Please Reply to the following 2 Discussion posts
Please see the attachment for instructions
Please see the attachment for instructions
Respond to two (2) of the following prompts:
Your written assignment for this module is a worksheet that describes the following:
You should be using complete sentences to answer the questions. Ensure
· respond to peers thoughtfully, add value to the discussion, and apply ideas, insights, or concepts from scholarly sources, such as: journal articles, assigned readings, textbook material, lectures, course materials, or authoritative websites. For specific details and criteria, refer to the discussion rubric in the Menu (⋮) or in the Course Overview Weekly Discussion Guidelines.
1st peer post:
Kiersten Echols
There are many things that can influence your predisposition to specific disease processes. For example, culture can affect your predisposition to disease based on genetic factors and diet. Certain cultures have diets that contain higher sodium or higher use of trans fat. For example, if we take the Collins-Kim's Korean culture diet, their traditional dishes tend to contain more sodium which can lead to a pre-disposition and a higher likelihood of high blood pressure later in life. Financials can influence your predisposition to disease because they may influence the environment you live in and the food you eat. If you are on a lower income, you are more likely to live in an area that may be higher in air pollutants and unhygienic living spaces directly causing diseases such as COPD or Asthma. You also may only be able to afford lower quality food containing higher sodium, saturated fats, and processed foods containing chemicals leading to obesity or high cholesterol. Your genetics play just as big of a role as all of the factors listed above in your risk of disease development. Things such as Sickle Cell disease are passed down through the generations, most common in African-American ancestry, and are unavoidable if it is part of your genetic makeup when you are born.
The two family members I would like to focus on are Noah Collins and Grandpa Kim (Akio). The lifespan considerations I would look at for Noah would be her higher risk for things like heart disease and diabetes. These things are more common in African Americans and should be monitored as they age. Given that we do not know anything about her birth parent's health history, she should be screened for any genetic diseases that are prominent in this population such as Sickle Cell. For Grandpa Kim, considering he already has a diagnosis of hypertension, I would make sure he sees his PCP and Cardiologist regularly to watch his heart health closely. This diagnosis may be related to the high sodium diet from Korean dishes leading to increased inflammation in the body. He needs to adhere to the lifestyle changes that must be made when given this diagnosis such as watching sodium intake, monitoring his blood pressure daily, and taking his medications regularly throughout his life.
References
Basdeki, E. D., Kollias, A., Mitrou, P., Tsirimiagkou, C., Georgakis, M. K., Chatzigeorgiou, A., Argyris, A., Karatzi, K., Manios, Y., Sfikakis, P. P., & Protogerou, A. D. (2021, July 30).
Does sodium intake induce systemic inflammatory response? A systematic review and meta-analysis of randomized studies in humans. Nutrients.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8399701/
Centers for Disease Control and Prevention. (2019, January 3).
Introduction to environmental public health tracking. Centers for Disease Control and Prevention.
https://www.cdc.gov/nceh/tracking/tracking-intro.html#:~:text=Environmental%20hazards%E2%80%94like%20water%20and,acute%20illnesses%20like%20heat%20exhaustion
.
Centers for Disease Control and Prevention. (2018, January 19).
Behavior, environment, and genetic factors all have a role in causing people to be overweight and obese. Centers for Disease Control and Prevention.
https://www.cdc.gov/genomics/resources/diseases/obesity/index.htm
Kim, S. H., Kim, M. S., Lee, M. S., Park, Y. S., Lee, H. J., Kang, S., Lee, H. S., Lee, K.-E., Yang, H. J., Kim, M. J., Lee, Y.-E., & Kwon, D. Y. (2016, March 15).
Korean diet: Characteristics and historical background. Journal of Ethnic Foods.
https://www.sciencedirect.com/science/article/pii/S2352618116300099#:~:text=The%20principal%20aspects%20of%20the,and%20sesame%20or%20perilla%20oil
.
U.S. National Library of Medicine. (n.d.).
Why are some genetic conditions more common in particular ethnic groups?: Medlineplus Genetics. MedlinePlus.
https://medlineplus.gov/genetics/understanding/inheritance/ethnicgroup/#:~:text=People%20in%20an%20ethnic%20group,frequently%20seen%20in%20the%20group
.
Weida, E. B., Phojanakong, P., Patel, F., & Chilton, M. (2020, May 18).
Financial Health as a measurable social determinant of health. PloS one.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233592/
2nd peer post:
Jasmin Seay
Culture affects an individual's beliefs regarding healthcare, including whom they seek as providers, how they respond to recommendations, and their willingness to adhere to lifestyle changes and treatment modalities (Hernandez & Blazer, 2006; Nielsen-Bohlman et al., 2004). The Collins-Kim family consists of individuals descending from Greek/Scottish/Irish and East Asian cultures. East Asian culture primarily seeks herbal and holistic treatments as opposed to Western medicine. Finances determine the quality of accessible healthcare resources (Hernandez & Blazer, 2006; Purdue University, 2020). Financial stress/strain directly impacts health because it can influence the adoption of unhealthy coping mechanisms (Purdue University, 2020). A potential example is the history of smoking and obesity within the Collins family. The environment presents similar, if not more detrimental damage than genetics because environmental conditions can mutate genes and trigger disease(National Institute of Environmental Health Sciences, 2018). Environmental factors include air pollutants, chemical and noise exposures, and climate change (Regis College, 2020). Regarding genetic influence, family history directly influences the genetic prevalence of a disease occurrence in subsequent generations (Hernandez & Blazer, 2016). There were various incidences of this in the case study, for example, Elliot Collins has asthma which likely was influenced by his mother who has a history of asthma. Additionally, heart disease was prominent in both of Leslie Collins parent's health history. I chose to follow Leslie Collins and Kali Collins-Kim throughout the case study. With analysis of Leslie Collins personal history and family history, he is a great risk of:
· Obesity (he is currently overweight for his height and family history – both parents) (Earhart, 2010)
· Heart Disease (hypertension, hyperlipidemia, and ex-smoker)
· COPD (ex-smoker and family history – paternal) (Hersh et al., 2011)
Upon review of Kali Collins-Kim, she is at risk of:
· Antibiotic Resistance (PCN allergy = increased use of broad-spectrum antibiotics) (Blumenthal et al., 2019)
· Dementia and Alzheimer's (family history – maternal) (Alzheimer's Association, 2023)
REFERENCES
Alzheimer's Association. (2023).
Causes and Risk Factors for Alzheimer’s Disease. Alzheimer’s Disease and Dementia. https://www.alz.org/alzheimers-dementia/what-is-alzheimers/causes-and-risk-factors#:~:text=Another%20strong%20risk%20factor%20is
Blumenthal, K. G., Peter, J. G., Trubiano, J. A., & Phillips, E. J. (2019). Antibiotic allergy.
The Lancet,
393(10167), 183–198. https://doi.org/10.1016/s0140-6736(18)32218-9
Earhart, S. (2010).
Obesity – The Link between Your Weight and Your Family. Obesity Action Coalition. https://www.obesityaction.org/resources/obesity-the-link-between-your-weight-and-your-family/#:~:text=Research%20on%20families%20and%20obesity
Hernandez, L. M., & Blazer, D. G. (2006).
The Impact of Social and Cultural Environment on Health. Nih.gov; National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK19924/
Hernandez, L. M., & Blazer, D. G. (2016).
Genetics and Health. Nih.gov; National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK19932/
Hersh, C. P., Hokanson, J. E., Lynch, D. A., Washko, G. R., Make, B. J., Crapo, J. D., & Silverman, E. K. (2011). Family History Is a Risk Factor for COPD.
Chest,
140(2), 343–350. https://doi.org/10.1378/chest.10-2761
National Institute of Environmental Health Sciences. (2018).
Gene and Environment Interaction. National Institute of Environmental Health Sciences. https://www.niehs.nih.gov/health/topics/science/gene-env/index.cfm
Nielsen-Bohlman, L., Panzer, A. M., & Kindig, D. A. (2004). Culture and Society. In
www.ncbi.nlm.nih.gov. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK216037/#:~:text=Cultural%20health%20beliefs%20affect%20how
Purdue University. (2020, January).
A surprising connection: Financial wellness and your overall health – Healthy Boiler – Purdue University. Www.purdue.edu. https://www.purdue.edu/hr/CHL/healthyboiler/news/newsletter/2020-01/finances-health.php#:~:text=%E2%80%9CFinancial%20stress%20can%20and%20does
Regis College. (2020, November 16).
Environmental Factors that Affect Health. Regis College Online. https://online.regiscollege.edu/blog/environmental-factors-that-affect-health/
The Electoral College Argument, Politics and Social Media
Discussion
Required Resources
Read/review the following resources for this activity:
· Textbook: Chapters 5, 6 and 10
· Lesson: Read this Week's Lesson which is located in the Modules tab
· Initial Post: minimum of 2 scholarly sources (must include your textbook for one of the sources). Follow-Up Post: minimum of 1 scholarly source for your Follow-Up Post.
· Your Initial Post and your Follow-Up Post must be based on the same Option that you chose in order to receive credit for both posts.
Initial Post Instructions
For the initial post, respond to one of the following options, and label the beginning of your post indicating either Option 1 or Option 2:
·
Option 1: List the ways in which contemporary presidential campaigns have used social media as a campaign tool. Do you consider social media as a successful tool? Explain your answer. Do you see social media as an unsuccessful tool? Explain your answer and provide examples.
Be sure to make connections between your ideas and conclusions and the research, concepts, terms, and theory we are discussing this week.
Writing Requirements
· Minimum of 2 posts (1 initial & 1 follow-up)
· Minimum of 2 sources cited (assigned readings/online lessons and an outside source) for your Initial Post, and 1 scholarly source for your Follow-Up Post.
· APA format for in-text citations and list of references
EBOOK: The Struggle for Democracy, 2018 Elections and Updates Edition
https://bookshelf.vitalsource.com/reader/books/9780135246849/pageid/227 or
email:
[email protected]
pwd: Bryanthierry@09
Name: Cara Jett
Age: 34 years
Provider: R. Mcbride NP
Allergies: NKA
Admit weight: 102 Ibs (46.3kg)
BMI: 17.5
Code status: full code
I just can’t eat. Every time I do, I have horrible pain in my stomach. My family keeps
accusing me of having an eating disorder. It’s not that I don't want to eat. It's that I can’t
without pain and diarrhea!
4/12
1345
Nursing Note: Client presents for ongoing stomach pain after eating. Current BMI of
17.5. Last recorded BMI from 3 years ago was 22.2. States pain has been ongoing for
several years, more severe as of late yesterday. Client skipped lunch today. Current
abdominal pain is 2/10. States that she has tried using over-the-counter pain relievers to
help with the abdominal pain, but this has not been successful. Rates 2/10 RLQ
abdominal pain.
4/12
1355
Neuro/Cognitive: Alert and oriented x4.
Cardiovascular: Regular heartbeat with S1 and S2 heard. No edema present. Capillary
refill <3 seconds. Bilateral pedal and radial pulses +3.
Respiratory: Lungs clear bilaterally.
Gastrointestinal: Abdomen flat, firm, hyperactive bowel sounds x 4 quadrants. Tender
in RLQ. Denies nausea. Last bowel movement was 1045 today. Loose, brown, mucous
looking – per client. Three loose stools today so far.
Genitourinary: Continent. No pain or burning when urinating
Musculoskeletal: Muscle atrophy present. +5 strengths for all extremities. Tenting
present on arm and collarbone.
Psychosocial: Anxious. Becomes tearful several times during visit. States her family is
accusing her of having an eating disorder.
5/7
1435
Nursing Note: Follow-Up Appointment with Gastrointestinal Specialist
Diagnosis: New Crohn’s disease.
Follow-up appointment after colonoscopy and upper GI procedure. Had a CT scan of the
abdomen completed after the procedure. Rates 4/10 abdominal pain. Client is taking
prednisone and metronidazole as prescribed by primary care provider for Crohn's
disease.
Date Temp HR RR BP SpO2 O2
4/12 1345 96.8 °F
(36.0 °C)
78 18 102/54 100% RA
5/1 0945 97.2 °F
(36.2 °C)
64 12 94/45 89% RA
5/1 1000 97.2 °F
(36.2 °C)
69 12 104/50 92% RA
5/1 1015 97.2 °F
(36.2 °C)
72 14 110/52 94% RA
5/7 1430 98.6 °F
(37.0 °C)
88 18 138/78 99% RA
Date Diagnostic Test Findings
5/1
1015
Upper GI
Colonoscopy
No abnormal findings.
Small ulcer found in the transverse portion of the large intestine with
evidence of more in the small intestine. Further testing, including an
MRI, is highly suggested.
5/5
1500
CT Scan of
Abdomen
Impression: Thickening of the wall of the small intestine present.
Three small abscesses noted by entrance to the colon correlating with
recent gastric studies. No fistula apparent.
5/1
0945
Endoscopy Center Nursing Note:
Client has completed an upper GI study and a colonoscopy with no noticeable
complications. Vitals stable. Drowsy but easily woken. Oriented x4.
5/1
1000
Endoscopy Center Nursing Note:
Vitals remain stable. Client drank 60mL of clear soda and two bites of graham cracker.
Swallow and gag reflex present. Mild 2/10 throat discomfort present. Driver present and
atbedside.
5/1
1015
Endoscopy Center Nursing Note:
Client discharged to home in care of mother, Nancy. Follow-up appointment made.
MODULE 3
. AUTISM SPECTRUM DISORDER (ASD) AND EARLY ATTENTION.
Note: include and develop achievements that reflect the data provided and the capabilities acquired, provide examples where required.
I need the work in APA Style and with references.
SUBJECT 12: CONCEPTUALIZATION AND BASIC ASPECTS OF EARLY CARE
.
1. Make a conceptual map showing the historical evolution of early care in chronological order, from its inception to the present. Find and add information about early care today.
SUBJECT 13: THEORETICAL FRAMEWORK AND MODELS OF ACTION IN EARLY CARE
.
1. 1. What is a Child Development and Early Care Center (CDIAT)? Do you think it is important to implement it for children? Why? Reason your answer. Give an example of a center that you know about your Early Care community, its characteristics, functions, who they are made up of… and an example of a situation where the need to use such a centre is reflected.
SUBJECT 14: DETECTION OF AUTISM SPECTRUM DISORDER (ASD) IN EARLY CARE
.
1. Why does the delayed recognition of Autism Spectrum Disorder occur? Reason your answer. Find information about a questionnaire that is used to assess ASD and state the information.
Critically compare and contrast gender differences in leadership. Discuss gender perspectives and propose strategies that women and men can use to enhance their effectiveness as leaders in organizations?
you must create a PowerPoint Presentation responding to the discussion question above. You must also include the citations in the presentation in app format.
5 slides not including beginning page and references slides.
2 scholarly references no later than 2019
Food for thought items:
From your reading assignments have you noticed any similarities among the cultures that you have read about, are there any distinct differences that would have you make an adjustment in your plan of nursing care?
Please review the criteria for your culturally diverse client interview. Do you have any special preparations? Are there any sensitivity issues you may want to be aware of during this process?
The actual discussion topic included:
In the evaluation of your current workplace or neighborhood. Have you noticed any additional population shifts? It seems that this topic as been explored already by several students. If this is the case, please continue to highlight noticeable changes with each other
Collegiality how to
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