Ebola : Descriptive Epidemiology of Health Event and Implications for Program Development

The goal of this assignment is to describe a health event epidemiologically and then to determine how this information can be used by advanced practice nurses to guide research projects and in program development. Expectations/Grading Criteria**

• Identify a health condition that is relevant to your clinical practice or a clinical population of interest.

• Provide a “definition” (i.e. defining characteristics) for this health event.

That is, how is it decided that a person has this condition). (5 points)

• Using morbidity and mortality rates or other appropriate statistics, describe the health condition overall and by all the following characteristics where appropriate: person characteristics (age, sex, marital status, ethnicity/race, socioeconomic status, religion); time (secular and cyclic); place and any other risk factors that describe the distribution of this health event.

Tables and graphics can also be included but should follow APA guidelines. (50 points)

• Based on your analysis of the above information and/or the literature, develop a research question that could be studied by an APN using the following format: What is the relationship of “a risk factor” to “your health event” in “”specific subpopulation”. For example, what is the relationship of high sodium diet to hypertension in African American males. What explanations are given in the literature for this potential relationship. (10 points)

• Describe a research study using an observational study design that could be used by an APN to study the above research question. Be specific in describing the research study.(10 points) Describe how the Advance practice nurse(APN) could design and develop an evidenced based program (a program that has been shown to be effective) focusing on primary or secondary prevention of the risk factor. State if your focus is primary or secondary prevention. Provide a reference for the evidence based program. (15 points)

• Organization, clarity and use of APA format (including tables and figures)*** (10 points) • Maximum of 12 pages

Benign Positional Vertigo and Meniere’s Disease

Make sure that sources are within 5 years old. Please follow the rubric. Week 1: Compare and Contrast Assignment Purpose

The purpose of this assignment is for learners to: Improve their knowledge base and understanding of disease processes in Neurology

Have the opportunity to integrate knowledge and skills learned throughout all core courses in the FNP track and previous clinical courses.

Demonstrate the ability to analyze the literature be able to perform an evidenced-based review of disease presentation, diagnosis and treatment. Demonstrate professional communication and leadership, while advancing the education of peers. Demonstrate the ability to take information from assigned readings and translate it into the way you would describe it to a patient or family member in your own words. Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to: Interpret subjective and objective data to develop appropriate diagnoses and evidence based management plans for patients and families with complex or multiple diagnoses across the lifespan. (CO 1) Develop management plans based on current scientific evidence and national guidelines. (CO 4) Due Date: Wednesday by 11:59 pm MT of Week 1 A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of Week 1 at 1159PM MT, regardless of the number of days late.

NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0). A 10% penalty will be imposed for not entering the minimum number/type of interactive dialogue posts OR not posting on the minimum required number of days (3 days). NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0)

Total Points Possible: 100 points Requirements: For Week 1 of the course there is no case study given to you by the Faculty. Instead you will be assigned two diseases to compare and contrast based on the first letter of your last name. This information will be posted in the Course Announcements under Week 1 Welcome as well as the “Assignment” portion of the Week 1 module and will change every session. A comparison and contrast assignment’s focus is to identify and explore similarities and differences between two similar diseases. The goal of this exploration is to bring about a better understanding of both diseases. Week 1 Part 1: Due Wednesday by 11:59PM MT MN You will research the two areas of content assigned to you and compare and contrast them in a discussion post.

NOTE: A comparison and contrast assignment is not about listing the info regarding each disease separately but rather looking at each disease side by side and discussing the similarities and differences given the categories below. Consider how each patient would actually present to the office. Paint a picture of how that patient would look, act, what story they would tell. Consider how their history would affect their diagnosis, etc. Evaluation of mastery is focused on the student’s ability to demonstrate specific understanding of how the diagnoses differ and relate to one another. Address the following topics below in your own words: Presentation Pathophysiology Assessment Diagnosis Treatment Compare and contrast the following diagnoses as assigned:

Immunohistochemical evaluation of (TROP-2) and (BRAF V600E) in papillary thyroid carcinoma Hashimoto thyroiditis Graves disease (a clinicopathological study) in samples of Iraqi patients.

Description Aims of the study : 1. To evaluate the expression of TROP-2 and BRAF V600E in Hashimoto’s and Graves’ diseases by immunohistochemistry and it’s relation to other parameters ( age , sex ) . 2. To evaluate the expression of TROP-2 and BRAF V600E in papillary thyroid carcinoma and to determine the relationship between TROP-2 overexpression and the expression of the mutant BRAF V600E oncoprotein in papillary thyroid carcinoma. 3. To correlate the expression of TROP-2 and BRAF V600E in papillary thyroid carcinoma with clinicopathological parameters ( age , sex , tumor size , presence of tumor capsule , presence of lymph node metastasis )

The Blum Model

Description

The Blum Model

After completing the lecture and reading assignments, compose a well- written response paper to the following question: The Blum Model points to four key determinants of health. Select at least one of these determinants and discuss the implications for the Christian health administrator. o Requirements: Do not use the question in the response. Papers must include a substantive elaboration on the topic as well as support from scripture.

Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention

Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention. Discuss ways in which health care will continue this trend and explain the role of nursing in supporting and facilitating this shift. In replies to peers, provide three example of wellness and prevention initiatives your organization or specialty area has in place.

Matching Theory to Client Intervention Paper

Matching Theory to Client Intervention Paper:

Paper details Matching Theory Case Study Unsettling Transition Mrs. Elizabeth Cuthbert is an 81 year old Caucasian woman. She has been diagnosed with syncope (fainting spells), hypertension, and chronic obstructive pulmonary disease. For the last four months she has resided in a nursing facility and receives skilled nursing services. Mrs. Cuthbert’s move to the facility occurred as a result of repeated syncope and falls. Her condition has been exacerbated by the recent development of a foot drop, a weakening of the structures in her ankle that allows the foot to dangle when walking. This ailment has increased her risk of falling. Mrs.Cuthbert has been fitted with an ankle foot orthosis (AFO) and provided with a walker, but she claims these aids make her feel “weak.” Mrs. Cuthburt receives physical therapy for her balance and occupational therapy for her tasks of daily living. Her discharge plan involves placement in an assisted living apartment once she has developed the safety and ambulation skills that will allow her to live without constant monitoring. Mrs.Cuthbert’s medications for the last six months include therapeutic aspirin, blood pressure medication,and Tylenol for pain relief from her fall and osteoarthritis.

She is compliant with her medications. Mrs.Cuthbert was widowed 20 years ago and has lived alone in her home of 35 years since that time. Her immediate family includes two adult children, who live in the area, and three grandchildren, who visit and send her letters. Family members visit frequently, at least twice a week. Mrs.Cuthbert Expresses a negative attitude toward the aged in comments during unrelated discussions. For instance, when the social worker intern first met her, she cast aspersions on an“old dog” who lived in the unit, and then went on to make negative comments about her own appearance, saying she looked like “an old hag.” She received the social workers supportive comments positively, but the change in attitude appears transitory. The results of a mini-mental status examination conducted on Mrs.Cuthbert indicated that she was aware of person, time, and place. Mrs.Cuthbert was also evaluated using a mood scale to determine her risk for depression. She scored 7 out of 15 (a score higher than 5 is indicative of depression). Her response to the mood-scale questions revealed feelings of worthlessness, low energy, insomnia, and diminished interest in pleasurable activities. Mrs. Cuthbert evidences no symptoms of mania. Mrs.Cuthbert is undergoing significant change in her social support system as a result of her move to the nursing facility. She no longer has the neighbors whom she visited each day as she went about retrieving her newspaper, checking on her garden, and watering her outdoor plants. She has lost the use of her car and feels that she should give up driving permanently to prevent possible accidents. She also no longer has the option of walking to her place of worship because of her current condition. An additional problem for Mrs.Cuthbert is her reluctance to make safety changes that will allow her to move to an assisted living apartment in a nearby community where several lifelong friends reside. She has been very reluctant to adopt the walker or the AFO and has been refusing the majority of her physical and occupational therapy treatments because she is “tired.” During her care plan meeting, Mrs. Cuthbert expressed surprise that the entire interdisciplinary team had gathered to discuss her case with her and her family. She asked, “Why are all of you interested in me?” She stated that she wanted to move to assisted living because she would be able to visit with her friends there once she did so. When told that she could not move until she addressed the safety and ambulation deficits she is experiencing, she expressed interest in cooperating with the various therapists and counselors. According to Mrs. Cuthbert’s daughter, Barbara, until her current health problems and the move to the nursing facility, her mother was a relatively contented person. She crocheted,enjoyed crossword puzzles, called on friends, assisted two shut-ins whom she has known for years, and had her grandchildren over for weekend visits. Since her admission to the nursing home, it has become difficult for Mrs. Cuthbert to accomplish several of her old activities, and simply not feasible to continue others. However, she has also discontinued the activities that were appropriate for her while at the nursing home, except for doing crossword puzzles. Barbara noted that her mother was not interested in going out for meals as she had been before fall. Her daughter speculated that her mother might not want to be seen in public with the AFO and walker, but noted that she also refused take-out meals offered as well. When asked, Barbara was unaware of any history of mood disorders or other mental illness in her mother’s background, but said that her mother wouldn’t typically speak of such things anyway. Mrs. Cuthbert financial situation is sound. She owns her own house and collects pensions from both her own employment as a secretary and her husband’s work.

PICOT Question In hospitalized adult patients is hand washing with soap and water

PICOT Question In hospitalized adult patients is hand washing with soap and water
Topic: PICOT question: In hospitalized adult patients is hand washing with soap and water or the use of alcohol-based hand sanitizer more effective in preventing Hospital Acquired Infection HAI compared to no hand washing at all during their course of hospital

 

Paper details:

Critically appraise a minimum of 14 peer-reviewed articles meeting your PICOT question search strategy. Complete the appraisal using an appropriate critical appraisal checklist. Submit your completed checklists to Canvas’ assignment manager. Sources should be between 2015-2019

Treat Montresor of A Cask of Amontillado from a psychoanalytical perspective

Treat Montresor of “A Cask of Amontillado” from a psychoanalytical perspective and at least 750 words. Discuss what a psychoanalyst might find wrong with him. What treatment methods might be used to improve his condition. The sources cant be anonymous. They must have authors who are qualified to analyze literature. Refrain from using a three-point thesis. Make your thesis statement original and forceful, but do not offer your main essay points in it.

 

Treat Montresor of “A Cask of Amontillado” from a psychoanalytical perspective and at least 750 words. Discuss what a psychoanalyst might find wrong with him. What treatment methods might be used to improve his condition.

 

Use parenthetical documentation to cite the sources in your essay and create a “Sources Cited” section following the essay. In other words, use MLA style.

All4You! PROGRAM EVALUATION

Description According to the U.S. Health and Human Services, their program All4You! “is designed to reduce the number of students who have unprotected sexual intercourse, which is associated with increased risk of HIV, other sexually transmitted infections (STIs), and unplanned pregnancy.

The program also aims to change key determinants related to sexual risk taking, such as attitudes, beliefs, and perceived norms. The All4You! program has two primary instructional components—a skills-based HIV, other STD and pregnancy prevention curriculum and service- learning visits in the community—that are integrated and delivered as a 14-session program (about 26 hours total).

The target audience for All4You! includes students in alternative high school settings, who are ages 14 to 18.” In this Application assignment, you should review the general resources on program evaluation in this week’s Assignment folder and All4You! Reports. ALL4YOU! A RANDOMIZED TRIAL OF AN HIV, OTHER STDs, AND PREGNANCY PREVENTION INTERVENTION FOR ALTERNATIVE SCHOOL STUDENTS Karin K. Coyle, Douglas B. Kirby, Leah E. Robin, Stephen W. Banspach, Elizabeth Baumler, and Jill R. Glassman. PREGNANCY PREVENTION INTERVENTION IMPLEMENTATION REPORT Program Name: All4You! Developers: Karin K. Coyle, PhD; Douglas B. Kirby, PhD; Leah E. Robin, PhD; Stephen W. Banspach, PhD; Elizabeth Baumler, PhD; and Jill R. Glassman, PhD Then please answer each of the questions below using complete sentences with evidence and arguments – not just one or two short phrases.

1. Which type(s) of program evaluation models were used in assessing the program? Explain your choice, referring to the guides provided this week. a. Begin by defining what a program evaluation model is and what types you have seen in the week’s readings. After that, make an argument for which program evaluation model was used in the All4You program evaluation included in the week’s readings.

2. The evaluators made the decision to incorporate self-report questionnaires as important data collection tools. Why do you think they selected this approach? What are specific advantages and disadvantages of this strategy?

3. What are some of the strengths of the evaluation? What do you see as some of the limitations? Why? 4. Evaluate the part of the evaluation that was conducted as a research project. This requires reading the file Report2_All4You_Evaluation_Study.pdf which is included in the assignment materials. How confident can you be of the results reported?

Policy/Regulation Fact Sheet

Description Assignment:

Policy/Regulation Fact Sheet

Policy/Regulation Fact Sheet As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise. With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare: Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics. Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA). Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study. The Assignment: (1 page) Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following: Briefly and generally explain the policy or regulation you selected. Address the impact of the policy or regulation you selected on system implementation. Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow. Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.