Client Questions

According to the assigned article, “Health Disparity and Structural Violence: How Fear Undermines Health Among Immigrants at Risk for Diabetes,” narratives tell the story of the interconnectedness between fear and health. Explain the relationship between fear and health identified by the researchers in the article. Do you agree that structural violence perpetuates health disparity?   The answer must be plagism free. You must explain the relationship and agree or disagree the the question. I do not care which one you chose but you must state one.

This week, we are learning about issues surrounding human genetics and eugenics, including stem cell research, cloning, and genetic testing and treatment. Choose and describe a scientific technique or practice related to genetics and eugenics. Provide the rationale behind the use of this technique or practice. Discuss your thoughts and ideas regarding the technique or practice. Is it ever justifiable? Why or why not? 2 references and apa format

There are three different levels of health promotion that progress from educating those who are well to those who are ill. Each phase of prevention helps determine the level of education a patient needs. The focus of prevention moves from community wide to patient specific as it progresses from prevention and and identification of risk factors to prevention of disease progression. The primary phase works with the community on broad topics of health, such as, vaccinations, hygiene, nutrition, and community fitness programs. This phase does not necessarily require active participation. An example of a passive primary health prevention method would be the addition of Fluoride to drinking water to prevent tooth decay or the free vaccinations given at the public Health Department. Once the level of prevention moves to secondary health promotion, a person is actively seeking information about their health. The education at this level begins with health screenings for those at risk for disease and the early detection of disease to prevent further damage. This would include mobile mammograms or health education classes for those identified with pre-diabetic conditions. The focus is moved from a broad one to one that is more individualized. The next level of health promotion is the tertiary level. In this level, the individual has an active advanced disease process that requires education and rehabilitation in order for the individual to return to daily activities. This would include the patient who has had a heart attack, cerebral vascular accident, or the diabetic that now requires insulin. The focus is individualized and focused on the prevention of further disability (Falkner, 2018).  The Centers for Disease Control and Prevention (2019) has funded several programs that work within each level of health promotion. For example, their program Paul Coverdell National Acute Stroke Program works through all three levels. They increased education on stroke risks in the community and improved the quality of stroke care. This education moved stroke from the third to the fifth leading cause of death. Centers for Disease Control and Prevention. (2019). Division for heart disease and stroke prevention at a glance. Retrieved from https://www.cdc.gov/chronicdisease/resources/publications/aag/heart-disease-stroke.htm  Falkner, A. (2018) Health promotion in nursing care. In Grand Canyon University (Eds.), Health promotion: health and wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/2 (2) In an effort to ensure health promotion, certain preventive strategies are considered to include; primary, secondary and tertiary and each of them has their own respective place in the health promotion process. Through the primary prevention level, illnesses and injuries are prevented through vaccination and wellness exams to help prevent contraction of illness. Besides, it also includes health promotion and education intervention that empower patients to make healthy decisions on a daily basis. Secondary prevention focusses on the early detection and treatment of disease processes before they cause damage and it’s executed through health screenings and early treatment. The goal is to prevent progression of early stages of disease and comorbidities. Lastly, the tertiary prevention level occurs when a disease process has caused permanent damage and the focus is to aid the patient achieve some normalcy so that they can acclimate back into their lives and society (Falkner, 2018). Comparably, these three levels of prevention are all inter-linked to enhance health promotion. Through these levels a nurse is able to determine the patient’s needs and act appropriately to prevent deterioration from one level to other. Also, effecting these levels requires collaboration from different multidisciplinary members to ensure quality of care within the healthcare system. On the contrary, these levels differ from each other as primary level focusses on those on those who are well, secondary level aims at those at risk of a health problem and lastly tertiary level focusses on those with health problems. The setup also differs as management through the levels can be either done at home, in the hospital or in the community. (Falkner, 2018) Nurses play a significant role in determining education needs for patients throughout the three levels of prevention. For example, through assessment at the primary level a nurse is able to understand an individual’s perception of health and illness and factors that influence both aspects. It is from such gathered information that the nurse is able to identify ways to eliminate barriers to effective education. At the secondary level using EBP to teach patients about their conditions helps them to disregard unhealthy habits and embrace healthy lifestyles. Lastly, through the tertiary level, a nurse is able to advocate for resources that may be needed by the patient at home for daily functioning. Conclusively, through these levels, different needs are met through the gained skills and knowledge of the nurse to enhance health promotion among individual and communities. Seemingly, available programs through CDC, American Academic of Pediatrics and John Hopkins Medicine among others provide ways through which prevention and screening of illnesses can be done so as to promote ultimate healthy living. References. Falkner, A. (2018). In GCU’s Health Promotion: Health and Wellness Across the Continuum. Retrieved from https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/health-promotion_health-and-wellness-across-the-continuum_1e.php

DQ1: Nursing Knowledge    What is the difference between model, theory, framework, and philosophy? How are they related? (Discriminate between the concepts.)     Things to remember:   with writing, APA 3 References, please try to find resources that are 5 years or less   Textbook Readings Philosophies and theories for advanced nursing practice •Chapter 4: “Theory as Practice”   •Chapter 5: “Components and Levels of Abstraction in Nursing Knowledge”

Part One The respiratory system is responsible for the intake of oxygen for the body and the removal of carbon dioxide. Decreased respiratory function significantly limits the ability of other systems to function properly because oxygen is essential at the cellular level for all activities to occur. Diseases of the respiratory system range from simple (the common cold) to very serious (cancer). There are several factors that can increase a patient’s risk of developing a respiratory disease. Conduct some online research and in a 1-page Word document describe in detail two factors that may increase the risk of getting lung cancer. Part Two Click the following link to download the Medical Abbreviations Worksheet. Answer all of the questions in the document and add the completed worksheet to your zip folder for this assignment. Note that this document has two parts that must be completed.

Create a 4-6 page paper with you , as a presenter, in which you will propose an evidence-based plan to improve the outcomes for a patient and examine how remote collaboration provided benefits or challenges to designing and delivering the care. As technologies and the health care industry continue to evolve, remote care, diagnosis, and collaboration are becoming increasingly more regular methods by which nurses are expected to work. Learning the ways in which evidence-based models and care can help remote work produce better outcomes will become critical for success. Additionally, understanding how to leverage EBP principles in collaboration will be important in the success of institutions delivering quality, safe, and cost-effective care. It could also lead to better job satisfaction for those engaging in remote collaboration. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.  Reflect on which evidence was most relevant and useful when making decisions regarding the care plan. Competency 3: Apply an evidence-based practice model to address a practice issue.  Explain the ways in which an EBP model was used to help develop the care plan. Competency 4: Plan care based on the best available evidence.  Propose an evidence-based care plan to improve the safety and outcomes for a patient. Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.  Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team. Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style. Professional Context Remote care and diagnosis is a continuing and increasingly important method for nurses to help deliver care to patients to promote safety and enhance health outcomes. Understanding best EBPs and building competence in delivering nursing care to remote patients is a key competency for all nurses. Additionally, in some scenarios, while you may be delivering care in person you may be collaborating with a physician or other team members who are remote. Understanding the benefits and challenges of interdisciplinary collaboration is vital to developing effective communication strategies when coordinating care. So, being proficient at communicating and working with remote health care team members is also critical to delivering quality, evidence-base care. Scenario The Vila Health: Remote Collaboration on Evidence-Based Care simulation provide the context for this assessment. Instructions Before beginning this assessment, make sure you have worked through the following media: Vila Health: Remote Collaboration on Evidence-Based CarePlease find attached word document with Villa Health Scenario For this assessment, you are a presenter! You will create a 5–10-minute video using Kaltura or similar software. In the video: Propose an evidence-based care plan that you believe will improve the safety and outcomes of the patient in the Vila Health Remote Collaboration on Evidence-Based Care media scenario. Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decision about the plan you proposed Wrap up your video by identifying the benefits of the remote collaboration in the scenario, as well as discuss strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario. Be sure you mention any articles, authors, and other relevant sources of evidence that helped inform your video. Important: You are required to submit an APA-formatted reference list of the sources you cited specifically in your video or used to inform your presentation.  The following media is an example learner submission in which the speaker successfully addresses all competencies in the assessment. Exemplar Kaltura Reflection.  Please note that the scenario that the speaker discusses in the exemplar is different from the Vila Health scenario you should be addressing in your video. So, the type of communication expected is being model, but the details related to the scenario in your submission will be different. Make sure that your video addresses the following grading criteria: Propose an evidence-based care plan to improve the safety and outcomes for a patient based on the Vila Health Remote Collaboration on Evidence-Care media scenario. Explain the ways in which an EBP model was used to help develop the care plan. Reflect on which evidence was most relevant and useful when making decisions regarding the care plan. Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team. Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style. Additional Requirements Your assessment should meet the following requirements: Length of video: 5–10 minutes. References: Cite at least three professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements. APA reference page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video. Be sure to format the reference page according to current APA style.

Medicare/Medicaid Managed Care Plans Write a three- to five-page double-spaced paper (excluding title and reference pages), addressing the following: Distinguish the roles of Medicare and Medicaid managed care plans in the healthcare delivery system. Assess the similarities and differences between Medicare and Medicaid managed care plans by comparing (a) strengths, weaknesses, and incentives; (b) commitment to access; and (c) risks to the consumers. Synthesize two recommendations for improvement, including your justification, of each managed care plan. (You should have a  total of four recommendations for both Medicare and Medicaid managed care plans.) The Medicare/Medicaid Managed Care Plans assignment Must be three to five double-spaced pages in length (excluding title and references pages) and formatted according to APA style  Must include a separate title page with the following: Title of paper Student’s name Course name and number Instructor’s name Date submitted Must include an introduction and conclusion (Links to an external site.)Links to an external site. paragraph. Must use at least three scholarly, peer-reviewed, and/or other credible sources in addition to the course text. The Scholarly, Peer Reviewed, and Other Credible Sources (Links to an external site.)Links to an external site. table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment. Be sure to integrate your research (Links to an external site.)Links to an external site. rather than simply inserting it. Must document all sources in APA style as outlined here (Links to an external site.)Links to an external site. and here (Links to an external site.)Links to an external site.. Must include a separate references page (Links to an external site.)Links to an external site. that is formatted according to APA style

Write a paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following in your paper: Describe the diagnosis and staging of cancer. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects. Prepare this assignment according to the APA guidelines. An abstract is not required. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. Rubric Explanation of the Diagnosis and Staging of Cancers is Provided. At Least Three Complications of Cancer are Identified With Comprehensive Discussion of Available Treatments.   Provides Recommendations to Address Physiological and Psychological Side Effects of Care.   Textbook 1. Pathophysiology Copstead, L. C., & Banasik, J. L. (2012) Pathophysiology (5th ed.). St. Louis, MO: Saunders Elsevier. ISBN: 9781455726509. (Available as eBook) Review fundamental concepts from chapters 5 and 6. Read chapters 7 and 11.   American Cancer Society (ACS) I will be exploring the ACS website to answer the discussion question for my class this coming week http://www.cancer.org/index Read “A Tool To Balance Benefit and Harm When Deciding About Adjuvant Therapy,” by Knops, Goossens, Burger, Stalpers, and Ubbink, from the British Journal of Cancer (2009). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=36966891&site=ehost-live&scope=site   I have found the Mayo Clinic another good resources/reference. However, I am fine with whatever references you find to make this an excellent paper.

In 2001, the American College of Emergency Physicians (ACEP) formed a coalition called “The Partnership for Community Safety: Strengthening America’s Readiness.” The focus of the partnership was to strengthen the healthcare community’s response to disasters. It brought together several healthcare organizations in an effort to work together toward this goal.  Choose an organization that is a part of this movement, and prepare a paper on the organization. In your paper, include the answers for the following points:  •A brief historical background of the organization  •The main purpose and the role of the organization  •Any regulatory requirements or guidelines, which the organization formulated for disaster preparedness  •Any experience the organization has had with the disaster response  •Any legal or ethical issues that the organization has encountered with regard to emergency preparedness  •Any training the organization conducts for emergency preparedness  •Any other issues found during online research   Using South University Online Library or the Internet, research on the topic “The Dark Winter Experiment.” On the basis of your research and your understanding of the topic, answer the following questions:  •What was the Dark Winter experiment? Why was this experiment important?  •How has the experiment helped us today in dealing with an emergency response?   Submission Details  Combine your responses in 4-page not counting the cover page or the reference page.  Support your responses with reasoning and examples.  Cite any sources in APA format.

Identify factors that prompted healthcare organizations to adopt quality practices originally developed for use in other industries?