Diabetes Mellitus and the Health Belief Model

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Transtheoretical and Health Belief Models in Chronic Illness The course of illness can be influenced by biological, psychological, and/or social factors covering a broad range of topics that include stress, coping, and behaviors that either promote health and prevent illness, or contribute to the development of clinical problems. Health and wellness are important to our daily lives and this is true even in the context of being diagnosed with a chronic illness such as diabetes mellitus. The interplay between emotions, cognitive, and behavioral/physical factors can affect all aspects of health and illness. Individual differences such as culture, ethnicity, lifestyle, religion, gender, identity development, financial status, and social support should be considered when analyzing the individual’s response to a chronic illness. Numerous research studies have investigated the impact of one or more of these factors in terms of the effect on chronic disease outcomes. These outcomes can include symptom management and/or progression of the severity of the disease. Explanatory theories often describe factors that contribute to health problems, or interfere with prevention activities, and thus provide targets for change. One such theory is the Health Belief Model (HBM) which addresses perceptions of the health problem. These perceptions include the degree of threat in terms of susceptibility and severity, any benefits to be obtained by avoiding the perceived threat, and various internal (e.g., self-efficacy) and external (e.g., barriers to care) factors that influence the individual’s decision to act. Other theories emphasize motivations that influence a continuum of stages of behavioral change. The Transtheoretical Model (TTM) of behavior change is a theory of this type. The response to chronic illness and the illness experience itself can be described by these models. In managing chronic disease, there are coping strategies and behavior changes that support optimal outcomes and therapeutic interventions can be designed for greater effectiveness by using these two models. For your paper you will choose from the two options below. The option you choose will provide the focus and title for your paper. Option A: Diabetes Mellitus and the Transtheoretical Model of Behavior ChangePreview the document Option B: Diabetes Mellitus and the Health Belief ModelPreview the document To support your work, you will perform research using the Ashford University Library and/or other search methods to provide references to support your work. You must include a minimum of three peer-reviewed sources, published within the past five years relating to diabetes mellitus and to either the Transtheoretical Model of Behavior Change (Option A) or the Health Belief Model (Option B). The use of additional scholarly and/or peer-reviewed references is highly recommended. These may be obtained from academic, professional, or governmental agency sources. Dictionaries, encyclopedias, non-academic websites, and media outlet sites or publications are not appropriate resources for academic writing and are not appropriate for inclusion in this paper. You may reference your textbook and other required or recommended materials from the course but these will not fulfill the minimum reference requirement. In your paper you will provide an analysis of your research by addressing the following elements: Personal impact of chronic illness Impact of chronic illness on friends and family Methods of coping Interventions to encourage healthy lifestyle choices Motivations for adhering to recommended self-care guidelines Beliefs about illness that support or reduce self-efficacy and the ability to take action. Use the following headings to organize your paper into four sections as follows: Introduction: Explain how the TTM or HBM can be used to explain the individual’s response to chronic illness Body: Analyze the impact of chronic illness on friends and families, coping strategies used in chronic illness, social and psychological factors involved in the illness experience, long-term social and psychological implications of chronic illness, and therapeutic interventions based on your model Conclusion: Summarize how the TTM or HBM explains the individual’s approach to illness and behavior change Appendix: Complete the provided TTM table (Option A) or the HBM table (Option B), thinking of the diabetic individual’s adherence to self-care recommendations. Copy and paste your completed table into the Appendix of your paper. This paper must include the biopsychosocial aspect of your research with emphasis on biological, psychological, and social factors. Be sure to elaborate on these factors using information drawn from your research and text readings. Throughout your paper, include in-text citations for all statements of facts obtained through your research. Remember that direct quotes (identical phrases or sentences taken from a source) require in-text citations with appropriate formatting as described in the Ashford Writing Center. Statements of opinion should be clearly stated as such, and include a rationale to support why you hold this opinion (e.g., personal or professional experience, your research findings). Writing the Final Paper The Final Paper: Must be three to five double-spaced pages in length not including the title and references pages, and formatted according to APA style as outlined in the Ashford Writing Center. Must include a title page with the following: Title of paper Student’s name Course name and number Instructor’s name Date submitted Must begin with an introductory paragraph that has a succinct thesis statement. Must include paragraphs of a minimum of three sentences. Must address the topic of the paper with critical thought. Must end with a conclusion that reaffirms your thesis. Must use at least three peer-reviewed sources from the Ashford University Library. Must document all sources in APA style, as outlined in the Ashford Writing Center. Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center.

 

What is the best practice for urine specimen collection in older women in emergency departments to decrease the incidence of contaminated urine culture results

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Paper details:

Choose a problem within your current area of nursing practice; research the problem through completing a literature review; some examples of what previous students identified are listed below. Use PICO to stage your question. Do minority nursing students, who have access to early intervention/retention programs, have a higher rate of academic success over students who are not offered any such program? In the second stage of labor, do women and infants benefit more from laboring down vs direct pushing once full dilation is achieved? In patients with lower extremity ulcerations related to diabetes, will they have improved healing utilizing hyperbaric oxygen therapy with standard wound care versus patients receiving standard wound care alone? In patients with venous ulcers is there an alternative in treatments other than multi- layer compression wraps? What is the best practice for urine specimen collection in older women in emergency departments to decrease the incidence of contaminated urine culture results and therefore decrease the overtreatment of urinary tract infections? 5-7 pages not including cover page and reference page APA format 5 or more references including text books, articles, appropriate websites, etc.; articles should be within last 5 years and peer reviewed Headings to use in the Paper. You should include these and may include additional one’s if you choose. Introduction Description of Problem you identified Review of Literature PICO Question Qualitative or Quantitative: What would be better for your question and why Summary

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 care organization and the importance of risk management

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For this assignment, choose a health care organization that interests you (e.g., long-term care facility, medical center, acute-care hospital). Select 1 area of the organization that requires a risk assessment, and discuss the importance of risk management to this area. Include at least 2 of the following to guide your discussion, where applicable to the area you selected: Patient safety concerns Medication administration concerns Environmental safety hazard concerns Record privacy concerns Diagnostic error concerns Technology concerns Surgical error concerns The use of 3 scholarly sources (e.g., textbook, article from the CEC Library) is required.

Patient’s Rights

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Learning Outcomes: Distinguish the major healthcare professions patient rights. Evaluate patient rights against the Code of Medical Ethics, Nursing Code of Ethics, and ACHE Code of Ethics. Develop an outline comparing patient responsibilities, patient rights and various healthcare codes of ethics Summarize the similarities between patient rights and patient consent. Action Items: Complete your required reading: Chapters 12, 13, 14 (which will be provided) Pozgar, G. D. (2016). Legal and ethical issues for health professionals (4th ed.). Burlington, MA: Jones and Bartlett. ISBN: 9781284036794 (print), 9781284089530 (e-text) In a 3-4 page paper, address the following: *Distinguish the top five most important Patient Rights in your opinion. *Explain the purpose for each patient right. *In your top five list, compose an explanations of why you believe they are more critical than other patient rights listed in our text. *Evaluate your top list of patient rights against the Code of Medical Ethics, Nursing Code of Ethics, and ACHE Code of Ethics. *Create a table associating your top five patient rights with elements from each of the professional code of ethics named above. *Develop a brief outline of how the patient responsibilities align or do not align with the information in your table. *Summarize how your top five patient rights align with various patient consent requirements.

Addressing Nutritional Needs with a medical condition

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Scholarly paper

Topic: Addressing Nutritional Needs with a medical condition

An in-depth evaluation of both objective and subjective data related to an individual’s food and nutrient intake, lifestyle, and medical history. • APA formatted • Minimum 3 references within 5 years • Include: Pathophysiology, Nutritional Needs for assigned disease process, How Nutrition contributes to improving their disease process and health outcomes, educational needs of the patient (including foods from food group/mineral, vitamins), food supplements, and any special diet as it relates to their condition. • Topics include: Hypertension, Diabetes Mellitus, Crohn’s disease, Thyroid disorders, low BMI, high BMI, Cancer, Cystic fibrosis, AIDS, Anorexia Nervosa, Hepatitis B, CAD. • APA formatted paper, 3 pages excluding title page and reference page. • Minimum 3 references within 5 years

The stages of each type of cell reproduction process from a normal patient

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The stages of each type of cell reproduction process from a normal patient whose body cells can repair themselves and normal cell division during the reproductive development of the unborn baby. Student provides a clear, logical discussion describing each stage of cell reproduction related to the two types of cell division. Student provides a mostly clear, logical discussion describing each stage of cell reproduction related to the two types of cell division. Student provides a partially clear, logical discussion describing each stage of cell reproduction related to the two types of cell division. Student provides a weak or unclear description of the types of cell division. Further Instructions : Rubric Name: M3 Writing Analysis Rubric This table lists criteria and criteria group name in the first column. The first row lists level names and includes scores if the rubric uses a numeric scoring method.CATEGORY Exceeds Expectations Meets Expectations Does Not Meet Expectations Significantly Below Expectations Describe the stages of each type of cell reproduction process from a normal patient whose body cells can repair themselves and normal cell division during the reproductive development of the unborn baby. Student provides a clear, logical discussion describing each stage of cell reproduction related to the two types of cell division. Student provides a mostly clear, logical discussion describing each stage of cell reproduction related to the two types of cell division. Student provides a partially clear, logical discussion describing each stage of cell reproduction related to the two types of cell division. Student provides a weak or unclear description of the types of cell division. Explain three disadvantages and advantages of each type of cell division. Student provides a clear, logical discussion of: three disadvantages and advantages of each type of cell division. Student provides a mostly clear, logical discussion of: two disadvantages and advantages of each type of cell division. Student provides a partially clear, logical discussion of: one disadvantage and one advantage of each type of cell division. 0 points Student provides a weak or unclear description of the disadvantage or advantage of each type of cell division. Discuss how the patient experiencing abnormal body cell repair related to the cut and the child’s reproduction development malfunctions alter haploid and diploid cell development. Student provides a clear, logical explanation of the patient’s inability to repair cells from the cut and describes possible malfunctions in the reproduction development of the unborn baby. Student provides a mostly clear, logical explanation of the patient’s inability to repair cells from the cut and describes possible malfunctions in the reproduction development of the unborn baby. Student provides a partially clear, logical explanation of the patient’s inability to repair cells from the cut and describes possible malfunctions in the reproduction development of the unborn baby. Student provides a weak or unclear explanation of the patient’s inability to repair cells from the cut and possible malfunctions in the reproduction development of the unborn baby.

Pharmacological Treatments

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Pharmacological Treatments

Create a 10–12-slide PowerPoint presentation to identify medications associated with a chosen disease or health condition, explain the actions and side effects of the medications, and discuss any controversies related to the medications. Explain a treatment regime, including pharmacology, for the disease or health condition you selected, along with how the treatment regime may affect a client’s lifestyle. -Competency 1: Apply practice guidelines and standards of evidence-based practice related to pharmacology for safe and effective nursing practice. -Identify the pharmacological agents most often used in the treatment of a disease or health condition. -Describe the treatment regime, including pharmacology, most often prescribed for a disease or health condition. -Explain the controversies related to a pharmacological agent. -Competency 2: Explain the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology and psychopharmacology. -Explain the types of actions, side effects, indications, and contraindications that may be expected from a pharmacological treatment. -Describe how a treatment regime, including pharmacology, may impact a client’s lifestyle. -Describe how to monitor a client following a prescribed treatment regime, including pharmacology, in order to obtain a quality patient outcome. -Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional. Write content clearly and logically with correct use of grammar, punctuation, and mechanics. Correctly format citations and references using current APA style.