Client Questions

Topic 1 Health Problems 1. Which area, rural or urban, has the most health problems? Why? 2. Identify four common health problems found in that selected area. Justify your responses with resources.

Zero plagiarism 4 references Learning Objectives Students will: Develop diagnoses for clients receiving psychotherapy* Analyze legal and ethical implications of counseling clients with psychiatric disorders* * The Assignment related to this Learning Objective is introduced this week and submitted in Week 4.Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal: Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications. Using the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5), explain and justify your diagnosis for this client. Explain any legal and/or ethical implications related to counseling this client. Support your approach with evidence-based literature.

I need a one page full paper on what caring means to you(make it personal). Please include intext citation and attach a link, so that print out the article. Please include a reference page. And I need it today within the next 30mins-1 hour.

Epidemiology Paper  Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment. Communicable Disease Selection Choose one communicable disease from the options below. Chickenpox Tuberculosis Influenza Mononucleosis Hepatitis B HIV Ebola Measles Polio Influenza Epidemiology Paper Requirements Address the following: Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc. Describe the social determinants of health and explain how those factors contribute to the development of this disease. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population? Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example. A minimum of three peer-reviewed or professional references is required. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. AttachmentsNRS-427VN-RS2-CommunicableDiseaseChain.doc RUBRIC Attempt Start Date: 15-Apr-2019 at 12:00:00 AM Due Date: 21-Apr-2019 at 11:59:59 PM Maximum Points: 150.0 Epidemiology Paper – Rubric No of Criteria: 11 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less than Satisfactory75.00 %Satisfactory83.00 %Good94.00 %Excellent100.00 %Content80.0     Comprehensive Description of a Communicable Disease and the Demographic of Interest10.0Demographic of interest and clinical description are omitted or presented with many inaccuracies.Limited and/or vague summary of demographic of interest and communicable disease is provided. Overview does not offer a clear representation of information necessary for epidemiological study.Overview of the demographic of interest and clinical description of the communicable disease is presented with some inaccuracies of the clinical descriptors.Clinical description of the communicable disease and demographic of interest is provided. Summary is brief but accurate.Overview describing the demographic of interest and clinical description of the communicable disease is presented with a thorough, accurate, and clear overview of all of the clinical descriptors.Determinants of Health and Explanation of How Determinants Contribute to Disease Development10.0Description of the determinants of health and their role in disease development is omitted or presented with many inaccuracies.Paper partially describes the determinants of health in relation to disease development.Paper identifies the determinants of health in relation to the communicable disease selected but does not include an explanation of their role in the development of disease. Paper describes each determinant of health with a comprehensive discussion of their contribution to disease development and progression.Paper comprehensively discusses the determinants of health in relation to the communicable disease, explains their contribution to disease development, and provides evidence to support main points.Epidemiologic Triangle (Host Factors, Agent Factors, and Environmental Factors)20.0Description of the epidemiologic triangle is omitted or presented with many inaccuraciesThe communicable disease is described with some inaccuracies within the epidemiologic triangle. A visual description of the factors and interaction is not present.The communicable disease is described accurately and clearly within the context of the epidemiologic triangle. The communicable disease is described accurately within the context of the epidemiologic triangle. A brief description of factors and interaction is presented.The communicable disease is described thoroughly, accurately, and clearly within an epidemiological triangle. A visual description of the triangle and how the components of the model interact is included. Role of the Community Health Nurse and Importance of Demographic Data20.0Discussion of the role of the community health nurse is omitted or unclear. An explanation of why demographic data are necessary to community health is omitted or unclear.Discussion of the role of the community health nurse is vague, with no integration of case finding, reporting, data collecting, data analysis, or follow-up skills. An incomplete explanation of why demographic data are necessary to community health is provided.Discussion of the role of the community health nurses is limited, with a brief overview of skills associated with community assessment and planning. An explanation of why demographic data are necessary to community health is summarized.Discussion of the role of community health nurse is clear, with a comprehensive description of skills associated with community assessment and planning. An explanation of why demographic data are necessary to community health is presented.Discussion of the role of the community health nurse is clear, comprehensive, and inclusive of the community nurse’s responsibilities to primary, secondary, and tertiary prevention through tasks such as case finding, reporting, data collection and analysis, and follow-up. A clear explanation of the importance of demographic data to community health is presented.National Agency or Organization That Works to Addresses Communicable Disease10.0Agency and description of contribution are omitted. An agency or organization is identified, but discussion is vague or inaccurate in relation to the communicable disease chosen.An agency or organization is identified, but discussion regarding efforts to address communicable disease is lacking.An agency or organization is identified, but discussion regarding efforts to address communicable disease is brief.An agency or organization is identified. A clear and accurate description of efforts to address communicable disease is offered. Global Implication10.0Global implication of the disease is omitted or unclear.A discussion of the global implication of the disease is vague, with no integration of how this is addressed in other countries or cultures and if the disease is endemic to a particular area. An example is not provided.A discussion of the global implication of the disease is limited, with some integration of how this is addressed in other countries or cultures and if the disease is endemic to a particular area. An example is provided.A discussion of the global implication of the disease is clear, with a comprehensive description of how this is addressed in other countries or cultures and if the disease is endemic to a particular area. An example is provided.A discussion of the global implication of the disease is clear, comprehensive, and inclusive with a comprehensive description of how this is addressed in other countries or cultures and if the disease is endemic to a particular area. An example is provided.Organization and Effectiveness 15.0     Thesis Development and Purpose5.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed and/or vague, purpose is not clear. Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive, contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction5.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice, sentence structure, and or word choice are present.Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.Format 5.0     Paper Format 2.0Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken, lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present. Template is fully used. There are virtually no errors in formatting style.All format elements are correct. Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

Respond to the post bellow, offering additional/alternative ideas  regarding opportunities and risks related to the observations shared.                                                  Initial Post      I am currently a home telehealth nurse for a  large VA hospital. I worked bedside for 17 years prior my current  position. Unlike the inpatient setting, the technology and advancement  made for the telehealth programs within the VA are impressive and  evolving rapidly. Technology Trends and Risk      An obvious trend within the VA system is the  expansion of technology within the telehealth program. A large  percentage of the veterans live in rural areas.  At the time, home  telehealth technology is limited to monitoring patients with chronic  diseases through platforms via PC, a device to manually enter readings  daily, mobile apps, and manually entering readings through a phone  number.  The VA is now trending toward video assisted monitoring with  home telehealth.   There are physician’s offices and community-based  clinics are already using this technology. The primary challenge with  this technology is the accessibility of reliable signal strength to  patients in rural areas.  An additional struggle is difficulty with  these veterans working with this technology.  Data Safety      The VA medical system has an adequate privacy and  security protection as it relates to data safety and information sent  through telemedicine modalities.   The VA has a dedicated department  that strictly monitors all data activity. Despite the security in place  there are risk, specifically with telehealth transmission of personal  health information. These risks include accidental transmission of  household information and activities including personal interactions  with family members or indicators when the patient may not be home (Hall  & McGraw, 2014). Patient Care      Patient care benefits of telemedicine are  endless. These benefits include less travel time, real time monitoring  of medication changes, monitors patients with chronic condition like  COPD and CHF closely to prevent or address acute episode (McGonigle  & Mastrian, 2018).  This cuts down on office visits and travel time.  More importantly, healthcare management is achieved sooner improving  overall patient outcomes.  Patient’s rely heavily on monitoring from  home creating a potential risk.  Often these patients with chronic care  management are not compliant with transmitting information or  information is sent inconsistently making it difficult to assist with  achieving overall goals. Legislation Telehealth  technology allows providers to treat remotely defined by state-by-state  licensure (Milstead & Short, 2019).  The benefit of state  regulation is the ability to closely monitor practice and outcomes on a  state level. The federal government is considering nationalizing the  regulations for telehealth. This presents a dilemma as physicians  practicing telehealth will require multi state licenses.        I believe the most promising healthcare trends  impacting healthcare technology and nursing practice is the advancement  of telemedicine.  The ability to remotely monitor patients and maintain a  consistent record provide information for time sensitive diagnosis and  treatment.  The impact this has on nursing is profound. Nurses will be  responsible not only for monitoring but for teaching these patients how  to manage these problems themselves. The nurse’s consistent  communication allows for education not only with medication but with  diet, exercise, weight loss and overall prevention.  Telehealth is a  promising tool to the new culture of preventative healthcare. While  patients are in the program, they can interact and learn about their  disease process and exacerbation prevention. Telehealth is a win win.                                                                                                     References Hall, J. L., & McGraw, D. (2014). For  Telehealth to Succeed, Privacy and Security risks must be Identified and  Addressed []. Health Affairs, 33(2).                        https://doi.org/https://doi.org/10.1377/hlthaff.2013.0997 McGonigle, D., & Mastrian, K. G. (2018). Nursing Informatics and the Foundation of Knowledge (4 ed.). Burlington, MA: Jones & Bartlett Learning. Milstead, J. A., & Short, N. M. (2019). Health Policy & Politics A Nurse’s Guide. Burlington, MA: Jones & Bartlett Learning Books.

Minimum of 500 words with at least 3 peer review reference in 7th edition APA style this is two separate assignment.  Week 2: Local Practice Problem Exploration Reflect upon the selected national practice problem in Week 1 to address the following. Part one: From a local perspective, how does the practice problem impact nurses, nursing care, healthcare organizations, and the quality of care being provided? Identify the local key stakeholders related to the selected practice problem. Describe one approach used at your unique setting to address this problem. From your perspective, is this intervention effective in addressing the problem? Why or why not? If this practice problem is not addressed at your workplace, propose an intervention that could be implemented on a local scale to address the problem. Part two.  Minimum of 250 words in 7th edition APA style  Reflective inquiry allows for expansion in self-awareness, identification of knowledge gaps, and assessment of learning goals.  reflect upon what you have learned and complete a reflective journal assignment:   Reflect upon your Week 2 learning journey and consider the following in one or two paragraphs. Provide one specific example of how you achieved the weekly objectives. Why is the information important? In what ways will you use this learning?

What are social determinants of health?  Explain how social determinants of health contribute to the development of disease.  Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade. Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following: Describe the health care organization or network. Describe the organization’s overall readiness based on your findings. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Your written assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following: What are the different types of immunities and give an example of each Describe how stress impacts the immunity of a person You should include a minimum of 3 scholarly references. Include a title page, in-text citations, and a reference page in APA format.

A mother comes in with 9-month-old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart).  Describe the developmental markers a nurse should assess for a 9-month-old female infant. Discuss the recommendations you would give the mother. Explain why these recommendations are based on evidence-based practice.