Contemporary Public Health Issue
Although the United States is among the wealthiest nations in the world, it is far from being the healthiest. Life expectancy and survival rates in the United States have improved dramatically over the past century, but Americans have shorter lifespans and experience more illness than people in other high-income countries. This assignment gives you an opportunity to put together what you have learned in this course, including, but not limited to:
a) public health policy, policymaking process, and law;
b) public health and the legal system;
c) individual and human rights in public health; and
d) social justice, ethics and public health policy.
Choose a contemporary public health issue (e.g., bioterrorism, gun violence, or natural disasters like hurricanes, tornadoes, and wildfires), its impact on public health, and strategies for mitigating and managing it once the issue occurs.
Following APA guidelines, create a PowerPoint presentation of 20 slides (plus title and reference slides) on the contemporary public health issue you have chosen and a human rights ethical dilemma. You will present this work to a team of Centers for Disease Control and Prevention (CDC) officials tasked with developing global policies for addressing the impact of contemporary public health issues around the world.
Your presentation should assess:
a) the human rights concerns associated with the selected issues in public health policy,
b) the conflicts of interest between public health policies and your selected emerging public health issue, and
c) the gaps in the current health law that apply to the contemporary public health concern you selected with recommended suitable policy interventions to address the selected contemporary public health issue.
Your assignment must be supported with evidence from three to five peer-reviewed references and no more than five years old.
All sources used in this assignment, including your textbook, must be cited and referenced according to the APA standards.
Ensure your presentation includes visuals such as images and graphics to supplement your message. These images or graphics must be cited according to APA standards as well. Your title and reference slides do not count toward the total slide requirement.
As part of the presentation, you MUST use the speaker notes section for the content slides to reinforce your presentation.
Foundations of nursing research
Using the Week 2 research template, identify the research components, listed on the template, as you begin to examine research studies. Review your two assigned articles and address each of the following criteria:
Identify and describe
The problem
Purpose
Hypothesis or research questions of each study.
Discuss the significance of the research to nursing practice.
Identify two details to support the research as qualitative or quantitative.
NOTE: If a component is not addressed, the student receives a zero for that component.
Cite all sources in APA format.
Article Assignments:
1. Jenson, H., Maddux, S., Waldo, M. (2018). Improving oral care in hospitalized non-ventilated patients: Standardizing products and protocol. MEDSURG Nursing 27(1), 38-45
2. Turk, M., Fapohunda, A., & Zoucha, R. (2015). Using photovoice to explore Nigerian immigrants’ eating and physical activity in the United States. Journal of Nursing Scholarship, 47(1), 16-24. doi: 10.1111/jnu.12105
Discussion
The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.
Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.
In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored.
Include the following in your presentation:
1. Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
2. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
3. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
4. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
5. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
Refer to the resource, ""Creating Effective PowerPoint Presentations,"" located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
Refer to the resource, ""Loom,"" located in the Student Success Center, for additional guidance on recording your presentation.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Musculoskeletal disorders
Musculoskeletal disorders (MSDs) are a leading cause of disabilities worldwide that affects mobility and dexterity. This conditions affect muscles, bones, and joints. The most common include joints, such as osteoarthritis, rheumatoid, psoriatic arthritis, gout, ankylosing spondylitis; bones, such as osteoporosis, osteopenia and associated fragility fractures, traumatic fractures, sarcopenia; the spine, such as back and neck pain; multiple body areas or systems, such as regional and widespread pain disorders and inflammatory diseases such as connective tissue diseases and vasculitis that have musculoskeletal manifestations, for example systemic lupus erythematosus. (World). The patients with, recurrent pain, stiff joints, swelling, dull aches, limited mobility (“Musculoskeletal Disorders:
A metabolic disorder occurs when abnormal chemical reactions in your body disrupt the normal function of the liver or pancreas. E.g. diabetes, Phenylketonuria, Wilsons disease etc. (“Metabolic Disorders”) common symptoms include Hepatic encephalopathy, Low muscle tone (Hypotonia), Liver enlargement (Hepatomegaly),Diarrhea and vomiting, Seizures and convulsions (occasional) (“Metabolic Disorders : Overview, Causes, Types, Symptoms, & Treatment”) musculoskeletal , metabolic diseases and affect the patient socially, financially, emotionally and mentally .this symptoms interfere with performance of daily routines due to pain and stiffness. Diabetes associated complications such as benign paroxysmal positional vertigo, neuropathy and retinopathy causes loss of balance, blurred vision that can lead to falls resulting in fractures (D’Silva et al.) and increased need for sick days causing and financial impact due to cost of medication and disease management, such as joint replacement surgery. socially the patient fells isolated due to the fact that they cannot participate in common activities due to joint stiffness and pain, having to choose and be careful about what they eat which further leads to anxiety and depression thus affecting their quality of life.
Multisystem health dysfunctions also referred to as Multiple Organ Dysfunction Syndrome MODS is a characterized by failure of several (at least two) major organ systems i.e. Acute renal or kidney system Liver system, Heart system, Respiratory system, Blood system, and Neurologic system, in a critically ill individual that can make it impossible to maintain homeostasis without some type of medical intervention. MODS normally occur as a complication of sepsis which results in high mortality. The signs and symptoms of end-organ dysfunction in the above organ systems consist of: dysfunction of normal exchange of gas(hypoxemia), fluid and electrolyte imbalance, abnormal liver function test, altered level of consciousness (“Multiple Organ Dysfunction Syndrome - Symptoms, Treatment, Pathophysiology”) Tachycardia, hypotension, brady /tachypnea, pallor, Metabolic acidosis, Anuria Hypo/hyperthermia ,elevated or decreased PT/PTT, hypoglycemia ,decreased platelets and
D’Silva, Linda J, et al. “The Impact of Diabetes on Mobility, Balance, and Recovery after Repositioning Maneuvers in Individuals with Benign Paroxysmal Positional Vertigo.” Journal of Diabetes and Its Complications, vol. 31, no. 6, 1 June 2017, pp. 976–982. ScienceDirect, lopes.idm.oclc.org/login?url=search.ebscohost.com/login.aspx?direct=true&db=edselp&AN=S1056872716310297&site=edslive&scope=site, 10.1016/j.jdiacomp.2017.03.006.
“Metabolic Disorders.” Medlineplus.Gov, medlineplus.gov/metabolicdisorders.html.
“Metabolic Disorders : Overview, Causes, Types, Symptoms, & Treatment.” FactDr, 24 July 2018, factdr.com/health-conditions/metabolic-disorders/. Accessed 9 Aug. 2020
“Multiple Organ Dysfunction Syndrome - Symptoms, Treatment, Pathophysiology.” Syndrome.Org, syndrome.org/multiple-organ-dysfunction-syndrome/.
“Musculoskeletal Disorders: Definition and Patient Education.” Healthline, 21 Mar. 2018, www.healthline.com/health/musculoskeletal-disorders#symptoms. Accessed 9 Aug. 2020.
World. “Musculoskeletal Conditions.” Who.Int, World Health Organization: WHO, 15 Feb. 2018, www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions.
REPLY2
Most common muscolosckeletal conditions include:
Osteoporosis or Degenerative Joint Disease(DJD). This condition is basically wear and tear of synovial joints.
Osteoporosis
Rhematoid Arthritis(RA) is an overactive immune system that attacks healthy tissue such as synovial joints.When it progresses it causes inflammation that eventually destroys the connective tissues and if untreated causes deformity and limitations to mobility and function.
These conditions may lead a pateint to develop joint deformities and limitation and lack of mobility and pain. Traumas or fractures can occur when bones are no longer firm and become week.
Some contributing factors to these musculoskeletal diseases include: genetics, obesity, hypertension, alcohol use, drug use, tobacco use but some are caused by autoimmune disease such as RA.
Most common metabolic conditions include:
Diabetes
hyothyroidism
Cushings Disease
Addison's Disease and many more...
When diabetes is uncontrolled and unmanaged it impacts multiple organs throughout the body. It can cause other serious diseases such as:
Cardiovascular Disease
Coronary Artery Disease
Cerebrovascular Accident
Renal damage
Other conditions that are common with diabetes is Infection.
Multiple system Response, Sepsis and shock
Septicemia is usually caused by an untreated infection or trauma injury that travels to the bloostream. Septicemia in a hospital setting can be difficult to notice because of the subtle changes in a patients condition. Nurses observe these changes and adress them in a fast pace. If undiagnosed and/or medically not intervened within 3 hours of developing symptoms, the patient will develop organ failure.
Reference: Falkner, A., & Green, S. Z. (2018). Musculoskeletal, Metabolism, and Multisystem Complexities. Retrieved August 10, 2020, from https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/
Discussion
Communication has been permanently changed by social media. This week, we will discuss social media and the impact on nursing and health and its use in healthcare. As we focus on this topic, please address the questions below in the discussion.
What does the professional literature say about the use of social media in nursing practice?
How can the use of social media impact patient care positively and negatively?
What are the ethical and legal implications of nurses using social media in the workplace?
Discuss ways social media programs can advance nurses’ personal and professional goals.
How do you implement the use of social media in your nursing practice? If you do not, consider ways nurses can use social media to support their nursing practice.
Support your discussion with information from one or more of the ANA textbooks
Case Study
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mr. M., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.
Case Scenario
Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.
Objective Data
Temperature: 37.1 degrees C
BP 123/78 HR 93 RR 22 Pox 99%
Denies pain
Height: 69.5 inches; Weight 87 kg
Laboratory Results
WBC: 19.2 (1,000/uL)
Lymphocytes 6700 (cells/uL)
CT Head shows no changes since previous scan
Urinalysis positive for moderate amount of leukocytes and cloudy
Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mr. M.'s situation. Include the following:
Describe the clinical manifestations present in Mr. M.
Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
Describe the physical, psychological, and emotional effects Mr. M.'s current health status may have on him. Discuss the impact it can have on his family.
Discuss what interventions can be put into place to support Mr. M. and his family.
Given Mr. M.'s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment
School Health Occupational Health
Please read chapters 29 and 30 of the class textbooks and review the attached PowerPoint presentations. Once done answer the following questions;
1. Discuss how Healthy People 2020 can be used to shape the care given in a school health setting. Give at least one example.
2. Identify and discuss the eight components of a comprehensive school health program.
3. Identify and discuss the skills and competencies germane to occupational health nursing.
4. Describe and discuss a multidisciplinary approach for the resolution of occupational health issues.
INSTRUCTIONS:
As stated in the syllabus present your assignment in an APA format word document, APA required font attached to the forum in the discussion tab of the blackboard titled “Week 15 essay” and the SafeAssign exercise in the assignment tab of the blackboard which is a mandatory requirement. A minimum of 2 evidence-based references (besides the class textbook) no older than five years must be used. You must post two replies on different dates to any of your peers sustained with the proper references no older than five years as well and make sure the references are properly quoted in your assignment. The replies cannot be posted on the same day; I must see different dates in the replies. A minimum of 800 words are required and not exceeding 1,000 words (excluding the first and reference page). Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.
Please check your assignment after the week is due or after it is graded because I either made comments or ask for clarification in some replies or the assignment that required your response.
The assignment must be submitted in the requested. You need to number the question and answer it, no on an essay unless it is required.
Example;
Question one
Response
Question two
Response
Due dates: Assignment – Wednesday, August 12, 2020, at 11:59 PM in the discussion tab of the blackboard, and in the SafeAssign exercise in the assignment tab of the blackboard.
Community Assessment Windshield Survey
Prepare a 15- to 20-slide presentation. Make sure your presentation includes audio and either speaker notes, a video capture of yourself delivering the presentation, or full video (see example listed below). The presentation should be between 8 to 10 minutes long.
This windshield survey is a tool used by public health nurses to obtain basic knowledge about a given community. This survey can be conducted by traveling by car, walking, or taking public transportation to gather information on the health of a community and the members of that community. When conducting this survey, make sure to include all community participants, schools, police, fire, hospitals, clinics, etc. Also, please make sure to share your completed presentation with an identified entity in the surveyed community who might be interested in your findings.
For an example project, watch the Community Assessment Windshield Survey video at this link:
https://www.youtube.com/watch?v=TGXMoQjXbUk
Leadership Strategy
As a nurse, you serve an important role in identifying strategies to effectively manage health care resources and in leading health care quality improvement. You must be able to decide what leadership style or strategy to apply in a given situation to achieve an effective resolution of the issue.
Read the following two scenarios and select one to focus on in this Discussion.
Consider the leadership style or strategy that might be most effective in the scenario you selected.
Scenario 1
You work in a for-profit nursing home, with about 100 beds, on a 20-bed unit that is largely patients with Alzheimer’s disease. Your patient mix is predominantly Medicare and Medicaid patients. Your nursing home is part of a larger system that includes a major medical center, as well as VNA, outpatient dialysis, and a fully integrated network. Your nurse manager is getting feedback from the hospital that your nursing home is sending too many patients to the ED who really don’t need to go. How would you go about figuring out what could be done at the nursing home to prevent avoidable ED visits?
Scenario 2
You’ve been associated with an outpatient cardiology clinic that is part of a large academic medical center. Your patients are mostly charity care and managed Medicaid. Most have a prescription plan, but none have a “family doctor” and use the clinic (and the ED) regularly. Most are unfamiliar with their medications and do not have the resources for care coordination in their family/social network. About 25 CHF patients have been “lovingly,” but inappropriately, called “frequent fliers” because of their inability to manage their own care, their frequent visits to the ED, and their “one night stays” paid at the observation rate. As a staff nurse in this clinic, describe the strategies you could devise for you and your fellow staff nurses targeting these 25 patients. Find at least one article from the professional literature to corroborate your recommendations.
Describe the most appropriate leadership style and/or strategy to apply in the scenario you chose in order to implement the recommendations successfully. Justify your selection.
Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist)
Notes Initial Post: This should be a 5-paragraph (at least 550 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). (Refer to AWE Checklist, Capstone)
Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
Chapter 10, “Managing the Use of Healthcare Resources” (pp. 249-280)
Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.
Chapter 1, “Leading, Managing, and Following” (pp. 1-18)
Chapter 5, “Gaining Personal Insight: The Beginning of Being a Leader” (pp. 76-87)
Chapter 20, “Managing Costs and Budgets” (pp. 357-375)
Integrating BSN Concepts
Module A Reflection Paper
Instructions
This paper will help you focus on your experience, knowledge, and insights from the RN-BSN Program. You will reflect on how completing the program has changed your practice and will continue to impact your practice in the future. This is your final scholarly paper in this program so the expectations for scholarly presentation and APA are higher than they were at the start of the program. You should be ready to write graduate level papers at the conclusion of this course. Following these instructions should help you achieve “Competent” to “Proficient” ratings on the grading rubric. If you wish to receive “Exemplary” ratings you will need to add something more than what is specified that is highly relevant to your discussion.
Paper Requirements:
• A Title Page is Required
• The paper should be a minimum of 3 pages in length and should not exceed 5 pages in addition to title page and reference page
• Use the template from the Scholarly Writing tab to assist you with APA format
• Include a strong introduction and conclusion
• Use headings to label the parts of the paper
• Paragraphs need to be a minimum of three sentences, preferably four-five sentences.
Grading Criteria:
• See the grading rubric for detailed grading information
• Content: Describe the differences between yourself as an Associate Degree and Baccalaureate Degree nurse. How is your practice different? Is your thinking different? Do you feel different? What is the most surprising thing that you have learned? What is the biggest thing that you have learned about yourself in the process of completing the program? Provide examples of how you have applied what you have learned in your work or other professional nursing activities.
• Scholarly Presentation: Is your content logical and well organized? Did you correct spelling, grammar and punctuation errors?
• APA: Do you have adequate citations and references? Is at least one reference not a required text? Are your references current (preferably within 5 years but up to 10 years ok)? Did you check formatting errors so that all citations and references are done correctly? Are all citations on the reference list? Are all references cited?
Paper Parts
Title page
Introduction-Provide an overview of your unique paper.
Content – minimum 3 pages in addition to title page and reference page
Address how completing the program has changed you as a nurse/your nursing practice. Reflect on one or more ways that you have changed your practice as you have completed the program. Reflect on what your next steps are now that you will have your BSN.
Conclusion- Summarize key points from your unique paper.
*Rubric attached, must follow rubric to get credit.
