Cultural-Week 3 Neighborhood Evaluation

 

Statistical Atlas

Utilize the Statistical Analysis website to locate your neighborhood. Explore the topics, which include demographics, income, and education. Upload your assignment on a word document. No APA format required for this assignment. Provide a breakdown of the population in either your neighborhood or place of work. 

https://statisticalatlas.com/United-States/OverviewLinks to an external site.

discussion

 

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific illness such as cancer, diabetes, hypertension,. Share your opinions about holistic and allopathic care. Would you have any conflicts or concerns supportinga patient who chooses holistic or allopathic medicine?

Post your post of 500 words with at least 2 scholarly references of less than 5 years old Using APAP 7th format

Nursing Assignment

WEEK 5

This paper will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.

Part I

The Advance Health Care Directive 

Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state's Advance Directives here 

http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.Links to an external site.

Complete the advance directive for yourself.  
Do not turn in your AD with your paper. The AD is for your personal use.

In your paper, Part I:

1. Identify where you obtained the AD and explain its compliance with state law.

2. Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.   

3. Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and
 subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.

(Cite/ reference any sources you use to explore these questions, including your texts.)

Part II

Physician Orders for Life-Sustaining Treatment (POLST) Form

1. What is a 

Physician Orders for Life-Sustaining Treatment (POLST) formLinks to an external site.
?

POLST: Portable medical orders for seriously ill or frail individuals

2. When should this form be completed?

3. Who can complete the form?

4. Who needs to sign the form to make it a legal document?

(Cite/reference any sources you use to explore these questions, including your texts.)

Part III

Tie the two first sections together by writing a summary and conclusion.

This section should address:

1. the differences between an Advance Health Care Directive and the POLST,

2. the RN's important role in assuring the patient's right to autonomy in choosing the healthcare interventions the patient does or does not want.

____________________________________________

Use current APA Style.

The paper should be between 3-5 pages in length excluding the title and reference page(s). 

Cite and reference the course text and at least two (2) additional appropriate professional sources.   

NURS_521_DE – Feild Activity Paper

NURS_521_DE – Feild Activity Paper

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeContent

50 to >43.5 pts

Meets Expectations

Content is clear, thorough, and organized effectively. Main points are well supported. Meets all of the criteria of the written assignment.

43.5 to >37.5 pts

Approaches Expectations

Content is somewhat clear, thorough, and organized effectively. Some points are well supported. Meets most of the criteria of the written assignment.

37.5 to >29.5 pts

Below Expectations

Content is generally unclear, not thorough, and organized ineffectively. Main points are not well supported. Meets only a few of the criteria of the written assignment.

29.5 to >0 pts

Does Not Meet Expectations

Content is disconnected, unorganized, and does not meet the criteria of the written assignment.

50 pts

This criterion is linked to a Learning OutcomeClarity and Coherence

50 to >43.5 pts

Meets Expectations

Writing flows smoothly from one idea to another. Writer has taken pains to assist the reader in following the logic of the ideas expressed.

43.5 to >37.5 pts

Approaches Expectations

Sentences are mostly structured to communicate ideas clearly. Transitions between paragraphs make the writer’s points easy to follow.

37.5 to >29.5 pts

Below Expectations

Sentence structure and word choice sometimes interfere with clarity of content and distract the reader.

29.5 to >0 pts

Does Not Meet Expectations

Poor sentence structure, sentences do not make sense; no clarity evident in the paper.

50 pts

This criterion is linked to a Learning OutcomeReferences and Citations Within the Body of the Paper

12.5 to >10.88 pts

Meets Expectations

The required number of scholarly references is used and cited skillfully throughout the paper.

10.88 to >9.38 pts

Approaches Expectations

The required number of scholarly references is used but some may not be cited accurately or skillfully throughout the paper.

9.38 to >7.38 pts

Below Expectations

The required number of scholarly references is not used and most are not cited accurately or skillfully throughout the paper.

7.38 to >0 pts

Does Not Meet Expectations

References or citations are not included in the body of the paper and writing indicates none were used.

12.5 pts

This criterion is linked to a Learning OutcomeMechanics and APA

12.5 to >10.88 pts

Meets Expectations

The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.

10.88 to >9.38 pts

Approaches Expectations

The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly.

9.38 to >7.38 pts

Below Expectations

The assignment generally follows current APA format with several mistakes and grammatical, spelling, or punctuation errors. Most sources are cited and referenced incorrectly.

7.38 to >0 pts

Does Not Meet Expectations

The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Sources are missing.

12.5 pts

Total Points: 125

Journal entry

Paraphrazing this work for me.

551

 

A predominant theme in research and practice today is obesity, which is increasing at an alarming rate worldwide in all ages. As a future nurse practitioner:

  1. How would you approach or discuss the topic of obesity and diet with your adult or geriatric patients?
  2. What are the possible health consequences of obesity and what factors need to be taken into consideration when treating the obese patient who also has multiple comorbidities (e.g., hypertension, diabetes, high cholesterol)?

instructions: APA format discussion post, must have at least 3 references. a page is enough length.

Health promotion w1 peer resp

Health promotion week1 peers response 

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 peers post

Emilee Harper

WEEK 1 DISCUSSION 2

· Define health promotion in your own words.

 Health promotion, in my own words, is the process of empowering individuals, communities, and societies to enhance their overall well-being and achieve their highest level of physical, mental, and social health. It involves dedicated efforts to prevent illness, promote healthy behaviors, and address the encouragement of health to achieve optimal quality of life. 

· Discuss the differences in primary, secondary, and tertiary prevention.

1. Primary Prevention: This focuses on preventing the onset of health issues. It aims to reduce the risk of disease or injury before they occur. Examples include vaccinations, health education, and lifestyle interventions to promote healthy habits.

2. Secondary Prevention: Secondary prevention is about early detection and intervention to prevent the progression of a health issue. It includes activities like regular screenings, diagnostic tests, and prompt treatment to control a disease or injury in its early stages.

3. Tertiary Prevention: Tertiary prevention is geared towards minimizing the impact of established diseases or injuries and preventing their complications. It involves rehabilitation, disease management, and strategies to improve the patient's quality of life.

 

· Identify two patient-focused topics of interest from the Healthy People 2030 website that interest you. For each topic, identify an objective from the Healthy People 2030 website on which you would like to focus. Why are these topics of interest to you? Provide a rationale for your selections.

1. Topic 1: Mental Health and Mental Disorders

· Objective: “Increase the proportion of children, adolescents, and adults who receive treatment for a major depressive episode.”

· Rationale: Mental health is a critical but often stigmatized aspect of overall well-being. Focusing on increasing access to treatment for depression aligns with the goal of promoting mental health and reducing the burden of mental disorders.

2. Topic 2: Substance Abuse (Drug and Alcohol Use)

3.  

· Objective: “Reduce the proportion of people who misuse prescription drugs in the past year.”

· Rationale: The misuse of prescription drugs is a growing public health concern. Reducing this misuse can reduce the associated health risks, addiction, and adverse consequences on individuals and communities.

 

Increase the proportion of children and adolescents who get appropriate treatment for anxiety or depression – EMCD04. Increase the proportion of children and adolescents who get appropriate treatment for anxiety or depression – EMCD04 – Healthy People 2030. (n.d.).
https://health.gov/healthypeople/objectives-and-data/browse-objectives/children/increase-proportion-children-and-adolescents-who-get-appropriate-treatment-anxiety-or-depression-emc-d04

Prevention strategies – STATPEARLS – NCBI bookshelf. (n.d.).
https://www.ncbi.nlm.nih.gov/books/NBK537222/ Kisling LA, M Das J. Prevention Strategies. [Updated 2023 Aug 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.

Reduce the proportion of people who misused prescription drugs in the past year – su12. Reduce the proportion of people who misused prescription drugs in the past year – SU12 – Healthy People 2030. (n.d.).
https://health.gov/healthypeople/objectives-and-data/browse-objectives/drug-and-alcohol-use/reduce-proportion-people-who-misused-prescription-drugs-past-year-su-12

 

2nd peer post

Melinda Goebel

Health Promotion is a huge factor in health care. It is about taking care of your health and preventing or treating disease and illness. Primary prevention is mostly about preventing damage to your health before it can occur. Secondary prevention is about preventing the illness from progressing and further damaging health. Tertiary prevention helps manage long term, complex health problems to improve life with the disease as much as a possible.

 

I chose to focus on Heart Disease and Stoke from the Health People 2030 website. I chose this because it relates so closely to my practice at work on a Heart and Vascular Unit. Another reasoning I had behind researching this topic is because it is so relevant in health promotion and heart disease effects so many Americans, when it could be prevented.

 

Part of the Heart Disease and Stroke topic included screening for atrial fibrillation. This objective caught my interest because it is so much more common than people realize and often people live with atrial fibrillation without knowing until a larger event, such as heart attack or stroke occur. It could do so much for Secondary Prevention if the general population had more of an understanding of atrial fibrillation and a way to screen.

 

Diabetes is a huge problem in the population of the United States and effects so many of all ages. As a nurse I about half of my patient will come in with type 2 diabetes. This is another disease that has so many other effects on the body and health that could be prevented or controlled.

 

Type 2 diabetes is occurring in children and young adults more often. This could be prevented with education on a balanced diet and the risk of being diabetic. There is also ways to control blood sugars and lower A1C in these younger generations that are being diagnosed with type 2 diabetes.

 

U.S. Department of Health and Human Services. (2021). Healthy People 2030. Health.gov. https://health.gov/healthypeople

Vitamins

Discussion 4 (Vitamins)

Vitamins are energy building nutrients that contribute to sound nutritional health. Water, on the other hand, is responsible for carrying necessary nutrients and removing waste products throughout our body. A human body is made out of mostly water and is critical to our health. Similarly, minerals and electrolytes are essential to human health and can be obtained in our diet from different foods. When humans are too sick to consume a regular diet, digestion and absorption may impact the supply of necessary nutrients, requiring specialized nutritional support to meet their nutritional needs.

After studying 

Module 4: Lecture Materials & Resources
, read the case study and answer the prompts:

Sharyn Bartell is a 24-year-old student who suffered multiple fractures when she fell from a cliff when hiking. As a result of the accident, she is immobile, in traction, and had a small bowel resection. She is able to keep her head up to 45 degrees. Sharyn used to weigh 140 pounds but has lost 8 pounds since the accident. The healthcare team agrees that Sharyn will need a feeding tube before her nutritional status deteriorates any further.

1. Navigate the web, research a high protein formula that can be administered via feeding tube and share 1) name of formula, 2) nutrient composition, and 3) indications for use.

2. Navigate to the Oley Foundation: 

Dietary Recommendations for Patients with Intestinal Failure – Oley FoundationLinks to an external site.
, read “Physiological Considerations” and discuss in at least one paragraph with two (2) effects of the small bowel resection on Sharyn’s fluid and electrolyte balance.

3. Navigate to the Oley Foundation: 

Living with Enteral Feeds – Oley FoundationLinks to an external site.
 and provide two (2) physical or psychosocial adjustments Sharyn will have to make when living with a feeding tube.

Discussion 5 (Nutrients)

All people need the same nutrients, but the amounts will vary depending on their stage in life such as infants, children, adolescents, pregnancy, adults, and older adults. For example, a pregnant woman will need to make sure she has a proper diet before, during, and after the pregnancy. A poor diet before and during the pregnancy may affect the health and development of her infant. She will also need to make sure and maintain a nutritionally balanced diet after the pregnancy, especially if she plans to breastfeed her infant.

After studying 

Module 5: Lecture Materials & Resources
, answer the following:

1. Review figure 10-3 Comparison of Selected Nutrient Recommendations for Nonpregnant, Pregnant, and Lactating Women in text and compare the recommended percent allowances for:

A. Iron – Who (nonpregnant, pregnant, lactating) needs it more and why?

2. Ellen is an 18-year-old single mother of a six-month infant; she works at a convenience store and makes minimum wage. Ellen has limited financial means and needs assistance. Navigate to Floridahealth.gov: 

https://www.floridahealth.gov/programs-and-services/wic/wic-program-info.htmlLinks to an external site.
 and share at least two (3) examples of how food assistance programs can help Ellen’s infant and one (1) example of why nutrition is important for an infant – provide a full paragraph.

3. Miguel is a 75-year older adult and has been diagnosed with early macular degeneration. Explain what macular degeneration is and share 2 vitamins or minerals that help reduce progression of the disease.

 

Discussion 6 (Chronic Disease)

 According to the Centers of Disease Control and Prevention (CDC, 2023), six out of ten adults in the United States have at least one chronic disease, and about four in ten have two or more chronic diseases. Chronic diseases include cardiovascular conditions, cancers, diabetes mellitus, and Alzheimer’s. Diet is a lifestyle factor that affects the development of many chronic conditions and even some neurological diseases.

After studying 

Module 6: Lecture Materials & Resources
, read the case study and answer the following:

Lenora is a 57-year-old Jamaican American female who works as a desk clerk. Her job requires her to sit all day from 9 a.m. to 5 p.m., then she drives for one hour to go home. She lives alone in a studio apartment. By the time she gets home, she is tired and barely has time to pick up some fast food. She was recently diagnosed with hypertension and diabetes type 2. She is 5’ 5” tall and weighs 180 pounds with a BMI of 30.1. Her blood pressure was 150/105 and her HbA1C of 7.5%. The healthcare team starts Lenora on atenolol (Tenormin) for her hypertension and metformin (Glucophage) for her diabetes.

References: Centers of Disease Control and Prevention. (2023). 
About chronic diseases. https://www.cdc.gov/chronicdisease/about/index.htm#risks

In paragraph form:

1. Provide at least two (2) complications of uncontrolled hypertension and diabetes.

2. Provide at least two (2) risk factors that may contribute to Lenora’s development of hypertension (see Appendix J: Body Mass Index (BMI) of your textbook)

3. Describe what is HbA1C and how is it used to monitor diabetes? (see Chapter 20, page 564 of your textbook).

4. Discuss what dietary counseling will Lenora need to control her hypertension and diabetes? Provide at least two (2) examples.

 

Discussion 7 (Cancers & HIV)

While cancers and human immunodeficiency virus (HIV) are different diseases, they both have debilitating effects that influence nutritional needs – and if nutritional needs are not met, both advanced stages of cancer and HIV can lead to severe body wasting. Cancer and HIV require highly individualized nutrition therapy.

After studying 

Module 7: Lecture Materials & Resources
, answer the following:

Navigate to HIVinfo by the NIH.gov: 

https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-nutrition-and-food-safetyLinks to an external site.
 – read the webpage and scroll to Healthy Living with HIV.

1. Describe how foods may affect HIV treatment (provide at least 2 examples).

2. Explain how to prevent opportunistic infections through their diet in people living with HIV.

3. Describe the type of cancer frequently associated with HIV and explain how this cancer’s symptoms may cause anorexia on those with HIV (see page 663 in your textbook).

PRESCRIBING FOR OLDER ADULTS AND PREGNANT WOMEN

TO PREPARE:

· Choose
one of the two following specific populations: either
pregnant women or
older adults. Then, select a specific disorder from the 
DSM-5-TR to use.

· Use the Walden Library to
research evidence-based treatments for your selected disorder in your selected population (either older adults or pregnant women). You will need to recommend one FDA-approved drug, one non-FDA-approved “off-label” drug, and one nonpharmacological intervention for treating the disorder in that population.

BY DAY 3 OF WEEK 9

· Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women.

· Explain the risk assessment you would use to inform your treatment decision  making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?

· Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.

· Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a nonpharmacological intervention for the disorder

Implementing Evidence in Clinical

Please see the attachment for instructions

Nursing ASSIGNMENT

To Prepare:

· Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

· Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”

· Identify and select 4 peer-reviewed research articles from your research.

· For information about annotated bibliographies, visit 

https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

· Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.

· Include an introduction explaining the purpose of the paper.

· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

· In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.

· Use APA format and include a title page.

· Use the Safe Assign Drafts to check your match percentage before submitting your work.