All posts by : chebby

Please see the attachment 

Attached is the template for the care plan that needs to be completed.

This part of the respiratory case study will focus on pediatric asthma. Please answer all questions below. Submit questions with evidenced based literature. Please cite appropriately and include references.

1. Discuss the patho-physiologic changes that occur in the airway of a child undergoing an asthma attack.
2. State the three most common triggers for a child which will an induce an asthma attack.
3. Create a table discussing the four classifications of asthma severity in children.
4. Discuss the difference between a quick acting medication versus a long-term medication in the treatment of pediatric asthma. What effect does each medication have on the lungs? Describe a scenario when a patient would use a short acting medication. Describe a second scenario when a patient would use a long acting medication.

Provide at least 2 scholarly references to support your information. References must be less than 5 years old. Minimum 350 words.  

For Week 2, you will examine how patient factors may influence pharmacokinetic and pharmacodynamic processes of pharmacotherapeutics used in the treatment of cardiovascular disorders.  You also explore ways to improve drug therapy plans for cardiovascular disorders based on patient factors and overall health needs.  

When writing your Week 2 Assignment, consider the following scenario:

Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following:

·  Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun

·  Aspirin 81 mg daily

·  Metformin 1000 mg po bid

·  Glyburide 10 mg bid

·  Atenolol 100 mg po daily

·  Motrin 200 mg 1–3 tablets every 6 hours as needed for pain

Must use 3 references from 2015 or newer

MUST BE APA 7 FORMAT

ATTACHED RUBRIC MUST BE FOLLOWED AND PROPER ENGLISH MUST BE USED…..

Evidence-based clinical practice guidelines are fundamental to clinical practice, as they assist providers with clinical decision making.  I have attached some applicable guidelines below for your reference.  

Have a great week!

2017 ACC-AHA Guideline Mgmt HTN in Adults.pdf 

2018 AHA-ACC Guideline on Mgmt Blood Cholesterol.pdf 

2017 ACC-AHA-HFSA Guideline Mgmt HF.pdf 

ASH 2018 Guidelines Mgmt of VTE_Optimal Anticoag.pdf 

2019 AHA-ACC-HRS Guideline for Mgmt A Fib.pdf 

2017 AHA-ACC Guideline Mgmt Valvular Heart Disease.pdf 

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your capstone project change proposal. Do you plan to use this technology? If not, what are the barriers that prevent its use?

 Infant, childhood, and adolescent development are a continual interplay between nature (genetic or biologic predisposition) and nurture (environmental experiences). The nature/nurture continuum and debate will always be a part of your career as a PMHNP.  Knowing common developmental milestone is important in the role as a child provider. Not only is it essential to the diagnostic process, but it is also important to the interdisciplinary interactions with other mental health professionals. The study of normal developmental processes, however, is only one tool that allows the mental health professional to understand the child being evaluated. There are many different assessment instruments and interviewing techniques that PMHNPs can have in their toolkit when working with children and adolescents.

In this Discussion, you examine the differences in assessing and treating children and adolescents versus adults. You take into consideration your own clinical experiences, as well as your experiences in your clinical rotation, and the information from the readings thus far.

Learning Objectives

Students will:

• Analyze the importance of developmental assessments
• Analyze assessment instruments used for evaluating children and adolescents
• Analyze treatment options used for children and adolescents
• Analyze roles parents play in assessment and treatment

To Prepare for the Discussion

• Review the Learning Resources concerning psychiatric assessments and assessment tools.

Post your answers to the following:

• Explain why a developmental assessment of children and adolescents is important.
• Describe two assessment instruments and explain why they are used for children and adolescents but not adults. 
• Describe two treatment options for children and adolescents that may not be used when treating adults.
• Explain the role parents play in assessment and treatment.

PUBLIC HEALTH, EPIDEMIOLOGY, AND HEALTH STATISTICS

Required Reading

Fojo, A. T., Stennis, N. L., Azman, A. S., Kendall, E. A., Shrestha, S., Ahuja, S. D., & Dowdy, D. W. (2017). Current and future trends in tuberculosis incidence in New York City: a dynamic modelling analysis. Lancet Public Health, 2(7), e323-e330. Obtained from Trident Online Library. PLEASE SEE ATTACHMENT REGARDING THIS TOPIC

Lewinsohn, D. M., Leonard, M. K., LoBue, P. A., Cohn, D. L., Daley, C. L., Desmond, E., … & Woods, G. L. (2017 January 15). Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention clinical practice guidelines: Diagnosis of tuberculosis in adults and children. Clinical Infectious Diseases, 64(2), 111-5. Accessed from LINK:https://academic.oup.com/cid/article/64/2/111/2811357

Shrestha, S., Hill, A. N., Marks, S. M., & Dowdy, D. W. (2017 October 15). Comparing drivers and dynamics of tuberculosis in California, Florida, New York, and Texas. American Journal of Respiratory and Critical Care Medicine, 196(8), 1050-1059.  Obtained from Trident Online Library. PLEASE SEE ATTACHMENT REGARDING THIS TOPIC

Stewart, R.J., Tsang, C.A., Pratt, R.H. Price, S.F., & Langer, A.J. (2018). Tuberculosis – United States, 2017. Morbidity and Mortality Weekly Report, 67, 317-323. Retrieved from LINK:https://www.cdc.gov/mmwr/volumes/67/wr/mm6711a2.htm

World Health Organization. (2017). Ethics guidance for the implementation of the End TB strategy. Retrieved from http://apps.who.int/iris/bitstream/10665/254820/1/9789241512114-eng.pdf?ua=1

Optional Resources

Centers for Disease Control and Prevention (2018). Tuberculosis (TB). Division of Tuberculosis Elimination, U.S. Department of Health & Human Services. Accessed at http://www.cdc.gov/tb/

Centers for Disease Control and Prevention (2017, July 26). 5 things to know about TB . Available from LINK: https://www.youtube.com/watch?v=wA_fObLY6GE&list=PLvrp9iOILTQbLgGgFba6x9cwBZT3GfQMV

Purdue Online Writing Lab. (2018). General format. Retrieved from LINK:https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html

Purdue Online Writing Lab. (2018). In-text citations: The basics. Retrieved from LINK:https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/in_text_citations_the_basics.html

Purdue Online Writing Lab. (2018). Reference list: Basic rules. Retrieved from LINK:https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_basic_rules.htm

HOMEWORK ASSIGNMENT

PUBLIC HEALTH, EPIDEMIOLOGY, AND HEALTH STATISTICS

Case Assignment

In Module 1, you will establish the foundation for the report by applying what you learned from your Public Health, Epidemiology, and Health Statistics courses to do the following:

1. Describe the epidemiology of tuberculosis.
2. Identify three factors (social, economic, and/or political) that have contributed to the global resurgence of TB.
3. Compare and contrast statistics regarding tuberculosis globally, in the United States, and in your state (identify the state about which you are writing).
4. Summarize continuing challenges to TB control in the United States.

Length: 4 pages, excluding title page and references.

Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should also follow these Assignment Expectations.

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
4. What health promotion activities are often practiced by this group?
5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

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. 

Minimum of 250 words with at least 1 peer review reference in 7th edition apa style

 The sample size of a study can be problematic if it is too small or too large. Explain why this is the case.  

 Research Topic and Outline

1. The final project for this course is a Research Paper. The first two assignments will help you find the tools needed to prepare and gradually build your final research paper. The research paper for this course will be argumentative. The argumentative research paper requires you to take a position on an issue and support the position with persuasive facts and statements.
2. First, select a Research Paper TOPIC that can be assessed using health care economics principles.

The following topics the issue you are going to discuss.

• Impact of diabetes on healthcare costs

1. Second, provide your research paper with the following OUTLINE (Your final paper assignment should include a detail explanation of this outline):

a. Introduction -Your introduction should give a brief overview of the topic you are going to discuss. The last sentence of your introduction section should be your thesis statement. Your thesis statement should start with – The purpose of this paper is to…..

b. Body of paper – The body of your paper should organize how you plan to address each required section of the paper. Each supporting item is then broken down into smaller supporting items.

• An overview of the issue
• Why is this issue a concern from a health care economics perspective?
• Who are the major parties involved in this issue?
• Which market forces have an impact on this issue?
• How is demand illustrated in this issue?
• How is supply illustrated in this issue?
• How has the affordable care act impacted this issue?
• How are health disparities demonstrated in this issue?
• How has this issue been improved in other global markets?
• What is your recommendation for making improvements based on economic principles?

c. Conclusion – The conclusion of your paper should summarize your thesis statement and the supporting items discussed in your paper. In this outline, please indicate what you expect the finding to be.

d. References – Provide list of five (5) bibliographic references (using APA format). Your final research paper will require seven (7) bibliographic references. (You may use your textbook as a reference and you should have a minimum of 6 academic outside references including 3 peer-reviewed journal articles