During this, last ten years, in the state of Texas, the prevalence of this practice problem “Diabetes Mellitus” shows an increased number of population affected and a higher cost for treatment (Johnson, E. P. et al., 2019). The overall percentage of mortality rate in Texas during these last two decades has increased by 2 % in females and 6 % in males due to communicable diseases, non-communicable diseases, and injuries. According to GBD (2018), Diabetes Mellitus ranked in seventh position in the year 1999 and ninth position in the year 2019, and the associated risk factors, which leads to mortality rate are high body mass index, high fasting plasma glucose, high blood pressure, kidney dysfunction, and high alcohol use.

Diabetes Mellitus, a chronic disease that affects multiple systems in patients often gets readmission due to the complications after the initial discharge. Nurses have to use critical thinking and proper judgment to assess the diabetic patients while they are in the hospital to identify the complications and to intervene without delaying the treatment. Nursing care becomes challenging especially with the “ic” population “geriatrics and pediatrics due to the age factor, inability to comprehend the education, memory-related issues (dementia) for the senior citizens, or the language itself. All these factors could become a barrier to do self-management care, which is the most priority education and intervention be done to maintain the targeted glycemic index. Health care Organizations, which has a partnership with the different national diabetic committees takes control of implementing policies and protocols and updates the data of the mortality rate. In Texas, the high mortality rate due to Diabetic Mellitus is because of kidney diseases, septicemia, heart diseases, and stroke. The quality of care be evaluated after a new intervention or a new policy is implemented.

One of the stakeholders who are extremely helpful to identify prediabetes, gestational diabetic, diagnosed diabetic patients are called as Diabetic Prevention Program (DPP) sites. DPP sites emphasize to take data from each county and provide education and preventive techniques towards this practice problem. The DPP considered one of the powerful tool for health care team members to educate and give attention to each county and employers and work partnership (Johnson, E. P. et al., 2019). Another stakeholder identified in the state of Texas is the Diabetic Education Program (DEP) sites. The difference between DPP and DEP is the DEP is a 12-month program including several workshops provided for the patients and does a quarterly follow-up. Every 3 months the patients are checked for the HbA1c and based on the outcome do the intervention and education modifications (Ory, M. G. et,. 2020). Other stakeholders identified are the nurses, patients, family members, ancillary services, health care providers,s, and pharmacists.

Our Organization identified a gap in knowledge in the patients doing self-management care focusing on diet and exercise. After identifying the patients with diabetes and complications of diabetes in the hospital there was, a team implemented which consists of diabetic educators, dietitians, nurse educators, wound care nurses, and dialysis managers. The team members as their role will meet with each patient and implement a plan in collaboration with the patient on self-care management. The feedback was great by the family members because this education provided the patients and the family members to think from a different perspective and helps to understand better and therefore one of the best continuing education topics to be included and explained by the team to the nurses and health care team during the meetings.

I need a comment for this discussion board in 2 paragraphs and use at least 2 sources. 

see attachment

Reply separately to two of your classmates posts (See attached classmates posts, post#1 and post#2). 

INSTRUCTIONS:

Your responses should be in a well-developed paragraph (300-350 words) to each peer. Integrating an evidence-based resource!!

Note: DO NOT CRITIQUE THEIR POSTS, DO NOT AGREE OR DISAGREE, just add informative content regarding to their topic that is validated via citations. 

– Utilize at least two scholarly references per peer post. 

Please, send me the two documents separately, for example one is the reply to my peers Post #1, and the second one is the reply to my other peer Post #2.

– Minimum of 300 words per peer reply.

Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.

Examine the literature related to case management for clients with HIV/AIDS. In a scholarly submission of 1500 to 2000 words, answer the following questions. Your submission should contain a minimum of three references.

1. What does the evidence indicate overall regarding the effectiveness of case management for this condition and client population?
2. Are there client-or population related factors that influence the effectiveness of case management strategies? How might these factors be modified to promote more effective case management?
3. What health promotion, illness prevention, problem resolution, and health restoration activities might be appropriate in dealing with the problem of HIV/AIDS client population? Which of these activities might you carry out yourself? Which would require collaboration with other community members? Who might these other people be?

Assignment Prompt

Infographics are visual representations of information. They can include numbers, text, images, or any combination of the three. Just as in traditional writing assignments, an infographic can take on any of the various rhetorical modes — informative, instructive, descriptive, persuasive, etc. Infographics provide quick way to convey a lot of information. For example, this infographic on Integrating Virtual Clinics conveys interesting data much more concisely than another paragraph inserted here could have:

Students will create an Infographic on the topic of Telehealth. Students should create an infographic that is easily understood by the lay public or general population. The infographic should provide information useful to communicating the “What, Why, When and How” of Telehealth. Students may choose to focus on one or more the following suggested topic areas, however, students may choose their own relevant telehealth topic areas of:

• Telehealth Versus Telemedicine
• Environments or Systems
• Population Health
• Health Promotion and Illness Prevention
• Integrative Health
• Technologies and Innovation
• Provider Access
• Patient Access
• Policy Implications
• Legal Implications
• Clinical Practice Issues
• Education/Training Needs
• Research Implications
• Quality of Care
• Outcome Management

Directions:

1. Students will select a platform (tool) for building their infographic. There are a number of great infographic platforms available online. Many are free, but most require that you do set up an account. Check out Infogr.am, Easelly, Piktochart, and Visme.
2. Create the Infographic using one of the above platforms.
3. Post completed infographic in PDF format to the D2L week four assignment link.
4. Deadline Monday 11/16/2020 

Please answer the discussion questions. I have attached the description

Concepts of Neurological and Musculoskeletal Disorders – Part 1

Anatomists often use the analogy of a house to explain the human body, with skeletal systems, respiratory systems, and circulatory systems represented as a home’s framing structure, ventilation, and piping, respectively. Such analogies further emphasize the point that relationships between systems can result in complications when issues arise in one system.

With hundreds of diseases that can impact the brain, spine, and nerves, neurological disorders represent a complicated array of issues that present significant health concerns. Disorders such as strokes and Parkinson’s disease not only affect the nervous system, however; they can have secondary impacts in other areas, especially the musculoskeletal system.

This week, you examine fundamental concepts of neurological disorders. You explore common disorders that impact these systems and you apply the key terms and concepts that help communicate the pathophysiological nature of these issues to patients. 

Required Readings

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: the biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

• Chapter 15: Structure and      Function of the Neurologic System
• Chapter 16: Pain, Temperature      Regulation, Sleep, and Sensory Function (stop at Sleep); Summary Review
• Chapter 17: Alterations in      Cognitive Systems, Cerebral Hemodynamics, and Motor Function (start at      Acute confusional states and delirium) (stop at Alterations in neuromotor      functions); (Parkinson’s Disease); Summary Review
• Chapter 18: Disorders of the      Central and Peripheral Nervous Systems and the Neuromuscular Junction      (stop at Degenerative disorders of the spine); (start at Cerebrovascular      disorders) (stop at Tumors of the central nervous system); Summary Review
• Chapter 44: Structure and      Function of the Musculoskeletal System (stop at Components of muscle      function); Summary Review
• Chapter 45: Alterations of      Musculoskeletal Function (stop at Bone tumors); (start at Disorders of      joints); Summary Review
• Chapter 47: Structure,      Function, and Disorders of the Integument (section on Lyme Disease)

Chin, L. S. (2018). Spinal cord injuries. Retrieved from https://emedicine.medscape.com/article/793582-overview#a4

Discussion Post: 3 citations is required. 

The case scenario is given below:

Patient is a 24-year-old female administrative assistant who comes to the emergency department with a chief complaint of severe right-sided headache. She states that this is the sixth time in the last 2 months she has had this headache. She says the headaches last 2–3 days and have impacted her ability to concentrate at work. She complains of nausea and has vomited three times in the last 3 hours. She states, “the light hurts my eyes.” She rates her pain as a 10/10 at this time. Ibuprofen and acetaminophen ease her symptoms somewhat but do not totally relieve them. No other current complaints.

Think about your own life. Do you act to prevent a disease or accident when you perceive that you are not susceptible to the disease or at risk for the accident?

INSTRUCTIONS

Follow the 3 x 3 rule: minimum three paragraphs, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

1.  Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.

2.  Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.

3.  Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.

4.  Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three 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 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. 

Due Date: Friday 4 

1.  Discuss the process implemented in the investigation of the outbreak of a communicable disease.

2.  Discuss the difference between infectious and communicable diseases. Give one example of each one. 

3.  Identify the factors that influence the emerging and reemerging of infectious diseases

4.  Identify and describe a recent emerging and reemerging infectious diseases from the global perspective.  (I know every is going to describe COVID 19 for the emerging).

As stated in the syllabus present your assignment in an APA format word document. A minimum of 3 evidence-based references no older than 5 years must be used.  A minimum of 800 words not to exceed 1,000 are required without counting the first and last page.