Environmental Epidemiology Assessment

Define the following terms: (15 points) 

Environmental epidemiology:  
Natural experiment: 
Descriptive epidemiology:  
Odds ratio: 
Relative risk:  

Explain the work of John Snow using the methodology of the natural experiment. (10 points)
List the reasons why epidemiology is important to research studies of environmental health. What are some of the important limitations of the epidemiologic approach with respect to the study of environmental health problems? (15 points)
Explain how ecologic analysis is used to study the health effects of air pollution. Provide examples of uncontrolled factors that may affect ecologic study results. (15 points)
Describe the importance of the contributions of Sir Percival Pott to environmental health, particularly in the field of cancer prevention. (10 points)
Describe Hill’s criteria for disease causality. (10 points)
Explain the epidemiologic triangle and how it can be applied to environmental health. (10 points)
Explain the difference between descriptive and analytic epidemiology. Provide examples of how both types of study design are utilized in the field of environmental health. (15 points)

QUESTION

Nursing program-Article summary and review essay

Ethics in Healthcare

Your 1 page paper should include adhere to APA formatting and references/ citations for the article.

Croke, E. (2006). Nursing malpractice: determining liability elements for negligent acts. Journal of Legal Nurse Consulting, 17(3), 3.

Link: Nursing malpractice: determining liability elements for negligent acts

Essay Prompt: Identify primary problems that led to the malpractice suits (Croke, 2006), and identify the role the nurse played and what thenurse did wrong.

I attached the article

nr512 week 1 discussion dq 1& dq 2 latest 

 dq 1 Nursing Informatics (graded) Based on your readings this week, how has your impression of informatics, especially nursing informatics, changed?



dq 2 Integration of Nursing Informatics Skills and Competencies (graded) Reflect on your own practice. Explain how much informatics you use in a shift or day of work.

  nr512 week 2 discussion dq 1& dq 2 latest 2016 july

dq 1 Transformation From Data to Information to Knowledge to Wisdom (DIKW) in Practice (graded) Describe a nursing-practice situation in which you experienced the transformations of DIKW.

dq 2 Wisdom Versus Judgment (graded) How does the concept of wisdom in nursing informatics compare to the concept of professional nursing judgment?

devry nr512 week 3 discussion dq 1& dq 2 latest 2016 july

dq 1 Nursing Informatics and Standardized Terminologies (graded) Why do you think standardized terminology is needed today?

dq 2 Impact of Standardized Terminologies on Practice (graded) What do you see as the greatest impact of nursing standardized-terminology use upon healthcare consumers? devry nr512 week 4 discussion dq 1& dq 2 latest 2016 july

dq 1 Reflection on Nursing Informatics Competencies (graded) Reflect on your self-assessment completed in Week 1. How do your current competencies compare to discussions of NI competencies in the published, scholarly literature? 

IT’S REALLY IMPORTANT TO MEET THE COMPETENCES; I SUBMITTED A FIRST JOB WITHOUT MEETING THE COMPETENCES AND DID NOT PASS.

I am not asking to re do the job someone else did, that’s tiring. I need a whole new paper.

I’LL COPY AND PASTE THE PROFESSOR FEEDBACK AT THE END, SO YOU CAN SEE THE COMPETENCES ONCE AGAIN.

Create an educational program, event, or piece of literature (for example, a pamphlet) that incorporates best practices in health promotion and disease prevention for a diverse population. Then, explain how you developed your educational program, event, or piece of literature and address any barriers to disease prevention and health promotion for the population.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 3: Nursing Research and Informatics – Incorporate evidence-based practice interventions (for example, information systems and patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.          
    • Use valid, scholarly research resources relevant to the field of nursing to support information presented.
  • Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.          
    • Write coherently to support a central idea in appropriate APA format, with correct grammar, usage, and mechanics as expected of a nursing professional.
  • Competency 7: Health Promotion and Disease Prevention – Apply and incorporate a basic understanding of the concepts of health promotion and disease prevention as a means of improving health at the individual, population, and community level.          
    • (IMPORTANT) -Develop an educational program, event, or piece of literature to address health concerns of a diverse population.
    • (IMPORTANT) -Explain how a specific educational approach to a health concern can overcome barriers to health promotion and disease prevention for a diverse population.
  • Competency 8: Diversity – Incorporate a holistic, caring, culturally appropriate nursing approach that contributes to the wellness and the health of individuals, groups, and vulnerable populations.          
    • (IMPORTANT) -Describe barriers to health promotion and disease prevention for a diverse population.

Assessment Instructions

Part I

To prepare for the first part of the assessment, complete the following:

  1. Review the literature or use health assessments to determine health care needs of a diverse population in your community.
  2. Explore things that could influence success, such as cultural attitudes toward alternative forms of healing, religious beliefs, or other individuals.
  3. Examine the impact of current health promotion and wellness initiatives on health outcomes and health disparities.
  4. Review the literature to identify best practices.

Once you have identified a diverse population, develop an educational program, event, or piece of literature that promotes wellness and disease prevention. If you choose an educational program or event, be sure you outline the basic content of the program or event, as well as how you would structure it. If you choose a piece of literature, be deliberate in the points you highlight. Be sure that your choice is appropriate for the population.

  • For an educational program or event, prepare and submit an outline of the content and structure.
  • For a brochure or pamphlet, prepare and submit the brochure or pamphlet using a simple Word document or a Microsoft Publisher document, if you have that software available.

Part II

Explain how you developed your educational program, event, or piece of literature and address any barriers to disease prevention and health promotion for the population.

Complete the following:

  1. Explain why you chose the particular educational strategy. Why is it an effective strategy for the population?
  2. Describe cultural barriers to disease prevention and health promotion in the population. This might include things such as CAM, language, religious beliefs, and so on.
  3. Explain how your educational strategy can help overcome some of the barriers you described.
  4. Support your work with valid scholarly resources.

Additional Requirements (Part II only)

  • Format: Include a title page and reference page. Use APA format.
  • References: Cite at least three current scholarly or professional resources.
  • Font: Use double-spaced, 12-point, Times New Roman font.

THIS IS HOS FEEDBACK FOR PREVIOUS WORK SUBMITTED ADDRESSING THE TOPICS THAT I MISSED AND NEED TO BE COVERED:

COMPETENCY:Nursing Research and Informatics: Incorporate evidence-based practice interventions (e.g., information systems, patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.

-Basic

Uses research resources that are not valid, scholarly, or relevant to the field of nursing, such as Wikipedia or About.com.

Faculty Comments:

Resources provided in this assessment were not scholarly, valid references that pertain to the nursing profession. Please visit the Research Resources page under the Course Tools located in the course room. If you need further help, please reach out to the course tutor or utilizing the

COMPETENCY:Communication: Communicate effectively with all members of the healthcare team, including interdepartmental and interdisciplinary collaboration for quality outcomes.

-Distinguished

Writing is coherent, using evidence to support a central idea in a consistently appropriate APA format, with correct grammar, usage, and mechanics as expected of a nursing professional.

Faculty Comments:

Very nice use of citations of relevant evidence to support central ideas. I like that your writing is clear and has good grammar, and punctuation. APA format has no errors.

COMPETENCY:Health Promotion and Disease Prevention: Apply and incorporate a basic understanding of the concepts of health promotion and disease prevention as a means of improving health at the individual, population, and community level.

CRITERION:Develop an educational program, event, or piece of literature to address health concerns of a diverse population.

—-Non-Performance—-

Does not develop an educational program, event, or piece of literature to address health concerns of a diverse population.

Faculty Comments:

I could not locate an educational program, event, or piece of literature to address health concerns of a diverse population. Locate some scholarly resources to support your choice of population and their primary health concern and develop your content around those valid, scholarly resources.

COMPETENCY:Diversity: Incorporate a holistic, caring, culturally appropriate nursing approach that contributes to the wellness and the health of individuals, groups, and vulnerable populations.

CRITERION:Explain how a specific educational approach to a health concern can overcome identified barriers to health promotion and disease prevention for a diverse population.

—Non-Performance—

Does not explain how a specific educational approach to a health concern can overcome identified barriers to health promotion and disease prevention for a diverse population.

Faculty Comments:

I could not locate a discussion on how a specific education approach can overcome barriers to health promotion and disease prevention efforts in a diverse population. Locate some scholarly resources to support your choice of population and what educational approach will be effective for them. Then develop your content around those valid, scholarly resources.

CRITERION:Describe barriers to health promotion and disease prevention for a diverse population.

—Non-Performance—

Does not describe barriers to health promotion and disease prevention for a diverse population.

Faculty Comments:

I could not locate a description on the barriers to health promotion and disease prevention for the specific population. Locate some scholarly resources, and see what the evidence suggests as barriers in this population, and develop your description from there.

Consider the following case study:

Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:

· Atenolol 12.5 mg daily

· Doxazosin 8 mg daily

· Hydralazine 10 mg qid

· Sertraline 25 mg daily

· Simvastatin 80 mg daily

To prepare:

  • Review      this week’s media presentation on hypertension and hyperlipidemia, as well      as Chapters 19 and 20 of the Arcangelo and Peterson text.
  • Select      one one the following factors: genetics, gender, ethnicity, age, or      behavior factors.
  • Reflect      on how the factor you selected might influence the patient’s      pharmacokinetic and pharmacodynamic processes.
  • Consider      how changes in the pharmacokinetic and pharmacodynamic processes might      impact the patient’s recommended drug therapy.
  • Think      about how you might improve the patient’s drug therapy plan based on the      pharmacokinetic and pharmacodynamic changes. Reflect on whether you would      modify the current drug treatment or provide an alternative treatment      option for the patient.

With these thoughts in mind:

Post an explanation of how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study. Then, describe how changes in the processes might impact the patient’s recommended drug therapy. Finally, explain how you might improve the patient’s drug therapy plan.

– This work should have Introduction and conclusion

– This work should have at 3 to 5current references (Year 2012 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

**Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

  • Chapter 19, “Hypertension”      (pp. 257-272)
         This chapter examines the relationships between the cardiovascular,      nervous, and renal systems. It then describes diagnostic criteria for      hypertension patients, drugs used to treat hypertension and possible      adverse reactions, monitoring patient response, and patient education.
  • Chapter 20, “Hyperlipidemia”      (pp. 275-286)
         This chapter explores causes of hyperlipidemia, treatments for      hyperlipidemia patients, and methods for monitoring patient response. It      also reviews strategies for risk assessment and patient education.
  • Chapter 21, “Chronic Stable      Angina” (pp. 289-303)
         This chapter begins by exploring factors that contribute to chronic stable      angina, types of drugs used in treatment, and diagnostic criteria for      initiating drug therapy. It also examines methods for monitoring patient      response to treatment and educating patients on self-care.
  • Chapter 22, “Heart Failure”      (pp. 305-322)
         This chapter examines the process of prescribing drugs to treat heart      failure and explores effects of prescribed drugs, proper dosages, and      possible adverse reactions.
  • Chapter 50, “Pharmacotherapy      for Venous Thromboembolism Prevention and Treatment, Stroke Prevention in      Atrial Fibrillation, and Thromboembolism Prevention with Mechanical Heart      Valves” (pp. 863-886)

 This chapter covers drug therapy options for three disorders requiring anticoagulants: venous thromboembolism, atrial fibrillation, and ischemic stroke. It also explains the process of initiating and managing drug therapy for patients with these disorders.

**Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

Required Media

Laureate Education, Inc. (Executive Producer). (2012). Hypertension and hyperlipidemia. Baltimore, MD: Author.

This media presentation outlines hypertension and hyperlipidemia including contributing factors, evaluation, treatment, and implications.

Question Description

APA FORMAT

350-400 WORDS

Discussion: Nurses as Health Advocates

What does it take to be an effective health advocate? As a nurse, you have many opportunities to advocate for patients and populations, whether formally or informally. Being an advocate involves more than knowing how to lobby or to whom to write letters. It requires passion and compassion, commitment and courage.

In this Discussion, you will consider the attributes of an effective advocate for population health and/or the nursing profession. You will analyze those attributes that help nurses be a powerful force in improving the quality of health care and in this case especially, the needs of returning veterans and their families.

To prepare:

  • Review the article “On Being a Good Nurse: Reflections on the Past and Preparing for the Future” and “War, its aftermath, and U.S. health policy: Toward a comprehensive health program for America’s military personnel, veterans, and their families” found in this week’s Learning Resources.
  • Consider the multiple health care needs of returning veterans and their families.

BY DAY 3

Post two types of health needs returning veterans and their families might need. How might you advocate for the needs of this population. What type of advocacy skills would you need and how could you develop them. What responsibility does a nurse have to be an advocate? Give specific examples.

Week 8: Advocacy

Nursing has a rich history of advocacy beginning with Florence Nightingale. Nightingale often advocated for better hospital conditions, especially with regard to sanitation, hygiene, hospital management, and planning. In the latter half of her life, she campaigned for health reform and policies to improve quality of care. Her efforts stand as an exemplar for nurses advocating for better standards, health care reform, and policy.

This rich tradition continues. Consider the following quote from Isabel Maitland Stewart on the role of nurses as leaders and advocates:

It is evident . . . that leadership in nursing . . . is of supreme importance at this time. Nursing has faced many critical situations in its long history, but probably none more critical than the situation it is now in, and none in which the possibilities, both of serious loss and of substantial advance, are greater. What the outcome will be depends in large measure on the kind of leadership the nursing profession can give in planning for the future and in solving stubborn and perplexing problems. . . if past experience is any criterion, little constructive action will be taken without intelligent and courageous leadership.

This quote was made over 50 years ago as Stewart assessed the field of nursing following World War II. Reflect on the field of nursing from the time of Florence Nightingale to Isabel Stewart, to current circumstances. How have things progressed? How have they remained the same?

Last week, you examined the far-reaching implications of creating policy; however, without sufficient advocacy, proposed policy is often not successfully implemented. This week, you will evaluate how nurses can prepare themselves to fulfill the role of health advocate in furthering policies that improve the quality of and access to health care. You will also begin to develop a health advocacy campaign.

Reference:
Stewart, I.M. (1953). The education of nurses. New York, NY: The Macmillan Company, as quoted in White Paper on the Role of the Clinical Nurse Leader (2007), American Associations of Colleges of Nursing. Retrieved fromhttp://www.aacn.nche.edu/publications/white-papers…

Learning Objectives

Students will:
  • Analyze attributes of effective advocacy for patient and population health
  • Assess personal advocacy attributes
  • Evaluate the role of nurse as advocate

Photo Credit: [Hero Images]/[Hero Images]/Getty Images


Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

REQUIRED READINGS

Milstead, J. A. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones and Bartlett Publishers.

  • Chapter 3, “Government Response: Legislation” (pp. 36-54) (review)This chapter explores the multiple factors that influence the development of public policy through the legislative branch of government.

Begley, A. (2010). On being a good nurse: Reflections on the past and preparing for the future. International Journal of Nursing Practice16(6), 525–532.
 On being a good nurse: Reflections on the past and preparing for the future by Begley, A. in International Journal of Nursing Practice, 16(6). Copyright 2010 by John Wiley & Sons . Reprinted by permission of John Wiley & Sons via the Copyright Clearance Center 

In this article, the author reflects on the qualities of a good nurse in both the past and present. The article presents a 4-point framework that exemplifies the foundational qualities of modern professional ethics and conduct.

Davis-Alldritt, L. (2011). Presidential inaugural address: Advocacy, access, and achievement. Journal of School Nursing27(4), 249–251.
Retrieved from the Walden Library databases.
This address explicates links between school nursing, school health services, and student success. The author uses personal anecdotes to teach lessons in advocacy, access, and achievement.

Deyton, L., Hess, W. J., & Jackonis, M. J. (2008, Winter). War, its aftermath, and U.S. health policy: Toward a comprehensive health program for America’s military personnel, veterans, and their families. Journal of Law, Medicine, & Ethics, 36(4), 677–689.
Retrieved from the Walden Library databases.

Karpf, T., Ferguson, J. T., & Swift, R. (2010). Light still shines in the darkness: Decent care for all. Journal of Holistic Nursing28(4), 266–274.
Retrieved from the Walden Library databases.
This article details the challenges of health care crises at the global, national, and local levels. The text proposes a values-based approach to health care that takes into account the voices of the population being served, rather than excluding them.

Paquin, S. O. (2011). Social justice advocacy in nursing: What is it? How do we get there? Creative Nursing17(2), 63–67.
Retrieved from the Walden Library databases.
This text defines social justice advocacy and contrasts it to the patient-nurse advocacy model. The article also discusses social justice advocacy’s challenges and their potential solutions.

International Council of Nurses. (2008). Promoting health: Advocacy guide for health professionals. Retrieved from http://www.whpa.org/PPE_Advocacy_Guide.pdf
This web resource documents the efforts of the International Council of Nurses to ensure quality nursing care for all, as well as sound health policies globally through the advancement of nursing knowledge and presence worldwide.

Vancouver Coastal Health. (n.d.). Vancouver Coastal Health Population Health: Advocacy guidelines and resources. Retrieved from http://www.vch.ca/Documents/Population-Health-Advo…
This article presents guidelines, parameters, and resources for conducting population health advocacy.

REQUIRED MEDIA

Laureate Education (Producer). (2012g). The needle exchange program. Baltimore, MD: Author.
Note: The approximate length of this media piece is 14 minutes.

Question 1.1. (TCO 1) Today’s healthcare marketers are operating in an environment characterized by _____. (Points : 5)a limited role for healthcare consumersaccess to much better consumer datadeclining numbers of marketing expertsa focus on marketing directly to physiciansQuestion 2.2. (TCO 1) The consumer movement in healthcare has been driven by a number of factors, including _____. (Points : 5)the growth of the baby boom cohort as the dominant healthcare consumer groupthe growth of managed carelimited competition among healthcare organizationsthe homogenization of the population in terms of demographics, lifestyles, and health behaviorQuestion 3.3. (TCO 2) In the _____ stage of the healthcare consumer decision making process, the healthcare consumer begins to understand how the product/service addresses their health problem. (Points : 5)problem recognitioninitial awarenessknowledge awarenessalternative evaluationQuestion 4.4. (TCO 2) In ______ segmentation, the market is segmented by the extent of use of a particular service. (Points : 5)geographicpsychographicusagedemographicQuestion 5.5. (TCO 3) A _______ strategy aims to indicate to customers how the company differs from current or potential competitors. (Points : 5)positioningpreemptivebrand imagedistributionQuestion 6.6. (TCO 3) The _____ strategy in healthcare typically refers to the location where services are rendered. (Points : 5)productplacepromotionpriceQuestion 7.7. (TCO 4) In an effort to serve a segment of the population facing mobility issues, Southwest Health Center has developed a mobile health unit that is able to provide health screenings at a number of community sites. This represents a decision related to which element of the marketing mix? (Points : 5)Product strategyDistribution strategyPricing strategyPromotional strategyQuestion 8.8. (TCO 4) Using _____ marketing, a healthcare organization is able to work towards their goals of keeping customers happy, ensuring repeat business, and realizing the revenue potential of long-term relationships. (Points : 5)relationshipdirect-to-consumerinternalconciergeQuestion 9.9. (TCO 5) The Marketing Director of Mercy Hospital is considering a promotional technique that provides broach reach, low costs, and a short lead time. The best option would be (Points : 5)public relations.advertising.personal sales.direct marketing.Question 10.10. (TCO 5) The Marketing Director of Mercy Hospital is exploring a variety of media choices for an upcoming advertising campaign. Using _____, the marketer is able to attain frequent exposure at a low unit cost, yet it has a short shelf life. (Points : 5)television advertisingradio advertisingnewspaper advertisingInternet advertising

Theories are derived from conceptual models and are comprised of concepts and propositions. The only concepts that are common to all nursing theories, in some shape or form, are patient, nurse, health, and environment. These are sometimes referred to as the basic metaparadigms of the nursing domain. Identify two additional concepts that are relevant to your personal practice of nursing and explain how they relate to your practice and why they are important to your practice. APA format.

Question Description

Intervention and Evaluation PowerPointPowerPoint Presentation

Introduction: (average of 2-3 slides)

Identify an evidence based intervention: (average of 2–3 slides)

Intervention Implementation: (average of 3–4 slides

Proposed Evaluation Methods: (average of 2–3 slides)

Summary: (average 1 slide)

You are a community public health nurse (C/PHN) working with the vulnerable population you identified in Milestone 2(Childhood obesity in community). Then develop a proposal to implement this intervention and a plan to evaluate the outcomes of this intervention. Create a PowerPoint that you could use to present to an organization in your community to request approval for funding and support for this intervention. (You are not required to implement the intervention or present your PowerPoint, though you may want to consider implementing your project in the future)

Question Description

Please see attached copy of the work.

In this third and final submission lanofp your Course Project, you will  be completing a comprehensive care plan. This written assignment should  include the following:

Comprehensive Plan of Care 
  Develop a comprehensive plan of care/treatment with short and long  term goals and include safety needs, special considerations regarding  personal needs, cultural/spiritual implications, and needed health  restoration, maintenance, and promotion.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

This  week we are going even further into the legalities of health  information and  the focus is eDiscovery. eDiscovery refers to  electronic data that is sought  for the use of evidence in a legal  proceeding. As you all know, technology is  heavily used in the  provision and documentation of healthcare. This means that  electronic  data is being utilized as evidence more often now then it was when   healthcare facilities were keeping mostly paper health records. An HIM   professional works with these related challenges:

How  do we ensure that our organization is adequately preserving data?
How  do we properly identify data sources that may contain information that is  pertinent to eDiscovery?
How  do we ensure that there is appropriate access and security of data that is  being sought as evidence in eDiscovery? 

In this  assignment, please create Guidelines for eDiscovery for a  current day  healthcare facility. Use your text, supplemental resources  available on this  topic at AHIMA.org and resources available in the  Rasmussen College Library to  guide your research.
Your  submission must contain a list of numbered guidelines that are  supported by  professional resources evidenced in citations. Do not copy  from your resources  but rather create original guidelines and support  them with resource material  via citations. The average submission will  be no more than 2 pages plus a  resource page.