Module 4 – Case

FIGHTING CHRONIC DISEASE AND COMMUNITY NUTRITION INTERVENTION

Case Assignment

For this Case Assignment you will expand your understanding of core public health roles; specifically nutrition. Please answer these questions:

1. Discuss the differences in the role of public health in the prevention of infectious diseases and chronic diseases. In your opinion, which will be more important to the health of our nations over the next 20 to 30 years?
2. Discuss and explain the role of prevention in fighting and controlling the spread of chronic diseases and the impact of chronic diseases on health care spending.
3. Discuss the core public health responsibilities and how they have had an impact on nutritional issues in America, including obesity and diabetes. Do you believe that they have been effectively or ineffectively managed by public health agencies? Define and discuss the role of State government in this area and how it differs from that of the Federal government.
4. How do community nutritionists, public health nutritionist, and clinical nutritionist differ?
5. Why is nutrition important in health and disease treatment, control and prevention and how is nutrition related to any of the Social Determinants of Health?
6. Which organizations are involved in public health nutrition? Of the organizations identified which one has the most influence over public policy for public health nutrition? Please justify your response.

Please submit your Case Assignment at the end of Module 4. Please refer to the Trident calendar for exact due dates. Please contact me at any time should you have any questions.

Assignment Expectations

1. You are expected to consult the scholarly literature in preparing your paper; you are also expected to incorporate relevant background readings.
2. Your paper should be written in your own words. This will enable your instructor to assess your level of understanding.
3. In order to earn full credit, you must clearly show that you have read ALL required Background materials.
4. Be sure to cite your references in the text of all papers and on the reference list at the end. For examples, look at the way the references are listed in the modules and on the Background reading list. Remember, any statement that you make that is not common knowledge or that originates from your synthesis or interpretation of materials you have read must have a citation associated with it. For guidelines on in-text citations, visit the following website: https://owl.english.purdue.edu/owl/resource/560/02/
5. Proofread your paper to be sure grammar and punctuation are correct and that each part of the assignment has been addressed clearly and completely.
6. Your assignment will not be graded until you have submitted an Originality Report with a Similarity Index (SI) score <15% (excluding direct quotes, quoted assignment instructions, and references). Papers not meeting this requirement by the end of the session will receive a score of 0 (grade of F). Papers with a lower SI score may be returned for revisions. For example, if one paragraph accounting for only 10% of a paper is cut and pasted, the paper could be returned for revision, despite the low SI score. Please use the report and your SI score as a guide to improve the originality of your work.

Length: Your paper should be 5-7 pages (double-spaced) in length, and include 5-7 peer-reviewed reference citations (excluding title page and references)

Note: Wikipedia is not an acceptable source of information.

 I need this in 120-150 words. No plagiarism please! 

Compare Melnyk’s leveling system with another (ie Johns hopkins) one. What are the key differences?

1) Minimum 10 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page

             Part 5 : minimum 1 page 

             Part 6: minimum 1 page

              Part 7: minimum 1 page

              Part 8: minimum 1 page

             Part 9 : minimum 1 page 

             Part 10 : minimum 1 page  

Submit 1 document per part

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3) It will be verified by Turnitin and SafeAssign

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

Change proposal Issue:  Infection control and prevention in University Plaza Nursing and Rehabilitation center

Topics: cleaning and desinfection; standard precaution and cross contamination

Stakeholder support is necessary for a successful project implementation. Consider your internal stakeholders, such as the facility, unit, or health care setting where the change proposal is being considered, and your external stakeholders, like an individual or group outside the health care setting. 

1. Why is their support necessary to the success of your change proposal, and how you will go about securing that support?

Part 2:

change proposal Issue:  Infection control and prevention in University Plaza Nursing and Rehabilitation center

Topics: cleaning and desinfection; standard precaution and cross contamination

Technology is integral to successful implementation in many projects, through either support or integration or both. 

1. Name at least one technology that could improve the implementation process and the outcomes of your capstone project change proposal. 

2. Do you plan to use this technology? If not, what are the barriers that prevent its use?

Part 3:

1. Describe the characteristics of the aging process. 

2. Explain how some of the characteristics may lead to elder abuse (memory issues, vulnerability, etc.). 

3. Discuss the types of consideration a nurse must be mindful of while performing a health assessment on a geriatric patient as compared to a middle-aged adult.

Part 4:

End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, most elderly people do not die in their own home as is their preference. 

1. What are the reasons for this trend? 

2. Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes. 

Support your response with evidence-based literature.

Part 5:

A 41-year-old obese male patient is diagnosed with congestive heart failure (CHF). He is told to begin a moderate exercise routine with a healthy diet and is prescribed several medications — including a diuretic.

1. Based on your knowledge of the kidney and the disease of CHF, what factors would be important in selecting a specific diuretic? How would you explain to this patient how it works?
2. If this patient developed a disease that caused the renal blood flow to be diminished, how might this impact the medication he is taking for his congestive heart failure? As his health care provider, how would you change his treatment in this situation?

Part 6:

Post your cost comparison document from Unit 2 (See file 1). Assuming you might prescribe this drug for your patient

1. How would you minimize cost or assist the patient in getting the medication at the lowest cost possible. 

2. What resources are available to reduce drug costs? 

3. Find at least 2 resources for free or reduced cost medications and describe them. 

 Part 7:

Polypharmacy is defined as being on 5 or more medicines, and is a major concern for providers as the use of multiple medicines is common in the older population with multimorbidity, and as one or more medicines may be used to treat each condition.

1. Discuss two (2) common risk factors for polypharmacy. Give rationale for each identified risk factor.

2. Discuss two interventions you can take as a Nurse Practitioner in your clinical practice to prevent polypharmacy and its complications.

Part 8:

Health Resources and Services Administration (HRSA) is the primary federal agency for improving access to healthcare by strengthening the healthcare workforce, building healthy communities, and achieving health equity. 

Integrated care involves a team of primary care, dental, and behavioral health practitioners working together using a systematic, cost-effective approach to patient care.

After the reading the following HRSA Report:

https://www.hrsa.gov/sites/default/files/hrsa/advisory-committees/primarycare-dentist/reports/actpcmd-14-report.pdf

Discuss what are the 4 main recommendations given on this report and the rationales for each one (See File 2).

Part 9:

CS/SB 614 authorizes an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

1. Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

 Part 10:

1. What is the difference between high-, middle-, and low-range theories? 

2. Explain your understanding of a middle-range nursing theory. Identify a research study in which a middle-range theory was applied. 

3. Discuss the study results and implications for practice.

Reply1( to the professor)       

Marial,

Thanks for sharing how to be a better listener. Great discussion regarding the role of feelings. Body language is another way to show you are being an active listener and it also is one way to read how well others are listening to us. In terms of listening for content, what are some specific strategies from the book that you can use? Which do you prefer? For instance, do you prefer open ended questions or maybe affirmations? How about the other strategies?

Explain.

Reply2

When engaging in a difficult conversation for the purpose of reaching a resolution for a conflict, it is important to use listening techniques. The use of appropriate and effective listening techniques shows the other party that one has an interest and concern in the conversation. Active listening is a must as it helps to receive important information that is needed to understand meaning of the conversation (Weger Jr., Castle Bell, Minei, & Robinson, 2014). If one is actively listening, one can paraphrase what the other party said. This demonstrates that one is paying attention as one can summarize what was said. This technique should also be in conjunction with emotional labeling (EL). EL can be used to label the other party’s feeling that are expressed. 

1. Identify and issue or concern among community members (e.g. Obesity, access to care, violence, education of youth, etc.)
2. Identify social or political issue that affect this issue and how it relates to health (2 points)
3. Outline 2 specific community based activities 2 address this issue(s) (2 points)
4. Identify 2 ways to promote community engagement (2points)
5. What 2 education resources might the nurse use (2points)
6. What are the roles of a community health nurse can take to help address health issue(s) (2points)

1- Discussion Question: Suppose you are going to conduct a study utilizing Quantitative Research Design: which type of research would you use, and which method would you utilize to collect data? 

2- 3 paragraphs of 3 sentences each

3- APA Style

4- 2 references not older than 2015

PLEASE ANSWER THE QUESTIONS BELOW IN APA FORMAT

INCLUDE AT LEAST 2 REFERENCES AND 2 CITATIONS

EACH ANSWER MUST HAVE AT LEAST 2-3 SENTENCES

THANK YOU

1- What is Policy?

2- Explain each of them:  Public policy—

Private policy—

Health policy—

Social policy—

Organizational policy?

3- Who was F

lorence Nightingale, and what was her contribution to the Nursing Field? 

4- Who was Lillian Wald?

5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?

6_ what is  (ICN), and what they do?

7- What is s (NLCA) and they do?

Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and 

procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient 

as a practice acceptable for nurses to perform. Jeanne 

and some of her coworkers shared their concern over 

lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and 

other potential medical complications resulting from 

this practice. Jeanne gathered data from her state and 

many others states and noted that her hospital was 

not in compliance with her professional organization

practice standards. Jeanne shared this information with her coworkers. She volunteered to contact the 

state board of nursing on their behalf to request a 

declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes. 

Her state board’s clinical practice committee 

reviewed her request for a declaratory statement and 

gathered information from other states. A formal 

declaratory statement was drafted by the board and 

made it available on its Web site. A letter from the 

board was sent to Jeanne’s institution, informing it of 

the declaratory statement, which stated that the task 

nurses were requested to perform was beyond their 

scope of practice based on the Nurse Practice Act.

8-Which stage of the policy model does this scenario 

represent?  

Assignment: Evidence-Based Project, Part 4: Critical Appraisal of Research

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

• Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.
• Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.
• Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

Implicit  bias involves associations outside conscious awareness that leads to a  negative evaluation of a person on the basis of irrelevant  characteristics such as race, age or gender.  The assignment is to take  any one of the Implicit Association Tests (IAT) to measure attitudes and  beliefs you may not know about consciously.  The IAT may be especially  interesting if it shows that you have an implicit bias attitude that you  did not know about.  For example, you may believe that women and men  should be equally associated with science, but your automatic  associations could show that you (like many others) associate men with  science more than you associate women with science 

1.Log on to the Implicit Project:

https://implicit.harvard.edu/implicit/takeatest.html

2.  Follow the directions and take an IAT on a topic of your choice

3.  What did you discover about yourself?

4.  Were you aware of the implicit bias you had toward the characteristic you selected?

5.  How will you use this information to guide your nursing practice?

Scholarly aricle usimg APA format. Please include the doi. No grammar Error.

Read the following vignette about a child with ADHD and answer each of the three questions at the end:

Scott is 8 years old. At 7 AM, his mother looks into Scott’s bedroom and sees Scott playing. “Scott, you know the rules: no playing before you are ready for school. Get dressed and come eat breakfast.” Although these rules for a school day have been set for the past 7 months, Scott always tests them. In about 10 minutes, he is still not in the kitchen. His mother checks his room and finds Scott on the floor, still in his pajamas, playing with miniature cars. 

Ten minutes later, Scott bounds into the kitchen, still without socks and shoes, and hair tousled. “You forgot your socks, and your hair isn’t combed,” his mother reminds him. “Oh yeah. What’s for breakfast?” he says. “Scott, finish dressing first.” “Well, where are my shoes?” “By the back door where you left them.” This is the specially designated place where Scott is supposed to leave his shoes so he doesn’t forget.

Scott starts toward his shoes but spots his younger sister playing with blocks on the floor. He hurries to her. “Wow, Amy, watch this—I can make these blocks into a huge tower, all the way to the ceiling.” He grabs the blocks and begins to stack them higher and higher. “Scott makes a better tower than Amy,” he chants. Amy shrieks at this intrusion, but she is used to Scott grabbing things from her. The shriek brings their mother into the room. She notices Scott’s feet still do not have socks and shoes.

“Scott, get your socks and shoes on now and leave Amy alone!” “Where are my socks?” he asks. “Go to your room and get a clean pair of socks and brush your teeth and hair. Then come eat your breakfast or you’ll miss the bus.”

1. What sort of problems would you expect Scott to have at school? 
2. What are some teachings you might provide for this parent?
3. What interventions would give Scott the best chance of having positive outcomes?