NRS-427VN Concepts In Community And Public Health Essays
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The nursing unit concentrates on large systems of people and different cultures, geographic norms, economic conditions and spiritual values that are influenced by social-legal and political variables and community health. It includes numerous learning topics such as epidemiological data and functional health pattern based assessments to plan and intervene health and disease preventions. NRS-427VN Concepts In Community And Public Health Essays
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The primary objective of NRS-434VN Health Assessment Course is to learn the various methods of health history talking, documentation, physical examination skills & as same as health screening.
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Review this week’s Learning Resources and consider the insights they provide.
Review the Levy Family video Episodes 1 through 5.
The Assignment
In a 2- to 3-page assessing clients with addictive disorders paper, address the following:
After watching Episode 1, describe:
What is Mr. Levy’s perception of the problem?
What is Mrs. Levy’s perception of the problem?
What can be some of the implications of the problem on the family as a whole?
After watching Episode 2, describe:
What did you think of Mr. Levy’s social worker’s ideas?
What were your thoughts of her supervisor’s questions about her suggested therapies and his advice to Mr. Levy’s supervisor? Assessing Clients With Addictive Disorders Paper
What were your thoughts about the way Mr. Levy’s therapist responded to what Mr. Levy had to say?
What were your impressions of how the therapist worked with Mr. Levy? What did you think about the therapy session as a whole?
Informed by your knowledge of pathophysiology, explain the physiology of deep breathing (a common technique that we use in helping clients to manage anxiety). Explain how changing breathing mechanics can alter blood chemistry.
Describe the therapeutic approach his therapist selected. Would you use exposure therapy with Mr. Levy? Why or why not? What evidence exists to support the use of exposure therapy (or the therapeutic approach you would consider if you disagree with exposure therapy)?
In Episode 4, Mr. Levy tells a very difficult story about Kurt, his platoon officer.
Discuss how you would have responded to this revelation.
Describe how this information would inform your therapeutic approach. What would you say/do next?
In Episode 5, Mr. Levy’s therapist is having issues with his story.
Imagine that you were providing supervision to this therapist, how would you respond to her concerns?
Support your assessing clients with addictive disorders paper approach with evidence-based literature.
Assessing Clients With Addictive Disorders Paper
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HCA-465 Health Care Administration And Management essays
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Psychotherapy for Addictive Disorders Essay Assignment
“A long-standing debate has roiled over whether addicts have a choice over their behaviors. The disease creates distortions in thinking, feelings, and perceptions, which drive people to behave in ways that are not understandable to others around them. Simply put, addiction is not a choice. Addictive behaviors are a manifestation of the disease, not a cause.” Psychotherapy for Addictive Disorders Essay Assignment
–Dr. Raju Hajela, former president of the Canadian Society of Addiction Medicine
A common misconception is that addiction is a choice, and addicts are often labeled as individuals who lack morals, willpower, or responsibility. However, addiction is a clinical disorder that must be treated with the support of a health care professional. Although many people who are exposed to potentially addictive substances and behaviors continue life unaltered by their experiences, some people are fueled by these experiences and spiral out of control. In your role as the psychiatric mental health nurse practitioner, you must be prepared to not only work with these individuals who struggle with addiction, but also help them and their families overcome the social stigmas associated with addictive behavior.
This week, as you explore psychotherapy for addiction, you assess clients presenting with addictive disorders. You also examine therapies for treating these clients and consider potential outcomes. Finally, you develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients.
Learning Resources
Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
Laureate Education (Producer). (2013c). Levy family: Episodes 1 [Video file]. Baltimore, MD: Author. Psychotherapy for Addictive Disorders Essay Assignment
Note: The approximate length of this media piece is 2 minutes.Laureate Education (Producer). (2013c). Levy family: Episodes 2 [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 2 minutes.
NUR-621 Principles Of Health Care Financial Management essays
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NUR-621 Principles Of Health Care Financial Management essays
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Each student will choose no later than Week 2 of class, one cultural group and one socio-cultural group from the list provided below and set up a PowerPoint presentation (APA style) Minimum of 16 slides.
Preparation for the presentation will include synthesizing the information from assigned readings, the scientific literature, Internet resources, and other sources. Students will provide a minimum of 5 references. Cultural Group and One Socio-Cultural Group
A brief history of the cultural/socio-cultural group
Values
Worldview
Language and communication patterns
Art and other expressive forms
Norms and rules
Lifestyle characteristics
Relationship patterns
Common rituals
Degree of assimilation or marginalization from mainstream society
Health behaviors and practices.
The presentation must include a comparative and contrast analysis of common characteristics and distinguishing traits between the cultural group and the socio-cultural group. As well as a brief explanation of differential approaches needed by health care professionals.
Grades will also be based on overall quality of the professional presentation including handouts and references. The presentation is due by the end of Week 8.
Cultural Groups:
Socio-cultural group
African American & African
African American Heritage, Haitian Heritage
Asian American, Asian, & Pacific Islander
Chinese Heritage, Japanese Heritage, Korean Heritage, Filipino Heritage, Russian Heritage, Thai Heritage, Indian Heritage, Vietnamese Heritage
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Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.
Health care for an individual is significant in determining how he or she maintains their overall personality. Assessment through correct parameters ensures proper evaluation and then subsequent solutions based on the same. Healthy family results in a healthy society, therefore the main objective of this assessment is to establish the health patterns of a family based in Melbourne, Australia.
Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
Family structure
For a family of 7 people including the parents of 40-45 years, the grandparents of 70-75 years and three children of 10, 13, and 17 years respectively. The family is a Caucasian one who follows Christianity and lives in their family-owned home in Kensington, Victoria the business district of Melbourne, Australia. The father is an accountant in a business organization and the mother teaches as a senior teacher in a school nearby. The children go to the same school and the grandparents are regular members of the community church and do voluntary and paid work for them from time to time. NRS-429 Family-Centered Health Promotion Essays. The family regularly visits their neighbours and has weekend hangouts with their friends (Lindblom, et.al 2017). The functional assessment of the health of few school children and adults has given the result that most of them face chronic pain while being differently-abled in either hand, feet or in other body parts (Kohls, Walker et. al, 2016).
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Summarize the overall health behaviors of the family. Describe the current health of the family.
Overall health behavior of the family
As assessed from the interview questionnaire, and the responses, it could be observed that it is the mother who takes care of the health of all the family members. According to her, the children regularly have salads and homemade soup, and they are not allowed to have fast food. The grandparents go to a laughing club every weekend, but nowadays they are not going for the same. The father goes to work in the government labour department, and does not get much time for exercise. The mother teaches in a neighbourhood school, gets home by 5pm, and watches soap operas in television, while the father reads newspapers. NRS-429 Family-Centered Health Promotion Essays.
Describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
Functional health strengths and health problems
The two major functional health strengths of the family assessed here are regularly going for evening walks and regular intake of water, green vegetable, and fruits. The three major problem areas in health regarding this family are stress and anxiety situations have known to increase blood pressure and blood sugar levels suddenly. Children lead mostly an inactive lifestyle with most playing with video games and rarely taking part in any outdoor activity, therefore, they face pain in feet and hands due to the same reason (Kohls, Walker et. al, 2016).Women of the family suffer from breathing problems and get tired easily after doing household work. In addition to this, the children get seven to eight hours of sleep while the elders like the parents, and grandparents get five to six hours of sleep. The grandparents suffer from health issues like joint pain and high blood pressure. The parents have complaints of stress, depression, and anxiety due to work pressures and untimely food intake (Fang, Vincent et.al 2015). According to (Fang, Vincent et.al 2015), the assessment of the few adults suffering from sexually transmitted diseases like HIV/AIDS have given the results that these individuals are coping up with stress, anxiety, and depression with the support of their family, and peers.
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Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.
Family systems theory and application of the same
The family systems theory describes the role of a family in an individual’s overall behavioral pattern. Through analyzing key concepts of this theory like emotional cut-off, sibling behavior, family problems, nuclear family issues, one would know how a family is functioning overall. For example, if someone in the family starts going for walks in the morning, he or she can influence other family members to do the same (Erdem & Safi, 2018). The effect of family on a child’s mental health is very significant. In the early years of the child, care giving, love, and warmth can prove positive in increasing emotional attachment and peer bonding. NRS-429 Family-Centered Health Promotion Essays.
Conclusion
While assessing the interview questionnaire regarding a family of seven people living in Victoria which is Melbourne, Australia it can be seen that the identity, relationship, and overall health behavior within the family is moderate. This family responds positively whereas in terms of coping with stress and anxiety, this family supports each other while also being critical of each other’s decisions. But the overall bonding in the family is good.
Develop an interview questionnaire to be used in a family-focused functional assessment NRS-429 Family-Centered Health Promotion Essays. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:
Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.
Family Health Assessment Questionnaire:
Values/Health Perception
1. Why you consider health as the most important aspect of your family?
2. What is the family values regarding the health of the children?
3. How does your social and medical conditions work parallel to each other?
Nutrition
1. Do you take nutritious food regularly?
2. What kind of unhealthy food do you allow your children to have?
3. What kind of special diet do you consider to fit the elderly?
Sleep/Rest
1. How many hours a day do you sleep? If less hour of sleeps why so?
2. How far do you consider that you have the required amount of sleep?
3. How far do you think the amount of rest you take is more than necessary?
NRS-429 Family-Centered Health Promotion Essays
Elimination
1. How many times do you use the washroom in a day?
2. How far do you consider elimination benefits your family?
3. Do you have any issues regarding proper elimination?
Activity/Exercise
1. How many times a week do you work out? If less why?
2. What kind of exercises do you like to do?
3. Are you involved in any kind of sports? If not, why?
Cognitive
1. What are the obstacles you have faced while learning something?
2. How many languages can you read/write?
3. What are the languages that you speak excluding your mother tongue?
Sensory-Perception
1. How many times a month do you go for eye checkups?
2. Do you suffer from any hearing problem? If so, why?
3. Do you suffer from any breathing problem?
Self-Perception
1. What do you think about yourself as a person?
2. What do you do when you are depressed?
3. Do you have any doubt regarding your external appearance?
Role Relationship
1. How far do you think you are involved in the everyday dealings of the family?
2. How do you consider the family as the most important aspect?
3. How is your bonding with other family members?
Sexuality
1. How your religion bars you from any kind of sexual activity?
2. Have you imparted any kind of sex education to your children?
3. What are the methods of safe sex that you practice?
Coping
1. How do you cope with any kind of monetary crisis?
2. How do you cope with any kind of medical emergency?
3. How do you deal with any kind of personal crisis?
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GIVE A POSITIVE COMMENT BASED ON THIS CLINICAL NURSE LEADER (CNL) ARGUMENT
Identify the educational preparation and role(s) of the clinical nurse leader (CNL) designation. Give an example of how the CNL influences direct patient care whether in a hospital or out in the community.
Clinical nurse leader (CNL) was proposed American Association of Colleges of Nursing, an effort to improve patient safety and quality of care (Graduate Nursing Edu.org). CNL is a generalist clinician who have education at master’s degree level or higher (Graduate Nursing Edu.org), upon graduation must sit for Clinical Nurse Leader Certification Examination by the Commission on Nurse Certification (University of Pittsburgh). A CNL has an advanced knowledge, not just in one area or discipline, but on general medicine, which is helpful for coordinating the care provided by the interdisciplinary teams. Clinical nurse leader (CNL)
CNL has roles different from other advanced practice clinicians, they are responsible for designing patient care, implementing, and evaluating the care provided to the patients, making sure that the patients receive the right care, while coordinating, delegating, and supervising the care provided by other health care teams clinically.
CNL can influence patient care by the use evidence-based practice and the latest innovated technology to improve patients’ care, they work with physicians, pharmacists, nurse practitioners and other health care teams to provide the most effective medical care (Graduate Nursing Edu.org). It is important to know that CNL serve as mentors to nursing staff, oversee the environment to ensure it is safe for the patients.
CNL can act like a patient’s advocate; they serve as a middle person between the patients and they physicians or healthcare providers. For example, a patient in the community who is not sure what and where to go for help, a CNL would use his/her expertise to inform or teach the patients and family members, the disease condition, and its management, and refer them to the appropriate places for best care.
References
Graduate Nursing Edu.org. (2017) Retrieved on October 2nd. From https://www.graduatenursingedu.org/clinical-nurse-leader/
University of Pittsburgh (2017) Clinical Nurse Leader (CNL). Retrieved October 2nd from http://www.nursing.pitt.edu/degree-programs/master-science-nursing-msn/msn-program-majors/clinical-nurse-leader-cnl-onsite
Evaluate the importance of hypothesis testing in statistics and public health research.
Hypothesis Testing
The purpose of this assignment is to evaluate the steps of hypothesis testing.
Hypothesis testing is a central component in understanding and interpreting public health research. Research questions are applied through a testable hypothesis established before the data is collected. It provides the rationale for the study and guides the researcher in what tests to use and how to interpret the results. PUB-550 Topic 3: Hypothesis Testing DQs.
Identify a peer-reviewed article from one of the data sources available on the “Data Resource Document.” You will need to visit the various websites listed on the document to search for a research article that is of interest to you. Include the link to the selected article in a 750-1,000 word summary that address the following as it relates to the article.
What test statistic did the researchers use? What did the authors set as the significance level of the test statistic?
What was the null hypothesis? What was the alternative hypothesis? Were these clearly stated in the article, or did you have to extrapolate based on the background in the article? PUB-550 Topic 3: Hypothesis Testing DQs
Discuss potential bias that may have resulted from the study design and data collection that could have affected the validity of the test.
Summarize the story told by the data used in this study as it applies to the larger population
Comment on whether the authors used the interpretation approach discussed in the textbook, including (a) summarize why the study was done, (b) discuss the factual results, (c) explain what the results mean, and (d) make suggestions for future research.
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. PUB-550 Topic 3: Hypothesis Testing DQs
Explore the purpose and methodology of the international Global School-Based Student Health Survey, located on the World Health Organization (WHO) website.
Discuss the four potential outcomes of hypothesis testing and describe what is meant by type 1 and type 2 errors. Provide an example of when these errors might occur. PUB-550 Topic 3: Hypothesis Testing DQs
Topic 3 DQ 1
Hypothesis testing is used to evaluate a hypothesis about an entire population (Corty, 2016). Hypothesis testing is extremely statistic based with makes it objective not subjective. Statisticians use hypothesis testing to make sure that decisions remain data-based and not emotional based. The data from hypothesis testing is from the sample used to evaluate a population. There are six steps in hypothesis testing (Corty, 2016):
Pick the right statistical test (TEST)
Check the assumptions to ensure it is okay to do the test (ASSUMPTION)
List all null and alternative hypothesis options (HYPOTHESIS)
Find the value of the static that determines when to reject or accept the null hypothesis (DECISION)
Calculate the value of the test statistics (CALCULATION)
State what the results are (INTERPRETATION)
PUB-550 Topic 3: Hypothesis Testing DQs
In every hypothesis test, the outcomes are dependent on a correct interpretation of the data (Illowsky, n.d.). Incorrect calculations or misunderstood summary statistics can lead to errors that affect the results. A Type I error occurs when a true null hypothesis is rejected (Illowsky, n.d.). A Type II error occurs when a false null hypothesis is not rejected (Illowsky, n.d.).
The probabilities of these errors are denoted by the Greek letters α and β, for a Type I and a Type II error respectively (Illowsky, n.d.). The power of the test, 1 – β, quantifies the likelihood that a test will yield the correct result of a true alternative hypothesis being accepted (Illowsky, n.d.). A high power is desirable.
Formula Review (Illowsky, n.d.).
α = probability of a Type I error = P(Type I error) = probability of rejecting the null hypothesis when the null hypothesis is true. PUB-550 Topic 3: Hypothesis Testing DQs
β = probability of a Type II error = P(Type II error) = probability of not rejecting the null hypothesis when the null hypothesis is false.
The decision is not to reject H0 when H0 is true (correct decision).
The decision is to reject H0 when H0 is true (incorrect decision known as a Type I error).
The decision is not to reject H0 when, in fact, H0 is false (incorrect decision known as a Type II error).
The decision is to reject H0 when H0 is false (correct decision whose probability is called the Power of the Test).
Example (Illowsky, n.d.):
It’s a Boy Genetic Labs claim to be able to increase the likelihood that a pregnancy will result in a boy being born. Statisticians want to test the claim. Suppose that the null hypothesis, H0, is: It’s a Boy Genetic Labs has no effect on gender outcome.
Type I error: This result when a true null hypothesis is rejected. In the context of this scenario, we would state that we believe that It’s a Boy Genetic Labs influences the gender outcome, when in fact it has no effect. The probability of this error occurring is denoted by the Greek letter alpha, α.
Type II error:This result when we fail to reject a false null hypothesis. In context, we would state that It’s a Boy Genetic Labs does not influence the gender outcome of a pregnancy when, in fact, it does. The probability of this error occurring is denoted by the Greek letter beta, β. PUB-550 Topic 3: Hypothesis Testing DQs
References
Corty, E. (2016). Using and interpreting statistics. A practical text for the behavioral, social, and health sciences 3rd Edition. Retrieved from https://viewer.gcu.edu/GGdEcj
Illowsky, B. (n.d.). Introduction to Statistics. Retrieved from https://courses.lumenlearning.com/introstats1/chapter/outcomes-and-the-type-i-and-type-ii-errors/
opic 3 DQ 1
Banerjee et al., (2009) study found the following: Hypothesis testing is an important activity of empirical research and evidence-based medicine. A well worked up hypothesis is half the answer to the research question. For this, both knowledge of the subject derived from extensive review of the literature and working knowledge of basic statistical concepts are desirable. The present paper discusses the methods of working up a good hypothesis and statistical concepts of hypothesis testing (p.127)
Banerjee et al., (2009) study found the following: Just like a judge’s conclusion, an investigator’s conclusion may be wrong. Sometimes, by chance alone, a sample is not representative of the population. Thus, the results in the sample do not reflect reality in the population, and the random error leads to an erroneous inference. A type I error (false-positive) occurs if an investigator rejects a null hypothesis that is actually true in the population; a type II error (false-negative) occurs if the investigator fails to reject a null hypothesis that is actually false in the population. Although type I and type II errors can never be avoided entirely, the investigator can reduce their likelihood by increasing the sample size (the larger the sample, the lesser is the likelihood that it will differ substantially from the population) (p.127). PUB-550 Topic 3: Hypothesis Testing DQs
Banerjee et al., (2009) study found the following: False-positive and false-negative results can also occur because of bias (observer, instrument, recall, etc.). (Errors due to bias, however, are not referred to as type I and type II errors.) Such errors are troublesome, since they may be difficult to detect and cannot usually be quantified (p.127).
Reference
Banerjee, A., Chitnis, U. B., Jadhav, S. L., Bhawalkar, J. S., & Chaudhury, S. (2009). Hypothesis testing, type I and type II errors. Industrial psychiatry journal, 18(2), 127–131. doi:10.4103/0972-6748.62274
Topic 3 DQ 2
Review the Healthy People 2020 website. Identify one of the health issues and propose a scenario that would use a z-test as the first step in the six steps of hypothesis testing. Discuss the remaining five steps based on your scenario, including clearly articulating the null and alternative hypotheses for your scenario.
Topic 3 DQ 2
Topic Three, Discussion Question Two.This assignment requires visiting the Healthy People 2020 website and identify one health issue and propose a scenario that would use a z-test as the first step in the six steps of hypothesis testing. Last, discuss the remaining five steps based on your scenario, including clearly articulating the null and alternative hypotheses for the scenario. PUB-550 Topic 3: Hypothesis Testing DQsHypothesis testing is used to evaluate a hypothesis about an entire population (Corty, 2016). Hypothesis testing is extremely statistic based with makes it objective not subjective. Statisticians use hypothesis testing to make sure that decisions remain data-based and not emotional based. The data from hypothesis testing is from the sample used to evaluate a population. There are six steps in hypothesis testing (Corty, 2016):
Pick the right statistical test (TEST)
Check the assumptions to ensure it is okay to do the test (ASSUMPTION)
List all null and alternative hypothesis options (HYPOTHESIS)
Find the value of the static that determines when to reject or accept the null hypothesis (DECISION)
Calculate the value of the test statistics (CALCULATION)
State what the results are (INTERPRETATION)
Now that we have defined hypothesis testing let’s understand what a z-test is. It is a type of hypothesis test that is used when (Statistics How To, 2018): PUB-550 Topic 3: Hypothesis Testing DQs
The sample size is greater than 30
Data points are independent from each other (one data point isn’t related or doesn’t affect another data point)
The data should be normally distributed
The data should be randomly selected from a population, where each item has an equal chance of being selected.
The sample size should be equal if at all possible.
When running a z-test with the data – there are five steps that are required (Statistics How To, 2018):
State a null and alternate hypothesis
Choose an alpha level
Find the critical value of “z” in the z table
Calculate the z test statistic
Compare the test statistic to the critical z value and decide if you shoul support or reject the null hypothesis
After reviewing the Healthy People 2020 website, the health issue I have decided to pin-point is childhood obesity. One scenario that would use a z-test as the first hypothesis step in a scenario that would use a z-test as the first step in the six steps of hypothesis testing is kids eating fast food multiple times a week impact childhood obesity.
To do this scenario we would have two different proportion ztests that will allow us to compare the two proportions to see if they are the same or different. As stated above:
The null hypothesis (H0) for the test is that the proportions are the same. – Yes, survey results and data (weight measurements combined) show that children that eat out three times a week with fast food gain weight faster than those who do not eat out. PUB-550 Topic 3: Hypothesis Testing DQs
The alternate hypothesis (H1) is that the proportions are not the same. The survey results and the data do not show that eating out three times a week with fast food support weight gain in children.
Now that we have the right statistical test (z-test) we need to make sure the rest of the hypothesis testing is ready to go.
Check the assumptions to ensure it is okay to do the test (ASSUMPTION)
List all null and alternative hypothesis options (HYPOTHESIS) – listed above.
Find the value of the static that determines when to reject or accept the null hypothesis (DECISION)
Calculate the value of the test statistics (CALCULATION)
State what the results are (INTERPRETATION)
References
Corty, E. (2016). Using and interpreting statistics. A practical text for the behavioral, social, and health sciences 3rd Edition. Retrieved from https://viewer.gcu.edu/GGdEcj
Statistics How To. (2018). Z Test: Definition & Two Proportion Z-Test. Retrieved from https://www.statisticshowto.datasciencecentral.com/z-test/ PUB-550 Topic 3: Hypothesis Testing DQs
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