Discuss communicable diseases.

Report Issue

Write a paper (2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the following list:

1. Chickenpox

2. Tuberculosis

3. Influenza

4. Mononucleosis

5. Hepatitis B

6. HIV

7. Ebola

8. Measles

9. Polio

10. Influenza

Epidemiology Paper Requirements

Address the following:

1. Describe the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.

2. Describe the determinants of health and explain how those factors contribute to the development of this disease.

3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle). Are there any special considerations or notifications for the community, schools, or general population?

4. Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).

5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

 

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Discuss the essentials of nursing research.

Unit 2 Class Participation: Polit and Beck (2018), Chapter 2

1. The highest potential points for in-class participation are 5-points. Please use these guidelines for online participation.

  1. To earn points for weekly class participation, you must submit a one paragraph (100-125 words) summary of one of the required Polit and Beck (2018) readings from each unit.
  2. APA format is not required, but the material must be paraphrased, cited, and referenced. The citation and reference will always be Polit and Beck (2018). 

Textbook:

ISBN:

978-1-4963-5129-6

Polit, D. E & Beck, C. T. (2018). 

Essentials of nursing research: Appraising

evidence for nursing practice

(9th. ed.). Philadelphia, PA: Wolters Kluwer 

3.Include the page number(s) you found the material on in your citation.

4.Put your name, date, and unit number at the top of the paper, immediately followed by the summary and then the reference.

5.All of the above should be submitted on one page.  

 

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Discuss the concept of health literacy.

Health literacy is not simply the ability to read health information. The National Institutes of Health defines health literacy as the ability to read, comprehend, and analyze information; decode instructions, symbols, charts, and diagrams; weigh risks and benefits; and ultimately make decisions and take action.

After the reading the following HRSA guideline https://www.hrsa.gov/advisorycommittees/bhpradvisory/actpcmd/Reports/twelfthreport.pdf

Discuss how shared decision making , motivational interviewing, and best practices of models of care can improve the health literacy of a especial popualtion ( elderly)

 Should be a minimum of one short paragraph and a maximum of two paragraphs.  Word totals should be in the 100-200 words range.   Include a reference, link, or citation when appropriate. APA 6th edition format for references as well as in-text citations is expected. 

 

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Discuss the steps of the EBP process.

The first step of the EBP process is to develop a question from the nursing practice problem of interest.

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.

Suggestions for locating qualitative and quantitative research articles from credible sources:

  1. Use a library database such as CINAHL Complete for your search.
  2. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.
  3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.

To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.

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.

 

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Discuss expected client behaviors, while differentiating between normal findings, variations, and abnormalities.

CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)

CO3 Utilize effective communication when performing a health assessment. (PO 3)

Your home health agency has received an order from a local hospital to evaluate and treat an elderly woman being discharged from its medical surgical unit.

Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs).

Medications:

Lopressor

Lisinopril

Plavix

Metformin

Novolin R per sliding scale *NEW*

Multivitamin

Colace

Zithromax *NEW*

Upon arrival you are greeted by Champ, the couple’s rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple’s lunch.

Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home.

What, if any, concerns related to Millie’s skin and nutritional status do you have?

What nursing interventions will you include in the plan of care to address these concerns?

What teaching strategies will you use to educate Millie and Fred on the new medications?

Using the SBAR, please include the information that you will communicate to the physician’s office at the completion of the visit.

Professors advise: “This scenario is not such an unusual one.  While people are living longer and many times maintain independence into their 80’s, their situations can be tenuous at best.    If you were caring for this couple, what would your concerns be?   Be creative with your responses.”

 

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Discuss the necessity of comprehensive exams in Women’s health.

Comprehensive exams in women’s health need to

As with any assessment, the chief complain is often what drives what our questions are and what clinical pathways we explore.  With women’s health that approach is not any different, as we need to explore the “what was”, “what is” and “what will be” for the patient.  The comprehensive assessment is one that is longer in nature and normally saved for the first visit, as if this patient will be a returning patient a more focused examine comes during their following appointments.  The follow is a “blanket” comprehensive assessment that can be tweaked for any patient (Elson, 2008);

  1. Chief complaint (is this a focused complaint or a first meeting or annual meeting)
  2. History of present illness
  3.  Menstrual History
    1.  Age at menarche
    2. Last menstrual period
    3. Menstrual characteristics
      1. Length
      2. How long is flow
      3. Amount of flow
  4. Other symptoms? (breast tenderness, pelvic pain, etc)5
  5. Pain?
  6. Intermenstrual bleeding
  7. Perimenopause/menopause
    1. Bleeding pattern
    2. Vasomotor symptoms
  8.  Contraception
    1. Current method; is it working?
    2. Previous method; any complications and reason for change
  9. Cervical and vaginal cytology
    1. Results and date of most recent pap
    2. Hx of abnormal paps? Why? Treatment?
  10.  Infections
    1. Hx of STD?
    2. Hx of vaginitis (types, frequency and treatment)
    3. Hx of PID
  11.  Fertility/infertility
    1. Any desire for future?
    2. Difficulty conceiving? Treatments in past?
  12. Sexual hx
    1. Type
    2. Concerns about libido, orgasm, dyspareunia
    3. Any hx of abuse? Assault?
  13. Obstetric hx
    1. Describe each pregnancy and outcome
    2. Any maternal, fetal or neonatal complications?
  14. Past medical history
    1. Current and past illnesses
    2. Hospital admissions
    3. Surgical hx
      1. GYN and Non-gyn
    4.  Medications/allergies
      1. OTC, prescribed, herbal
      2. Allergies to meds, food, environment and reactions?
  15. Family hx
    1. Significant illnesses of family
    2. Hereditary concerns
  16. Social hx
    1. Relationship status
    2. Level of education
    3. Occupation
  17. R.O.S.
  18. Abdomino-pelvic
    1. GYN
    2. GI
    3. GU
  19. Breast
  20. Others

18.Health Maintenance

  1. Smoking, alcohol use, drug use
  2. Diet
  3. Supplement intake
  4. Exercise
  5. Regular screenings (mammo, pap, colonoscopy)
  6. Immunizations and dates

Health maintenance is very important for all ages when related to women’s health.  The following are some ideas of health maintenance for each age group (Well-Woman Recommendations, 2018);

  1. Adolescents
    1. If sexually active the patient should have discussion with provider on sexually transmitted diseases and contraceptive use
    2. Drugs and alcohol use
    3. Peer pressure with sexual situations
  2. Childbearing
    1. Annual blood work to identify challenges in anemia, TSH, Cholesterol and minerals.
    2. Breast self-awareness
    3. Reproductive health plan
    4. Imitate partner violence
  • Peri-menopausal
    1. Hormone therapy
    2. Mammograms
    3. Advance directives
    4. Problems with sexual encounters (pain, dry, etc)
  1. Menopausal
    1. Sleep patterns
    2. Changes of the body (hair growth, hormonal changes, sexual changes)
    3. Breast self-awareness
  2. Geriatric Women
    1. Sexual function
    2. Injury prevention
    3. Neglect/abuse

Elson, N. B. (2008, July). The Gynecologic History and Examination. Retrieved from The Global Library of Womens Health: https://www.glowm.com/section_view/heading/TheGynecologicHistoryandExamination/item/3#3521

Well-Woman Recommendations. (2018, January 5). Retrieved from The American College of Obstetricians and Gynecologists: https://www.acog.org/About-ACOG/ACOG-Departments/Annual-Womens-Health-Care/Well-Woman-Recommendations?IsMobileSet=false

 

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Discuss the prevalence of Diabetes in America.

Discussion: Diabetes

According to the American Diabetes Association (2011), 25.8 million children and adults have been diagnosed with diabetes in the United States. Approximately 2 million more are diagnosed every year, with another 79 million people considered to be in a pre-diabetes state. These millions of people are at risk of several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. Since diabetes has a major impact on the health of millions of people around the world, it is essential for nurses to understand the pathophysiology and associated alterations of this disorder. In this Discussion, you compare two types of diabetes—diabetes mellitus and diabetes insipidus.

To Prepare

· Review Chapter 19 in the Huether and McCance text and Chapter 18 in the McPhee and Hammer text. Identify the pathophysiology of diabetes mellitus and diabetes insipidus. Consider the similarities and differences between resulting alterations of hormonal regulation.

· Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Think about how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

Write

· an explanation of the pathophysiology of diabetes mellitus and diabetes insipidus. (I am looking for an explanation at the cellular or molecular level (whenever possible).

· Describe the differences and similarities between resulting alterations of hormonal regulation.

· Then explain how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

American Diabetes Association. (2011). Diabetes statistics.  Retrieved from http://www.diabetes.org/diabetes-basics/diabetes-statistics/

Points to follow when writing a paper:

· Please all bullets points, bold, red and highlighted area must be attended to.

· A clear purpose statement (The purpose of this paper is to…) is required in the introduction of all writings.

· Please review all rubrics.

· Check APA format/setting.

· Your final paragraph should be a summary of the key points of your paper.

· Please personalized where necessary.

Refrain from direct quote

Class Rules

Avoid public facing sites like university web pages or foundation pages (such as the American Cancer Society or the Alzheimer’s Association) and medical sites designed for consumption by the general public (such as Mayo Clinic or WebMD).

you are required to cite scholarly resources including peer-review journals and current practice guidelines

 May use https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/index.html  

Writer must be familiar with nursing pharmacology

 see class rules

cite scholarly resources including peer-review journals and current practice guidelines

 Please all bullets points, bold, red and highlighted area must be attended to.

 A clear purpose statement (The purpose of this paper is to…) is required in the introduction of all writings

Rules for writing (FYI)

Whether writing a discussion posting or a paper, keep a few things in mind—

1) I am looking for an explanation at the cellular or molecular level (whenever possible).

2) I am not looking for pathophysiological explanations that we would give to patients (e.g. “your heart just isn’t pumping the right way). While this explanation is acceptable for patient teaching, it will not cut it in a course titled “advanced pathophysiology.” To be very specific- I am looking for you to tell me the precise aberrancies (or theorized aberrancies) which inexorably lead to disease states. Thanks.

 

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Discuss the prevalence of diabetes.

Discussion: Diabetes

According to the American Diabetes Association (2011), 25.8 million children and adults have been diagnosed with diabetes in the United States. Approximately 2 million more are diagnosed every year, with another 79 million people considered to be in a pre-diabetes state. These millions of people are at risk of several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. Since diabetes has a major impact on the health of millions of people around the world, it is essential for nurses to understand the pathophysiology and associated alterations of this disorder. In this Discussion, you compare two types of diabetes—diabetes mellitus and diabetes insipidus.

To Prepare

· Review Chapter 19 in the Huether and McCance text and Chapter 18 in the McPhee and Hammer text. Identify the pathophysiology of diabetes mellitus and diabetes insipidus. Consider the similarities and differences between resulting alterations of hormonal regulation.

· Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Think about how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

Write (Plz include sub heading when writing)

· an explanation of the pathophysiology of diabetes mellitus and diabetes insipidus. (I am looking for an explanation at the cellular or molecular level (whenever possible).

·  Describe the differences and similarities between resulting alterations of hormonal regulation. 

· Then explain how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

 

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Discuss the recommendations for improvement in end of life management focuses on practice, education, research, and administration.

Submit Part One Portfolio due 02/02/19

3 .Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.

Practice 

1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families. 

2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others. 

3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death. 

4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified. 

Education 

1. Those who practice in secondary or tertiary palliative care will have specialist education and certification. 

2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula. 

3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available. 

4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families. 

Research 

1. Increase the integration of evidence-based care across the dimensions of end-of-life care. 

2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal. 

3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life. 

4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments. 

5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices. 

Administration 

1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families. 

2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care. 

3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury. 

4. Support the development and integration of palliative care services for all in- and outpatients and their families. 

Discussion Board Question 2: End of Life Care.

Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management.

 

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Discuss cultural competency in mental health nursing.

Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper allows you to explore best practice and help improve client outcomes on a psychiatric unit. Your paper should describe how you, as a nurse, will include – or have included – cultural awareness in a client diagnosed with a mental illness. The person you describe could be someone in your clinical setting, someone you have worked with in the past, or a theoretical client.

Remember that culture can also include gender equality, sexual orientation, and other cultures besides race and religion – including cultures unique to one particular family. Your paper should be at least 3 pages (double-spaced, not including the title or reference pages) in APA Format and include:

  • Assessment: Discuss what you would assess in regard to a client’s culture. For example, are there specific dietary requirements? Are schedule changes necessary to avoid conflicts with religious practices? Who is the spokesperson for the family? What would you assess?
  • Diagnosis: List any mental health nursing diagnoses this person has or may be at risk for. Include at least one cultural diagnosis.
  • Planning: What planning needs to be done to ensure the cultural and emotional safety of the client?
  • Implementation: What are interventions that would ensure the safety of your client in regard to culture? Include at least two interventions. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure the client’s safety? What can you do to make sure the client’s cultural needs are met?
  • Evaluation: How will you evaluate whether your implementation was effective? Make sure the parameters are objective and measurable.
  • In your summary, discuss whether any completed interventions were successful. What could be done differently in the future? If the interventions have not yet been carried out, you might discuss some institutional changes that could be made to ensure cultural safety for all clients in that setting.

Your paper should utilize proper APA guidelines and include at least three scholarly sources to support your paper. A scholarly source is a source that has been peer reviewed and has appropriate authors that are credentialed. For more information on APA, please visit the Online Library.

  • Posted: 8 Months Ago
  • Due: 20/01/2019
  • Budget: $10
 

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