1. Group 2 : 40-year-old black recent immigrant from Africa without health insurance

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

• By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
• How would your communication and interview techniques for building a health history differ with each patient?
• How might you target your questions for building a health history based on the patient’s social determinants of health?
• What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
• Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
• Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
• Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

By Day 3 of Week 1

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

PLEASE ANSWER ALL QUESTIONS AND PROVIDE REFERENCES. LATE ASSIGNMENTS WILL NOT BE ACEPTED. UPLOAD  ASSIGNMENT TO CANVAS. 

1.The nurse working in the cardiac procedures area receives a patient who has undergone a cardiac catheterization via the right femoral artery for evaluation of unstable angina. Prior to the procedure, the patient was NPO for 12 hours, and received a sedative. An IV catheter was placed for administration of the contrast agents and for access in case of an emergency situation. (Learning Objective 6)

1. What is the rationale for assessing distal pulses immediately after the catheterization?

2.What other assessments should the nurse perform to check for arterial insufficiency?

3.The patient asks why he needs to stay in bed with the leg extended for 2 to 6 hours. How should the nurse respond?

4 After the procedure, why is it important to assess the patient’s BUN, creatinine, and fluid volume status?

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

Peers’ Post:

Specific Purpose:    I will persuade my audience to stop smoking in public places.

Central Idea: Stopping public smoking will not only contribute positively to those suffering from secondhand smoke, but it will benefit the environment and community as well.

INTRODUCTION

1. (Attention Getter) William Faulkner once said, “We must be free not because we claim freedom, but because we practice it.” While I agree we all have the right to make our own decisions, it shouldn’t come at the expense of others and their health. From smoking on a crowded sidewalk to smoking in the car with your loved ones in the back seat, these decisions are putting everyone’s health at risk.
2. (Reveal Topic) I’m here to persuade you to think about a simple change that will have a massive impact on the health of our community and our loved ones, to stop smoking in public.

• (Credibility Statement) When I was young, my family traveled all over for my brother’s hockey tournaments. We were very close to another family on the team in which I would often travel with. They were heavy smokers and I would constantly be exposed to secondhand smoke on long road trips. I later learned that those road trips would change the way I live, forever. As a result of that constant exposure, I was diagnosed with chronic asthma. As a result, I cannot even walk up a flight of stairs without becoming winded and having to take a break or using one of my multiple inhalers or nebulizers. In addition, I have done a vast amount of research on the effects public smoking has on our environment and our health.

1. (Preview) People who engage in smoking are well-aware of the risk they are taking by exposing themselves to the chemicals found in tobacco products, but do they know how these chemicals affect others surrounding them? If more people were educated on the harmful effects secondhand smoke causes to innocent bystanders, we may be able to prevent the serious long-lasting conditions related to the chemicals in cigarettes and the environmental effects as well.

(TRANSITION:  The Centers of Disease Control and Prevention (CDC) defines secondhand smoke as smoke from tobacco products, such as cigarettes or cigars, which is exhaled by the person smoking and inhaled by another person (CDC, 2018).

BODY

1. (MAIN POINT 1) Secondhand smoke alone kills an estimated 41,000 adults and children each year related to lung cancer, heart disease and other serious health conditions (CDC, 2018).
   1. (SUBPOINT) According to the CDC, secondhand smoke contains over 7,000 chemicals, in which at least 70 are cancer-causing chemicals (CDC, 2018).
      1. (SUB-SUBPOINT) That is 70 chemicals in each puff that are putting bystanders at risk for serious health conditions they otherwise wouldn’t be at risk for.
      2. (SSP) By making smokers aware of the consequences smoking in public has on the community, we can, hopefully, cut the number of fatalities and health conditions related to secondhand smoke exposure.
      3. (SP) Secondhand smoke affects all ages. The preventable conditions and effects of secondhand smoke differ between children and adults, but both have long lasting consequences. The CDC states:
      4. (SSP) Adults can develop heart disease, lung cancer, and can even be at a higher risk of a stroke or heart attack when exposed to secondhand smoke.
      5. (SSP) . Children are at higher risk of severe and frequent asthma attacks, ear infections, respiratory infections and sudden infant death syndrome (SIDS) (CDC, 2018).

TRANSITION: By eliminating the exposure to these chemicals, we will also limit the number of health conditions that need to be treated.

1. (MP 2) Think of it this way, if you are trying to diet and you throw away all of the junk food in your house, you eliminate the chance of gaining weight from fatty foods, correct? Well, if we eliminate the smoke exposure, we eliminate the chance of those chemicals causing conditions that need to be medically treated and therefore, decrease hospital admissions.
2. (SUBPOINT) A study in Germany in 2004 found that after the public smoking ban in New York in 2003, there was a dramatic decrease in hospital admissions related to myocardial infarctions, or heart attacks, totaling 3813 fewer than the year prior.
3. (SUB-SUBPOINT) That is an 8% decrease that is directly related to positive effects of the smoking ban.

TRANSITION: In addition to the positive health effects on the community, there are environmental positives as well.

III.       (MP 3) Stopping public smoking will contribute to the cleanliness and pollution of our environment and public places.

1. (SUBPOINT) According to the World Health Organization (WHO), there is an estimated 766,571 metric tons of cigarette butts per year littered in parks, beaches, streets, and communities (Paula, S.G. et al., 2019, p. 2,7).
2. (SUB-SUBPOINT) Besides the 7,000 toxic chemicals I mentioned before, cigarette butts are made up of almost all non-biodegradable plastics that take years to degrade.
3. (Sub-sub-subpoint) This negatively affects the environment by the toxic chemicals in the plastic sticking around and polluting the air, soils and waste streams
4. (SSSP) If we control tobacco product waste (TPW) by limiting chances of exposure, the environment will benefit greatly.

CONCLUSION

1. All in all, putting a stop to public smoking has many benefits on the health of the public and the well being of the environment.
2. (Summary Statement) By doing this, it will limit the number of people exposed to secondhand smoke and, therefore, positively enhance the health of the public and the community. Secondhand smoke is known to cause serious health conditions such as lung cancer and heart disease in adults and can be fatal to children and the environment.

• (Memorable Closing Statement) I urge you to care about the wellbeing of those surrounding you, and together we can eliminate the ability to smoke in public places. Inform your local city council, write a letter to your state governor, inform those you know who smoke of the effects public smoking has on your community. Taking these steps can limit the number of health conditions and fatalities related to secondhand smoke and promote a healthier environment for everyone in the community.       

In the response post, critique the outline by providing strengths and areas of improvement based on the quality of the following:

• Introduction
• Body w/ transitions
• Conclusion
• Supporting materials – in-text references and APA citations
• Were you persuaded? How was it or was it not effective?
• Other suggestions for improvement
• Any suggestions you have for smoothing out the content.

This week’s textbook reading presented ethics and legal issues in nursing. What ethical dilemma, encountered in your nursing experience, has affected you most? What have you learned from the situation? 

Low carb diets are believed to have positive effects for weight loss, increased performance, management of diabetes, and even curing cancer.  In the JAMA article, low carb is compared to low fat diets in a 12 month trial.  Discuss the effectiveness of low carb diets in relation to:

1)   Weight changes between a healthy low-fat diet vs a healthy low-carbohydrate diet

2) Genotype pattern and baseline insulin secretion associated with the dietary effects on weight loss

3) Which diet was better for whom?

should be at least 600 words,

typed, double spaced,

with 1 inch margins,

with a half inch indentation for each paragraph.

As a nurse in a healthcare organization, it has become evident that patient outcome data have been consistently declining in some patient care settings. Some of the outcomes under inspection include patient Hospital acquired pressure injury (HAPI), (4 % increase in the last 6 months) .

You have investigated contributing factors to the declining outcomes and participated with a team approach to developing an evidence-based practice project. After reading this article Aiken Article titled “The effects of nurse staffing and nurse education on patent deaths in hospital with different nurse work environment”, PICO: In a healthcare setting, what is the effect of nursing staffing in reducing patient outcomes in HAPI cases? Was developed.

In this assignment, you will complete this evidence-based practice (EBP) proposal using the categories below

• Conceptual and theoretical frameworks (an example of a conceptual model for an EBP project would be the Iowa Model). An example of a theoretical framework (this will support the phenomenon of interest) and if caring was an integral part of the project then Watson’s Model of caring might be a consideration). If a theoretical framework is selected, be sure that the purpose of the framework is discussed in detail, and explain specifically how the framework supports the evidence-based practice project. Do not select a theoretical framework just for the sake of selecting one.
• Methodology
• Evaluation and Analysis.
• Significance and/or implications for practice
• References
• Appendices

Assignment:

Quantitative Research

Write  a fully developed and detailed APA essay addressing each of the  following points/questions. There is no required word count; be sure to  completely answer all the questions for each question in detail.  Separate each section in your paper with a clear heading that allows  your professor to know which bullet you are addressing in that section  of your paper. Support your ideas with at least one (1) source using  citations in your essay. Make sure to cite using the APA writing style  for the essay. The cover page and reference page are required. Review  the rubric criteria for this assignment.

Conduct a literature search to select a quantitative research study  related to the problem identified in Module 1 and conduct an initial  critical appraisal. Respond to the overview questions for the critical  appraisal of quantitative studies, including:

• Is  this quantitative research report a case study, case control study,  cohort study, randomized control trial or systematic review?
• Where does the study fall in the hierarchy of evidence in terms of reliability and risk of bias?
• Why was the study done? (Define the problem and purpose.)
• Were the steps of the study clearly identified?
• What was the sample size?
• Are the measurements of major variables reliable and valid? Explain.
• How were the data analyzed?
• Were there any untoward events during the conduct of the study?
• How do the results fit with previous research in the area? (This may be reflected in the literature review.)
• What does this research mean to clinical practice?

Additionally,  be sure to include the rapid appraisal questions for the specific  research design of the quantitative study that you have chosen. These  can be found in Chapter 5 of the textbook (Melnyk and Fineout-Overholt,  2015). 

This critical appraisal should be written in complete sentences (not just a numbered list) using APA format. 

Provide a reference for the article according to APA format and a copy of the article.

Doctorate degree Nursing program

 In your review of evidence, you locate a quasi-experimental research study as possible evidence to support a practice change. You notice that the study aims to make a prediction that relates to correlation between study variables. The study sample size is large and normally distributed. Reflect upon this scenario to address the following.

· In your appraisal of the evidence, you note that an independent variable is not present and that a Spearman’s ranked correlation is used to analyze data. Is this the correct level of correlational analysis? Explain your rationale.

· Are association and correlational analysis equivalent in determining relationships between variables?

· Do these findings impact your decision about whether to use this evidence to inform practice change? Why or why not?

Reading: 

Polit, D. F., & Beck, C. T. (Eds.). (2017). Nursing research: Generating and assessing evidence or nursing practice (10th ed.). Wolters Kluwer.

· Chapter 16: Descriptive Statistics

· Chapter 17: Inferential Statistics

· Chapter 18: Multivariate Statistics

· Chapter 19: Processes of Quantitative Data Analysis

· Chapter 20: Clinical Significance and Interpretation of Quantitative Result

1 page, single spacing.

at least 2 references (must be within 5 years so between 2015 and 2020) 

Absolutely plagirism free. Please run on turnitin.com

APA (7th ed) format.