After viewing your classmates’ presentations, describe some new things you learned about two different vulnerable populations 

The main goal of treatment for acute glomerulonephritis is to: 

Discussion: Cognitive Behavioral Therapy: Group Settings Versus Family Settings

As you might recall from Week 5, there are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in group settings and family settings, consider challenges of using this approach with your own groups.

Learning Objectives

Students will:

• Compare the use of cognitive behavioral therapy for groups to cognitive behavioral therapy for families
• Analyze challenges of using cognitive behavioral therapy for groups
• Recommend effective strategies in cognitive behavioral therapy for groups

To prepare:

• Reflect on your practicum experiences with CBT in group and family settings.

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 Submit!

By Day 3

Post an explanation of how the use of CBT in groups compares to its use in family settings. Provide specific examples from your own practicum experiences. Then, explain at least two challenges counselors might encounter when using CBT in the group setting. Support your response with specific examples from this week’s media.

 For this assignment, you will research and prepare a community-level strategic plan that addresses a key public health issue.

Potential topics may include:

•      Using prenatal and infancy home visits to prevent child abuse and neglect

•      Preventing falls in the elderly

•      Reducing population salt intake

•      Reducing tobacco use among adults

•      Preventing risky sexual behavior among youth and young adults

•      Reducing drug experimentation among young adults

Include the following in your paper:

• Introduction:
  • Provide an overview of the community health issue as described in Part A with identified causes and influences, including knowledge gaps. 
  • Detail the prevalence of the issue inside and outside the United States.
  • Describe potential monetary costs associated with the issue in the United States.
  • You must include data as part of your introduction (images, charts, graphs, etc., may be included as well as written data).
• Describe advance practice roles and management strategies that affect change at the community level.
• Identify key community and social resources that negatively and positivelyaffect the selected issue.
• Identify changes or enhancements in community-related services for your selected topic.
• Develop a strategic plan that could decrease the prevalence of your selected topic.The goals for this plan needs to be specific, measurable, attainable, realistic, and time-bound. Include how your plan takes into consideration health literacy, socioeconomic factors, and cultural differences.
• Conclusion:
  • A summary of the goals and challenges
  • An assessment of the outlook for action/progress
• Appendix A: Include your community assessment from Week 3 as Appendix A.

Your paper should be 3–5 pages in length (not including the cover or reference pages). Use APA throughout.

Include 2–3 scholarly sources that are carefully selected and appropriate to the topic. References should be current—no more than four years old.

With the realization that pain is highly prevalent among older adults, please answer the following questions.

Questions:
1. What are some ways you as the nurse can utilize to determine pain in the older adult?
2. What are some of the potential barriers related to self-reporting of pain in the older adult?
3. What is the prevalence of pain in the older adult?
4. Describe and compare your findings for each of the following:
a. Numeric rating scale
b. Visual analog scale
c. McGill pain questionnaire
d. Pain in dementia patients

reply1

Culture refers to the material traits, norms, and beliefs of social, religious, or racial groups. It consists of either implicit or explicit patterns of behavior transmitted and acquired by symbols, constituting the achievements of certain individuals or groups of people (Spencer-Oatey, 2012). Ethnicity typically refers to a shared way of life and culture, which includes common religion, language, and history. In broader terms, it may also include some physical traits, claimed kinship, religious affiliations, past linguistic heritage, or sense of common ancestry (Donovan, 2019). Lastly, acculturation is a term that refers to the process of cultural contact and exchange; it causes psychological and social transformation, which results in adaptation to the values and practices of another culture (majority culture). At the group level, it can range from the inclusion of another culture’s cuisine to adoption of its ideology, beliefs, and ideas (Cole, 2019). These three terms are somewhat interrelated, as they all are crucial to understanding one’s identity.

Based on the information above, it is possible to state that culture and ethnicity are close to each other in their meaning. An ethnicity shares the same cultural background, and one’s ethnic identity is an important predictor of their cultural values. At the same time, ethnicity has more to do with nationality, common ancestry, and heritage, while culture is an issue that one is taught by other people; it includes traits, social forms, and customary beliefs. However, both ethnic identity and culture may change due to the transformation in one’s self-perception. This process is called acculturation, or evolution of identity. It occurs when a person grows to recognize that the surrounding society’s norms, values, and beliefs are discordant with his/her own. In other words, acculturation is a search of a new ethnic identity. All the three terms, in one way or another, impact one’s cognition and behavior.

Cole, N.L. (2019). Understanding acculturation and why it happens. ThoughtCo. Retrieved from https://www.thoughtco.com/acculturation-definition-3026039

Donovan, J. (2019). What’s the difference between race and ethnicity? How Stuff Works. Retrieved from https://science.howstuffworks.com/life/genetic/race-vs-ethnicity.htm

reply2

Culture, ethnicity and acculturation are often confused yet they have different meanings. Culture refers to characteristic pattern of beliefs, customs and behaviors shared by a certain population group. This means that each group has a culture that differentiates them from other groups. Culture is important to create boundaries and generally accepted behaviors. For example, the culture of Bronx city is different from that of Arizona city. In other words, the two are different in terms of how people relate, behave and even do their activities. Ethnicity is embodied in the culture. Ethnicity refers to common social and heritage that is passed from one generation to another. People can have similar ethnicity but different cultures. Ethnicity therefore classifies a person founded on common ancestry, social and cultural identity, language or race. For example, the US has different ethnicities such as African-Americans, Pacific Islanders, Cherokee community, non-Hispanic whites, among others. These different ethnicities of the US could have similar cultural belief, practices and customs (Romero et al.,2018). For example, people living in the new York City have similar social and cultural beliefs and practices although they belong to different ethnicities. Acculturation is closely related to the culture but completely different from ethnicity. Acculturation is defined as the process by which a person adapts to new cultural beliefs, customers and behaviors. It is however important to note that degree of acculturation of an individual depends on a number of factors. In the US, acculturation is very common especially among immigrants and Mexican Americans. An individual must fully commit to adhering to a particular culture before acculturation.

Reference

Romero, C. B. A., Laroche, M., Aurup, G. M., & Ferraz, S. B. (2018). Ethnicity and acculturation of environmental attitudes and behaviors: A cross-cultural study with Brazilians in Canada. Journal of Business Research, 82, 300-309.

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.

By Day 6 of Week 1

Respond to at least two of your colleagues on two different days by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

Module 2 – Case

MOBILIZING SUPPORT FOR HEALTH EDUCATION PROGRAMS

Assignment Overview

You are a health educator for a local children’s hospital that wishes to partner with schools in the area on an initiative to encourage healthier eating habits among students and staff alike. A visit to a local school site to explore partnership reveals that teachers and staff may be reluctant to make changes to their own eating habits. For example, when asked (during an impromptu meeting with a small group of teachers) about her willingness to replace existing vending machine options with healthier ones, one teacher remarked, “Now you’re going after my soda and cookies. What’ll it be next?” Her colleagues appear to agree with her on this.

Case Assignment

Read Chapter 6, Section 2 and Chapter 7, Section 8 of the Community Tool Box (i.e., Using Principles of Persuasion and Identifying and Analyzing Stakeholders and Their Interests) and, after doing so, write a four-page paper in which you describe the steps you will take to achieve “buy-in” from teachers and all other stakeholders in this initiative. Your paper should specify clearly:

• Primary, secondary, and key stakeholders in this potential partnership
• Three principles of persuasion most relevant to the above scenario

Your strategy is to engage all stakeholders over the course of this initiative (i.e., from conceptualization, to grant seeking, to project implementation, through evaluation and refinement).

Length: 4 pages typed, double-spaced.

Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric that is linked within the course. Review it before you begin working on the assignment.

Your submission should meet the guidelines on file format, in-text citations and references, scholarly sources, scholarly writing, and use of direct quotes noted under Module 1 Assignment Expectations.

• Write a 4-6 page paper in which you discuss the value of ratio analysis in decision making for health care organizations. Complete the following in your paper: 
• Discuss the meaning of ratio analysis in healthcare.
• Pick only one (1) ratio from EACH major group from the financial statements. (e.g. Current ratio, ROE, Debt to equity, ALOS)
• Major Groups:
  • Liquidity ratios (Current ratio, Days Cash-on-Hand, Quick Ratio)
  • Profitability ratios (ROE, ROA, Total Margin, Operating Margin)
  • Leverage/Capital Structure Ratios (Debt ratio, Equity ratio, Debt to Equity Ratio)
  • Nonfinancial Ratios (Occupancy rate, payer mix, ALOS, Expense per discharge, FTE per bed, HMO penetration)
• Discuss one (1) ratio (from EACH major group) using the following criteria:
  • What is the meaning of each ratio?
  • Evaluate the meaning of the ratio related to the financial health of the health care organization. Show the calculations.
  • Explain the factors that affect the results related to the financial health of the organization. 
• Format your paper consistent with APA guidelines.
• Provide a minimum of two (2) cited sources in your paper. Properly cite in APA format.

Assignment: Evidence-Based Practice and the Quadruple Aim

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

• Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
• Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
• Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

• Patient experience
• Population health
• Costs
• Work life of healthcare providers