Health & Medical

Explain methods for data collection: Describe the methods of data collection you might use in your community health needs assessment of Atlanta, Georgia, and explain why you would use them. You should discuss at least two quantitative and two qualitative data collection methods for your community health needs assessment of Atlanta, Georgia. For example, explain whether you would use surveys, focus groups, interviews, or other such methods to gather information for your chosen community. Explain the strengths and weaknesses of each method.   Justify why you chose those methods over the others, and explain what makes these methods most important to use in your particular community. Also, explain how these particular methods help you better understand your community and its specific needs. Note: You will not collect actual data. You will only describe methods of data collection.   Evaluate resources on which to collect data: Based on your chosen community, describe four resources that are lacking in your community. Explain what would be the best methods for collecting data about these lacking resources. For example, you might find there are two hospitals available to the community members, but one of them is 50 miles away. You may also find that there are only two primary care physicians in the community and that these physicians are so overbooked that it takes weeks to get an appointment with either of them. In addition, you may find that there is not an adequate number of bike trails in the community. Conducting a patient survey will help you determine the reasons for doctor visits and understand the potential need for additional services and resources. Explain why you chose those particular resources over others. Sources 1.       https://ctb.ku.edu/en/table-of-contents/assessment/assessing-community-needs-and-resources/qualitative-methods/main 2.       http://marionhealth.org/programs/environmental-health/housing-and-neighborhood-health/ 3.       https://www.brookings.edu/series/building-healthy-neighborhoods/ 4.       https://www.naccho.org/programs/public-health-infrastructure/performance-improvement/community-health-assessment/mapp/phase-3-the-four-assessments 5.       https://search-proquest-com.ezp.waldenulibrary.org/docview/908419502?accountid=14872 6.       https://www.census.gov/programs-surveys/geography.html 7.       https://ctb.ku.edu/en/table-of-contents/assessment/assessing-community-needs-and-resources/collect-information/main 8.       https://www.cdc.gov/brfss/ 9.       https://www.cdc.gov/nchs/data/hus/hus15.pdf

To prepare for this discussion, reflect on what you know about Federal Controlled Substance Laws with respect to prescriptions. Review the laws surrounding controlled substance prescriptions as well as the rates of prescription drug abuse. Think about the process of obtaining and filling prescriptions that are CIII-CV vs. CII and the laws surrounding these classes of drugs. For your initial post, after considering the laws, discuss the following: Do you think the current laws and regulations surrounding controlled substance prescriptions are adequate? Why do you feel the way you do? Are the laws helping to prevent controlled substance abuse, or merely making it harder for patients to get the medications they need? Explain your rationale and support your opinion. Provide examples or cite resources if appropriate.

Outline attached. Select a topic and population pertinent to social and behavioral aspects to public health nationally or internationally. Explain and incorporate health behavior model(s) and/or theory/theories to develop a program that addresses the public health issue.  Include recommendations for policy changes, if applicable. Assignment Instructions:  Make sure you read and understand the directions and requirements. Please ensure you cite your references in APA format with a minimum of 7 references ( including 3 peer-reviewed journal articles).  The paper must have a minimum of 10 pages  (excluding the title, abstract, and reference pages). The paper must be typed, double-spaced with 1-inch margins in 12-point Times New Roman font with all references cited.  As always, Wikipedia, Wikianswers, and Answers.com are NOT academic/scholarly sources. Papers will be graded based on the following areas: Foundation and synthesis of knowledge, application of knowledge critical thinking, writing skills, use of computer technology and application, and organization of ideas and format.

DQ 1: ·      Select one question as your DQ 1 ·      Follow the discussion questions participation and submission guidelines. ·      Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph. ·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5 ·      Minimum of two references, not older than 2015. Chapter 1: A History of Health Care and Nursing 1.  Some nurses believe that Florence Nightingale holds nursing back and represents the negative and backward elements of nursing. This view cites as evidence that Nightingale supported the subordination of nurses to physicians, opposed registration of nurses, and did not see mental health nurses as part of the profession. After reading this chapter, what do you think? Is Nightingale relevant in the 21st century to the nursing profession? Why or why not? 2.  What do you think would be the response of such historical nursing leaders as ­Florence Nightingale, Lillian Wald, and Mary Breckinridge if they could see what the profession of nursing looks like today?

What is meant by insulin and glucagon antagonists and how are they useful in normal body function?

Directions: Unless otherwise stated, answer in complete sentences, and be sure to use correct English spelling and grammar. Sources must be cited in APA format. Your response should be four (4) pages in length. Identify the different components of TRICARE billing and different types of benefits available to active duty members, veterans, and their family members. Explain the importance of the Explanation of Benefits and Electronic Remittance Advice forms. Discuss the reimbursement follow-up, explain the appeals process for reimbursement, and identify refund guidelines. Discuss the history of workers’ compensation and distinguish between federal workers’ compensation and state workers’ compensation. Please include at least three scholarly articles within your response. Overall response will be formatted according to APA style and the total assignment should be between 3–4 pages, not including title page and reference page.

Unfolding Case Study for Public Health Course Requirements for Students: ·       Provide answers to all Case Study Questions. ·       Utilize evidence-based resources such as textbooks, reliable websites like .gov, .org, and .edu, and/or peer-reviewed/scholarly journal articles. Provided information must be up to date (within 5-year period). ·       Provide in-text citation and reference page in APA format. ·       Submit the answers as per faculty instructions. Case Study (Part 1) RN position: case manager/field nurse at the home health agency. The agency receives a phone call from the hospital social worker about a new referral. Patient will have to be admitted to home health after discharge from the hospital s/p embolic stroke for physical therapy, occupational therapy, speech therapy, social worker, skilled nursing and certified nurse assistant services. As per social worker, patient was offered but refused inpatient rehab facility admission and requested to be discharged home with home health services. After receiving a fax which includes patient demographic and insurance information as well as a brief history of hospitalization, the billing department acquires prior authorization for the ordered disciplines. The office manager contacts the patient who will be discharging from the hospital today to schedule an appointment for initial skilled nursing visit and to address all the questions that patient might have about home health care services. Patient’s homebound status is confirmed. Below is a brief information on history of present illness faxed from the hospital. ER visit notes.  Chief Complaint: left-sided weakness, fatigue, headache, facial drooping Admission diagnosis: Ischemic CVA History of Present Illness: Johnathan Gray is 63 year-old male with past medical history of systolic and diastolic CHF, A-fib, DM type II, Gout, HTN, Depression, Osteoarthritis, Hyperlipidemia, CAD, Anxiety, Bipolar disorder, long-term use of anticoagulants who presented to the ER today with c/o left-sided weakness, headache, fatigue and facial drooping. Mr. Gray stated that the onset of symptoms was sudden and it happened while he was outside talking to the neighbor. The neighbor then called 911. Mr. Gray was brought to the ER by EMS. MRI results revealed right-sided ischemic stroke. At the time of admission, patient’s BP 170/90 mmHg, HR 98, RR 20, temp 97.6 F. O 2 saturation 94% on RA, INR 1.1, PT 13.5. Patient is full code. Mr. Gray has allergies to PCN (hives and difficulty breathing). At this time patient has left-sided (non-dominant) hemiparesis, dysphasia, dysphagia and facial drooping. Patient is alert and oriented to place, person and disoriented to time and situation. Treatment plan included administration of tissue plasminogen activator (t-PA) IV.  Past Medical History: Systolic and diastolic CHF, Osteoarthritis, CAD, A-fib, DM type II, gout, HTN, Depression, Anxiety, Bipolar disorder, Hyperlipidemia. Past Surgical History: ORIF s/p fx of the femur (2015), quadruple bypass surgery (2018), appendectomy (2000).     Case Study Questions (Part 1) 1.     Write comprehensive pathophysiology of CVA (include disease process, types, predisposing factors, signs and symptoms, complications, long-term management of residual effects). 2.     Describe comorbidities from the past medical history. What do you think could have led to ischemic stroke? Analyze vital signs and lab results as well. 3.     What s/s of CVA did patient exhibit upon admission to the hospital? What type of CVA was the patient diagnosed with? Are the symptoms exhibited by patient consistent with the s/s described in question 1 (pathophysiology of CVA)? Analyze the lab/diagnostic test results and vital signs data. 4.     What residual effects does the patient have from CVA? 5.     What disciplines do you think will have to be involved for care and therapy and why? Provide rationale.

As the Health IT Director at Trident Hospital (400-bed inpatient facility), you are responsible for all health information technology upgrades and maintenance. Trident Hospital has recently decided to purchase a new electronic health record (EHR) system. Trident Hospital’s Chief Information Officer (CIO) has requested that you provide a detailed report of what to expect from the point of acquisition through implementation. This report should be between 7 – 10 pages (excluding title page and reference page) and outline the following: Which EHR product you are recommending and why Discuss any features that you feel are important, such as clinical decision support systems (CDSS), computerized provider order entry (CPOE), patient portal, etc. Acquisition (what are the steps and what to expect) Implementation (what are the steps and what to expect) Standards (what types of standards should be implemented) Policies (what are some of the important policies that should be implemented?) In addition, you need to discuss the benefits of this particular EHR and any potential barriers. Keep in mind that this should be a technical paper that discusses the aforementioned areas.   Assignment Expectations Provide a 7- to 10-page technical paper (excluding title and reference pages) that discusses the particular EHR you have selected; acquisition; implementation; standards; and policies. You also need to discuss the benefits and barriers of the EHR implementation. Provide an introduction and conclusion paragraph. Your references and citations should be consistent with a particular formatting style such as APA. Provide references from at least 3 scholarly articles (peer-reviewed). Do not include information from non-scholarly materials such as wikis, encyclopedias, or www.freearticles.com (or similar websites). Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php. For additional information on reliability of sources, review the following source: Georgetown University Library. (n.d.). Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content

This discussion will focus on access to health care and the difference between a primary healthcare system and an “illness care” system. In addition, we will focus on patient advocacy. In order to be advocates, we need to have a clear picture of what we want to see happen. How could healthcare reforms affect the future of healthcare? How do nursing organizations view the role of the professional nurse within the context of healthcare reform? How can you advocate for quality healthcare in your current area of nursing? Nurses can be the advocates for positive, quality outcomes by initiating core measures and ensuring that all aspects of a client’s care is safe and effective. Nurses need to play an important role in the writing of healthcare policies and laws, especially advocating for those who cannot stand up for themselves.  As a profession, nurses need to unite and be heard as one strong voice.  Start in your own community.  Take a close look at things that need change. Within this discussion, you should begin thinking about what can be done to improve the health of your own community.  To be a world changer, you do not need to do a miraculous thing; you just need to do something.  It can be something very small and very inexpensive, but it can have a huge impact on those around you, and on the world.   Upon successful completion of this discussion, you will be able to: Explain the concept of primary health care and its impact on national and international health. Discuss how nurses can impact healthcare reform within our society. Project a preferred future of what health care could look like in 2065.  Resources Textbook: Professional Nursing: Concepts and Challenges File: Partial List of References for the Textbook by Black – 7th edition APA File: Resources for Workshop 6: Primary Healthcare and the Future of Nursing.  Background Information A variety of people make the rules that govern nursing practice; unfortunately, few of those rule-makers are nurses. When you understand how the government works and how laws are made, you have a better understanding of why your voice is so important. Economics, societal needs, and cultural needs drive the way laws and policies are written. The way money is spent, especially in public health, and the way decisions are made affect social determinants of health and the health disparity in your community. Each public health department has a chance to use the money for a specific sector in their community. Generally, the mayor or the town council determines how public health funds are used. Nurses must go to the city meetings and plead their case for the correct use of funding. This is one example of why you need to know how government works and about your community. In this assignment, you will read about primary healthcare systems that reach the entire community in various third world countries. Many countries have unskilled but educated individuals who work as health educators. They focus on health promotion and illness prevention. In the United States, for years our focus has been on disease management (secondary healthcare) rather than disease prevention (primary healthcare). You are encouraged to use your imagination as you consider how we can help facilitate a preferred future for nursing in our country.   Instructions Review the rubric to make sure you understand the criteria for earning your grade. In your textbook, Professional Nursing: Concepts and Challenges, read Chapter 14, “Health Care in the United States.” Review the Resources for Workshop 6: Primary Healthcare and the Future of Nursing. Prepare to discuss the following prompts: Based on your experience within the healthcare system as a nurse, as a patient, and/or as a family member, share your thoughts and examples regarding the effectiveness or ineffectiveness of the current system and attempts toward healthcare reform to increase the number of people who are insured. Discuss: Choose a country that currently uses primary healthcare. Provide a synopsis of their healthcare system. Does it work for all citizens? What are the good points? What are the bad points? Would this healthcare system work in the United States? What would change with regard to the care that nurses currently provide?  Why? Based on your readings, share your thoughts about what health care could look like in 2065. What would an ideal healthcare system include? Where would the money come from to pay for health care? What do you see as the role of the nurse in the preferred future for health care? How can health care get to that point? Research and select at least three current scholarly sources to support your explanations and insights. Wikipedia is not permitted, as it is not a peer-reviewed, scholarly source. Whether written or spoken, interactions are expected to: clearly and thoroughly address the prompt with meaningful information that shows critical thinking. demonstrate professionalism. Based on your educational setting, complete tasks in the instructions below. After completing steps 1-6 above, continue with the following:  Your initial post should include four paragraphs and three sources correctly cited and referenced, to support your information. click to expand co click to expand conte click to expand contents

What are the components of the hypothalamic-pituitary-adrenocortical axis? How does it regular secretion from the adrenal gland? Provide an example.