Nursing Topic 3 DQ

Nursing Topic 3 DQ

Please respond with a paragraph to the following post, add citations and references:

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The type of communication that would be utilized to present my ideology on the manner in which patient care can be improved within the upper-level management would include the use of research and its findings. First and foremost, the inclusion of research and its findings would communicate clearly and concisely the areas that need to be addressed in improving patient care, an element that would be used in influencing decisions. The research findings need to be translated to non-researchers within the upper management for understanding. Researchers therefore bring together a wide array of evidences from several research studies that strengthen the research ideas aimed at improving patient care. The research findings and ideas are translated in the production of programmatically useful information (Clochesy et al, 2015). To achieve this goal, the researchers need to communicate the results of the findings through multiple channels in a bid to reach an audience, with the ideology aimed at repeating the same message severally with the aim of increasing the probability of resource utilization. For instance, if communication is done on the same idea, final report summaries, national workshops, program briefs, announcements and international conferences. This therefore, gives a greater chance for other individuals to determine the ideas raised for consideration. Additionally, the results of the findings and ideas can be shared among individuals and specialist organizations who effectively synthesize the information, hence promoting communication.

Reference

Clochesy, J. M., Dolansky, M. A., Hickman Jr., R. L., Gittner, L. S., & Hickman, R. J. (2015). Enhancing Communication between Patients and Healthcare Providers: SBAR3. Journal Of Health & Human Services Administration, 38(2), 237-252.Retrirved From: http://search.ebscohost.com/login.aspx?direct=true…

NUR4636 FNU People of Chinese And Guatemalan Heritage

NUR4636 FNU People of Chinese And Guatemalan Heritage

CHINESE AND GUATEMALAN HEALTH CARE BELIEFS 1 Rony Marino Florida National University Nursing Department

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BSN Program NUR 3655 February 6, 2019 Prof. Cassandre Milien, MSN, RN CHINESE AND GUATEMALAN HEALTH CARE BELIEFS 2 Health care is a critical and fundamental issue that is valued by all people globally. Health care of people is usually determined by their lifestyle in that, those practicing a healthy lifestyle like eating healthy nutritional foods, keeping fit and visiting health centers in times of illness will always have good health compared to those people living being underfed, not getting balanced diets and not being able to access health centers in times of illness. Chinese are very respectable people and greatly value education so that their children may get better lives and help improve their family hence the reason why many Chinese teenagers spent most of their time in libraries studying. Chinese value their traditional culture including their diets which they believe promote good health (Flora, 2018). For instance, they frequently use food and food derivatives because they prevent and illnesses and diseases and also they increase strength in old and weak people. Chinese belief good health begins even before birth hence they advise their women to eat well-balanced diets during pregnancies like increasing meat consumption so that it may increase nutrients in the blood which is required by the fetus. After delivery, they advise their women to eat more food and avoid exposure to cold air touching or drinking cold water during the first month after delivery because coldness can cause health problems in them and thus affecting the infant too. Mothers are also advised to avoid raw foods because they considered cold foods. Lactating mothers are encouraged to take brown sugar and eat plenty of rice wine because initiates milk production to feed the infant. Common health problems in Chinese people are lactose intolerance, Thalassemia, liver cancer, pancreatic cancer, cardiovascular diseases, hepatitis b, and CHINESE AND GUATEMALAN HEALTH CARE BELIEFS 3 diabetes. Chinese do not hesitate to seek for medical checkups when unwell because they believe tolerating the illness may cause a worse situation. Many Chinese have transitioned to Western medicine but others still believe in their traditional herbs, while other practice both, Western and traditional medicines. Many people who practice the traditional herbs are the older Chinese. During pains, Chines usually cope with it through applying oils and massaging using warmth, relaxation or using herbs. To cure pains, chines practice the use of moxibustion which is the application of heat from different sources like garlic. Pain is also treated through cupping which is the use of heated glass or cup which is put on the skin that creates a vacuum thus causing the skin to be drawn in the glass jar or the cup hence curing the joint. Traditional chines health practitioners are highly respected than western practitioners because western practitioners cause a lot of pain and invasiveness in their treatments. In conclusion, Chinese people show high respect to the dead because they believe their souls transform into other good things in the underworld. Just like the Chines people, Guatemalans are also very respective people and value good health. Many of the Guatemalans live below poverty lines, therefore, accessing well-balanced diets is a challenge to them. Guatemalans believe in nuclear families, therefore, those who well up support their family members with food and other effects. Many Guatemalans migrate to the United States in such good lives because in their mother country there are very limited jobs. Because of poverty, many Guatemalans die before the age of five years the causes of this high mortality rate is pneumonia, diarrhea, circulatory diseases, communicable diseases, perennial conditions, and tumors. CHINESE AND GUATEMALAN HEALTH CARE BELIEFS 4 Guatemalans take good care for pregnant mothers by providing them with balanced diets and even after delivery. Many Guatemalans believe in traditional practices thus they tie children hands in believe that that customary will make the child be more hardworking and will not engage in bad activities like stealing (Booth, 2018). Many Guatemalans have lactose intolerance, therefore, they do not take milk or milk products because they may cause bloating and indigestion to them. When a Guatemalan falls sick, he/she first seeks advice from mother or any respected elder. They usually prefer traditional medications thus modern medication is usually the last resort. Many delays in seeking medications and only do seek hospital medications when the situation is worse. This is among the reasons why there are high mortality rates in Guatemala. Many Guatemalans are uneducated thus risk a lot in agricultural farms in the USA because they do not use protective gears on the farm unless they are first informed about the dangers. Chinese and Guatemalans health care beliefs are similar in that, they believe in both traditional and western medicines. They also believe in eating well-balanced diets for good health. The only reason that bars many Guatemalans from accessing a wellbalanced diet is poverty. The traditional health care beliefs in both heritages affect the delivery of evidence-based healthcare in that, most people fail to access the modern treatments thus increasing mortality. In conclusion, also, failure to access evidencebased healthcare may increase the spread of diseases in the society because people may not have the knowledge of preventing the disease. CHINESE AND GUATEMALAN HEALTH CARE BELIEFS 5 References Booth, J. A. (2018). Understanding Central America: Global forces, rebellion, and change. Routledge. Flora, C. B. (2018). Rural communities: Legacy+ change. Routledge. Running head: HEALTH BELIEFS OF THE CHINESE AND GUATEMALAN HERITAGE Roxana Tejera Florida National University Nursing Deoartment BSN Program NUR 4636 02/05/2019 Prof. Cassandre Milien, MSN 1 HEALTH BELIEFS OF THE CHINESE AND GUATEMALAN HERITAGE 2 Introduction Notably, both heritages have influenced the development of healthcare and nursing. People who belong to the Asian cultures are mainly known for their reliance on distinct health practices and beliefs that are quite different from the American born natives and other immigrants. It is believed that patient’s beliefs can have a significant amount of impact on their recovery process therefore, health practitioners are advised to be familiar with them. This is mainly because of their philosophical and religious ideologies. The Chinese beliefs encompass their way of education, practice of acupuncture, herbal treatments, and the diet therapy. The Chinese beliefs and philosophies influence greatly how the religion and the way people think about nursing. Additionally, it is important to note that the future of the advancement of the nursing research will be beneficial to the republics of Asia and the World at large (Cai et al., 2015). Chinese Heritage In the 19th Century the Chinese started to identify their medicine as Dong Y so that they can be able to distinguish it from the western colonial medicine. The Westerners on the other hand, referred to the Chinese medicine as oriental medicine. However, the most critical part understands the level of impact the health beliefs have on the clinical care of the Asian patients which normally affects the accuracy of the health histories and the compliance of the treatment compliance with the western providers. The main difference between the western beliefs and the HEALTH BELIEFS OF THE CHINESE AND GUATEMALAN HERITAGE 3 Chinese beliefs is that while in America we believe that disease is caused by some external forces such as viruses or bacteria or due to a degeneration of the functional ability of the body. The Chinese belief that the body is whole and each part is connected and most importantly that each organ has a mental as well as a physical function (Cheng, Feng, &Hu, 2017). It is important to learn that herbal medicine is prescribed according to the patient’s individual condition and not on current symptoms only. Their approach has been used for a long time to treat most health conditions and also, as a preventative dietary supplement. In addition, their medicine can be combined with the western therapies without any complications. Guatemalan Heritage In Guatemala it is important to note that just like their Chinese counterparts they have chosen to preserve their traditions while incorporating the modern ideas and technologies. However, there current laws and regulations continue to alter their ethno medical health practices while on the other hand, the Mayan’s who have settled in the United States continue to experience quite a lot of challenges when it comes to accessing proper healthcare. However, it is important to note that in Guatemalan there exists a proper ethno medical care but their belief in modern medicine is greatly influenced by what they want through in the hands of their colonial masters and also the racial profiling. Additionally, their conceptions of power and authority greatly influence their interaction with the United States healthcare system and its providers. Also, their health beliefs are transmitted through the transnational communities. The Maya health tool kit for medical providers is set to understand the numerous obstacles the immigrants face when receiving adequate HEALTH BELIEFS OF THE CHINESE AND GUATEMALAN HERITAGE 4 care in the United States. It is important to note that their worldview is based on the concept of balance. Their beliefs basically lean on balancing the physical and spiritual forces in their lives so that they can maintain equilibrium and hence achieve health (Smith et al.,2010). Conclusion It is important to note that a cross cultural mindset requires that the health practitioners understand everyone’s health beliefs and behaviours. Therefore, clinicians are called upon to understand that each and every person subscribe to certain cultural norms up to certain degrees. For instance, the Guatemalans utilize the ethno medicine in America and have great value biomedical techniques and the caregivers even if they normally don’t seek their services. Also, their view revolves around their community and it affects their own physical health. They view that illnesses have some cause in the physical world. Their medical beliefs play a social role in the communities. This means if the Maya health beliefs fall out of their social role of the illness will be affected by the cultural loss. The scholars conclude that there is a health because it has the fourth highest rate of health problems. In conclusion, the main similarity is that they value their healthcare beliefs are mainly embedded in their cultural practices which every clinician need to be aware of (Johanson, 2016). HEALTH BELIEFS OF THE CHINESE AND GUATEMALAN HERITAGE 5 References Cai, D., Stone, T. E., Petrini, M. A., & McMillan, M. (2016). An exploration of the health beliefs of Chinese nurses’ and nurse academics’ health beliefs: AQ‐ methodology study. Nursing & health sciences, 18(1), 97-104. Cheng, L., Feng, S., & Hu, Y. (2017). Evidence-based nursing implementation in Mainland China: A scoping review. Nursing outlook, 65(1), 27-35. Johanson, L. (2016). Caring for the vulnerable: An exploration of Guatemalan healthcare issues. Journal of Christian Nursing, 33(1), 44-49. Smith‐Miller, C. A., Leak, A., Harlan, C. A., Dieckmann, J., & Sherwood, G. (2010, January). “Leaving the comfort of the familiar”: Fostering workplace cultural awareness through short‐term global experiences. In Nursing Forum (Vol. 45, No. 1, pp. 18-28). Malden, USA: Blackwell Publishing Inc.
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Response to Anna Valdez

Response to Anna Valdez

Low birthweight is when a baby is born weighing less than 5 pounds, 8 ounces (2500 grams). This can happen in

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premature and full term births. There is a variety of reasons that can lead to low birthweight such as infections, diabetes, hypertension, placenta related problems and intrauterine growth restriction. Smoking, poor nutrition, drug and alcohol abuse are other causes of low birth weight. Low birth weight is associate with a negative impact on families. Financial, caretaker, and familial burdens are some of the impacts. Low birth weight can have serious and long term consequences than increase the cost for care. Children born with low birth weight are at increased risk of chronic conditions and developmental problems, as well as the need for special educations services and special healthcare. Short term problems related to low birthweight include respiratory distress syndrome, intraventricular hemorrhage, inability to maintain body temperature, and infections. Long term problems include increased risk for diabetes, heart diseases and obesity. The rates of low birthweight varies among different ethnic groups. Teenager mother and being older than 35 are at increased risk to have babies with low birthweight. According to March of dimes,” In the United States, black women are more likely than others to have a low-birthweight baby”. In my community, a support service that assist with preterm infants and their families is WIC program. A special supplemental nutrition program for women, infants, and children. It is a Federally-funded nutrition program that help low income families. Guidance regarding to nutrition, breastfeeding, and immunizations are provided. Referrals, support groups, and education is also available through WIC program.

References:

https://www.marchofdimes.org/baby/low-birthweight….

https://www.fns.usda.gov/wic/women-infants-and-chi…

Grand Canyon Response to Annileydis DQ1 Post

Grand Canyon Response to Annileydis DQ1 Post

According to CDC, birth weight is the weight of the newborn measured immediately after birth. Birth weight of fewer

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than 5.5 lbs, or 2500 grams, is considered low birth weight. A low birth weight infant can be born too small, too early, or both. This can happen for many different reasons which may or may not be related. For example, smoking during pregnancy may make a baby too small (growth retardation), even if that baby is carried the full 40 weeks of pregnancy. For this reason, low birth weight information on the Tracking Network includes only infants who are born full-term(2018).

Short term that may be present by low birth weight babies is low levels of oxygen, inability to maintain body temperature, immature lungs, difficulty with feeding, infections, bleeding in the brain, jaundice and breathing problems. RSV respiratory syncytial virus is one example of the respiratory infection of low birth way babies.Also, these babies have to stay longer in a hospital and need to be treated in NICU which increases the cost of care.For families that do have insurance, it represents an issue because it cost a lot of money. Long term consequences may include, diabetes, heart disease, high blood pressure, obesity, and different developmental problems. Delays in a common factor in low birth way babies, for example, delay in walking, talking, relationship and accomplishing milestone normal for his or her age. If these disabilities appear the kids may need early intervention services which may help the kids to improve your kids’ development.
http://www.floridahealth.gov/alternatesites/cms-ki…
Early Steps, please call (800) 218-0001, this program is offered by Florida health department

Disparities relative to ethnic and cultural groups may contribute to low birth weight babies statistics indicate that preterm birth, low birthweight, and infant mortality are significantly greater for black non-Hispanic infants than for white non-Hispanic or Hispanic infants.Also, drugs, high blood pressure , certain medications, infections , problems with the placenta, no gaining enough weight by the mother, having twins , alcohol, smoking , low socioeconomic status, domestic violence are some of the others causes that may cause a baby to born low birth weight or preterm.

National Environmental Public Health Tracking Network. (2018, December 04). Retrieved from https://ephtracking.cdc.gov/
Read Chapter 1 in Health Assessment: Foundations for Effective Practice. Use the Appendix as needed to complete your assignments.
https://www.gcumedia.com/digital-resources/grand-c…

 

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Response to Caroline Rivera DQ1 Post

Response to Caroline Rivera DQ1 Post

When a baby is born less than 5 pounds 8 ounces they are considered low birth weight. The implications for a low birth weight baby can

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be tremendous for the family, an individual family has limitations of resources therefore support from the community is usually necessary. There are short and long term effects related to babies born with low birth weight. In the short term issues such as bonding, financial hardship, scheduling visits with parents and family, and the stress of the current situation are factors that should be considered when planning care. In the long term issues such as financial,stability, access to health care resources, and the reality that chronic illnesses such asthma or developmental delays are considered. The support and resources that are available to parents of low birth weight babies will determine the level of socioeconomic hardship the family faces. Organizations like Fred’s Footsteps, https://fredsfootsteps.org/, “provide direct financial assistance for non-medical expenses, such as household bills, to make up for gaps in income as well as one-time extraordinary expenses, like medical equipment or home modifications” (Fred’s Footsteps, 2019). Organizations like this can help families by providing resources such as financial assistance, and home care or help if needed. Organizations like Fred’s Footsteps also address the needs of the community by enhancing community engagement. The organization holds events, takes donations, and offers opportunities for volunteering. With increased awareness comes increased unity among the community among all spectrums; many times bringing people together in situations like this can boost community health on a comprehensive level. “In the United States, black women are more likely than others to have a low-birth weight baby” (March of Dimes, 2019). Disparities related to race and ethnic group can play a big part in the occurrence of low birth weight babies, for example, African American’s are at a high risk for hypertension, Hispanic American’s have a high prevalence for obesity, and Native Americans are at a high risk for altered mental health; any of these conditions can directly affect a growing fetus. The effects of a low birth weight baby can be tremendous for family, but the sole fighter is the child. Life will be a little different for these kids, there may be more limitations, less outings, and increased anxiety for parents that can sometimes reflect onto the child. Conditions like the common cold can be detrimental to these kids, viruses like RSV can become very scary for parents as the child already is pre-disposed to respiratory difficulty.

References

Fred’s Footsteps. (2019). Retrieved from https://fredsfootsteps.org/

March of Dimes. (2019). Complications & Loss, Preterm Labor and Premature Birth, Low Birth Weight. Retrieved from

https://www.marchofdimes.org/complications/low-birthweight.aspx

 

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Tags: nursing Complications & Loss, Preterm Labor and Premature Birth, Low Birth Weight Fred’s Footsteps low birth weight baby RSV

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Response to Michellie Tellier DQ2 Post

Response to Michellie Tellier DQ2 Post

I would discuss with the parents that research has shown if a child does not meet certain developmental markers by

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certain ages, it could be a sign of developmental delay. I would reinforce the importance of well-child visits and review the growth charts with them. Their baby has lower percentiles, so I would assess for abuse, but also find out how they are feeding their child, when they are feeding, and how often. I would ask questions pertaining to elimination, if the child has trouble keeping food down, and if constipation/diarrhea has been a problem.

A baby of 9 months should be able to do the fine motor skills of feeding themselves some finger foods, transfer objects from hand to hand, crawl, and sit without assistance (Green, 2018). Gross motor skills that should be developed at this point would be that the child can sit without support, crawl, and make stepping movements (Green, 2019). I would instruct the parents on anticipatory growth that will happen over the next 3 months until her next well child exam. They should see their baby begin to drink from a cup with help, more pincer grasp movements, scribbling with markers, and standing without assistance, and most likely the baby will begin to walk by the age of 12 months (Green, 2018).

Reference

Green, S., (2018). Health assessment of the infant. In Health Assessment: Foundations for Effective Practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment…

 

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Tags: nursing health assessment Gross motor skills Developmental delays skills development. Medications

Response to Stephen Quinones DQ2 Post

Response to Stephen Quinones DQ2 Post

At nine months old the infant should be able to move from their stomachs into a seated position. They should be

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able to stand unassisted for a short time. The baby should be able to roll over from both belly and back. The baby should be able to crawl and should also be able to recognize something they want and go towards that. This is the time when an infant should also be beginning to walk if not walking by now. (Brusie, VeryWell Family, 2018)

Recommendations to this mother would be to offer feeding to the baby on demand. This strategy of feeding has been proven to provide the infant with adequate nutrition and to give them more opportunity to gain the weight that is vital to maintain their health. I would also recommend ensuring formula is mixed according to the instructions watering down the formula too much has been shown to put babies into DKA. I would also have the mother show me the feeding that is done at home and provide feedback whenever possible to ensure that the optimal feeding style is being used. All these techniques have been shown to increase the amount of food the baby eats and help ensure the nutrition is adequate to sustain the rapid growth of the baby. (HOMAN, 2016)

Bibliography
Brusie, C. (2018, August 28). VeryWell Family. Retrieved from Your 9-Month Old Baby’s Development: https://www.verywellfamily.com/your-9-month-old-ba…

HOMAN, G. J. (2016). Failure to Thrive: A Practical Guide. American Family Physician, 295-299.

 

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Response to Shonna Andrews DQ2 Post

Response to Shonna Andrews DQ2 Post

As babies age, the nurse should assess for motor milestones, sensory milestones, communication milestones, and

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feeding milestones. A 9-month old baby should be doing things such as sitting without assistance, reaches for objects without falling over, grasps objects using the finger and thumb, enjoys different movements, puts things into their mouth using their hands, focuses near and far, recognizes the sound of their name, imitates sounds, holds the bottle themselves, and begins to eat thicker foods (Pathways.org, 2019). The average weight, length, and head circumference for a 9-month old baby girl is 18.7 lbs, 28.8 inches for length, and 17.5 inches for head circumference (Baby Center, 2016).

When a baby’s weight increases much slower than the length and head circumference, it can signal a lack of caloric intake. Failure to Thrive (FTT) is when there is an insufficient weight gain or inappropriate weight loss. A clinical assessment for Failure to Thrive is recommended when babies measure less than 10% weight on the growth chart. The cause of FTT can be caused from inadequate caloric intake, mal-absorption, or increased metabolic demands (RAGHU & VENKATESHWAR, 2017). To treat failure to thrive, parents may need to be educated on making mealtimes positive, appropriate foods for a 9 month old- meals, plus snacks, increasing the feeding amounts, and signs of acid reflux and/or food intolerance. These are evidence-based practices that have increased weight on babies that have Failure to Thrive.

Sources
Baby Center. (2016, October). Your child’s size and growth timeline. Retrieved from Baby Center: https://www.babycenter.com/0_your-childs-size-and-…

Pathways.org. (2019). Growth & Development. Retrieved from Pathways.org: https://pathways.org/growth-development/baby/miles…

RAGHU, R., & VENKATESHWAR, V. (2017, June 10). Failure to Thrive. Retrieved from US National Library of Medicine: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC55320…

 

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Respond to Lilbania Hernandez Dq2

Respond to Lilbania Hernandez Dq2

Description

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Providing parents with information about immunizations, feeding, sleep, hygiene, safety, and other common concerns is an important nursing responsibility. Appropriate anticipatory guidance can assist with achieving some of the goals and objectives determined by the U.S. government to be important in improving the overall health of infants. Nurses are in a good position to offer antic-ipatory guidance on the basis of the infant’s growth and achievement of developmental milestones.

The main point in teaching being that research shows breastfeeding for at least the first 6 months has huge health benefits for the baby to include antibodies, decreased risk for infections, as well as promotes a special bond and relaxation method for both baby and mom (Jarvis, C). In addition breast fed infants typically follow a growth pattern that is appropriate for their development. Ultimately breastfed infants have a greater chance for increased health status over their lives when breastfed, but the specific barriers to breastfeeding need to be addressed if the benefits are not outweighing the costs to the mother.

-With 8 to 9 moths the child Continues to gain weight, length. Patterns of bladder and bowel elimination begin to become more regular. GrossSits steadily unsupported. Can crawl and pull up. Fine Pincer grasp develops. Reaches for toys. Rakes for objects and releases objects. Stranger anxiety is at its height. Separation anxiety is increasing. Follows parent around the house.Beginning development of depth perception. Object permanence continues to develop. Uses hands to learn concepts of in and out.Stringing together of vowels and consonants begins. First few words begin to have meaning (Mama, Dada, bye-bye, baby).Begins to understand and obey simple commands, such as, “Wave bye-bye.”Responds to “No!”Shouts for attention.

Reference

Jarvis, C. (2012). Physical examination & health assessment (6th ed.)

 

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Health promotion and Teaching Plan Outline PowerPoint

Health promotion and Teaching Plan Outline PowerPoint

The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on

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the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan.

Include the following in your presentation:

Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored