Identify something new you learned about your environment and how it could be affecting health by completing this statement: "I didn't know _____."

community health nursing

Visit the U.S. Environmental Protection Agency’s MyEnvironment site at http://www.epa.gov/myenvironment (Links to an external site.)Links to an external site. and enter your city and state, ZIP code, or location into the location box. Explore the site to learn more about your environment and things that might be impacting the health of its citizens.

  • Identify something new you learned about your environment and how it could be affecting health by completing this statement: “I didn’t know _____.”
  • How could you, in the role of a community health nurse, address these concerns?

Optional: For more environmental health information, you can also visit the following websites.

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Create an Care Plan and follow the NURSING CARE PLAN

Question Description

Create an Care Plan and follow the NURSING CARE PLAN RUBRIC instructions.

Patient information:

Patient female 48 years old

Admission Diagnosis: Stroke non-hemorrhagic, deficit right sided, speech

History: High cholesterol 350

Diabetes – blood glucose 320

Hypertension

Depression

Patient admitted after stroke, patient was at home complains with right sided weakness called 911 brought to hospital where she was diagnostic with stroke.

Patient is married has two child, husband is god (catholic)

Physical Assessment 5-6

1- lung sounds

2- bowel sounds

3- skin

4- upper extremities (right sided 0/5)

5- lower extremities (right sided 2/5)

Diagnose: CT of the brain _Lab glucose_Hemoglobin_CBC

Medications: Crestor, Coreg, Insuline Novolog and Cymbalta

Here are the care plan rubric instruction, care plan example and care plan template please follow the instructions

Question Description

In this unit, you have explored the role of the master’s prepared nurse specific to nursing administration. Based on the unit content and readings, please explain the following:

  • What “myths” about nursing administration did you have prior to this unit? Or, did the content of this unit support what you already knew about nursing administration?
  • How has the information contained in this unit impacted your perceptions of your nurse administrator (this could refer to your immediate supervisor or a more senior nurse administrator in your organization)?
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Youth suicide

Youth suicide is the third leading cause of death for persons between 15-24 years of age, and almost 4,600 youth deaths each year are the result of suicide for a person 10-24 years of age (Smischney, Chrisler, & Villarruel, 2014). Learning of these numbers is very discouraging considering that suicide can be prevented by recognition and implication of interventions. Adolescents may present to family, friends, or teacher’s signs of suicidal behavior such as talk of suicide, threat of suicide, or risky behavior. Sometimes the adolescent may not display warning signs before committing suicide. It is important to identify risk factors that can lead to suicide. Risk factors that contribute to suicidal ideation are biological, environmental, and psychological factors (Smischney et al., 2014).

Biological risk factors include gender, ethnicity, and sexual orientation. The male gender is 4 times greater to attempt suicide that results in death, whereas female adolescents experience higher rates of depression. Native American or Alaska Natives that are between the ages of 15-24 are at a 2.4 percent higher rate than the national average. Suicidal ideation is higher amongst gay and bisexual male adolescents than heterosexual male adolescents. This may due to the adolescent’s parents or friends lack of approval or support (Smischney et al., 2014).

Environmental risk factors that contribute to suicide include family stress and conflict such as divorce, death of a loved one, academic failure, and abuse. During adolescence, peer relationships greatly contribute to suicide. Adolescents who suffer from poor social skills, low self-esteem, and lack support from their peers are at greater risk for suicidal ideation (Smischney et al., 2014).

Psychological risk factors contributing to adolescent suicide include mental health problems, psychiatric disorders, poor coping skills, and substance abuse. Mental health disorders include anxiety, depression, post-traumatic stress disorder, and schizophrenia. Alcohol is often experienced with by adolescents. Female adolescents are 3 times more likely to attempt suicide and male adolescents are 17 times more likely to attempt suicide when alcohol is involved (Smischney et al., 2014).

Primary, secondary, and tertiary heath prevention measures can be taken to prevent suicide. Primary prevention can be implemented by addressing the topic of suicide with adolescents, identifying risk factors of suicide, and talking about ways to avoid risk factors that can lead to suicide. Secondary prevention can be done by addressing risk factors that the adolescent is experiencing and implementing healthy and effective interventions. This will help to reduce the chance of the adolescent following through with the act of suicide. Tertiary prevention should include providing support and resources to the adolescent, as well ensuring safety. Measures should be taken to prevent the adolescent from attempting and succeeding at suicide.

The Suicide Prevention Resource Center is a resource that provides contact information and suicide prevention plans specific for each state. This information can be accessed through the website http://www.sprc.org/states. Adolescents can also contact the National Suicide Prevention Lifeline 24/7 by calling 1-800-273-8255, or going online to https://suicidepreventionlifeline.org/. Both of these resources offer support to those who are experiencing a suicidal crisis. As a nurse if you suspect a depressed adolescent is in immediate danger of harming themselves, immediate intervention should be implemented such as ensuring the safety of the adolescent. If the nurse is physically present at the adolescent’s side, taking the adolescent to a safe environment and informing a physician is important to prevent harm or injury. If the nurse is talking with the adolescent over the phone and the adolescent is posing immediate danger to themselves, proper authorities should be notified and full detail of the adolescent’s location and situation should be provided.

 References

National Suicide Prevention Lifeline, (n.d.). Get help. Retrieved from https://suicidepreventionlifeline.org/

Smischney, T. M., Chrisler, A., & Villarruel, F. A., (2014). Risk factors for adolescent suicide: Research brief. Retrieved from https://reachmilitaryfamilies.umn.edu/sites/default/files/rdoc/Adolescent%20Suicide.pdf

Suicide Prevention Resource Center, (2017). Organizations: States. Retrieved from http://www.sprc.org/states

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Early Onset Schizophrenia

Children and adolescents with schizophrenia have more difficulty functioning in academic or work settings, and significant impairment usually persists into adulthood. They may have speech or language disorders and in some cases borderline intellectual functioning. These individuals are more likely to complete suicide attempts or die from other accidental causes. Schizophrenia is characterized by positive and negative symptoms. Positive symptoms include hallucinations, delusions, and behavior disturbance. Negative symptoms include blunted affect and attention, apathy, and lack of motivation and social interest.

In this Assignment, you compare treatment plans for adults diagnosed with schizophrenia with treatment plans for children and adolescents diagnosed with schizophrenia. You also consider the legal and ethical issues involved in medicating children diagnosed with schizophrenia.

                                                    To Prepare for this Assignment:

· Review the Learning Resources concerning early-onset schizophrenia.

The Assignment (2 pages):

· Compare at least two evidence-based treatment plans for adults diagnosed with schizophrenia with evidence-based treatment plans for children and adolescents diagnosed with schizophrenia.

· Explain the legal and ethical issues involved with forcing children diagnosed with schizophrenia to take medication for the disorder and how a PMHNP may address those issues.  

Note: (1)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.

            (2) DO NOT FORGET TO INCLUDE INTRODUCTION,CONCLUSION AND   

                  REFERENCES

                                                                Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 31, “Child Psychiatry” (pp. 1268–1283)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

  • “Schizophrenia Spectrum and      Other Psychotic Disorders”

McClellan, J., & Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with schizophrenia. Journal of the American Academy of Child & Adolescent Psychiatry, 52(9), 976–990. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00112-3/pdf

Giles, L. L., & Martini, D. R. (2016). Challenges and promises of pediatric psychopharmacology. Academic Pediatrics, 16(6), 508–518. doi:10.1016/j.acap.2016.03.011

Hargrave, T. M., & Arthur, M. E. (2015). Teaching child psychiatric assessment skills: Using pediatric mental health screening tools. International Journal of Psychiatry in Medicine, 50(1), 60–72. Retrieved from http://search.proquest.com.ezp.waldenulibrary.org/docview/1702699596?accountid=14872

  • Posted: 2 Years Ago
  • Due: 29/10/2017
  • Budget: $8
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EXPLAIN THE CONCEPTS OF RISK MANAGEMENT IN THE HEALTH CARE INDUSTRY.

Imagine you work as a risk management supervisor at a local health care facility. You have been asked by leadership to prepare a presentation for the stakeholders on the importance of risk management.
Create a 10- to 12-slide Microsoft® PowerPoint® presentation (not counting the title or reference slides) with detailed speaker notes of at least 100 words per slide. Please be unique.

Include the following in your presentation:

Explain the concepts of risk management in the health care industry.
Explain factors that influence risk management in the health care industry.
Explain the relationship between risk management and quality management.
Analyze the information and information technology methods needed to make risk-management decisions in the health care industry.
Analyze key risk management tools in the health care industry.
Analyze challenges in making risk management decisions.

Cite at least 4 peer-reviewed, scholarly, or similar references.

Format your presentation according to APA guidelines.

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EHR Certification & Release of Information

Unit 2 Assignment: EHR Certification & Release of Information

Course outcome addressed in this Assignment:

· HI510-1: Given access to a health information system, evaluate whether it meets Meaningful Use, including goals, components, criteria, certification, attestation, and MU program outcomes.

Description:

The field of health information is subject to many laws, regulations, requirements, and standards. The interaction between regulation and health influences the daily operations of healthcare providers. Sharing data between two separate organizations can be a delicate balance between the patient and organizations. Knowing the regulations that govern health information and the release of information is imperative. Failing to adhere to and think about the rules and regulations when forming decisions and policy can expose the organization and provider to unwarranted risk. In this Assignment, you will review select two EMR systems and review them for compliance with Meaningful Use and EMR certification requirements. You will also review release of information requirements.

Instructions:

Select two EMR systems from the list below.

· OpenMRS
https://openmrs.org

· VistA
http://worldvista.org/AboutVistA

· FreeMED
http://freemedsoftware.org/

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. EVALUATE THE HEALTH OF THE U.S. MACROECONOMY IN TERMS OF KEY ECONOMIC MEASURES.

ES2560: Project Page 1 PROJECT DESCRIPTION Project Introduction: The project will require you to collect economic indicators for the most recent year and analyze them. You will then discuss the strengths and weaknesses of using GDP to measure economic activity. Course Objectives Tested: 1. Explain key macroeconomic terminology. 2. Apply supply and demand theory to analyze product, money, and foreign exchange markets. 3. Create and use economic graphs and numerical models to analyze and propose solutions for macroeconomic problems

. 4. Evaluate the health of the U.S. macroeconomy in terms of key economic measures. 5. Analyze unemployment, inflation, and economic growth. 6. Compare and contrast the classical and Keynesian macroeconomic models. 7. Evaluate discretionary actions the government takes to achieve national economic goals using fiscal and monetary policy. 8. Outline the fundamental functions of money, rationalize the existence of banks, and describe the functions and structure of banking. 9. Identify and analyze the actions the Federal Reserve System can take to stabilize the U.S. monetary and financial system. 10. Describe the international dimensions of macroeconomic policy and the benefits of international trade. 11. Analyze the policies that lead to economic growth. 12. Use the ITT Tech Virtual Library to research selected topics. 13. Working within a group, make an oral and visual presentation of research findings. ES2560: Project Page 2 PROJECT SUBMISSION PLAN Project Part Description/Requirements of Project Part Evaluation Criteria 1 Analyze Macroeconomic Indicators This part of the project is divided into two sections, evaluation of U.S. economy and comparison of U. S. economy with other economies. Work with your group members to perform the following tasks: I. Evaluation of U.S. Economy 1. Within your group, research the ITT Tech Virtual Library or credible government Web sites for the four macroeconomic indicators for the U.S. for a period of 10 years between 1970–present: GDP—nominal and real Trade Balance Personal Income and Spending Manufacturing and Trade Inventories and Sales 2. Analyze the findings and comment on the economic growth of the U.S. during the period selected by you. Support your findings with proper rationale and calculations, wherever necessary. In your Evaluation Criteria: Using the attached rubric, you’ll be graded on the following criteria: Criteria Points Assigned Points Earned Did you correctly address the question in Project Part 1? 10% Did you share your data with other groups? 3% Did you use correct grammar and spelling? 2% ES2560: Project Page 3 Project Part Description/Requirements of Project Part Evaluation Criteria analysis, include the following: Explanation of why you choose that period Application of the Keynesian equation Shares of consumption, investment, and government spending as a part of GDP. Use nominal GDP for these calculations. Biggest contributor in GDP. Consumer price index (CPI) and the GDP deflator using the chain-type price index for GDP. The inflation rate. II. Comparison of U.S. Economy with Other Economies Choose three countries that are considered “High Income Countries,” three countries that are considered “Middle Income Countries,” and three countries that are considered “Low Income Countries.” The United States should be one of the “High Income Countries” you choose. For each of the nine countries selected, find the following ES2560: Project Page 4 Project Part Description/Requirements of Project Part Evaluation Criteria data: o Real GDP per person o Adult literacy rate (total) o Life expectancy at birth (total) o Infant mortality rate (per 1,000 live births) o Physicians (per 1,000 people) o Income share held by the highest 10% of the population o Income share held by the lowest 10% of the population After collating the required data, answer the following questions: What was the level of inflation during the time period relative to the history of inflation in the United States? What were the driving factors behind this trend? How does United States compare to the other two countries you chose in the high-income group, middle-income group, and lowincome group? ES2560: Project Page 5 Project Part Description/Requirements of Project Part Evaluation Criteria In which measures does the United States compare poorly against other countries and in which does it fare better? In general, what is the relationship between real GDP and other measures of well-being? Is real GDP a reasonable measure of standard of living? Why or why not? Collaborate with your group to prepare a PowerPoint presentation that shows all calculations/analyses leading to a conclusion about macroeconomic indicators in the U.S. and its comparison with other economies. Your presentation should include answers to the questions asked in the above two sections. Remember to adhere to APA guidelines, standards, and formatting. Submission Requirements: Submit your PowerPoint presentation to your instructor for evaluation. Your presentation should contain at least 10 slides containing all required information. ES2560: Project Page 6 Project Part Description/Requirements of Project Part Evaluation Criteria Assigned: Week 2 Due: Week 7 Grading Weight: 15% 2 The Final Paper Perform the following tasks: 1. Update your PPT based on the feedback shared by the instructor in Week 8. 2. Add presentation comments in the Notes section of the PPT. Submission Requirements: Submit the final PPT by the end of Week 10. Assigned: Week 8 Due: Week 10 Grading Weight: 5% Evaluation Criteria: Using the attached rubric, you’ll be graded on the following criteria: Criteria Points Assigned Points Earned Did you correctly address the question in Project Part 1? 4% Did you use correct grammar and spelling? 1% (End of Project Description)

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Many feel that health care is a public good which should be available to all in the community. However one can argue can the hospital/ clinic remain solvent if these services are not reimbursed?

Many feel that health care is a public good which should be available to all in the community. However one can argue can the hospital/ clinic remain solvent if these services are not reimbursed? We will examine the case in the short assignment the specific case scenario of an illegal immigrant requiring regular dialysis treatments.Assume that you are a hospital administrator and were recently reviewing Emergency room reports indicating that there had been a recent influx of patients who were not legal citizens requiring dialysis treatments.You are aware that Medicaid and Medicare reimbursement for undocumented alien health care services is extremely limited and has not expanded by the ACA. However federal regulations provide that when an individual comes to an emergency room for emergency medical care that individual cannot be turned away and must be treated. Staff cannot inquire into the individuals ability to pay or citizenship. Dispensing health care services from an emergency department is one of the most expensive ways to deliver health care. While provision of this care is mandated as previously explained reimbursement is often denied when the patient is an illegal immigrant. This leaves the hospital to absorb the funds expended on providing the dialysis treatments. Hospitals are in a quandary about how to approach providing such care especially since dialysis is an ongoing treatment and this situation represents a chronic and persistent problem.Clarify your position in 750 to 1000 word count (a two to four-page) usingAPAstyle. Please answer the following questions:

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In your opinion, what is the difference between being a learner and being a scholar? Justify your claims.

This is a Nursing Doctoral Program

These are two discussion questions. Each needs to be Maximum word count for an initial post is 250 and needs a reference. The tutor needs to have a good command of the English language.

DQ 1

In your opinion, what is the difference between being a learner and being a scholar? Justify your claims.

DQ 2

What are misrepresentations that can occur while reading other’s work and using its data? How can do you determine when data is a useful source of evidence for a project? Is it possible to misrepresent data and conclusions using statistics? Why or why not? How?

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Create a 3 page essay paper that discusses Nurse Manager Power. The author playing the role of her boss will assess the case and suggest how she can improve her management skills using literature on management.

Create a 3 page essay paper that discusses Nurse Manager Power. The author playing the role of her boss will assess the case and suggest how she can improve her management skills using literature on management. Case Study Mrs. Jackson is a nurse manager on a coronary care step-down unit. She has a habit of dictating solutions to staff in case of any problem. She is also habitual of degrading her staff publicly and uses a rather a superior attitude. In addition, she also shows more favorable attitude towards some of her staff members and give them relax hours and vacations according to their desire while coerce the other staff members. Also, it has been observed that staff members who confront her are assigned worst hours and shifts and their request to change the shift is usually ignored. Considering this situation, the author has explored the detrimental and optimal behavior for unit functioning followed by observation and suggestion for Mrs. Jackson to improve her management skills. Behavior which is considered detrimental to the unit’s functioning Nurse Managers have is key in the acute care nursing area as it deals with development and retention of staff, with on the whole unit competency. Altogether, the nurse manager has the duty to make sure that the work in the facility is going on smoothly, while ensuring the capability and the competence of the day by day operations of their unit. The attitude that we see in case of Mrs. Jackson is termed as Pseudo-transformational leadership. Pseudo-transformational leaders are those who have narcissist tendencies and self-aggrandizing motives. Judge, LePine and Rich (2006) described narcissism as a grandiose sense of self-importance, which results in fantasies of unlimited success, sense of entitlement, interpersonally exploitative behaviors, lack of empathy, arrogant and haughtiness If nurse manager adopts such behavior, it will create a negative work environment which will affect team functioning and performance as well as workers outcomes. The behaviors that contribute to optimal team functioning within a larger systems environment An environment where workers are treated as assets, there experience and knowledge is acknowledged and they are treated equally with respect leads optimal team functioning. Leadership theories suggest that leaders need to serve as role models and reward and recognize individuals that reflect the values of the organization. The latest leadership style that is being popular almost in organization is transformation leadership. According to Bass and Steidlmeire (1999), to be transformational, leaders must be grounded in moral foundations. Such leaders must exhibit moral character in their concern for self and others, display ethical values embedded in their vision, demonstrate morality in their processes of social and ethical choices, and in all actions in which the leader and followers engage. In a larger system environment, leader should motivate follower, use rewards to encourage and appreciate staff members for their hard work. As, Smith (1998) believed that creative compliments can motivate followers to perform at higher levels (p. 71) Lastly, in order to accomplish all of the key components of their role, it is important for the nurse manager to foster interdisciplinary relationships through effective communication.

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