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The case study demonstrates a role related and ethical conundrum when the nurse is taking care of an end stage aggressive lung cancer patient, Mr. Wilson, who expressed suicidal intentions to the nurse and asked to keep the secret from his family and the hospital staff.

If the nurse knows of Mr. Wilsons’ plan for rational suicide, would the nurse be obligated to intervene? If so, what actions could the nurse take at this point? Does a nurse have the right to try to stop a person from committing rational suicide (to act in the best interest of the patient)? Is a nurse supposed to support the person’s autonomous decision to commit rational suicide? even when that decision is morally and religiously incompatible with the nurse’s perspective? What is the nurse role?

The case study must be typed in APA format with a minimum of 750 words (excluding first and references page) with a minimum of 4 evidence-based references using the required Arial 12 font. 

In text-citations and reference are required

Part .1.

 In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Part 2. 

Work with your preceptor to assess the organization for the required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.

The assignment will be used to develop a written implementation plan.

Chapter 19, 23, and 24

DUE on December 1st 

 Each chapter has 10 questions and must be answered with 100 words on each question explaining how you arrived at the answer. 

Provide References in APA format 7th edition

PLEASE READ QUESTION CAREFULLY. THE ASSIGNMENT WILL BE CONTINUATION OF THE PREVIOUS ASSIGNMENT.

I need assistance with Community Assessment Powerpoint Presentation 

Community Assessment

powerpoint presentation (100 points)

The purpose of this assignment is for you to conduct a community assessment and create a powerpoint presentation of your findings.

• Analyze your county’s data for populations at risk
• Compare your county’s risks to HP 2030 goals
• Assess youth risk using the Youth Risk Behavior Survey (YRBS)
• Recommend a MN PH intervention to promote health outcomes in this population.

Imagine you are your county’s new Public Health Nursing director, and you are conducting a community assessment. The ppt you will create is for a presentation to your community’s political leaders, concerned citizens, school parents.

The below video covers Slides 0 – 6. (Hover over top right corner of slide to ‘pop-out’ full screen.) 

NOTE: Healthy People 2030 has replaced HP2020. Please stop video on 9:15 min. when HP 2020 is mentioned. Instead, follow HP 2030 instructions for Slide 6.

PPT: Community Assessment video with CC
PPT: Community Assessment transcript (.txt)

To begin your community assessment, review each of the slide requirements below. Link to the websites and follow the slide directions carefully. Use the following ppt template to build your ppt presentation. You may change the template style, color, font, as long as you keep them in the same order. Insert photos (images) to ‘liven’ up your ppt for your audience:

11-slide PPT template_Community assessment_pptx

Actions

Slide 0: Title

Title your slide presentation (your name, county, state)

Slide 1: Introduction (and demographics)

Read the purpose of a Community assessment: North Carolina Community Assessment Guide for an example of a step-by-step tool for county officials to use.   (Links to an external site.)

• Look especially at Phase 3 (Collect Secondary Data), 4 (Analyze and Interpret County Health Data), and 5 (Determine Health Priorities). These are the steps you’ll be completing in your community assessment.
• Go to the US Census Bureau Website (Links to an external site.) and enter your county and state: Select your state, then county. Review and compare carefully your county’s demographic data to the state and US.
• Go to your city/county’s tourist or Chamber of Commerce website. Read the introduction and history to your community

Using the above information,

Introduce your county. Include state, geographic location, overall description of whether rural, urban, and, one or two interesting facts. Also include:

• County’s population,
• distribution of races (highest three),
• median household income,
• % living in poverty,
• % High school and % Bachelor education,
• % of total population > 16 y/o employed,
• a map (image) showing where in the state your county is situated.

Slide 2 : Two (2) positive health indicators

Link to the following website to learn about county health rankings. (Links to an external site.) Enter your community’s county and state : Click on your state, > Compare Counties” > Review your county’s health outcomes.

1. Compare your county’s health outcomes and health indicators to your (a) state and the (b) US top performers in the table (you’ll see US and state comparisons with your county).

Select Two (2) positive health indicators (i.e. county has less smoking, or, fewer premature deaths than state and national average. ) If your county has not positive health indicates, state this.

• Provide descriptions of each (positive) health indicator (found on county healthranksing.org website > click on blue health indicator link).
• Provide 2-3 sentence comparing the positive indicators, as they relate to the state and US.
• If none of the indicators are ‘positive, choose the best of the worst.

Slides 3 & 4: Concerning Health Outcomes

Select four (4) of your community’s most concerning (troubling) health indicators that are worse than the state and US. Choose from among the health, social or economic indicators. (i.e., see ppt table to use).

• Provide a description of each of the four (4) indicators (link on ‘blue’ health indicators in County Health Rankings table that will take you to definitions and descriptions for each.)
• Provide thorough comparison (2-3 sentence) of each (negative) health indicator as compared to the State and US top performer.

Slide 5: Most Urgent Indicator

Analysis of Most Urgent Indicator: From these four (4) concerning health indicators you selected for your community,

• Choose the one most urgent indicator that pertains to teens (population of interest). Explain why, of the 4 problem health indicators you report, you believe this one is the most urgent.

Slide 6: Healthy People 2030

• Link here for an introduction video on HP 2020 (by Dr. Hobby). (Links to an external site.)
• Which Healthy People 2030 goal /objective (one) does this problem health indicator address? Link here for HP 2030 goals and objectives (Links to an external site.) (i.e. once you’re on the HP 2030 home page, > Objectives & Data > Browse Objectives > i.e., for Overweight and Obesity > ‘Reduce the proportion of…’..-NWS-04. 
• Briefly define and summarize the goal. i(.e., paraphrase this from the NWS-04 summary:Many children and adolescents in the United States have obesity. Obesity is linked to a higher risk for diseases and conditions like high blood pressure, high cholesterol, diabetes, asthma, anxiety, and depression. In addition, children with obesity are more likely to be bullied and to have obesity as adults…
• Identify the best objective for your priority (i.e. in above example, one objective might be: “Reduce the proportion of children & adolescents with obesity – NWS-04″ ).
• Identify the baseline (i.e., 17.8 percent of children and adolescents aged 2 to 19 years had obesity in 2013-16).
• Identify the 2030 target (i.e., 15.5 percent).

 (Links to an external site.)

Slide 7: High School Population YRBS findings

Link to CDC’s Youth Online High School Youth Risk Behavior Survey (YRBS). Using one (1) of your most urgent indicator, review data from your state’s Youth Risk Behavior Survey.  (Links to an external site.)(county-level data is not available). The slide 7 will focus on specific high school population aggregate (i.e. group who share a common problem or characteristic) in your state (no county data available).

• (Note: if you want to speed up the video, hover over the bottom right corner and choose the speed. The default is “1.0,” reset it to “1.25” and the speaker seems caffeinated…..). This video is made with the Canvas recording app instead of the UWF recording studio…

:

Download written instructions for finding your YRBS data for slide 7

Actions

PPT: Community Assessment (.txt)

To do for Slide 7:

• Insert screenshot of YRBS table.
• Discuss the relationship between your urgent indicator, HP 2030 objective, and the state’s YRBS survey findings.
• Support your YRBS findings with the urgent indicator.

Slide 8: PH Intervention for YRBS findings:

Think of a PH Intervention you recommend as the next step to promote (for example) physical activity opportunities for the students.

1. Name the (a) specific MN PH intervention you recommend. (b) What level the intervention is (Systems, community, individual/family)? (c) Define the intervention.

Public Health intervention definitions (PDF) (Links to an external site.)

(i.e. Say your state’s high schoolers had a low physical activity rate. A PHN might choose: Community Organizing as the MN PH intervention at the Community level: i.e. The slide recommendation is:

• The PHN will organize a planning meeting with interested stakeholders to discuss active, fun activities for students (the recommended intervention).
  • “the process by which people come together to identify common problems or goals, mobilize resources, and develop and implement strategies for reaching the objectives they want to accomplish” (Center for Community Health and Development at the University of Kansas, 2017).The PH intervention level is community-level, and the PH intervention is community organizing. Community organizing is defined as:

Slide 9: SMART Plan:

Good public health practice requires strong objectives in order to monitor progress toward achieving goals and outcomes. Define a simple SMART intervention plan. Review the following pdf file that briefly explains how to write this. For examples, scroll down the page to a table: Download this pdf: How to write SMART objectives

Actions

Define your intervention as: specific, measurable, achievable, relevant and time-limited. State your plan as a SMART plan: (Specific, Measurable, Achievable, Realistic, Time-scaled) in 2-3 sentences. i.e.,

• (Specific): A committee will be formed to include to include the school’s principal, PE teacher, student body president, parent organization president, resource officer, transportation official, Chamber of Commerce representative, and Public Health RN. The Committee will meet monthly to create a 5K fun run during the spring.
• (Measurable): Two race starts: one for walkers, and, one for runners. Participants will be counted.
• (Achievable): All race expenses will be paid by volunteer donations from local business sponsors.
• (Realistic): Coaches, PHN, and volunteers will define and monitor a 5K route around the school neighborhood.
• (Time-scaled): it will be on a Saturday morning in Spring 2021.

Slide 10: Community Assessment Conclusion

Conclude with a short opinion of your community observations. What were you most surprised to discover about your community? How confident are you in defining a population-of-interest and it’s urgent health indicators?

Slide 11: References slide

List all references used for this ppt project Use APA format order (authors, date, title, etc.). The hanging indentations do not set in some PPT editions. No penalty if margins do not set in APA spacing or hanging indentations. Use APA 7th ed. order to include the ‘doi.’ All other APA7th ed. qualities are required (organization, sentence structure, grammar, spelling). UWF APA 7 libguide

Assignment Prompt

This week’s first assignment is STEP 3 – Literature Review and Critical Appraisal.

The student will complete the following items and submit a Word doc to the assignment link. 

1. Provide a title that conveys or describes the assignment.
2. Introduction
3. Overview of the Problem
4. Project Purpose Statement
5. Background and Significance
6. Literature Review – Provide the key terms used to guide the search for the evidence and provide at least five (5) summaries of research studies to support the evidence.
7. Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and any gaps in knowledge from the research evidence.
8. Conclusion
9. References – Cite a minimum of five scholarly references in APA 6th ed format.

The outline/template for this assignment can be located here. Please use/follow.

Expectations

• Due: Monday, 11:59 pm PT
• Format: Completed paper with references in APA 7th ed. format
• File name: Save the file with Student First Name_Last Name_Part 3

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution
2. Nursing intervention
3. Patient care
4. Health care agency
5. 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.

Post an explanation of your observations of the client in the case study you selected, including behaviors that align to the criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature.

Required Media

Laureate Education (Producer). (2013a). Disruptive behaviors – Part 1 [Multimedia file]. Baltimore, MD: Author. 

A 47-year-old overweight male with a history of arthrosclerosis, diabetes mellitus type 2, and coronary artery disease (CAD) is found by a neighbor unconscious and not breathing in his front lawn where he appears to have been mowing his lawn. He is rushed to a local emergency room where it is determined that he has suffered a massive inferior myocardial infarction. He is sent to the intensive care unit in critical condition where he is placed on advanced life support equipment, and several days later, it is determined that he has minimal brain activity.

1. After hearing her husband’s condition, his tearful wife asks you how it is possible that her husband’s brain might not function if it was his heart that stopped beating. How would you answer?
2. As the next of kin, his wife has the right to make husband’s medical decisions when he is unable to. Because the length of time that this patient was in cardiac arrest appears to have been substantial, the patient’s recovery is highly unlikely. The medical staff gently informs the wife that she has to make a decision regarding his health care: she can withdraw care now or choose to do everything to keep him alive, even though he will most likely die. She asks you what you think she should do. With your knowledge of neurophysiology, how would you answer her?

APA STYLE

3 PARAGRAPHS 3 SENTENCES EACH

2 REFERENCES NOT OLDER THAN 2015

Visit https://www.osha.gov/oshstats/work.html to access data and statistics related to workplace injury and illness. Identify which injuries and illnesses have been declining. 

Read chapter Chapter 31 assignment of the attached textbook, based on this chapter and the webpage above respond to the question below.

1) 400 words— Which injuries and illnesses are on the rise? [except COVID-19] based on https://www.osha.gov/oshstats/work.html

2) 400 words—Speculate at least 3 reasons for the increases and declines in these work injuries.

3) 400 words—What role could nursing play in the increase or decline in these injuries? Example include community and work health education program related to work injuries. 

use APA format and 3 reference