Nursing

Advanced Patient Care
HLT-306V
3 Credits
Course Description
This course offers an advanced approach to patient care, patient education, and patient management within the health care facility and the outpatient clinic. It considers more than the patients’ physical needs and addresses the patient as a part of the treatment or diagnostic plan. Upon completion of the course, the student should be able to demonstrate communication skills with different patient populations, such as various cultures, religions, ages, and levels of ability, to participate and discuss the approaches the health care professional should use to best interact with each of these groups.
Class Materials
Class Resources
LopesWrite
Refer to the LopesWrite webpage for guidance regarding assignments requiring submission to LopesWrite.
https://support.gcu.edu/hc/en-us/articles/201277380-LopesWrite
Effective Patient Education: A Guide to Increased Adherence
Falvo, D. R. (2011). Effective patient education: A guide to increased adherence (4th ed.). Boston, MA: Jones & Bartlett. ISBN: 9780763766252
View Resource
HLT-306V Related Electronic Resources
HLT306V.v10R_RelatedWebSites_1-20-14.docx
Topic 1: Patient Compliance and Patient Education
Mar 14-20, 2022
Max Points:
70
Objectives:
Explain the concept of patient compliance and why it is important.
List the factors involved in documentation and evaluation of patient learning.
Define patient compliance as it applies to this field.
Discuss the role health care professionals play in compliance and noncompliance.
List examples of interventions that could increase compliance.
Discuss the concept of compliance as collaboration.
Discuss patient education as it was in the past and as it is today.
Explain why professional commitment is essential to patient education.
Discuss the categories of learning and give examples of how they could be used in the field.
Explain the problems that may arise in patient education and how to solve them.
Assessments
Class Introductions
Start Date
Mar 14, 2022, 12:00 AM
Due Date
Mar 16, 2022, 11:59 PM
Points
0
Status
Upcoming
Assessment Description
Take a moment to explore your new classroom and introduce yourself to your fellow classmates. What are you excited about learning? What do you think will be most challenging?
Topic 1 DQ 1
Start Date
Mar 14, 2022, 12:00 AM
Due Date
Mar 16, 2022, 11:59 PM
Points
5
Status
Upcoming
Assessment Description
Alma Faulkenberger is an 85-year-old female outpatient sitting in the waiting room awaiting an invasive pelvic procedure. The health care professional who will assist in her procedure enters the room and calls “Alma.” There is no reply so the professional retreats to the work area. Fifteen minutes later the professional returns and calls “Alma Frankenberg.” Still no reply, so he leaves again. Another 15 minutes pass and the professional approaches Alma and shouts in her ear, “Are you Alma Frankenberg?” She replies, “No I am not, and I am not deaf either, and when you get my name correct I will answer you.”
Using the Topic 1 Resources, develop a plan to help Alma be compliant with the procedure and post-treatment medication. Also, describe the approach you would take to patient education in this case.
Topic 1 DQ 2
Start Date
Mar 14, 2022, 12:00 AM
Due Date
Mar 18, 2022, 11:59 PM
Points
5
Status
Upcoming
Assessment Description
How would you use collaboration to assist in compliance with a patient as difficult as Alma?
Homework Topic One
Start Date
Mar 14, 2022, 12:00 AM
Due Date
Mar 20, 2022, 11:59 PM
Points
40
Status
Upcoming
Assessment Description
Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.
Define patient compliance and explain its importance in your field.
Identify the health care professionals’ role in compliance and give examples of ways in which the health care professional may actually contribute to noncompliance.
Compare compliance and collaboration.
Compare and contrast patient education in the past with that practiced today.
Explain the importance of professional commitment in developing patient education as a clinical skill.
Explain the three categories of learning and how they can be used in patient education.
List three problems that may arise in patient education and how they would be solved?
List some methods of documentation of patient education.
Topic 1 Participation
Start Date
Mar 14, 2022, 12:00 AM
Due Date
Mar 20, 2022, 11:59 PM
Points
20
Status
Upcoming
Assessment Description
There is no description for this assessment.
Resources
Effective Patient Education: A Guide to Increased Adherence
Read chapters 1-3.
View Resource
How to Facilitate Better Patient Compliance
Read “How to Facilitate Better Patient Compliance,” by Rothenberg, from Podiatry Today (2003).
http://www.podiatrytoday.com/article/1612
Should We Consider Non-Compliance a Medical Error?
Read “Should We Consider Non-Compliance a Medical Error?” by Barber, from Quality & Safety in Health Care (20… Read More
https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/206796490?accountid=7374
Topic 2: Psychosocial Factors and Patient Education
Mar 21-27, 2022
Max Points:
270
Objectives:
Give examples of psychosocial factors that arise in patient education.
Define the role of the family in patient education.
Explain how the family structure or lifestyle may influence patient education.
Describe the health professional’s role in communicating with the family.
Define the different personality styles and explain how they should be addressed in health care.
Explain how knowledge of patients’ self-perception can influence patient teaching.
Discuss the patients’ reaction to illness and ways they cope or adapt.
List the factors that influence teaching and learning.
List the stages of development in the life cycle.
Discuss how each of these stages influences the ability to understand when practicing patient education.
Explain the process of patient education as it is adapted to each life stage.
Define the term life-cycled-centered approach.
Assessments
Topic 2 DQ 1
Start Date
Mar 21, 2022, 12:00 AM
Due Date
Mar 23, 2022, 11:59 PM
Points
5
Status
Upcoming
Assessment Description
Sister Mary is a patient in Level 2 Emergency Department. She must have a neural examination, physical assessment, radiographs of her facial bones, and a computed tomography scan of the head. Taking into consideration that she is a Roman Catholic nun, what would be the ideal course of patient education as this woman progresses from department to department?
Topic 2 DQ 2
Start Date
Mar 21, 2022, 12:00 AM
Due Date
Mar 25, 2022, 11:59 PM
Points
5
Status
Upcoming
Assessment Description
What possible reservations could a health care professional have in working with Sister Mary? (Discuss the psychosocial responses the professional might have.)
Homework Topic 2
Start Date
Mar 21, 2022, 12:00 AM
Due Date
Mar 27, 2022, 11:59 PM
Points
40
Status
Upcoming
Assessment Description
Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.
Give examples of psychosocial factors that affect the health care professional and the effect those factors could have on patient education.
Give examples of psychosocial factors that affect the patient and the effect those factors could have on patient education.
Explain what is meant by personality styles and give examples of approaches that could be used to help the patient. Include self-perception as a factor.
List the steps in adjustment to illness and how the patient copes with each step.
Explain the health professional’s role in teaching the patient at different life stages.
Define the role of the family in patient education.
How might the family influence the compliance of the patient and what measures can the health care professional use in communication with the family?
Stages of Life Essay and Interview
lopes-writeRequires LopesWrite
Start Date
Mar 21, 2022, 12:00 AM
Due Date
Mar 27, 2022, 11:59 PM
Points
200
Status
Upcoming
Assessment Description
Write a 500-750-word essay on the Stages-of-Life and the influence of age in health care from a patient’s perspective. Interview a friend or family member about that person’s experiences with the health care system. You may develop your own list of questions.
Suggested questions:
Do you feel that your stage-of-life had any effect on your interaction with health care professionals?
Which areas of the hospital or clinic were most concerned with your well-being and feelings?
Was your family with you during this hospital stay or outpatient visit?
Was your family included in your treatment, such as post-procedure instructions?
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Topic 2 Participation
Start Date
Mar 21, 2022, 12:00 AM
Due Date
Mar 27, 2022, 11:59 PM
Points
20
Status
Upcoming
Assessment Description
There is no description for this assessment.
Resources
Effective Patient Education: A Guide to Increased Adherence
Read chapters 4-6.
View Resource
Adults: Age-Specific Care
Watch: Adults: Age-Specific Care (25:00)
Medical care focused on adults must take into account a wide v… Read More
https://lopes.idm.oclc.org/login?url=http://digital.films.com.lopes.idm.oclc.org/PortalPlaylists.aspx?aid=12129&xtid=47445
Topic 3: Multicultural Patient Education, Illiteracy, and Effective Communication
Mar 28-Apr 3, 2022
Max Points:
70
Objectives:
Discuss the historical perspective of multicultural communication.
Explain how a health care professional can assess literacy skills and readability of materials.
List the ways a health care professional can establish effective communication.
Discuss nonverbal behavior in this field.
List ways a health care professional can help a patient remember instructions.
Define and discuss culture, ethnicity, and acculturation.
Describe how cultural and religious differences affect the health care professional.
Give examples of some communication issues that arise in cross-cultural patient education.
Explain the family issues that are involved in cultural diversity and patient education.
List approaches to religion and cultural diversity that the health care professional can use.
List the types of illiteracy.
Explain how illiteracy can be a disability.
Discuss the myths about illiteracy.
Assessments
Topic 3 DQ 1
Start Date
Mar 28, 2022, 12:00 AM
Due Date
Mar 30, 2022, 11:59 PM
Points
5
Status
Upcoming
Assessment Description
Discuss a patient of another culture. How can the health care professional communicate in presenting patient education? Consider language, family, cultural differences, and method of communication.
Topic 3 DQ 2
Start Date
Mar 28, 2022, 12:00 AM
Due Date
Apr 1, 2022, 11:59 PM
Points
5
Status
Upcoming
Assessment Description
Compare and contrast culture, ethnicity, and acculturation.
Homework Topic 3
Start Date
Mar 28, 2022, 12:00 AM
Due Date
Apr 3, 2022, 11:59 PM
Points
40
Status
Upcoming
Assessment Description
Write a 650-1300 word response to the following questions:
Explain multicultural communication and its origins.
Compare and contrast culture, ethnicity, and acculturation.
Explain how cultural and religious differences affect the health care professional and the issues that can arise in cross-cultural communications.
Discuss family culture and its effect on patient education.
List some approaches the health care professional can use to address religious and cultural diversity.
List the types of illiteracy.
Discuss illiteracy as a disability.
Give examples of some myths about illiteracy.
Explain how to assess literacy skills and evaluate written material for readability.
Identify ways a health care professional may establish effective communication.
Suggest ways the health care professional can help a patient remember instructions.
This assignment is to be submitted as a Microsoft Word document.
Topic 3 Participation
Start Date
Mar 28, 2022, 12:00 AM
Due Date
Apr 3, 2022, 11:59 PM
Points
20
Status
Upcoming
Assessment Description
There is no description for this assessment.
Resources
Effective Patient Education: A Guide to Increased Adherence
Read chapters 7, 8, and 10.
View Resource
Topic 4: Collaboration in Patient Education and Compliance With Older Adults
Apr 4-10, 2022
Max Points:
370
Objectives:
Define the Art of Negotiation and explain how it applies to the field.
Describe methods of effective patient education of the elderly.
List some religious and cultural differences in beliefs about death and dying.
Explain why it is important to discuss death and dying with the patient and family.
Describe how to teach patients with life-threatening illnesses.
Explain the impact end-of-life teaching is believed to have.
Explain how the change in patient status changes the approach to patient education.
Discuss negotiation and what to do when it fails.
Give an example of the conditions written in a patient contract.
Define old age in relation to demographics and stereotypes.
Discuss ageism in health care.
Explain how generational, religious, and cultural differences affect communication with the elderly.
List the barriers to patient education of the elderly.
Give examples of special teaching needs of the elderly and when to have third-party involvement.
Assessments
Topic 4 DQ 1
Start Date
Apr 4, 2022, 12:00 AM
Due Date
Apr 6, 2022, 11:59 PM
Points
5
Status
Upcoming
Assessment Description
How has the patient’s control over his own health care changed?
Topic 4 DQ 2
Start Date
Apr 4, 2022, 12:00 AM
Due Date
Apr 8, 2022, 11:59 PM
Points
5
Status
Upcoming
Assessment Description
What part does negotiation play in patient education?
Homework Topic 4
Start Date
Apr 4, 2022, 12:00 AM
Due Date
Apr 10, 2022, 11:59 PM
Points
40
Status
Upcoming
Assessment Description
Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.
Define negotiation as it applies to patient education.
Explain how the change in the patient’s status through the years has affected patient education.
List the pros and cons of negotiation.
Describe the general conditions that would be included in a patient contract.
Discuss old age and the baby boomer.
List several generational, religious, and cultural differences between the 30-year-old health care professional and the elderly patient.
Explain some of the barriers to patient education of the elderly and discuss their special needs.
List ways to best approach patient education of the elderly.
Discuss some cultural and religious beliefs about death that you have encountered.
Explain why it is important to discuss death and dying with the elderly patient and what the impact is on all involved.
Explain how to teach a patient with a life-threatening illness.
Older Adults Patient Education Issues Essay and Interview
lopes-writeRequires LopesWrite
Start Date
Apr 4, 2022, 12:00 AM
Due Date
Apr 10, 2022, 11:59 PM
Points
150
Rubric
View Rubric
Status
Upcoming
Assessment Description
Write a 500-750-word essay on the influence patient education has in health care using the experiences of a patient. Interview a friend or family member about that person’s experiences with the health care system. You may develop your own list of questions.
Suggested interview questions:
Did a patient education representative give you instructions on how to care for yourself after your illness or operation?
Did a health care professional, pharmacist, nurse, doctor, or elder counselor advise you on your medication, diet, or exercise?
Who assisted you at home after your illness or operation?
Do you know of any assistance services, i.e., food, transportation, medication, that would help you stay in your home as you get older?
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Topic 4 Quiz
Timed
Start Date
Apr 4, 2022, 12:00 AM
Due Date
Apr 10, 2022, 11:59 PM
Points
150
Status
Upcoming
Assessment Description
Complete topic 4 quiz.
Topic 4 Participation
Start Date
Apr 4, 2022, 12:00 AM
Due Date
Apr 10, 2022, 11:59 PM
Points
20
Status
Upcoming
Assessment Description
There is no description for this assessment.
Resources
Communicating with Aged-Care Residents
Watch: Communicating with Aged-Care Residents (28:18)
Effective communication with elderly people living in … Read More
https://lopes.idm.oclc.org/login?url=http://digital.films.com.lopes.idm.oclc.org/PortalPlaylists.aspx?aid=12129&xtid=40256
Effective Patient Education: A Guide to Increased Adherence
Read chapters 9, 12, and 13.
View Resource
Topic 5: CAM, Patient Education Ethics, and Informed Consent
Apr 11-17, 2022
Max Points:
220
Participation Requirements
Participating in classroom discussion is paramount to the learning experience. Participating in the weekly discussions allows students and instructors to share experiences, investigate complicated subject matter, share expertise, and examine the content from new perspectives. The qualitative participation requirements are: Follow-up responses to classmates’ initial answers or responses that integrate course theories with a practical application of the subject, offering a personal observation or experience, or referencing real-world examples, current events, or presenting current research on the topic. Classroom interaction demonstrating deeper or broader thoughts beyond rephrasing what the textbook has presented on the topic. Responses encouraging further discussion and ongoing dialogue with other students and the instructor in the class. Asking additional, relevant questions about the week’s topic. Communications that are presented in a professional and supportive manner, and with respectful tone. Participation can be earned only by posting substantive, quality messages to fellow classmates and the instructor in the main forum of the classroom. Certain courses may have alternative participation requirements. Students are encouraged to review the course syllabus and consult with the faculty member prior to the course start.
The participation expectations in this class are:
Number of Required Substantive Posts Each Day: 2
Number of Required Days: 3

Research one or two specific ways artificial intelligence could be used to improve health care. What considerations must be taken into account before implementing such a system? In your scholarly paper (APA format), use journal articles to support your rationales. Post your 2- 3 page paper by the due date.
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Solution
Research one or two specific ways artificial intelligence could be used to improve health care.
Several industries have been transformed by the use of artificial intelligence in their day-to-day operation, and the healthcare industry is also likely to gain similar benefits by adopting the use of artificial intelligence on a large scale. While AI has been incorporated in the healthcare industry, although to a minimal extent, there still exist several ways that it can be used to improve healthcare services. Artificial intelligence can be incorporated in precision medicine and in disease diagnosis to improve healthcare even more. This paper will focus on two ways that AI can be used in healthcare to improve the quality of healthcare outcomes.
Precision medicine focuses on developing interventions for individual patients or a group of patients based on their disease characteristics and response to the treatments. Precision medicine aims to utilize individual biology rather than population biology, which has been used at all stages of medical care. This requires advanced technology to collect, analyze and develop the treatments for the patients. Precision medicine considers the genetics of the individual patients and other factors that are likely to affect the treatment, including gender, race, family history, age, metabolic and immune profile, environmental vulnerability, and microbiome. Artificial intelligence can be used to collect genetic and physiologic information about the patients, analyze the data and develop tailored treatments based on the information leading to improved healthcare outcomes (Bohr & Mamarzadeh, 2020).
Artificial intelligence can also be used in disease diagnosis and prediction, especially for cardiovascular diseases, cancers, and nervous system diseases. Correctly diagnosing diseases is a skill that requires long periods to develop, and in many fields such as cardiology, the demand for such experts exceeds the supply. Cardiovascular diseases, cancers, and nervous system diseases are significant conditions that affect a significant section of the population globally, and they are also associated with high medical expenses, which affects families of such patients. Early diagnosis of such diseases and an accurate prediction of their occurrences would provide significant benefits to the patients and lead to improved healthcare outcomes. Artificial intelligence can be used to predict the occurrence of such diseases and diagnose them early enough before they occur. This will assist in putting in place the necessary prevention strategies and treatment protocols to prevent the conditions from developing to advanced stages, which are not easily treated. AI can be used to interpret CT, and MRI scans for various body parts such as the lungs, heart, and brain to determine the possibility of diseases and make the correct diagnosis faster than human doctors would (Datta et al., 2020).
What considerations must be taken into account before implementing such a system?
For AI to be implemented successfully in disease prediction and diagnosis and precision medicine, several considerations must be taken into account. Some of these considerations include the cost of adopting the AI technology and maintaining the technology in healthcare; the cost of implementing and running the AI might be higher than the benefits gained; in such circumstances, it would not be necessary to adopt such technologies. Medical staff skills required to run the technology, AI might require specialized computer skills to run, and thus the staff should develop such skills, or people with such skills should be hired to run the machines. Patient and staff attitudes towards AI in the treatment process can also influence whether it succeeds or fails. Availability of other resources, AI will require supportive resources such as external data storage centers for the smooth running of the technology, and thus the availability of such resources should be considered (Borycki & Kushniruk, 2021).
References
Borycki, E. M., & Kushniruk, A. W. (2021). The Safety of AI in Healthcare: Emerging Issues and Considerations for Healthcare. In Multiple Perspectives on Artificial Intelligence in Healthcare (pp. 13-22). Springer, Cham. https://link.springer.com/chapter/10.1007/978-3-030-67303-1_2
Bohr, A., & Memarzadeh, K. (2020). The rise of artificial intelligence in healthcare applications. In Artificial Intelligence in healthcare (pp. 25-60). Academic Press. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325854/
Datta, S., Barua, R., & Das, J. (2020). Application of artificial intelligence in modern healthcare system. Alginates—recent uses of this natural polymer. https://www.intechopen.com/chapters/70446

Discussion: Career Goals: Strengths and Challenges Related to Nursing Practice Competencies
An advanced practice nurse collaborates and communicates with patients, families, doctors, nurses, and specialists to ensure patients receive the care they need. As they diagnose, treat, manage, and educate patients, they are responsible for ensuring patient safety and maintaining ethical behavior. Competencies have been developed to help advanced practice nurse to understand the practice knowledge, skills, and attitudes they need to be successful.
For this Discussion, you will examine advanced nursing practice competencies and reflect on your strengths and challenges related to the competencies. In light of your reflection, you will consider how this course may help you attain your career goals or objectives.
To prepare:
Review the Learning Resources for this week, specifically the advanced nursing practice competencies. As you review the competencies, reflect on your own strengths and challenges when working with adults across the lifespan.
By Day 3
Post a summary of your expectations of this course. Also, include a brief explanation of your strengths and challenges as they relate to nursing practice competencies when working with adults. Describe any career goals or objectives this course may help you accomplish in the Family Nurse Practitioner (FNP) or Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) role and explain why. Use your research to support your explanations by providing credible and scholarly sources.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on two different days by offering a suggestion or resources to help your colleagues in addressing their personal strengths or challenges, or their career goals. Use your research to support your suggestions. Provide at least 3 credible and current scholarly sources.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
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Solution
Strengths and Challenges Related to Nursing Practice Competencies
Nursing competencies refer to the ability of nurses to take appropriate action in their nursing practices through the utilization of knowledge, skills, beliefs, and past experiences. This allows them to effectively perform their role and collaborate with other parties in an organization. Advanced practice nurses need to have a comprehensive understanding of the strengths and challenges to perform their roles successfully.
Through the course, students learn how Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) perform their duties in making decisions and taking care of adult populations. The course should also help students diagnose and manage primary healthcare patients and identify problems among the adults and elderly population. Through the course, we will acquire more knowledge regarding physical and behavioral diseases in the primary diagnosis process (Farrell, Payne, & Heye, 2015). Therefore students can plan, implement, and evaluate evidence-based approaches that promote health in primary care patients. I also expect to acquire the skills and confidence required in a clinical setup by the end of the course. Hence I can comprehend how to plan, evaluate and execute therapeutic systems for adult patients with chronic or acute illnesses.
Particular competencies are essential in (AGPCNP). An AGPCNP is a nurse who specializes in promoting and sustaining health, particularly among culturally; diverse and high-risk populations. These nurses can examine and manage health conditions across different age populations, from adolescents to older adults suffering from acute and several chronic illnesses. As an AGPCNP student, competencies to acquire include assessing and intervening in situations, effective communications, critical thinking, and patient caring and relations helps them perform their duties effectively (Hwang 2015). The required to fulfill competencies include monitoring, therapeutic approaches, reporting, and computing skills. Their extensive research skills significantly contribute to critical thinking. Lastly, having the proper ethical values and patient advocacy ensures that nurses relate well with their patients.
There are several strengths attributed to the nursing competencies of AGPCNP. The first is relationship management, where through their communication and relationship competencies, they can deliver disturbing news that will not affect the health issues of a patient (Fukada 2018). This is incredibly impactful with the elderly population. Other skills that strengthen their competencies include teamwork and collaboration, knowledge of evidence-based practices, health, quality improvement, and safety (Want, Goodman, and Selway, 2021). The practitioners’ challenges are increased workload since more patients are being diagnosed with multiple chronic conditions among adolescents, adults, and older adults.
An Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) is intensely committed to managing their patients’ health and community. My career goal is striving to prevent illnesses by educating communities and patients on healthy lifestyle habits. I will also provide education and sufficient knowledge to the patients on healthcare choices to avoid diabetes and, obesity among others. I firmly find passion in providing primary care to patients because they also get to self-manage themselves regarding their health. I also strongly advocate for collaboration among community members to promote a healthier society. The course will help me acquire the skills necessary to examine patients, diagnose, and treat, among others necessary for promoting a patient’s health. I will also develop skills to train patients on how to self-manage themselves, develop healthy lifestyles to enhance health and prevent illnesses. These skills will help me perform my duties effectively and collaborate with nurses, doctors, patients, and other practitioners.
References
Farrell, K., Payne, C., & Heye, M. (2015). Integrating interprofessional collaboration skills into the advanced practice registered nurse socialization process. Journal of Professional Nursing, 31(1), 5-10.
Fukada M. (2018). Nursing Competency: Definition, Structure, and Development. Yonago Acta Medica, 61(1), 1–7. https://doi.org/10.33160/yam.2018.03.001
wang, J. I. (2015). What are hospital nurses’ strengths and weaknesses in patient safety competence? Findings from three Korean hospitals. International Journal for Quality in Health Care, 27(3), 232-238
Want, D., Goodman, P., and Selway, J., 2021. Primary Care Nurse Practitioner Clinical Procedural Skills. The Journal for Nurse Practitioners.

Please write about Nonasthmatic eosinophil bronchitis.(NEB). What is Nonasthmatic eosinophil bronchitis?(NEB) What medications are used to treat (NEB)and how do they get diagnosed. Patient education in preventing (NEB).

PHN 652 Topic 8 DQ 1- Evaluating Population-Based Interventions
-The question will be uploaded
– Sources must be published within the last 5 years. It must be from 2016 and after and appropriate for the paper criteria and public health content.
– Please do not use blogs as references
-References should be in APA 7th ed.
-Add references to reference page
-Add the hyperlink/DOI for each reference in APA 7th edition format.
Thank you
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Solution
In your role as a public health nurse, what features or strategies would you implement when evaluating an intervention?
Intervention evaluation aims at determining whether progress is being made towards the intended goals, desired outcomes are achieved, justify the needs for continued support or even compare its performance to others. Some of the strategies that can be implemented to evaluate public health interventions include engaging stakeholders. Stakeholders include parties interested in the interventions; they can include participants/beneficiaries of the intervention, organizations, or other influential individuals (CDC, n.d) Their inclusion and support during evaluation are important to ensure cooperation and provision of the necessary resources. Without their support, the evaluation process can be ignored resisted, and in extreme instances, it can be sabotaged, leading to its failure. Another strategy would be to comprehensively describe the program linking all of its components and the intended outcomes for each component. Developing a comprehensive description gives a better understanding of the measurements that one should focus on during the evaluation process and increases the likelihood that an evaluation process will be successful. Another strategy would be to develop an evaluation team; intervention evaluation requires diverse skills for successful completion, which are rarely found in a single individual. Therefore, it would be important to include other specialists with different skills and abilities to ensure that the evaluation process is a success (Walden University, 2022). It would also be important to select a suitable evaluation design model; several designs can be used to evaluate public health interventions. However, they are not all suitable for any situation. Therefore, as a public health nurse evaluating an intervention, it is important to identify and select the most appropriate evaluation design to ensure that the results achieved are appropriate and usable (Clarke et al., 2019).
References
Center for Disease prevention and control, (n.d) Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide. Retrieved from: https://www.cdc.gov/eval/guide/cdcevalmanual.pdf
Clarke, G. M., Conti, S., Wolters, A. T., & Steventon, A. (2019). Evaluating the impact of healthcare interventions using routine data. bmj, 365. https://www.bmj.com/content/365/bmj.l2239
Walden University, (2022) Ways to Evaluate Public Health Programs; Understanding how public health programs are evaluated is an important component of a successful public health career. Retrieved from: https://www.waldenu.edu/programs/health/resource/ways-to-evaluate-public-health-programs

Topic 4 DQ 1- Public Health Nursing Assessments
TOPIC 4 DQ 1 -PROF RESPONSE (2) What is community engagement and why is it important when conducting community health needs assessments?
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Solution
Community engagement
Community engagement is proficient in improving quality care and maintaining the health and wellbeing of the population. It entails the process of working with the community members, who share the same interests in managing the health problem that is affecting them and looking forward to a positive outcome (Rowe et al.,2019). Health workers can work with the groups within the community by involving them from the planning stage to the implementation stage for active participation because they influence the project positively. This study discusses the meaning of community engagement and its importance in conducting community health needs assessments.
Importance in conducting community health needs assessment.
Community engagement is a central key section in the process of conducting community health needs assessment. Through engagement, health organizations can understand the community’s state of health based on how much the community participates. This involvement also strengthens the relationship bond between the community and the health organizations, thus making it easier to identify the community health needs and the risks associated within the community and increasing collaboration, especially on the most prioritized issues.
The main attribute is the healthy bond it creates, enabling the community to take charge of their health, especially on health issues that require preventive care, thus only seeking healthcare at the hospitals when only necessary or in a critical condition. An efficient health needs assessment can only be conducted through community engagement, as the intervention is directly related. (Den Broeder et al.,2017). They need to participate actively to continue caring for their health and wellbeing hence reducing unnecessary financial expenses on hospital visits.
Conclusion
Community engagement is necessary for improving the health and wellbeing of the community. Their participation is needed to strengthen both external and internal links between the community and the healthcare organization for the sustainability of healthcare programs among the population. If the community interests are not considered, the community healthcare needs assessment might not be so influential in promoting quality care and wellbeing of the people because the community is clueless about what is being done. This can lead to low productivity in the wellbeing of the population and poor healthcare outcomes.
References
Den Broeder, L., Uiters, E., Ten Have, W., Wagemakers, A., & Schuit, A. J. (2017). Community participation in Health Impact Assessment. A scoping review of the literature. Environmental Impact Assessment Review, 66, 33-42. https://www.sciencedirect.com/science/article/pii/S019592551730015X
Rowe, N., Keenan, R., Lack, L., Malloy, N., Strasser, R., & Lawrenson, R. (2019). Community engagement in general practice: a qualitative study. Journal of primary health care, 11(2), 146-151. https://www.publish.csiro.au/hc/pdf/HC18092

Public health money should continue to fund Narcan and needle exchange programs
Evidence-based practice is extremely important in nursing. Throughout your master’s program, you will complete research on various topics. Knowing how to construct a strong problem statement and complete a critical analysis of the available information to write a literature review is essential.
This week, you will write a problem statement and perform a literature review in preparation for your ethical issues debate presentation. Share your problem statement in this discussion so that you can review each other’s work and provide peer-to-peer feedback. Also, describe what you think are the most important learning takeaways from the literature review resources you reviewed.
Follow the instructions in the bullets below to direct you where to find resources on problem statements and literature reviews:Then view:
Writing a Problem Statement
What is a Literature Review
Conducting a Literature Review
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Solution
Problem Statement
One of the most significant public health challenges in the US currently is the opioid epidemic. The opioid epidemic has therefore resulted from an increase in the misuse of opioid prescription pain relievers, fentanyl, and heroin. The rising cases of opioid abuse across the US have therefore contributed significantly to an increase in injection drug use. As more people have begun utilizing injection as a method of abusing drugs, the prevalence of various infectious diseases has increased, including hepatitis and HIV (NIDA, 2021). The increasing rates of injection use in the US have significantly undermined the progress made in HIV and hepatitis prevention. The most effective approach that can be adopted to prevent the increasing prevalence of HIV and hepatitis infections would be for all the opioid users who inject drugs to stop their practices. However, this is not possible because most users who inject themselves are addicted and are unable or unwilling to stop abusing such drugs (NIDA, 2021). Different approaches have therefore been suggested to ensure the safety of injection drug users who mainly abuse opioids such as heroin. Some of the approaches that have been adopted to prevent adverse outcomes in opioid drug users include the implementation of needle exchange programs and the provision of Narcan to help prevent opioid overdose deaths. This paper will therefore present an argument on whether public money should continue to fund Narcan and needle exchange programs or whether such allocations should be abolished.
Literature Review
According to Davis et al. (2018), the only way that individuals who inject drugs, including opioids, can avoid negative health consequences is to stop injecting. However, opioids are quite addictive, which makes it difficult for drug users to stop injecting drugs while some are unwilling to stop the practice. By 2020 nearly 100,000 Americans reported injured in drugs in the past year. This number represents at least 1.5% of high school students who inject drugs (NIDA, 2021). According to Des Jarlais (2017), needle exchange programs and the provision of Narcan can play a significant role in preventing negative health consequences among individuals who inject drugs. Needle exchange programs provide important services to injection drug users that help to prevent negative health consequences. Needle exchange programs provide services such as disposal of sterile syringes, testing and vaccination, access to syringes, and linking drug abusers to substance abuse treatment and infectious disease care. According to John 2006 needle exchange programs also play a significant role in targeting marginalized populations where there is a disproportionate prevalence of injection drug use (Varkey, 2020). According to Fernandes et al. (2017), scholarly research has therefore indicated that needle exchange programs do not contribute to illegal drug use or crime. Scholarly studies have also indicated that needle exchange programs are effective safe and help to save on costs by contributing to a reduction of transmission of HIV viral hepatitis and other infections. According to Davis et al. (2018), opioid drug users who visit needle exchange programs are five times more likely to enroll in drug treatment, while there are more than three times as likely to stop abusing drugs compared to those who do not utilize such programs. According to Fernandes et al. (2017), needle exchange programs also provide Narcan to opioid drug users, which helps in decreasing opioid overdose deaths. According to Varkey (2020), the restrictions that have been implemented on the founding of Narcan and needle exchange programs should be lifted to allow such programs to continue because of their numerous benefits.
References
Davis, S. M., Davidov, D., Kristjansson, A. L., Zullig, K., Baus, A., & Fisher, M. (2018).
Qualitative case study of needle exchange programs in the Central Appalachian region of the United States. PLOS ONE, 13(10), e0205466. https://doi.org/10.1371/journal.pone.0205466
Des Jarlais, D. C. (2017). Harm reduction in the USA: the research perspective and an archive to
David Purchase. Harm Reduction Journal, 14(1). https://doi.org/10.1186/s12954-017-0178-6
Fernandes, R. M., Cary, M., Duarte, G., Jesus, G., Alarcão, J., Torre, C., Costa, S., Costa, J., &
Carneiro, A. V. (2017). Effectiveness of needle and syringe Programmes in people who inject drugs – An overview of systematic reviews. BMC Public Health, 17(1). https://doi.org/10.1186/s12889-017-4210-2
National Institute on Drug Abuse. (2021, July 1). Opioid Overdose Crisis. Retrieved November
25, 2021, from https://www.drugabuse.gov/drug-topics/opioids/opioid-overdose-crisis
Varkey, B. (2020). Principles of clinical ethics and their application to practice. Medical
Principles and Practice. Published. https://do

What is Upper airway cough syndrome (UACS) diagnose? What are the sign and symptoms of UACS? what are treatments of (UACS)? what will you teach Patient’s about UACS and how can it be prevented. Please provide evidence-based practice. Thanks

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.
When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.
In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.
To Prepare:
Review the Resources and reflect on the definition and goal of EBP.
Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
Explore the website to determine where and to what extent EBP is evident.
By Day 3 of Week 1
Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.
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Solution
Nursing EBP
In the field of healthcare, evidence-based practice (EBP) refers to an approach that is always changing and incorporates relevant research, professional expertise, and patient or family needs. Improved patient health outcomes are the primary objective of evidence-based practice (EBP) (Melnyk & Fineout-Overholt, 2019). This week’s discussion topic needs us to analyze the website of a healthcare organization and determine whether or not EBP is being used in the organization’s operations. The organization I opted to focus on is the American Diabetes Association (ADA).
People with diabetes account for 34.2 million Individuals in the USA, as per the Centers for Disease Control and Prevention (CDC, 2020). Because several people in the United States are affected by diabetes, ongoing research is being conducted to assist those suffering from it. The American Diabetes Association’s website demonstrates the organization’s dedication to research, financing, and evidence-based practices (EBP) that have been shown to be helpful in diabetes control. The American Diabetes Association’s goal includes providing financial support for diabetes studies and diabetes care via the ADA Research Institute. In order to guarantee that the most promising diabetic research gets financial assistance, the organization grants funds to scientists who present their results via a peer-review approach (American Diabetes Association, n.d).
My impression of the American Diabetes Association has not changed as a result of my reading of the institution’s website. When it comes to diabetes care, the American Diabetes Association is a dependable resource in healthcare. I now have greater respect for the effort and devotion of the association in the pursuit of a breakthrough diabetes cure.
References
American Diabetes Association. (n.d.). Research Foundation mission and vision | ADA. https://www.diabetes.org/research/research-foundation/research-foundation-mission-and-vision
Centers for Disease Control and Prevention. (2020, February 18). National Diabetes statistics report, 2020. https://www.cdc.gov/diabetes/library/features/diabetes-stat-report.html
Melnyk, B. M., & Fineout-Overholt, E. (2019). Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry. In Evidence-based practice in nursing & healthcare: a guide to best practice (pp. 36–37). Wolters Kluwer.

PHN 652 Topic 6 DQ 2-Population Based Interventions-Implementation Strategies
QUESTION -TOPIC 6 DQ 2 –
When addressing an identified community health need, an intervention may already be in place for a similar population. Give an example of a need that is already being addressed by an intervention. What intervention could you implement for this community to enhance outcomes? Justify your answer.
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Solution
PHN 652 Topic 6 DQ 2
One of the most prevalent public health challenges facing the US in contemporary times is the childhood obesity epidemic. The childhood obesity epidemic affects different segments of society. The childhood obesity epidemic has also attracted the interest of governments and non-governmental institutions that have sought to address the public health problem (Lambrinou et al., 2020). The control of childhood obesity is a complex process because many risk behaviors will be involved in the onset of childhood obesity. Multiple environments will also affect the onset of childhood obesity, while multiple intervention strategies might also be required. Various interventions have already been adopted to help reduce the prevalence of childhood obesity in the US, with most of such strategies involving treating obesity after onset. One of the main interventions that have been adopted to treat obesity after onset has been interventions promoting more physical activities in schools and a healthy diet of fruits and vegetables. Most communities across the US, including school districts, have therefore adopted interventions to promote more physical activities in schools in a bid to help overweight children to lose weight (Curry et al., 2018). Several communities in the US have also adopted interventions to promote the consumption of a healthy diet, including fruits and vegetables, to prevent childhood obesity (Curry et al., 2018).
However, despite the interventions that have already been adopted to reduce childhood obesity, such as the promotion of physical exercises and promotion of a healthy diet, better interventions can help to enhance the outcomes of the target population. A uniform ban on the advertising of unhealthy food products such as fast foods and soft drinks to children and the general population can therefore help significantly to reduce the prevalence of childhood obesity in the US.
References
Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., Doubeni, C. A., Epling, J. W., Grossman, D. C., Kemper, A. R., Kubik, M., Landefeld, C. S., Mangione, C. M., Phipps, M. G., Silverstein, M., Simon, M. A., Tseng, C. W., & Wong, J. B. (2018). Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults. JAMA, 320(11), 1163. https://doi.org/10.1001/jama.2018.13022
Lambrinou, C. P., Androutsos, O., Karaglani, E., Cardon, G., Huys, N., Wikström, K., Kivelä, J., Ko, W., Karuranga, E., Tsochev, K., Iotova, V., Dimova, R., de Miguel-Etayo, P., M. González-Gil, E., Tamás, H., JANCSÓ, Z., Liatis, S., Makrilakis, K., & Manios, Y. (2020). Effective strategies for childhood obesity prevention via school based, family involved interventions: a critical review for the development of the Feel4Diabetes-study school based component. BMC Endocrine Disorders, 20(S2). https://doi.org/10.1186/s12902-020-0526-5