Client Questions

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. Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.

While the male and female reproductive systems are unique to each sex, they share a common function—reproduction. Disorders of this system range from delayed development to structural and functional abnormalities. Since many reproductive disorders not only result in physiological consequences but also psychological consequences such as embarrassment, guilt, or profound disappointment, patients are often hesitant to seek treatment. Advanced practice nurses need to educate patients on disorders and help relieve associated stigmas. During patient evaluations, patients must feel comfortable answering questions so that you, as a key health care provider, will be able to diagnose and recommend treatment options. As you begin this Discussion, consider reproductive disorders that you would commonly see in the clinical setting. To Prepare Review Chapter 22 and Chapter 23 in the Hammer and McPhee text, as well as Chapter 33 and 34 in the Huether and McCance text. Select two disorders of the male and/or female reproductive systems that interest you. Consider the similarities and differences between the disorders. Select one of the following factors: genetics, ethnicity, age, or behavior. Think about how the factor you selected might impact the diagnosis of and treatment for the reproductive disorders.  Post a description of the two reproductive disorders you selected, including their similarities and differences. Then explain how the factor you selected might impact the diagnosis of treatment for the reproductive disorders.  Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

For this discussion, you will need to address all of the questions below and be sure to participate fully by responding to your classmates as well. Citations should be used to support your analysis and references should be included in APA format. Be sure to review the Discussion Question Guidelines before you begin! This week, you will be creating two Excel spreadsheets in one Excel workbook (file). Save the file as W4DQ_YourLastName (Excel will add the default of .xlsx to this name) and then Save often so you don’t lose any work! Name each worksheet descriptively. Sheet 1 (which you will rename). Create an itemized list of at least ten (10) items that you will need for your graduation party. Lay out your Excel spreadsheet following the example below. Make your columns as wide as you need to show all the information for that column by double clicking on the line between the columns or dragging the line between the columns. Cell B2 had the Wrap Text on the Home ribbon in the Alignment group turned on due to the length of the description. Only include numbers in the Cost per Unit, Quantity, and Cost columns so your calculations will work. When you have entered your data, Sort your information by Item. Share any questions about this or anything else in the Discussion Area. Sheet 2 (which you will rename). MS Excel is a great help with calculations which are completed using formulas. Remember, by typing an equal sign (=) into a cell, you are preparing Microsoft Excel to do a formula calculation. Refresh your memory on the use of formulas from this week’s assigned reading and the online lectures. For Sheet 2, think of a situation at home, work, or even a hobby or sport for which you could use a calculation and create a formula to solve a problem. Open a spreadsheet in MS Excel and create your formula. Make sure you label components of your spreadsheet. In the Discussion Area when you attach your file, describe the purpose of your formula and how it will help solve the problem it was designed to address. Share any challenges you had as well as tips for others. Delete the unused worksheets by right clicking on them one at a time and choosing Delete. In your discussion with your classmates, remember to respond substantively to two other students and to the instructor. For this assignment, you can respectfully share comments about layout, formatting, column widths, how to create any other formulas and what you might use them for, as well as other possible uses for Microsoft Excel. Include any helpful comments and let them know how you might benefit from the formulas they have created. Week 4 ProjectAssignment Overdue – Last Wed at 11:59 PMCreating a Budget In this assignment you will create a spreadsheet and a chart to help a hypothetical couple work out their budget. You will submit a Microsoft Excel spreadsheet following the directions below to the appropriate submission folder by the due date. You will name this file W4P_LastName.xlsx. Please Note:Information to help you with this project is available in the Week 4 online lectures, your textbook, as well as Microsoft Excel Help (F1). Your professor is also a great resource. If you work ahead, you can post questions about this assignment in the Questions for the Professor area in Course Resources and still submit your assignment on time. Scenario Tom and Sally were trying to get a handle on their budget. They heard that MS Excel could help them with that.  Tom is going to school and has cut back on his hours. Sally has finished her associate’s degree and is working full time. They want to look at the last three months of their income and expenses to see where they can make changes. Part I – The Spreadsheet First, in an Excel Spreadsheet, create a budget to show Tom and Sally’s income, expenses, and money leftover each month (Net). Create formulas in your spreadsheet for your calculations using the following data: Tom brought home $1,000 a month for January, February, and March. Sally brought home $1,900, $2,000, and $1,975 respectively for those three months. They paid $1,000 for rent and utilities each month. They paid $88 for insurance each month. They paid $60 for cell phones and $60 for Internet/TV each month. They spent $600, $750 (due to a big birthday bash), and $500 on food respectively. Their car payment and gas came to $225, $250, and $300 respectively. Entertainment and gifts were $75, $100, and $45 respectively. They paid a little extra on their credit card $150, $125, and $100 respectively. They allocated $200 each month for personal grooming and health care. They put $100 each month into savings. Miscellaneous Expenses came to $200, $100, and $400 respectively. A sample budget layout is included below as an example of one way to lay out a budget. Part II – The Chart Once you have worked out the budget spreadsheet, use the tabs at the bottom of the page to open another sheet. Here you will create a chart similar to the example below using the tools you learned about in the lectures and the textbook. On the new sheet: Create a column chart to visually represent their monthly expenses. If you have a challenge getting the chart on this sheet, research how to move your chart using your reading or Help (F1). You might also try right clicking on the chart. Add a descriptive title to the chart. Part III – Changing Values Copy everything from Sheet 1 (the budget calculations) and paste it into a new worksheet. Change values for Sally’s March income to $200 more. Let’s say that they didn’t use as much heat in March and their utilities were $75 less (you could use a formula to figure out $75 less but you don’t have to). See how the totals change automatically if you used formulas correctly. If the values did not change, check your formulas and try them again. Seek help if you can’t figure this out. Rename each of your three spreadsheets with descriptive names. By the assigned due date, submit this budget to the appropriate submission folder. In the message box, share how the process of creating this went for you, including any challenges, successes, or insights.

This assignment describe the teaching experience and discuss your observations. The written portion of this assignment should include: 1) **********minimum 5 full pages**************************** (cover or reference page not included) 2)¨**********APA norms 3)********** It will be verified by Turnitin and SafeAssign 4) **********References from the last 5 years    _________________________________________________ You must demonstrate empathic writing to develop the points. The titles are points 1, 2, 3, 4, and 5. Its writing should be fluid as an essay addressing the items of each point.   Community: Laarkin Community Hospital City: Hialeah Population: adults Atention focus: Medical-Surgical _________________________________________________ Points: 1) Summary of teaching plan a. The nurse used a Poster Presentation to inform the population about the Smoking Prevention:      – Mention the advantages of the presentation poster and why it was selected b. Mention the importance of teaching elders about Smoking Prevention c. Mention the objective of educating to this population about the Smoking Prevention d. Mention why this population should be the teaching focus of the nurse 2) Epidemiological rationale for topic Smoking Prevention- Adults 3) Evaluation of teaching experience a. Mention how you felt doing this education process for this community. b. Evaluate your performance as a nurse to address the issue c. Consider improvement opportunities for future activities 4) Community response to teaching The population responded positively, were participatory and addressed the issue based on their experiences. 5) Areas of strengths and areas of improvement You must demonstrate empathic writing to develop the points. The titles are points 1, 2, 3, 4, and 5. Its writing should be fluid as an essay addressing the items of each point.

No plagiarism please. Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations.  Depression is a common psychiatric disorder in children, adolescents, adults, and the elderly. Primary care providers, not mental health professionals, treat the majority of patients with symptoms of depression. Persons who are depressed have feelings of sadness, loneliness, irritability, worthlessness, hopelessness, agitation, and guilt that may be accompanied by an array of physical symptoms as well as substance abuse. Identifying patients with depression and substance abuse can be difficult in busy primary care settings where time is limited, but certain depression/substance abuse screening tools may help diagnose the disorder.  Discussion: Discuss a screening tool that can be used in the primary care setting that can help with the identification of patients with depression and or substance abuse. What is your responsibility as a primary care provider to this patient once a disorder has been identified?

1) **********minimum 4 full pages**************************** (cover, table appendix page or reference page not included)  2)¨**********APA norms  3)********** It will be verified by Turnitin and SafeAssign  4) **********References from the last 5 years    5) The points don’t be must copied in the work. It must be identified by numbers.  For example 1. The Community is………………………….. 2.  Community health status is……………………….. ______________________________________________________ Community Health Assessment / Windshield Survey Community Assessment A community health assessment (sometimes called a CHA), also known as community health needs assessment (sometimes called a CHNA), refers to a state, tribal, local, or territorial health assessment that identifies key health needs and issues through systematic, comprehensive data collection and analysis.  GUIDELINES: (MIami) 1.  Community description (City and population- Miami)  2. Community health status (must obtain from the department of health). 3. The role of the community as a client. 4. Healthy people 2020, lading health indictors in your community. 5. Conclusion. Also, you must present a table as an appendix page with the following topics and description; Housing Transportation Race and ethnicity Open space Service centers Religion and politics

Write a 4-5 page evidence-based proposal to support the need for a nurse informaticist in an organization who would focus on improving health care outcomes. As you begin to prepare this assessment, you are encouraged to complete the Team Perspectives of the Nurse Informaticist activity. Completion of this will help you succeed with the assessment as you explore the nurse informaticist’s role from the different perspectives of the health care team. Completing activities is also a way to demonstrate engagement. Nurses at the baccalaureate level in all practice areas are involved in nursing informatics through interaction with information management and patient care technologies. Nurses must not only demonstrate knowledge of and skills in health information and patient care technologies, but also how to use these tools at the bedside and organizational levels. Moreover, nurses need to recognize how information gathered from various health information sources can impact decision making at the national and state regulatory levels. 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 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.      Define nursing informatics and the role of the nurse informaticist. Explain how the nurse collaborates with the interdisciplinary team, including technologists, to improve the quality of patient care. Justify the need for a nurse informaticist in a health care organization. Competency 2: Implement evidence-based strategies to effectively manage protected health information.      Explain evidence-based strategies that the nurse and interdisciplinary team can use to effectively manage patients’ protected health information (privacy, security, and confidentiality). Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.      Follow APA style and formatting guidelines for citations and references. Create a clear, well-organized, and professional proposal that is generally free from errors in grammar, punctuation, and spelling. Scenario For this assessment, assume you are a nurse attending a meeting of your state’s nurses’ association. A nurse informaticist conducted a presentation on her role and its impact on positive patient and organizational outcomes in her workplace. You realize that your organization is undergoing many technological changes. You believe this type of role could provide many benefits to your organization. You decide to pursue proposing a nurse informaticist role in your organization. You speak to your chief nursing officer (CNO) and human resources (HR) manager. These individuals ask you to prepare a 4–5 page evidence-based proposal to support the new role. In this way, they can make an informed decision as to whether the addition of such a role could justify the return on investment (ROI). They need your proposal before an upcoming fiscal meeting. Preparation To successfully prepare for this assessment, you will need to complete these preparatory activities: Review assessment resources and activities. Conduct independent research on the nursing knowledge and skills necessary to interact with health information and patient care technology.      Focus your research on current resources available through peer-reviewed articles, professional websites, government websites, professional blogs, wiki pages, job boards, et cetera. Consult the BSN Program Library Research Guide for help in identifying scholarly and authoritative sources.  Interview peers in your network who are considered information technology experts.      Ask them about how information technology advances are impacting patient care at the bedside, at the organizational level, and beyond. Proposal Format The Chief Nursing Officer (CNO) and Human Resources (HR) manager have asked you to include the following headings in your proposal and to be sure to address the bullets underneath each heading: Nursing Informatics and the Nurse Informaticist What is nursing informatics? What is the role of the nurse informaticist? Nurse Informaticists and Other Health Care Organizations What is the experience of other health care organizations with nurse informaticists? How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team? Impact of Full Nurse Engagement in Health Care Technology How does fully engaging nurses in health care technology impact:      Patient care? Protected health information (security, privacy, and confidentiality)? Workflow? Costs and return on investment? Opportunities and Challenges What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a nurse informaticist role?      How can the interdisciplinary team collaborate to improve quality care outcomes through technology? Summary of Recommendations What are 3–4 key takeaways from your proposal about the recommended nurse informaticist role that you want the CNO and the HR manager to remember? Additional Requirements Written communication: Ensure written communication is free of errors that detract from the overall message. Submission length: 4–5 double-spaced pages, in addition to a title page and references page. Font: Times New Roman, 12 point. Citations and References: Cite a minimum of 3 current scholarly and/or authoritative sources to support your ideas. In addition, cite a minimum of 1 current professional blog or website to support your central ideas. Current means no more than five years old. APA formatting: Be sure to follow APA formatting and style guidelines for citations and references. For an APA refresher, consult the APA Style and Format page on Campus. Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final capstone course.

Develop a 20-minute presentation for nursing colleagues highlighting the fundamental principles of care coordination. Create a detailed narrative script for your presentation, approximately 4–5 pages in length, and record a video of your presentation. Nurses have a powerful role in the coordination and continuum of care. All nurses must be cognizant of the care coordination process and how safety, ethics, policy, physiological, and cultural needs affect care and patient outcomes. As a nurse, care coordination is something that should always be considered. Nurses must be aware of factors that impact care coordination and of a continuum of care that utilizes community resources effectively and is part of an ethical framework that represents the professionalism of nurses. Understanding policy elements helps nurses coordinate care effectively. This assessment provides an opportunity for you to educate your peers on the care coordination process. The assessment also requires you to address change management issues. You are encouraged to complete the Managing Change activity. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment. 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: Collaborate with patients and family to achieve desired outcomes.      Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes. Competency 3: Create a satisfying patient experience.      Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care. Competency 4: Defend decisions based on the code of ethics for nursing.      Explain the rationale for coordinated care plans based on ethical decision making. Competency 5: Explain how health care policies affect patient-centered care.      Identify the potential impact of specific health care policy provisions on outcomes and patient experiences. Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.      Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation. Script and reference list are not submitted. Preparation Your nurse manager has been observing your effectiveness as a care coordinator and recognizes the importance of educating other staff nurses in care coordination. Consequently, she has asked you to develop a presentation for your colleagues on care coordination basics. By providing them with basic information about the care coordination process, you will assist them in taking on an expanded role in helping to manage the care coordination process and improve patient outcomes in your community care center. To prepare for this assessment, identify key factors nurses must consider to effectively participate in the care coordination process. You may also wish to: Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete. Allow plenty of time to rehearse your presentation. Note: Remember that you can submit all, or a portion of, your draft presentation to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Recording Equipment Setup and Testing Check that your recording equipment and software are working properly and that you know how to record and upload your presentation. You may use Kaltura (recommended) or similar software for your audio recording. A reference page is required. However, no PowerPoint presentation is required for this assessment. If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your video in the courseroom. Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@capella.edu to request accommodations. Instructions Complete the following: Develop a presentation for nursing colleagues highlighting the fundamental principles of care coordination. Include community resources, ethical issues, and policy issues that affect the coordination of care. To prepare, develop a detailed narrative script. The script will be submitted along with the video. Record a video of your presentation. Note: For this assessment, develop your audio script, then record your presentation. You are not required to deliver your presentation to an actual audience but you certainly could. Presentation Format and Length Create a detailed narrative script for your presentation, approximately 4–5 pages in length. Include a reference list at the end of the script. Supporting Evidence Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script. Watch the example video in your course room to hear how citations are referenced. Grading Requirements The requirements outlined below correspond to the grading criteria in the Care Coordination Presentation to Colleagues Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.      Provide, for example, drug-specific educational interventions, cultural competence strategies. Include evidence that you have to support your selected strategies. Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care. Explain the rationale for coordinated care plans based on ethical decision making.      Consider the reasonable implications and consequences of an ethical approach to care and any underlying assumptions that may influence decision making. Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.      What are the logical implications and consequences of relevant policy provisions? What evidence do you have to support your conclusions? Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation. Script and reference list are not submitted.      Fine tune the presentation to your audience. Stay focused on key issues of import with respect to the effects of resources, ethics, and policy on the provision of high-quality, patient-centered care. Adhere to presentation best practices. Additional Requirements Submit both your presentation video and script. The script should include a reference page. See Using Kaltura for more information about uploading multimedia files. You may submit the assessment only once, so be sure that both assessment deliverables are included. Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.

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Clinical Question – Formulate a clinical question using the PICOT format. P: Patient Population I: Intervention or area on Interest C: Comparison intervention or group O: Outcome T: Time Ex: “In acute care hospitals (patient population), how does having a rapid response team (intervention) compared with not having a response team (comparison) affect the number of cardiac arrests (outcome) during a three-month period (time)?” Please include in-text citation and 3-4 references