“Gender Specific Screenings”; p. 137) https://www.cdc.gov/std/#