case study 4

Meet Maristela, the Brazilian mother of 5 children*

  • Busy mother of 5 children living in rural Brazil (Northeast)
  • Illiterate with minimal access to health information

o Main points of contact include children’s school, local healthcare center, local market

  • Responsible for key health-related decisions within the household
  • Recently concerned about Kalazar, a parasite disease carried by sand-flies/ intermediate vectors (e.g. domestic animals)

o Two of her children’s playmates recently died of kalazar (also know as visceral leishmaniasis)

o Diagnosis was missed on first visit to healthcare center; low recognition of key symptoms among health care providers; parents do not know enough about the disease to suggest that physicians/healthcare providers consider it as a potential diagnosis

o Second visit to healthcare center was just too late

o Closest healthcare center is several miles from Maristela’s rural village; transportation problems may delay care

  • Feeling powerless and scared for her own children; yet, most people in the village have a fatalistic attitude toward health and illness
  • Confused about how Kalazar is contracted, how to suspect it, how to recognize early symptoms, what to do if she does suspect it
  • In her village, most communication/news take place via word-of-mouth, radio, and meetings at local religious meetings, markets, etc. A few people have access to television. Schools and health centers have access to the Internet.

Note: Kalazar presents vague symptoms such as fever, weight loss, fatigue, loss of appetite, and an enlarged spleen and liver (CDC, 2006) — also known as “potbelly”. The disease is endemic in the Northeastern region of Brazil and is primarily found in rural areas. The disease has a high mortality rate among children less than five years of age. Treatment is available and effective if administered not too late after the disease’s onset.

Based on the above information and on the definition/examples provided in your book (Schiavo, R. Health Communication: From Theory to Practice. Second Edition. San Francisco: Jossey-Bass, an imprint of Wiley, 2013) 1) Develop the following elements of a potential health communication program intended to engage Maristela and her peers (Brazilian parents of young children who live in rural areas):

  • Overall program goal
  • One behavioral objective in support of the overall program’s goal
  • Two communication objectives in support of the behavioral objective
  • One communication strategy that you think would help achieve your behavioral and communication objectives
  • Two core messages for Maristela and her peers (please make sure your messages address the most prominent issues that emerged from the above profile and execute your communication objectives and strategies)
  • Key progress and outcome indicators (at least one progress and one outcome indicator) to take into account as part of your evaluation plan

Your paper should be 1- 2 pages, double-spaced, and follow APA 7th edition formatting. You will include the primary NCHEC Area of Responsibility and Competencies you are addressing in this assignment as a separate paragraph. Discuss the areas you are practicing for this assignment and the specific competency(ies) you are utilizing. Discuss the importance of these competencies as it relates to the profession of public health. Make sure all program elements are connected (and supportive of each other) and take into account the information (situation- and audience-specific facts) shared in this handout 2) Use one or two sentences to describe how you will make sure that your messages and activities (a) are culturally competent and (b) adequately address the needs of low health literacy groups such as Maristela and her peers (indicate specific activities or methods). What kind of media channels will you consider to reach Maristela and her peers?

NUR601- CASE STUDY 7

CASE STUDY  

K.Y. is an employee-health nurse practitioner for a large corporation. Her role is to advocate for her clients by helping them improve their quality of life, both for the present and the future, through the identification of risk factors, health promotion, and other nursing interventions. The majority of the employees She sees are middle-age adults.

Her clients come to see her for a variety of reasons, including stress, mental illness, and on-the-job injuries. K.Y. assists her clients by providing education about healthy lifestyle choices, referrals to community resources, and counseling.

QUESTION FOR THE CASE  Make a summary of the typical biological changes in the middle-age adult. 

 

Then, continue to discuss the 3 topics listed below for your case:

  1. Discuss how you would advise young adults in selecting contraceptive methods. Do you have any personal, religious reservations, or discomforts that would interfere with your ability to advise clients and ask them how they would address these personal conflicts?
  2. Have students develop a smoking cessation plan for a client.
  3. Evaluate the impact of poverty on older adults. Make sure to include the impact on their physical and mental health and health promotion recommendations.

American Nurses Association (ANA) Competencies and Standards in Practice

To Prepare

Part 1: ANA Competencies and Standards Identification

  • Review the American Nurses Association competencies found in the Nursing Informatics: Scope and Standards of Practice and reflect on the ANA functional areas detailed to determine which interests you the most. 
  • Review the TIGER competencies and reflect on which of these you could develop based on how they relate to the ANA functional areas.
  • Review the QSEN competencies and reflect on which of these you could develop based on how they relate to the ANA functional areas.

Part 2: ANA Competencies and Standards in Practice

  • Identify a nurse informaticist to interview. You may interview the same nurse informaticist you interviewed in Module 2.
  • Set up an interview date and time. Consult the Module 4 Interview Guidelines handout for guidance. In the Module 4 Interview Guidelines handout, you will find a form for the interview subject to sign as proof for the interview occurring.
  • Develop interview questions that address all of the following:
    • An explanation of the interview subject’s current role.
    • A description of the challenges the interview subject has overcome, currently encounters, and foresees.
    • A description of how the ANA functional areas, TIGER competencies, and QSEN competencies relate to the interview subject’s role.
  • Evaluate your responses in Part 1 and compare your responses with the responses from your interview subject.

The Assignment

Part 1: ANA Competencies and Standards Identification

Submit a 2- to 3-page paper that addresses the following:

  • Identify the ANA functional areas you are interested in and explain why.
  • Identify the TIGER competencies you might develop based on how they relate to the ANA functional areas you identified and explain why.
  • Identify the QSEN competencies you might develop based on how they relate to the ANA functional areas you identified and explain why.

Part 2: ANA Competencies and Standards in Nursing Practice

Create a 6- to 8-slide PowerPoint presentation that addresses the following:

  • Explain how your vision of your future as a nurse informaticist compares with the interview subject’s current role. To support your explanation, identify at least one area that has prompted you to change your vision of the future and explain how or why. Then, identify at least one area that aligns with your vision of the future and explain how or why.
  • Compare the challenges you foresee in the nurse informaticist role with the challenges your interview subject regularly encounters. To support your comparison, identify at least one challenge that has prompted you to change your interpretation of typical challenges and explain how or why. Then, identify at least one area that aligns with your interpretation of typical challenges and explain how or why.
  • Determine how the ANA functional areas, TIGER competencies, and QSEN competencies you identified relate to your interview subject’s current role. Are these functional areas and competencies still relevant or aligned to your future role as a nurse informaticist? Why or why not?
  • Based on your responses in Part 1, evaluate whether your assessment of your own knowledge, skills, and attitudes about the functional areas, standards, or competencies has changed, broadened, or strengthened your alignment based on your interview. Be sure to refer to your Part 1 responses and explain the change (or lack of change).
  • Provide references in APA style at the end of your presentation—the reference slide or slides do not count toward your Assignment total.
  • Submit the completed parts of the Module 4 Interview Guidelines handout.

Summary and Descriptive Statistics

There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education.

Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas.

Provide the following descriptive statistics:

  1. Measures of Central Tendency: Mean, Median, and Mode
  2. Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range).
  3. Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

NURSING Jarvis Study guide

1. Identify the most common physical health problems that result from intimate partner violence.

2. Differentiate abuse from neglect.

3. Describe the tonic neck reflex in the infant.

4. List the condition (s) associated with parotid gland enlargement.

5. Describe the characteristics of lymph nodes often associated with: acute infection, chronic infection, cancer.

6. List the facial structures that should appear symmetric when inspecting the head.

7. The major neck muscles are the:

8. Describe the characteristics of normal cervical lymph nodes during childhood.

Please answer the above questions in correct APA format. No reply to peers are necessary.

Nurs490promptweek7

The Institute of Medicine’s report, The Future of Nursing: Leading Change, Advancing Health, addresses the need for nursing leadership; it discusses the potential for nursing to lead improvement and redesign the healthcare delivery system. Take a look at the video Transforming Care at the Bedside: Empowering Better Nursing Care to see what some nurses have done to improve healthcare in their facilities. Based on your nursing experience, what change would you like to implement to improve care? What are the first steps you would take to implement the change?

Video Link

English composition

 This is your final paper that is due at the end of the semester. Please feel free to send it to me before the due date.  

-Font: Times New Roman Size 12 

-APA style 

-Cover sheet must be included 

-4 pages in total 

-Bibliography section must be at the end 

-Please no plagiarism  

TOPIC:  After reading Daughters of Invention by Julia Alvarez answer the following topic in a 4 page paper: In this story, the father’s experience of politics in his country of origin clearly influences his behavior in the United States. Can you identify other contemporary or past immigrants who have vivid memories of politics in their native lands? 

http://millbrookenglish.weebly.com/uploads/1/3/1/2/13127851/julia_alvarez-_daughter_of_invention.pdf

Pharm

When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.
For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.
To Prepare
Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
Think about a personalized plan of care based on these influencing factors and patient history in your case study.
By Day 3 of Week 1
Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.

Policy and Advocacy for Improving Population Health

 Assignment: Global Healthcare Comparison Matrix and Narrative Statement

Note: This Assignment is due on Day 5 of Week 11.

If you talk about a possible poor health outcome, do you believe that
outcome will occur? Do you believe eye contact and personal contact
should be avoided?

You would have a difficult time practicing as a nurse if you believed
these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic
customs, dietary customs, language, and a host of other factors
contribute to the complex environment that surrounds global healthcare
issues. Failure to understand and account for these differences can
create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and
consider the approach to this issue by the United States and by one
other country.

To Prepare:

Review the World Health Organization’s (WHO) global health agenda and
select one global health issue to focus on for this Assignment.
Select at least one additional country to compare to the U.S. for this
Assignment.
Reflect on how the global health issue you selected is approached in
the U.S. and in the additional country you selected.
Review and download the Global Health Comparison Matrix provided in
the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page
Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global
Health Comparison Matrix. Be sure to address the following:

Consider the U.S. national/federal health policies that have been
adapted for the global health issue you selected from the WHO global
health agenda. Compare these policies to the additional country you
selected for study.
Explain the strengths and weaknesses of each policy.
Explain how the social determinants of health may impact the global
health issue you selected. Be specific and provide examples.
Using the WHO’s Organization’s global health agenda as well as the
results of your own research, analyze how each country’s government
addresses cost, quality, and access to the global health issue
selected.
Explain how the health policy you selected might impact the health of
the global population. Be specific and provide examples.
Explain how the health policy you selected might impact the role of
the nurse in each country.
Explain how global health issues impact local healthcare organizations
and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you
conducted in Part 1 of the Assignment and the impact that global
health issues may have on the world, the U.S., your community, as well
as your practice as a nurse leader.

In a 1-page response, create a plan for social change that
incorporates a global perspective or lens into your local practice and
role as a nurse leader.

Explain how you would advocate for the incorporation of a global
perspective or lens into your local practice and role as a nurse
leader.
Explain how the incorporation of a global perspective or lens might
impact your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens into
your local practice as a nurse leader represents and contributes to
social change. Be specific and provide examples