GCU Week 4 Chest X Ray Mucor Pathophysiologic Progression Discussion Question

GCU Week 4 Chest X Ray Mucor Pathophysiologic Progression Discussion Question

Use the image in “Discussion Question Resource: Chest X-Ray” to answer the following Critical Thinking Questions.

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Examine the x-ray of a patient diagnosed with pneumonia due to infection with Mucor. Refer to the “Module 4 DQ Chest Xray” resource in order to complete the following questions.

Critical Thinking Questions

Explain what Mucor is and how a patient is likely to become infected with Mucor. Describe the pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient.
Examine the laboratory blood test results and arterial blood gases provided in “Discussion Question Resource: Laboratory Blood Test Results.” What laboratory values are considered abnormal? Explain each abnormality and discuss the probable causes from a pathophysiologic perspective.
What medications and medical treatments are likely to be prescribed by the attending physician on this case? List at least three medications and three treatments. Provide rationale for each of the medications and treatments you suggest.Use the image in “Discussion Question Resource: Chest X-Ray” to answer the following Critical Thinking Questions.Examine the x-ray of a patient diagnosed with pneumonia due to infection with Mucor. Refer to the “Module 4 DQ Chest Xray” resource in order to complete the following questions.Critical Thinking Questions
Explain what Mucor is and how a patient is likely to become infected with Mucor. Describe the pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient.
Examine the laboratory blood test results and arterial blood gases provided in “Discussion Question Resource: Laboratory Blood Test Results.” What laboratory values are considered abnormal? Explain each abnormality and discuss the probable causes from a pathophysiologic perspective.
What medications and medical treatments are likely to be prescribed by the attending physician on this case? List at least three medications and three treatments. Provide rationale for each of the medications and treatments you suggest.
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Older Adults Patient Education Issues in Health Care System Essay

Older Adults Patient Education Issues in Health Care System Essay

Write a 500‐750‐word essay on the influence patient education has in health care using the experiences of a patient.

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Interview a friend or family member about that person’s experiences with the health care system. You may develop your own list of questions.

Suggested interview questions:

Did a patient education representative give you instructions on how to care for yourself after your illness or operation?
Did a health care professional, pharmacist, nurse, doctor, or elder counselor advise you on your medication, diet, or exercise?
Who assisted you at home after your illness or operation?
Do you know of any assistance services, i.e., food, transportation, medication, that would help you stay in your home as you get older?

Academy for Practical Nursing Formulating Hypotheses Peer Response

Academy for Practical Nursing Formulating Hypotheses Peer Response

1——–The relationship between independent and dependent variables is the basis for formulating hypotheses for

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correlational, quasi-experimental, and experimental studies” (Grove, Gray, & Burns, 2015, p. 153). Independent variables can be changed (controlled, manipulated) by the person doing the research to see what effect it has on the dependent variable (Grove et al., 2015). The dependent variable is measured to see what the results or the outcome is for the study. In a study on SBIRT (screening, brief intervention, and referral to treatment), the dependent variable would be substance use (alcohol or drug use), and the independent variables would include screening, brief intervention, and referral to treatment. “The independent variable must be clearly defined, often by a protocol, so that it can be implemented precisely and consistently as an intervention in a study”, according to Grove et al. (2015, p. 152). Unfortunately, extraneous variables can affect the measurement of this type of study because there are barriers to providing SBIRT, for example, inaccurate screening techniques, missed opportunities to provide a brief intervention or referral to treatment, and patients may or may not want to quit using drugs or alcohol. “Extraneous variables exist in all studies and can affect the measurement of study variables and the relationships among these variables” (Grove et al., 2015, p. 154).

In addition, there is also environmental variables, which includes the environment where the study takes place (Grove et al., 2015). With SBIRT, this could include not having a place to put a counselor in the department, so SBIRT may not be performed. In some studies, descriptive or correlational studies (qualitative and a few kinds of quantitative studies), the researcher may want to see how the study plays out without controlling the extraneous variables. “If a researcher is studying humans in an uncontrolled or natural setting, it is impossible and undesirable to control all the extraneous variables” (Grove et al., 2015, p. 154). The researcher can control some of these variables by educating staff on correct screening techniques or using iPads to screen patients, can make sure someone is assigned to meet with each patient who screens positive for SBIRT to provide an intervention, and to make sure referrals are given at the time of the visit. However, the researcher cannot make the patient want help. “If change is implemented, there is an ethical and moral responsibility of the health care provider to evaluate the quality of patient outcomes derived from the change” (McLaughlin, & Sanchez, 2017, p. 101). Accuracy and validity of data is important, so that changes are made based on good, solid evidence. It is important for the change agent to use variables that will produce an answer for the question (PICOT) in his or her study.

2—-Lets briefly review the difference between independent and dependent variables. An independent variable represents a number that can be changed in an experiment. Alternately, a dependent variable reflects a quantity that depends on how the independent variable is influenced. Khan Academy (2019) offers the following example to give further definition to the two examples “you are doing chores to earn your allowance. For each chore you do, you earn $3”. In this example, the independent variable would be the number of chores you do and the dependent variable would be the amount of money that is earned.

My capstone project is related to how education can reduce 30-day readmission rates related to heart failure. In this topic, the independent variable would be the education of heart failure and the dependent variable would be 30-day readmission rates. This is related to the topic of education being influenceable, where the 30-day readmission rate is directly dependent on the independent variable of education. It’s important to appreciate the values of dependent and independent variables in order to ascertain the outcome of our projects. To be effective predictors, independent variables need to have a strong correlation with the dependent variable (Grove & Cipher, 2017). With this in mind, it’s important to appreciate how the independent and dependent variables come together to form a cohesive research finding. Why this is so important is to relate conclusive findings to our research to promote validation. Without the data to back up our findings, the research that we have done doesn’t hold the same scientific weight and thus doesn’t promote a necessity for change.

3—The two main variables in an experiment are the independent and dependent variable. An independent variable is a variable that is changed or controlled in a scientific experiment to test the effects on the dependent variable. A dependent variable is a variable being tested and measured in a scientific experiment. To transform single-input affine systems into linear control systems, one suggests using control-dependent changes of the independent variable. It shows that the use of such changes of variables in conjunction with feedback linearization enables one to linearize systems to which known linearization methods do not apply. The reason for collecting this variable, it is proven that a linearizing change of independent variable can be found by solving a system of partial differential equations. The approach developed in the paper is applied to the construction of solutions of terminal problems Fetisov, (2017).

4– Statistical significance testing and clinical trials” by one author provides a thought-provoking and critical discussion of the conventional analytical testing in clinical research. The author argues that, by focusing exclusively on mean differences between groups and their statistical significance, relevant information about the individual participant is ignore. The writer also, calls for a different methodology that examines client covariates with the outcome and then compares the treatment outcome distributions and their overlaps for each of the covariate-defined subgroups. The problem is well described, and the possible solutions articulated well. However, the problem the author is tackling stays at the initial stage of a multilevel problem Hofmann, S. G. (2011).

One of the central issues argument relates to client characteristics. Clinical researchers typically deal with populations that are defined by a medical classification system that categorizes people, with a different history, course of illness, and etiology, as well as cultural and social feature, into a diagnostic group that is defined based on more-or-less arbitrary symptom patterns. I will use clinical significance to support positive outcomes in my project by collecting data from reputable databases. I will also make sure the evidence-based practices are in collaborate throughout my project. Even the complex issues that future generations of clinical researchers will have to tackle, and that will likely take away the best results.

minimum of 70 words per response with proper in-text citation and references

CUNY Kingsborough College Patients with Schizophrenia Quality of Life Paper

CUNY Kingsborough College Patients with Schizophrenia Quality of Life Paper

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes

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. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project. For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Literature Evaluation Table Student Name: Change Topic (2-3 sentences): Criteria Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Article Title and Year Published Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study Design (Type of Quantitative, or Type of Qualitative) Setting/Sample Article 1 Article 2 Article 3 Article 4 Methods: Intervention/Instruments Analysis Key Findings Recommendations Explanation of How the Article Supports EBP/Capstone Project Criteria Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Article Title and Year Published Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study Design (Type of Quantitative, or Type of Qualitative) Setting/Sample Methods: Intervention/Instruments Analysis Key Findings Recommendations Explanation of How the Article Supports EBP/Capstone Article 5 Article 6 Article 7 Article 8 Literature Evaluation Table – Rubric No of Criteria: 13 Achievement Levels: 5 Criteria Achievement Levels Description Percentage Unsatisfactory 0-71% 0.00 % Less Than Satisfactory 72-75% 75.00 % Satisfactory 76-79% 79.00 % Good 80-89% 89.00 % Excellent 90-100% 100.00 % Article Selection 100.0 Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article 5.0 Author, journal (peer-reviewed), and permalink or working link to access article section is not included. Author, journal (peer-reviewed), and permalink or working link to access article section is present, but it lacks detail or is incomplete. Author, journal (peer-reviewed), and permalink or working link to access article section is present. Author, journal (peer-reviewed), and permalink or working link to access article section is clearly provided and well developed. Author, journal (peer-reviewed), and permalink or working link to access article section is comprehensive and thoroughly developed with supporting details. Article Title and Year Published 5.0 Article title and year published section is not included. Article title and year published section is present, but it lacks detail or is incomplete. Article title and year published section is present. Article title and year published section is clearly provided and well developed. Article title and year published section is comprehensive and thoroughly developed with supporting details. Research Questions (Qualitative) or Hypothesis (Quantitative), and Purposes or Aim of Study 10.0 Research questions (qualitative) or hypothesis (quantitative), and purposes or aim of study section is not included. Research questions (qualitative) or hypothesis (quantitative), and purposes or aim of study section is present, but it lacks detail or is incomplete. Research questions (qualitative) or hypothesis (quantitative), and purposes or aim of study section is present. Research questions (qualitative) or hypothesis (quantitative), and purposes or aim of study section is clearly provided and well developed. Research questions (qualitative) or hypothesis (quantitative), and purposes or aim of study section is comprehensive and thoroughly developed with supporting details. Design (Type of Quantitative, or Type of Qualitative) 5.0 Design (type of quantitative, or type of qualitative) section is not included. Design (type of quantitative, or type of qualitative) section is present, but it lacks detail or is incomplete. Design (type of quantitative, or type of qualitative) section is present. Design (type of quantitative, or type of qualitative) section is clearly provided and well developed. Design (type of quantitative, or type of qualitative) section is comprehensive and thoroughly developed with supporting details. Setting or Sample 5.0 Setting or sample section is not included. Setting or sample section is present, but it lacks detail or is incomplete. Setting or sample section is present. Setting or sample section is clearly provided and well developed. Setting or sample section is comprehensive and thoroughly developed with supporting details. Methods: Intervention or Instruments 5.0 Methods: Intervention or instruments section is not included. Methods: Intervention or instruments section is present, but it lacks detail or is incomplete. Methods: Intervention or instruments section is present. Methods: Intervention or instruments section is clearly provided and well developed. Methods: Intervention or instruments section is comprehensive and thoroughly developed with supporting details. Analysis 10.0 Analysis section is not included. Analysis section is present, but it lacks detail or is incomplete. Analysis section is present. Analysis section is clearly provided and well developed. Analysis section is comprehensive and thoroughly developed with supporting details. Key Findings 10.0 Key findings section is not included. Key findings section is present, but it lacks detail or is incomplete. Key findings section is present. Key findings section is clearly provided and well developed. Key findings section is comprehensive and thoroughly developed with supporting details. Recommendations 10.0 Recommendations section is not included. Recommendations section is present, but it lacks detail or is incomplete. Recommendations section is present. Recommendations section is clearly provided and well developed. Recommendations section is comprehensive and thoroughly developed with supporting details. Explanation of How the Article Supports EBP or Capstone 10.0 Explanation of how the article supports EBP or capstone section is not included. Explanation of how the article supports EBP or capstone section is present, but it lacks detail or is incomplete. Explanation of how the article supports EBP or capstone section is present. Explanation of how the article supports EBP or capstone section is clearly provided and well developed. Explanation of how the article supports EBP or capstone section is comprehensive and thoroughly developed with supporting details. Presentation 10.0 The piece is not neat or organized, and it does not include all required elements. The work is not neat and includes minor flaws or omissions of required elements. The overall appearance is general, and major elements are missing. The overall appearance is generally neat, with a few minor flaws or missing elements. The work is well presented and includes all required elements. The overall appearance is neat and professional. Mechanics of Writing (includes spelling, punctuation, grammar, and language use) 10.0 Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. The writer is clearly in command of standard, written, academic English. Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0 Sources 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
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The Evidence-Nursing Practice Connection Assignment

The Evidence-Nursing Practice Connection Assignment

Week 8: The Evidence-Nursing Practice Connection

Textbook:

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4 th ed.). Sudbury, MA: Jones and Bartlett.

Reading:

Chapter 1: The Importance of Research as Evidence in Nursing

Chapter 16: Translating Research into Practice

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Assignment:

Improving patient care and outcomes is paramount to the practice of nursing. As we conclude our learning journey through our world of research and evidence-based practice, it is important to reflect upon your time spent in the course:

1)Think about nursing practice and describe one barrier that you feel prohibits nurses from engaging in EBP; share one strategy you could use to facilitate the use of evidence to help improve nursing care for patients.

2)Reflect back over your time in the course and describe how your thinking has changed about nursing research and evidence-based practice; describe one new learning during this course that you believe was the most helpful.

Please use APA format, citations and references. Cite 1 scholarly resource and cite textbook to earn full credit.

The Evidence-Nursing Practice Connection Assignment

Westcoast University Rheumatoid Arthritis Risks of Treatments Review

Westcoast University Rheumatoid Arthritis Risks of Treatments Review

This week, you will write an extended literature review using three sources.

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For this literature review assignment, we are going to give you a choice of four topics to choose from.

Chronic pain: Treatment options and efficacy
CRF: Prevention/treatment in diabetic patients
Rheumatoid arthritis: Risks/benefits of latest treatments
IBS: diagnosis and treatment
You will need to determine the focus of inquiry and determine which approach to analysis you should take based on the topic you choose.

For this review, be sure to:

Select three relevant and appropriate scholarly articles that address the topic you chose.
Present a thorough literature review of the three articles by summarizing, synthesizing, and evaluating the materials.
Incorporate citations into your body paragraphs; incorporate the essential and most relevant supporting evidence eloquently and appropriately.
Present your writing in a clear, organized manner.
Demonstrate understanding of the content presented in the articles.
Use proper APA format with proper citations. Review APA Citations Here
Your literature review should be 3–4 pages in length. Remember, you will need to use APA formatting in your literature review and include a title page and a reference page.

CC Inflammatory Bowel Disease and Urinary Obstruction Case Study Paper

CC Inflammatory Bowel Disease and Urinary Obstruction Case Study Paper

Urinary Obstruction Case Studies The 57-year-old patient noted urinary hesitancy and a decrease in the force of his

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urinary stream for several months. Both had progressively become worse. His physical examination was essentially negative except for an enlarged prostate, which was bulky and soft. Studies Routine laboratory studies Intravenous pyelogram (IVP) Uroflowmetry with total voided flow of 225 mL Cystometry Electromyography of the pelvic sphincter muscle Cystoscopy Prostatic acid phosphatase (PAP) Prostate specific antigen (PSA) Prostate ultrasound Results Within normal limits (WNL) Mild indentation of the interior aspect of the bladder, indicating an enlarged prostate 8 mL/sec (normal: >12 mL/sec) Resting bladder pressure: 35 cm H2O (normal: 15-20 mg/dL) 120 min: 6 mg/dL (normal: >20 mg/dL) Lactose tolerance, Small bowel series, No change in glucose level (normal: >20 mg/dL rise in glucose) Constriction of multiple segments of the small intestine Diagnostic Analysis The child’s small bowel series is compatible with Crohn disease of the small intestine. Intestinal absorption is diminished, as indicated by the abnormal D-xylose and lactose tolerance tests. Absorption is so bad that she cannot absorb vitamin B12. As a result, she has vitamin B12 deficiency anemia. She was placed on an aggressive immunosuppressive regimen, and her condition improved significantly. Unfortunately, 2 years later she experienced unremitting obstructive symptoms and required surgery. One year after surgery, her gastrointestinal function was normal, and her anemia had resolved. Her growth status matched her age group. Her absorption tests were normal, as were her B12 levels. Her immunosuppressive drugs were discontinued, and she is doing well. Critical Thinking Questions 1. Why was this patient placed on immunosuppressive therapy? 2. Why was the Meckel scan ordered for this patient? 3. What are the clinical differences and treatment options for Ulcerative Colitis and Crohn’s Disease? (always on boards) 4. What is prognosis for patients with IBD and what are the follow up recommendations for managing disease?
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Respond with a paragraph , citations and references .

Respond with a paragraph , citations and references .

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3

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about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?
Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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.

This benchmark assignment assesses the following competencies:

BS Nursing (RN to BSN)

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Family Health Assessment Part 1 Assignment

Family Health Assessment Part 1 Assignment

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.

This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3. Family Health Assessment Part 1 Assignment

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

  1. Values/Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. Coping

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 Part 1 Assignment

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Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment. Family Health Assessment Part 1 Assignment

 

Include the following in your paper:

  1. Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
  2. Summarize the overall health behaviors of the family. Describe the current health of the family.
  3. Based on your findings, 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.
  4. 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.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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.

RUBRIC

Rubic_Print_Format

Course Code Class Code Assignment Title Total Points
NRS-429VN NRS-429VN-O506 Family Health Assessment Part I 150.0
Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (75.00%) Satisfactory (79.00%) Good (89.00%) Excellent (100.00%) Comments Points Earned
Content 80.0%
Interview Questionnaire Assessing Functional Health Patterns 15.0% Interview questionnaire is omitted. The interview questionnaire presented does not include family-focused functional health patterns. More than three of the functional heath patterns have been omitted. Four or more of the functional health patterns have fewer than three open-ended questions.Family Health Assessment Part 1 Assignment The interview questionnaire presented is incomplete. One or two of the functional heath patterns have been omitted. Two or three of the functional health patterns have fewer than three open-ended questions. Overall, the interview questionnaire is inconsistent with the assignment criteria. The interview questionnaire presented. One of the functional heath patterns has been omitted. One of the functional health patterns has fewer than three open-ended questions. Overall, the interview questionnaire is consistent with the assignment criteria. Some of the open-ended questions are not family-focused or not relevant to the scope of the assignment. The interview questionnaire presented. All functional heath patterns are included, and each has three open-ended questions that are family focused and relevant to functional health patterns. The interview questionnaire is consistent with the assignment criteria. Overall, the open-ended questions are family-focused and relevant to the scope of the assignment. The interview questionnaire presented and demonstrates strong insight into family-focused assessment strategies. All functional heath patterns include three highly relevant open-ended questions.
Family Structure (individuals, relevant attributes of family composition, race/ethnicity, social class, spirituality, environment) 15.0% Description of family structure omitted. A partial description of family structure is presented. Not all individuals are included. Relevant attributes are listed but incomplete. Some attributes are missing. There are inaccuracies. A summary of family structure is presented. All individuals are included. Most relevant attributes listed are summarized. Some aspects are vague. There are minor inaccuracies. The family structure is described. All individuals and relevant attributes are presented. Overall, the discussion provides insight into the family structure. The family structure is clearly described. All individuals and relevant attributes are discussed in detail. The discussion demonstrates an in-depth perspective into family structure.
Family Health and Health Behaviors 15.0% Health behaviors and current health of the family are not presented. Health behaviors and current health of the family are partially presented. Overall, the health and health behaviors of the family are unclear. Health behaviors and current health of the family are summarized. Overall, the health and health behaviors of the family are generally presented. Health behaviors are identified and presented. The current health behaviors of the family are described. Health behaviors are identified and presented in detail. The current health of the family is described. A clear understanding of family health and health behavior is demonstrated.
Findings (functional health patterns strengths, health problems or barriers to health) 15.0% Functional health pattern strengths, health problems, and barriers to health are not presented as indicated in assignment criteria. Two functional health pattern strengths, and three health problems or barriers to health are partially presented. Some aspects presented are not relevant, or are not consistent with findings. Family Health Assessment Part 1 Assignment Two functional health pattern strengths, three health problems, and barriers to health are summarized. Aspects presented are relevant and generally consistent with findings. Two functional health pattern strengths, three health problems, and barriers to health are discussed. Aspects presented are relevant and consistent with findings. Two functional health pattern strengths, three health problems, and barriers to health are discussed. Discussion identifies and assesses key aspects from findings. Discussion demonstrates insight into assessment of findings to identify functional health pattern strengths and health problems or barriers.
Application of Family Systems Theory 20.0% Application of family systems theory is not presented.Family Health Assessment Part 1 Assignment Application of family systems theory is partially presented. It is unclear how the theory will be applied to positively change overall family functions over time. There are inaccuracies in the application or representation of the theory. Application of family systems theory is presented. A general discussion on how the theory will be applied to initiate positive changes in family functions over time is presented. There are minor inaccuracies in the application or representation of the theory. Application of family systems theory to initiate positive changes in family functions over time is discussed. The manner in which the theory is applied is relevant and generally supports steps toward the desired outcomes. Application of family systems theory to initiate positive changes in family functions over time is thoroughly discussed. The manner in which the theory is applied is highly relevant and strongly supports steps to achieving the desired outcomes.
Organization and Effectiveness 15.0%
Thesis Development and Purpose 5.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 5.0% Statement 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.Family Health Assessment Part 1 Assignment 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) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Family Health Assessment Part 1 Assignment Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they 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 (use of appropriate style for the major and assignment) 2.0% Template 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) 3.0% Sources 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 Weightage 100%

Family Health Assessment Part 1 Assignment

Community Needs on Mental Health in Marion Florida Research Paper

Community Needs on Mental Health in Marion Florida Research Paper

Running head: HEALTH IMPROVEMENT PLAN 1 Health Improvement Plan for the Elderly Community of Marion

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County Keri M. McCall College of Central Florida HEALTH IMPROVEMENT PLAN 2 HEALTH IMPROVEMENT PLAN 3 Community populations are of utmost importance to community health care workers. Addressing the health needs of a community instead of an individual can help healthcare workers make larger strides to improve the health of the general public. A community is any group of people that share certain characteristics and also feel connected to one another (Rector, 2018). Communities can be addressed on a large scale or broken down into more specific groups within the larger community. Marion County, Florida is a perfect example of a large community made up of many smaller diverse communities. Marion County, Florida is located in the central portion of the state and has a population of about 352,000 people (Florida Department of Health, 2018). It was established in 1844 (Marion County Florida, 2018). The county has come a long way since then. It consists of people of many different ages, races, and religions. The county has been attractive to the aging population. The age demographics are an important factor for community health care workers. The population in Marion County is 19.2% ages 0–17, 54.5% ages 18-64, and 26.3% ages 65 and over (Well Florida Council, 2015). The elderly community members age 65 and over in Marion County make up about 26% which is approximately 91, 500 citizens. This number includes both men and women and is significant because this population can be vulnerable due to their increased age, medical comorbidities, or decline in physical or financial status (Culo, 2011). These factors of vulnerability make this population an important focus for community health care workers. This HEALTH IMPROVEMENT PLAN 4 population could greatly benefit from the support and advocacy for improved health and quality of life. When comparing Marion County to the entire state of Florida the elderly population is significantly more concentrated. The state of Florida has a population of approximately 21 million (United States Census Bureau, 2017). As a state, the population aged 65 and older makes up only 17.8%, compared to the 26.3% in Marion County (Well Florida Council, 2015). When this fact is considered along with the fact that Florida carries the second largest cancer burden in the United States, and Marion County’s death rate from cancer exceeding that of the state of Florida, it is easy to see that something must be done for the vulnerable, elderly community (Well Florida Council, 2015). According to Florida Demographics (2017), Marion county ranks 17th in Florida based on population, yet the National Cancer Institute (2015) ranks Marion County as 14th among both Lung and Colorectal cancer case in residents aged 65 and over. These statistics provide a clear call for intervention for the health of the large elderly population in this area. There are many businesses that meet the medical needs of the elderly cancer patients in Marion County. There are also several other organizations that take a more holistic approach to supporting this community. As the population ages, cancer is likely to be diagnosed with many comorbidities in the elderly and may require greater community support than in younger patients (Itatani, Kawada, & Sakai, 2018). The Cancer Alliance of Marion County is doing just that. The goal of the Cancer Alliance of Marion County is to identify needs, facilitate communication between supportive organizations, and to support community outreach and advocacy for programs that support cancer patients and their families (The Cancer Alliance of Marion County, 2018). The alliance offers support that covers needs such as applying for medical care coverage, HEALTH IMPROVEMENT PLAN 5 food banks, support groups, and transportation services. The United Way of Marion County partners with The Cancer Alliance of Marion County to provide quality services to seniors as well (United Way of Marion County, 2018). Lung and Colorectal Cancer are two of the most common cancers in the elderly population in Marion County (Centers for Disease Control and Prevention, 2015). According to the National Cancer Institute (2015), Marion County averages 360 new cases per year of Lung Cancer and 162 new cases per year of Colorectal Cancer in residents aged 65 years and over. According to Depierto (2018), Colon cancer that is identified early has a five-year survival rate of 90%, but the survival rate is only about 14% if it has already metastasized at the time of diagnosis. Lung cancer diagnosed in stage 1 has a five-year survival rate of 49%, and the survival rate of diagnoses in stage 4 is only 1-2% (Eldridge, 2017). These important numbers show the urgency of educating the elderly community members about early diagnosis. They must be aware of early warning signs and the most current recommendations for preventative screening. These problems can be addressed using a community subsystem assessment. Several community forums will be held in several different 55+ communities for residents that are 65 or older. The forum will consist of a survey of questions such as: 1. Are you aware of the recommended age to begin Colorectal Cancer screening? 2. Are you aware of the risk factors for Lung Cancer? 3. Are you aware of the symptoms of Lung or Colorectal Cancer? The results of the forums and surveys will be analyzed and the seniors that display the greatest knowledge deficit will be identified. Then, a more focused area can be targeted for education. Education will consist of written information provided to seniors regarding the risk HEALTH IMPROVEMENT PLAN 6 factors, recommended screenings, survival rates and common symptoms of lung and colorectal cancer. Resources for the implementation of the plan will include a small team of people to organize the community forums. The team will have to plan all of the logistics for the forum such as reservation of community meeting space, promotion to residents, and securing volunteers to help run the forum. Several community health workers will also be needed after the forums are complete to analyze the data. Once the target group is identified the community health workers will then be needed to distribute and teach residents about their risk for lung and colorectal cancer. Organization of the community forums and planning of the flow of the meeting will take two weeks. Securing locations with date and time will take an additional two weeks. The meetings will be scheduled over four weeks if needed. The data can be organized in two weeks and analyzed within four weeks as well. Education planning will be allotted three weeks for planning and production into written materials for distribution. There will then be educational social meetings planned as the data shows necessary. Minimal fundraising may be necessary. The community meeting places will attempt to be reserved at no cost with the offer that the residents will benefit from the meetings. Funds will be necessary for supplies needed at the meetings, such as paper and pens for the surveys and refreshments for the attendees. Funds may be necessary for the use of computers to organize the data once it has been collected. Preparing and printing promotional supplies and educational supplies will take up some of the funds as well. The goal of the plan will be to improve the knowledge of community members. They will understand their risk for two of the leading cancer killers of people their age. They will HEALTH IMPROVEMENT PLAN 7 understand their risk factors and seek screening from their physicians so that the health of community members ang 65 and over will be improved. HEALTH IMPROVEMENT PLAN 8 References Centers for Disease Control and Prevention. (2015). Cancer burden: Florida. Retrieved from https://gis.cdc.gov/Cancer/USCS/DataViz.html Culo, S. (2011). Risk assessment and intervention for vulnerable older adults. BC Medical Journal, 53(8), 421-425. DePierto, M. (2018). Colon cancer prognosis and life expectancy. Helathline. Retrieved from https://www.healthline.com/health/colorectal-cancer/prognosis-and-life-expectancy Eldridge, L. (2017). Lung cancer survival rates by type and stage. Verywellhealth. Retrieved from https://www.verywellhealth.com/lung-cancer-survival-rates-by-type-and-stage2249401 Florida Demographics. (2017). Florida counties by population. Retrieved from https://www.florida-demographics.com/counties_by_population Florida Department of Health. (2018). Fl Health Charts. Retrieved from http://www.flhealthcharts.com/charts/SearchResult.aspx Itatani, Y., Kawada, K., & Sakai, Y. (2018). Treatment of elderly patients with colorectal cancer. Biomed Research International. 3/11/18, 1-8. Marion County Florida. (2018). Marion county history. Retrieved from http://www.marioncountyfl.org/about/marion-county-history National Cancer Institute. (2015). State cancer profiles. Retrieved from https://www.statecancerprofiles.cancer.gov/incidencerates/index.php?stateFIPS=12&canc er=020&race=00&sex=0&age=157&type=incd&sortVariableName=count&sortOrder=de sc#results Rector, C. (2018). Community and public health nursing: Promoting the public’s health. HEALTH IMPROVEMENT PLAN 9 Philadelphia: Wolters Kluwer. The Cancer Alliance of Marion County. (2018). Marion County’s collective cancer care community. Retrieved from https://canceralliancemc.org/about-camc/ United States Census Bureau. (2017). Community facts. Retrieved from https://factfinder.census.gov/faces/nav/jsf/pages/community_facts.xhtml United Way of Marion County. (2018). Target issues. Retrieved from https://www.uwmc.org/Health Well Florida Council. (2015). Marion County: 2015 Community health assessment. Retrieved from https://wellflorida.org/wp-content/uploads/2016/01/2015-Marion-CountyCommunity-Health-Assessment.pdf 1 Running head: NEEDS OF THE HOMELESS POPULATION Needs of the Homeless Population of Pinellas County Eric Moore College of Central Florida Eric Moore, Health Science Division, College of Central Florida This research was supported by Kimberly Buff, ARNP and extended periods of silence from my children. Correspondence concerning this report should be addressed to Eric Moore, Health Sciences Division, College of Central Florida, 34474. E-mail: eric.moore@patriots.cf.edu 2NEEDS OF THE HOMELESS POPULATION The bustling downtown area of St. Petersburg, Florida is a non-stop hive of activity. From bars and restaurants, to museums and trendy shops, the city center is constantly growing and evolving. A twenty minute drive north and the pristine and beautiful sights of Clearwater Beach are present. Along the beach are designer hotels and all manners of beach front dining, from dive bars to five-star restaurants. Despite the ever-growing amount of glitz and glamor, on many of the corners and bus stop benches of Pinellas County, the homeless are present. Though there are dozens of programs to assist those who are residentially challenged, the problem persists. This population has a unique set of needs are often require vast amount of resources. What is the definition of being homeless? According to the 2017 Annual Report by the Council on Homelessness, being homeless means “1. An individual or family who lacks a fixed, regular, and adequate nighttime residence – living in a place not meant for human habitation, in a shelter or similar program, or, in specified circumstances, in an institution. 2. An individual or family who will imminently lose housing, under certain circumstances. 3. Under certain circumstances, unaccompanied youth, or families with children who are consistently unstably housed and likely to continue in that state. 4. People who are fleeing or attempting to flee domestic or intimate partner violence and lack the resources to obtain other permanent housing.” In 2017, the homeless population of Pinellas County was 2,831 with a total population of 970,637. Miami-Dade County has a homeless population 3,721, and is the only county in Florida with more homeless persons that Pinellas County. With a total population of 2,751,796 people, Miami-Dade the highest population in the state (Florida, 2018). At 280 square miles, Pinellas County is the second smallest county in Florida, while Miami-Dade County is 1,946 square miles making it the third largest. Not only does Pinellas County have the most residents 3NEEDS OF THE HOMELESS POPULATION per square mile of any other county in Florida, it has the highest percentage of homeless as well at 0.29%, compared to Miami-Dade County at 0.13% (Florida, 2017). In Pinellas County, the age of the homeless population ranges from 2 weeks to 81 years of age. Males make up 66% of the homeless population. Mental illness is found in 52% of the homeless, while 48% have a physical disability. Approximately 11.6% of the homeless are veterans. Families make up 12.8% of the homeless population (Pinellas, 2018). The homeless population requires care just as any other population does. Beyond that, there are extensive challenges with compliance, appropriate follow-up, limited resources for care, and external factors, such as lack of sanitary facilities, that may affect the health of the population. Homeless persons often use emergency departments for all of their healthcare needs. Due to transportation and accessibility issues, many homeless people are unable to attend regular appointments or lack the means to pay for follow up care. The lack of access to care or the inability or unwillingness to partake in preventative health measures, often result in the homeless having complex and extensive medical problems that could possibly be avoided my standardized health screenings and proper medical management. Within Pinellas County, there are over twenty basic homeless shelters. There are also shelters that specialize in people with physical disabilities, mental illness, and substance abuse. Within the county there are also shelters that specialize in sheltering the elderly, abused women and children, and those diagnosed with mental retardation. There are also multiple organizations to assist residents who are financially unstable from becoming homeless. Thought the number of homeless persons has decreased over the past three years, needs still exist within the homeless community. 4NEEDS OF THE HOMELESS POPULATION One of the major problems within the homeless community, is the lack of holistic services at the homeless shelters. Some shelters “discharge” people in the morning time and the homeless are placed back out on the streets to fend for themselves in regards to sustenance and care until the shelters re-open again in the evening time. Safe Harbor is a shelter that is owned and operated by the Pinellas County Sheriff’s Department. This is a holistic shelter that provides not only a place to sleep and food, but also offers assistance with employment, education, substance abuse treatment, and relocation to permanent housing. There is also a fully staffed clinic on site that provides not only daily primary care, but optical care and dental care at various times throughout the week. With the lack of mobility and the inability to pay for medical care, the access to on site primary care drastically reduces the use of emergency departments by the homeless for non-emergent reasons. Also, by providing 24/7 sheltering, the homeless population is less likely to engage in risky or illegal behaviors while inside the shelter. Another severe problem within the homeless community is lack of diversion programs. Often once a person becomes homeless, they are “outside” of the system. These people remain this way with occasional visits to shelters, emergency departments, or even jail. Local law enforcement agencies and case workers tend to send patients to emergency departments, jail, or even to psychiatric care instead of addressing their problem of homelessness. This is similar to placing a piece of gauze over a gunshot wound. You may not be able to see the wound, but it is still there and needs to be addressed. The same is true of homelessness. Addressing and correcting the cause is the only way to repair the problem. All of these factors are synergistic in creating an environment which is not conducive to the reduction of homelessness. While there has been a reduction in the homeless population of Pinellas County the last three years, the rate of homelessness is extreme and out of proportion 5NEEDS OF THE HOMELESS POPULATION compared to the rest of the state of Florida. The lack of holistic and comprehensive services also ensures that the homeless population is not receiving care and treatment to prevent long term illness or injury (Rector, 2108). The combination of homelessness and potential illness or chemical/alcohol dependency further perpetuates the problem as the homeless will struggle to find gainful employment. It creates a vicious cycle in which the homeless population is unable to extricate themselves from. Problems such as homelessness can be addressed at multiple levels. However, the local level is typically the most effective as each geographical location will present unique challenges and populations. The assessment model known as Mobilizing for Action through Planning and Partnership (MAPP), focuses on community health improvement on the local level. MAPP also emphasizes community engagement and collaboration for planning once needs are assessed and prioritized (Center for Disease Control, 2015). Using the MAPP method, collaboration between community entities is utilized. To combat and treat the homeless population, all of the municipalities within Pinellas County would need to utilize the resources that are already in place and develop and modify them to meet the current needs. Each municipality will coordinate with their adjacent municipalities to develop and produce a cooperative agreement of mutual aide to cover any gaps in care or services. To effectively implement such a plan, additional resources will need to be obtained. Funding will need to be acquired as well. Each municipality as well as the county government will need to pledge funding to the overall project. Private and governmental grants should be applied for to help offset the cost to the municipalities, thereby reducing the burden felt by the tax paying residents. Additional staffing, including professional, licensed, and support staff will need to be screened and hired, along with administration. With this amount of expansion, 6NEEDS OF THE HOMELESS POPULATION physical buildings will be important and additional properties will most likely need to be acquired. Contracts with service providers will need to be negotiated as well as contracts with medical supply companies. Assessment of the needs and available resources for each municipality and the county as a whole should occur within the first six weeks. At this point, grant writing should begin and continue on a regular and frequent basis. The next six weeks should be dedicated to negotiations between municipalities and the county to determine which services will be offered where and how resources will be distributed. During the next six months, any new construction or modification of existing facilities or buildings that is required should be initiated and completed. During the construction phase, appropriate entities for each municipality and county should negotiate contracts with suppliers for all durable and disposable goods required, including food. During the last three months of construction, staff should be hired and validated. Medical staff and professional staff will require credentialing. Any staff that will have contact with children, the elderly, or the disabled will require more extensive background checks prior to employment. Staff for cooking, cleaning, maintenance and security will also be required. The homeless population has varied demographics and needs. By addressing their fears, needs, and challenges, the incidence of homeless people in Pinellas County can be positively impacted. While some may be resistant to change, holistic treatment of the person, their residential status, and their health and well-being is paramount for the successful and permanent reduction of homelessness in Pinellas County. 7NEEDS OF THE HOMELESS POPULATION References Center for Disease Control. (2015, November 9). State, Tribal, Local & Territorial Public Health Professionals Gateway. Retrieved from https://www.cdc.gov/stltpublichealth/cha/assessment.html Florida counties by population. (2018, March). Retrieved from https://www.floridademographics.com/counties_by_population. Florida Department of Children and Families: Office on Homelessness. (2017). 2017 Annual report. Tallahassee, FL. Council on Homelessness Pinellas County Homeless Leadership Board. (2018). Resource directory. Retrieved from http://pinellashomeless.org/Portals/0/Documents/2017/Resource%20Directory%20July% 202017.pdf Rector, C. (2018). Community and public health nursing: Promoting the public’s health (9th ed.). Philadelphia, PA: Wolters Kluwer. Community Needs Assessment Assignment Use this as a guide to cover the topics under each category in your paper. Also refer to the Community Needs Assessment Paper grading rubric for further assistance. Introduction of Community/Population of interest • Define your “community” • Describe and define population/community assessed Problems Assessed • Provide demographics for your “community” • Compare your “community” to the state demographics • Describe available resources within the “community” • Identify missing resources within the “community” • Identify the top 2 problem areas within your “community” • Describe the impact of these problem areas within your “community” Plan, Implementation, and Assessment Model • Develop a plan utilizing an assessment model in response to the problem areas identified above. • What additional resources are needed for the plan • Develop an implementation timeline for your plan with specific action steps identified • What human resources are needed for implementation
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