In a Microsoft Word document of 4-5 pages formatted in APA style, complete the following assessments (as they pertain to your aggregate) by interviewing 2-3 members of your aggregate:

• Environment (Comprehensive Occupational and Environmental Health History)
•  Home (from lecture in class)
• Family (Friedman Family Assessment)
• Risk assessment (from lecture in class describe risks for your aggregate based on local statistics and services available)

Describe the results of the assessments, including examples and support from journal articles, following the guidelines below:

Risk Assessment

• How Environment was Assessed
• How the Home was Assessed
• How the Family was Assessed
• Risk Assessment

Strengths and Weaknesses

• Strengths of Community
• Weaknesses of Community
• Strengths of Aggregate
• Weaknesses of Aggregate
• Health Risks of Aggregate Identified

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Please note that the title and reference pages should not be included in the total page count of your paper

Nursing Article Summary

Track your nutrition for at least 3 days. Try to include everything you have eaten. Then print out the report and attach. At the bottom of the bottom of the exercise diary click print full report, then select date range. Along with the 1 page reflection below.

Watch video and review links for assistance

Then write 1 page on how you are or are not meeting MyPlate guidelines.

What barriers are you experiencing?

What tips would you give others?

Do you think your culture plays a role in your nutrition?

How is your nutrition influenced by the socio-ecological model?

When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.

In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.

To Prepare:

• Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.
• Review the health policy you identified and reflect on the background and development of this health policy.

By Day 3 of Week 7

Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.

This also comes with two posts that will each need a reply and at least two references all in APA 7 format. the rubric is attached below please meet the standards.  

Discussion 1 TY

Health Policy: COVID Research Act of 2020

MAIN QUESTION POST- Health policy is essential in nursing. According to Liao (2019), “policies reflect public opinion as well as evidence-based data” (p.90). The health policy I want to discuss is the COVID Research Act of 2020 or also known as the Computing Opportunities to Vanquish Infectious Diseases Research Act of 2020 (“H.R.6599 – 116th Congress (2019-2020): COVID research Act of 2020,” 2020). This policy is to help address the issue of infectious diseases and how to prepare for them. COVID-19 has taken a toll on the health and economy throughout the world. This policy would create a group to be responsible for dealing with pandemics.  A group to prepare for pandemic outbreaks and to help create strategies to address challenges during a health crisis is essential (“H.R.6599 – 116th Congress (2019-2020): COVID research Act of 2020,” 2020). Using evidence-based research will allow this policy to help prepare for upcoming pandemics.

I believe there is no better time in society to address this policy than now. The research done by healthcare professionals can help policymakers understand essential information (Hebda, 2019). APRNs and research groups can work together to help address and improve health policies. With COVID-19 being a significant concern, this supports why this policy needs addressed. Evidence-based research is required to help create a plan of action for the current and emerging pandemics. By creating a group dedicated to this policy will help the overall health of the population. For example, there is a need for a vaccine for COVID-19. With this policy in place, they could have predicted COVID-19 and been preparing a vaccine. Research on the spread and severity could have begun before the COVID-19 pandemic and helped decrease worldwide exposure rates. There is strong evidence to support the COVID Research Act of 2020 based on the worldwide pandemic status. Throughout history, pandemics have taken a toll on the health of the country. For example, the Influenza pandemic has led to annual flu shots starting in October (the peak season).  The COVID Research Act of 2020 health policy would benefit healthcare now and in the future.

References

Hebda. T.. (2019). The impact of EHRs, big data, and evidence-informed practice. In J. A. Milstead,  & N. M. Short (Eds.), Health policy and politics: A nurse’s guide (6th ed., pp 133-150). Burlington, MA: Jones & Bartlett Learning

H.R.6599 – 116th Congress (2019-2020): COVID research Act of 2020. (2020, April 23). Congress.gov | Library of Congress. https://www.congress.gov/bill/116th-congress/house-bill/6599?q=%7B%22search%22%3A%5B%22health+policy%22%5D%7D&s=3&r=86 

Liao, C. (2019). Public policy design. In J. A. Milstead,  & N. M. Short (Eds.), Health policy and politics: A nurse’s guide (6th ed., pp 87-99). Burlington, MA: Jones & Bartlett Learning

Discussion 2 ML

Week 7 Discussion Post

            I found and reviewed the Sexual Assault Victims Protection Act of 2019 on the congress.gov. The summary includes,

“This bill requires the Department of Health and Human Services (HHS) to conduct a series of activities relating to sexual assault evidence and treatment. Among other things, HHS must establish a task force to improve forensic evidence collection related to sexual assault, maintain a website with resources and best practices related to the treatment of individuals for sexual assault, and host an annual meeting to address gaps in health care relating to sexual assault. In addition, the Centers for Medicare & Medicaid Services must require Medicare-participating hospitals, in their community call plans relating to on-call coverage, to specifically delineate coverage responsibilities with respect to screening and treatment related to sexual assault.”( Congress,2020).

As a nurse in the emergency room I find that this proposed health policy would be beneficial in the way healthcare teams are required to treat possible sexually assault victims. I know that my hospital in the past did not have any specially trained individuals to conduct the assessment and collection of forensics in these cases. With this being the case, nurses were not comfortable at doing this and things could get missed or mishandle with patient. Policy and procedures have changed for much improvement in this practice that now we have SANE nurses who conduct all assessments and collection of forensics. “Sexual Assault Nurse Examiners (SANE) are registered nurses who have completed specialized education and clinical preparation in the medical forensic care of the patient who has experienced sexual assault or abuse. “(International Association of Forensic Nurses,2014-2020). I believe that there is evidence based on the need for the policy and changes in the health care practice from personal experience. For example, I had a pediatric patient in ER that mother brought in with possible sexual abuse. I do not feel properly trained to conduct this investigation on this child and would not want to say or do the wrong thing during such a sensitive time. At that point I call the SANE nurse on call that comes in and does everything needed for that patient. Even the provider does not go see the patient before the SANE nurse arrives and collection all information and data. Having policies in place for facilities to provide access to specialty trained nurse will provide better patient care and less traumatic care.

References

Congress.gov. (2020). H.R.4758 – Sexual Assault Victims Protection Act of 2019. Retrieved on October 11, 2020 from  https://www.congress.gov/bill/116th-congress/house-bill/4758/all-info?r=5&s=7

International Association of Forensic Nurses. (2014-2020). Sexual Assault Nurse Examiners. Retrieved on October 11, 2020 from https://www.forensicnurses.org/page/aboutSANE

Using Health Education and Groups in the Community

Consider and discuss the learning needs of the following clients:

1. An individual who has recently been diagnosed with lung cancer.
2. A family caring for an elderly individual with Alzheimer’s disease.
3. A community in which adolescent cigarette smoking is on the rise.

Module 4 Discussion

Nicole Bachich

St. Thomas University

This patient is a 75-year-old woman who presents with complaints of chest pain. Chest pain is a common presenting symptom with various causes (Ayerbe, González, Gallo, Coleman, Wragg, & Robertson, 2016). This patient’s chest pain began when she was walking up the steps and at that time, she rated it an 8 out of 10. In order to collect more subjective data, I would ask this patient to describe her pain in more detail. First, I would ask her to describe the pain. This patient described her pain as burning or aching. I would want to know if the burning, aching pain was constant or if it would come and go. The patient denied that the pain radiated to her arm, but I would ask if it radiated to the upper chest. I would ask her if she was diaphoretic when the pain occurred. I would also ask the patient if laying down caused more pain. Other questions to ask this patient would be if she took anything to try and relieve the pain and I would ask her about any drug or alcohol use in her present or past. Cocaine use can cause coronary spasms (Rhoads & Wiggins Petersen, 2021). I would also ask the patient if she has a history of anxiety.

When conducting the physical assessment on this patient I would gather more objective data. I would assess the patient’s skin color, mucous membranes, and lips to assess for cyanosis or anemia. I would assess her skin temperature as well and check to see if she was diaphoretic. I would also assess the patient’s eyes and check for Xanthelasmas and any skin or nail changes, which may be present in a patient with angina (Zitkus, 2010). Changes in skin texture and hair distribution may also be present in peripheral vascular disease.

The diagnostic tests that I would order would be an electrocardiogram (ECG), a troponin I level, an X-Ray of the digestive system and chest, and an endoscopy. The ECG and troponin lab would be done to rule out any cardiac abnormalities or if the patient may have had a myocardial infarction, and this patient does not appear to be in acute cardiac distress. The other tests would be done to assess for a possible gastrointestinal cause for her chest pain. Non-cardiac chest pain can cause angina like pain in patients without heart disease.

Three differential diagnoses that I would give for this patient are Gastroesophageal reflux (GERD), esophageal motility disorders, and gastric ulcer. I believe that this chest pain is related to a gastrointestinal cause because gastrointestinal pain can be described as a burning sensation in the middle of the chest (Rhoads & Wiggins Petersen, 2021). However, thee diagnoses can only truly be made after ruling out any cardiac related chest pain, as cardiac related chest pain caused by a myocardial infarction may have similar symptoms (Frieling, 2018). GERD is a common cause of non-cardiac related chest pain, and it is attributed to up to 60% of non-cardiac chest pain diagnoses (Frieling, 2018).

References

Ayerbe, L., González, E., Gallo, V., Coleman, C. L., Wragg, A., & Robson, J. (2016). Clinical assessment of patients with chest pain; a systematic review of predictive tools. BMC cardiovascular disorders, 16, 18. https://doi.org/10.1186/s12872-016-0196-4

Frieling, T. (2018). Non-Cardiac Chest Pain. Visceral Medicine, 34, 92-96. doi: 10.1159/000486440

Rhoads, J., & Wiggins Petersen, S. (2021). Advanced Health Assessment and Diagnostic Reasoning. Burlington, MA: Jones and Bartlett Learning.

Zitkus, B. (2010). Assessing chest pain accurately. Nursing2010, 40, 1-6 doi: 10.1097/01.NURSE.0000389904.40627.35

Global Healthcare Leadership

Porter-O’Grady and Malloch (2018) observed, “Globalization has created a world community and removed traditional boundaries between people, be they political, social, or physical” (p. 9).

Select one of the boundaries (political, social, or physical) and address the following.

·  How does the boundary affect your practice or have the potential to affect your practice? Provide examples.

·  As a leader, how can you have an impact on overcoming that boundary? Provide examples.

·  What interprofessional relationships can you foster that can contribute to overcoming the boundary? Be specific and provide rationale.

·  How will you leverage resources to overcome the selected boundary?

Reading

elson, E. C., Batalden, P. B., & Godfrey, M. M. (2007). Quality by design: A clinical microsystems approach. Jossey-Bass.

·  Chapter 7: Planning Patient-Centered Care, pp 148-164.

Supplementary Readings:

Marshall, E. S. & Broome, M.E. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). Springer Publishing Company.

·  Chapter 4: Economics and Finance, pp. 87-115

Wakefield, M. F. (2018). Nurse leadership in global health: New opportunities, important priorities (Links to an external site.). International Journal of Nursing Sciences, 5(1), 6-9. https://doi.org/10.1016/j.ijnss.2017.12.002 (Links to an external site.) 

What’s good or bad about bacteria

its 2 different assignments ill be paying for both , you can pick a topic common in the medical field.

Can’t I just eat healthy and lose weight?  Can’t I just exercise for 150 minutes a week and lose weight?  Is there a connection between the 2?  Read the article below and comment on the following:

1) What is metabolic syndrome?

2) Which intervention worked best, and what are the proposed guidelines for the populations mentioned?