People of Mexican Heritage
Read chapter 20 and 21 of the class textbook and review the attached PowerPoint presentation. Once done answer the following questions;
1. Describe the heritage of the Korean and Mexican people and discuss if there is any similarity in their roots.
2. Describe some healthcare beliefs of the Korean and Mexican heritage and how they influence the delivery of evidence-based health care.
3. Mention some customs practice by the Korean and Mexican to cure diseases.
You must use at least two evidence-based references (excluding) the class textbook. A minimum of 2 replies to any of your peers are required. A minimum of 700 words is required.
Reflection Assignment
This week there will be no formal discussion for our class. However, there is a reading assignment. Based on the reading assignment there is a reflection requirement. This is basically a written paragraph of about five to six sentences about what you have read. Your reflection should be posted on the discussion board (remember it is just a paragraph of five to six sentences) regarding your readings for this week. No discussions are required this week.
Reading Assignment
Our reading assignment for our class this week will involve:
Chapter 16 – Internet, Secondary Analysis and Historical Research
Chapter 17 - Intervention
Your class participation is the basis for grading of this requirement. Please note that I am actively going through everyone’s phrase three written assignments. Thank you for your continued diligence in our course.
Under chapter 16 this week, we will explore topics such as incorporating the internet for your research, revisiting participant testing as well as interviewing. Ethical concerns, historical research, and its appraisal.
In review of chapter 17, intervention in research will be explained. As per our text, not all research involves an intervention. Frequently, interventions are seen within improvement projects frequently completed in DNP programs. At this phase of research, the principle investigator interacts with their research team. Documentation stems from the methodology section.
Investigating the internet in research, please know and understand the following.
Internet-based research method refers to any research method that uses the Internet to collect data. Most commonly, the Web has been used as the means for conducting the study, but e-mail has been used as well. The use of e-mail to collect data dates back to the 1980s while the first uses of the Web to collect data started in the mid-1990s. Whereas e-mail is principally limited to survey and questionnaire methodology, the Web, with its ability to use media, has the ability to execute full experiments and implement a wide variety of research methods. The use of the Internet offers new opportunities for access to participants allowing for larger and more diverse samples.
Reference
Salkind, N. J. (2010). Encyclopedia of research design (Vols. 1-0). Thousand Oaks, CA: SAGE Publications, Inc. doi: 10.4135/9781412961288
Secondary analysis is the re-analysis of either qualitative or quantitative data already collected in a previous study, by a different researcher normally wishing to address a new research question.
Reference
Tate, J. A., Happ, M. B. (2018). Qualitative secondary analysis: A case exemplar. Journal of Pediatric Health Care. Volume 32, Issue 3, p. 308-312.
Historical inquiry proceeds with the formulation of a problem or set of questions worth pursuing. In the most direct approach, students might be encouraged to analyze a document, record, or site itself. Who produced it, when, how, and why? What is the evidence of its authenticity, authority, and credibility? What does it tell them of the point of view, background, and interests of its author or creator? What else must they discover in order to construct a useful story, explanation, or narrative of the event of which this document or artifact is a part? What interpretation can they derive from their data, and what argument can they support in the historical narrative they create from the data?
Reference
University of California Los Angeles. (2020). Historical Research Capabilities. Retrieved from https://phi.history.ucla.edu/nchs/historical-thinking-standards/4-historical-research-capabilities/
An intervention is a combination of program elements or strategies designed to produce behavior changes or improve health status among individuals or an entire population. Interventions may include educational programs, new or stronger policies, improvements in the environment, or a health promotion campaign. Interventions that include multiple strategies are typically the most effective in producing desired and lasting change.
Reference
Cambon, L., Terral, P. & Alla, F. From intervention to interventional system: towards greater theorization in population health intervention research. BMC Public Health 19, 339 (2019). https://doi.org/10.1186/s12889-019-6663-y
Supplemental Readings
Please access these external links for additional information:
Internet-Based Research
https://www.apa.org/science/about/psa/2007/05/williams
Secondary analysis of existing data: opportunities and implementation
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311114/
Historical Research
University of Wisconsin-Madison. (n.d.). Research Guides: Introduction to Historical Research: Home. Retrieved from https://researchguides.library.wisc.edu/introhist
Intervention
https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-6663-y
Nursing
In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.
Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.
Part 1: An Introduction to Clinical Inquiry
Create a 4- to 5-slide PowerPoint presentation in which you do the following:
Identify and briefly describe your chosen clinical issue of interest.
Describe how you used keywords to search on your chosen clinical issue of interest.
Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
Provide APA citations of the four peer-reviewed articles you selected.
Part 2: Identifying Research Methodologies
After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:
The full citation of each peer-reviewed article in APA format.
A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.
Culture in Nursing
Transcultural Perspectives in Mental Health Nursing
Review the attached PowerPoint presentation. Once done and the following question ;
1. Present your opinion, the status of mentally ill homeless patients.
a. Include the health risks and the societal perceptions of mentally ill people.
b. What are health issues most likely to be seen in the homeless population?
2. Discuss how to screen for substance abuse in a maternity ward. Include the issues facing by single mothers of African American background as discussed in the Evidence-Based Practice box 10-5 on page 294
INSTRUCTIONS:
As stated in the syllabus, present your assignment in an APA format word document, Arial 12 font
A minimum of 2 evidence-based references besides the class textbook no older than five years must be used and quoted.
A minimum of 800 words is required. Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment. You must present the assignment according to how it is posted, answering the questions by number, essay-style assignments will not be accepted unless otherwise specified
Using Visuals to Enhance Viewer Perception
Competency
Analyze and interpret perceptual elements of visual media communication to identify effective visual messages.
Scenario
You have been hired by a large law enforcement agency to analyze the images used on advertising billboards in both urban and suburban regions. The billboards visually display a new campaign message to improve neighborhood safety.
During your analysis, you find that the images used on billboards in the urban areas are exactly the same as the images used in the suburban areas. Both images show parents happily talking with law enforcement officers while children run over green lawns having a fun balloon fight. You decide that these images are not sending proper perceptual messages. You decide to create a visual analysis video for the law enforcement agency to share with the administration
For the video visual analysis, you realize you will need to find two new images that are quite different from one another. One image will be used on the urban billboard, and the other image will be used on the suburban billboard. In your video presentation, you will compare and contrast how each image utilizes the following:
Compare and contrast the visual elements of cultural familiarity. Explain why it is important to use culturally familiar visuals that are quite different in the urban and suburban billboard images. Include specific visuals in your visual analysis.
Identify specific visual examples of the following cognitive elements: memories, experiences, and expectation. Compare and contrast how urban and suburban viewers may be affected differently by those specific cognitive visual elements.
Explain the difference between urban and suburban viewers' emotionally engagement with each of the billboard images.
Identify visual semiotic codes in both images: metonymic, analogical, displaced, and condensed. Discuss the importance of using these codes. Include specific visuals in each part of your visual analysis.
As you outline your ideas On a separate word document, analyze the two visuals
1. Accurately compares and contrasts the cultural familiarity elements in both urban and suburban images using specific visual
2. Accurately analyzes the cognitive elements and viewer effects in both urban and suburban images using specific visual examples.
3. Accurately analyzes the emotional engagement of urban and suburban viewers using specific visual examples.
4. Accurately analyzes the semiotic codes in both urban and suburban images using specific visual examples
Differential Diagnosis for Skin Conditions
Choose one skin condition graphic Shingles # 5 (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to the Comprehensive SOAP Template (see below template). Remember that not all comprehensive SOAP data are included in every patient case.
Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from Learning Resources.
#5 Shingles
Comprehensive SOAP Template
Patient Initials: _______ Age: _______ Gender: _______
Note: The mnemonic below is included for your reference and should be removed before the submission of your final note.
O = onset of symptom (acute/gradual)
L= location
D= duration (recent/chronic)
C= character
A= associated symptoms/aggravating factors
R= relieving factors
T= treatments previously tried – response? Why discontinued?
S= severity
SUBJECTIVE DATA: Include what the patient tells you, but organize the information.
Chief Complaint (CC): In just a few words, explain why the patient came to the clinic.
History of Present Illness (HPI): This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. You need to start EVERY HPI with age, race, and gender (i.e. 34-year-old AA male). You must include the 7 attributes of each principal symptom:
1. Location
2. Quality
3. Quantity or severity
4. Timing, including onset, duration, and frequency
5. Setting in which it occurs
6. Factors that have aggravated or relieved the symptom
7. Associated manifestations
Medications: Include over the counter, vitamin, and herbal supplements. List each one by name with dosage and frequency.
Allergies: Include specific reactions to medications, foods, insects, and environmental factors.
Past Medical History (PMH): Include illnesses (also childhood illnesses), hospitalizations, and risky sexual behaviors.
Past Surgical History (PSH): Include dates, indications, and types of operations.
Sexual/Reproductive History: If applicable, include obstetric history, menstrual history, methods of contraception, and sexual function.
Personal/Social History: Include tobacco use, alcohol use, drug use, patient’s interests, ADL’s and IADL’s if applicable, and exercise and eating habits.
Immunization History: Include last Tdp, Flu, pneumonia, etc.
Significant Family History: Include history of parents, Grandparents, siblings, and children.
Lifestyle: Include cultural factors, economic factors, safety, and support systems.
Review of Systems: From head-to-toe, include each system that covers the Chief Complaint, History of Present Illness, and History (this includes the systems that address any previous diagnoses). Remember that the information you include in this section is based on what the patient tells you. You do not need to do them all unless you are doing a total H&P. To ensure that you include all essentials in your case, refer to Chapter 2 of the Sullivan text.
General: Include any recent weight changes, weakness, fatigue, or fever, but do not restate HPI data here.
HEENT:
Neck:
Breasts:
Respiratory:
Cardiovascular/Peripheral Vascular:
Gastrointestinal:
Genitourinary:
Musculoskeletal:
Psychiatric:
Neurological:
Skin: Include rashes, lumps, sores, itching, dryness, changes, etc.
Hematologic:
Endocrine:
Allergic/Immunologic:
OBJECTIVE DATA: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History unless you are doing a total H&P. Do not use WNL or normal. You must describe what you see.
Physical Exam:
Vital signs: Include vital signs, ht, wt, and BMI.
General: Include general state of health, posture, motor activity, and gait. This may also include dress, grooming, hygiene, odors of body or breath, facial expression, manner, level of conscience, and affect and reactions to people and things.
HEENT:
Neck:
Chest/Lungs: Always include this in your PE.
Heart/Peripheral Vascular: Always include the heart in your PE.
Abdomen:
Genital/Rectal:
Musculoskeletal:
Neurological:
Skin:
ASSESSMENT: List your priority diagnosis(es). For each priority diagnosis, list at least 3 differential diagnoses, each of which must be supported with evidence and guidelines. Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses. For holistic care, you need to include previous diagnoses and indicate whether these are controlled or not controlled. These should also be included in your treatment plan.
PLAN: This section is not required for the assignments in this course (NURS 6512), but will be required for future courses.
Treatment Plan: If applicable, include both pharmacological and nonpharmacological strategies, alternative therapies, follow-up recommendations, referrals, consultations, and any additional labs, x-ray, or other diagnostics. Support the treatment plan with evidence and guidelines.
Health Promotion: Include exercise, diet, and safety recommendations, as well as any other health promotion strategies for the patient/family. Support the health promotion recommendations and strategies with evidence and guidelines.
Disease Prevention: As appropriate for the patient’s age, include disease prevention recommendations and strategies such as fasting lipid profile, mammography, colonoscopy, immunizations, etc. Support the disease prevention recommendations and strategies with evidence and guidelines.
REFLECTION: Reflect on your clinical experience and consider the following questions: What did you learn from this experience? What would you do differently? Do you agree with your preceptor based on the evidence?
3 References
Epidemiological data
Describe how epidemiological data influences changes in health practices. Provide an example and explain what data would be necessary to make a change in practice.
Accountability in Healthcare
This assignment will be at least 1500 words. Address each bulleted item (topic) in detail including the questions that follow each bullet. There should be three (3) sections in your paper; one for each bullet below. Separate each section in your paper with a clear brief heading that allows your professor to know which bullet you are addressing in that section of your paper. Include a “Conclusion” section that summarizes all topics.
This week you will reflect upon accountability in healthcare and address the following questions:
Briefly define an Accountability Care Organization (ACO) and how it impacts health care providers:
How do ACOs differ from the health maintenance organizations (HMOs) of earlier years
What role does health information technology (HIT) play in the newer models of care?
What is the benefit of hospitals partnering with primary care providers?
How does bundling payments contain healthcare costs?
How does pay for performance (P4P) improve quality care?
Briefly discuss the value-based purchasing program?
How do value-based purchasing (VBP) programs affect reimbursement to hospitals?
Who benefits the most from value-based reimbursement and why?
How does the VBP program measure hospital performance?
Assignment Expectations
Length: 1500-2000 words in length
Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment. Your essay must include an introduction and a conclusion.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.
Format: Save your assignment as a Microsoft Word document (.doc or .docx).
File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)
Submission: Submit to the D2L dropbox for grading
2 Principles of teaching and learning
Nursing faculty is responsible for creating an environment that is conducive to learning and accommodates the multiple learning styles and abilities of students. As a nurse educator, how might you design learning experiences for class and clinical environments to promote positive and effective learning for all students? Do you think students should use their preferred learning styles and perhaps risk becoming rigid and unable to learn in different ways (should a situation demand a different learning style)? Or should educators encourage students to be open to different methods of learning, moving them away from their comfort zones?
Discussion
Minimum of 300 word with at least 2 peer review reference in 6th edition apa style
Answer both of the following discussion questions for your discussion response.
The American Cancer Society states that some cancers can be prevented, as they are related to lifestyle factors such as diet, obesity, smoking, and lack of physical activity. Early detection and screening mechanisms are obviously key, but the data suggests that they have only been somewhat effective. What are some ideas and strategies that could perhaps lead to a further reduction in preventable cancer deaths?
Discuss a malabsorption condition and share the pathophysiological alterations associated with the condition
