Topic1 DQ 1

Topic1 DQ 1

Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question.

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Research has shown that certain ethnic and cultural groups are at risk for giving birth to low birth weight or preterm babies. According to a study in 2007, underprivileged and African American women have two times the rate of preterm births and higher rates of growth restriction (Goldenberg & Culhane, 2007). Women from South Asia and especially of the Indian subcontinent have very high rates of fetal growth restriction and low birth weight (Goldenberg & Culhane, 2007). Cultural beliefs and health values as well as access to adequate health care and nutrition contribute to the health of newborn babies.

The health care needs of low birth weight (lbw) babies have both short term and long term effects on the baby’s family and society as a whole. According to The Urban Child Institute the hospital cost for preterm/ lbw births in 2001 totaled $5.8 billion for the first year of life, of which Medicaid covers 42% of these cases (Prematurity and Low Birth Weight, 2012). The UCI also noted that an extra $51,000 would be spent throughout the child’s life (Prematurity and Low Birth Weight, 2012). Physical complications related to lbw infants include decreased brain development, respiratory problems, cerebral palsy, HTN, DM, coagulation abnormalities and heart disease (Wilson, 1999). Lbw children are more likely to use regular medications, require the use of “above average” health services, and have a need for special education. All of this can be a strain on family relations, child development, and drain the family financially.

Providing adequate prenatal health education and access to nutrition, prenatal testing, and support groups can help decrease the risk for having an lbw baby. Most local hospitals in my area now provide prenatal education that covers topics such as mother and baby nutrition, smoking or alcohol cessation, and vaccines. Agencies such as the Supplemental Nutrition Program for Women, Infants and Children (WIC) and Medicaid are instrumental in providing resources for nutrition and health care after birth. I have personal experience with Case Managers and Social Workers who have provided assistance in finding home health agencies and special education services to aid in child development.

References

Goldenberg, R., & Culhane, J. (2007, February 2007). Low Birth Weight in the United States 1,2,3. The American Journal of Clinical Nutrition, 85(2). Retrieved from http://ajcn.nutrition.org/content/85/2/584S.long

Prematurity and Low Birth Weight. (2012). Retrieved from www.urbanchildinstitute.org/articles/policy-briefs…

Wilson, J. (1999, February 1999). The Barker Hypothesis: An Analysis. The Australian & New Zealand Journal of Obstetrics & Gynaecology, 39(1).

Comparison of leadership models and styles

Comparison of leadership models and styles

Details:

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Leadership models abound. For this assignment, you will have two parts submitted as one assignment. In Part One you will review an assortment of models and styles and make a comparison of servant leadership to other models of leadership, including at least one model of transformational leadership. Also, contrast how these models bring about change in organizations. In Part Two you will look at leadership styles, determine yours, and compare the results of the personal model inventory and your personal leadership style.

General Requirements:

Use the following information to ensure successful completion of the assignment:

Complete the “Personal Model of Leadership” tool to find your personal model.
Complete the Leadership Development Questionnaire (“Leadership Development – Test One – What is your leadership style?”).
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
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 Turnitin. Please refer to the directions in the Student Success Center.
Directions:

Write a 1,250-1,500 word paper that discusses how your personal model of leadership and leadership style may be applied in your work and how it compares to servant leadership and other models.

Part One:

Discuss your personal model of leadership and how you might apply it in your role as a doctorally prepared advanced practice nurse.
Analyze how your personal model reflects a practice of servant leadership.
Compare servant leadership to two other leadership models.
Discuss how leaders implement each of the models and how they fit with your personal model.
Contrast the effectiveness of these models to bring about change in an organization.
Part Two:

Evaluate how your personal model of leadership works in conjunction with your leadership style.
Develop an action plan using SMART goals (Specific, Measurable, Actionable, Relevant, and Timely) with an evaluation of personal development to work on two areas of personal improvement for your leadership style. The plan must include at least two SMART goals.

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Unsatisfactory
0.00%

2
Less Than Satisfactory
74.00%

3
Satisfactory
79.00%

4
Good
87.00%

5
Excellent
100.00%

70.0 %Content

10.0 %Discussion of Your Personal Model of Leadership and How You Might Apply It in Your Role as a Doctorally Prepared Advanced Practice Nurse

Discussion of your personal model of leadership and how you might apply it in your role as a doctorally prepared advanced practice nurse is not present.

Discussion of your personal model of leadership and how you might apply it in your role as a doctorally prepared advanced practice nurse is present but incomplete.

Discussion of your personal model of leadership and how you might apply it in your role as a doctorally prepared advanced practice nurse is present but rendered at a perfunctory level.

Discussion of your personal model of leadership and how you might apply it in your role as a doctorally prepared advanced practice nurse is present. Discussion is thorough and defines specific elements but not as completely as expected. Information presented is from scholarly but dated sources.

Discussion of your personal model of leadership and how you might apply it in your role as a doctorally prepared advanced practice nurse is clearly present. Discussion is convincing and defines specific elements. Discussion is insightful and forward-thinking. Information presented is from current scholarly sources.

10.0 %Analysis of How Your Personal Model Reflects a Practice of Servant Leadership

An analysis of how your personal model reflects a practice of servant leadership is not present.

An analysis of how your personal model reflects a practice of servant leadership is present but incomplete.

An analysis of how your personal model reflects a practice of servant leadership is present but rendered at a perfunctory level.

An analysis of how your personal model reflects a practice of servant leadership is clearly present but is not as complete as expected. Information presented is from scholarly but dated sources.

An analysis of how your personal model reflects a practice of servant leadership is clearly present. Discussion is convincing and defines specific elements. Discussion is insightful and forward-thinking. Information presented is from current scholarly sources.

10.0 %Comparison of Servant Leadership to Two Other Leadership Models

Comparison of servant leadership to two other leadership models is not present.

Comparison of servant leadership to two other leadership models is present but incomplete.

Comparison of servant leadership to two other leadership models is present but rendered at a perfunctory level.

Comparison of servant leadership to two other leadership models is present but is not as complete as expected. Information presented is from scholarly but dated sources.

Comparison of servant leadership to two other leadership models is clearly present. Discussion is convincing and defines specific elements. Discussion is insightful and forward-thinking. Information presented is from current scholarly sources.

10.0 %Discussion of How Leaders Implement Each of the Models and How They Fit With Your Personal Model

Discussion of how leaders implement each of the models and how they fit with your personal model is not present.

Discussion of how leaders implement each of the models and how they fit with your personal model is present but incomplete.

Discussion of how leaders implement each of the models and how they fit with your personal model is present but rendered at a perfunctory level.

Discussion of how leaders implement each of the models and how they fit with your personal model is thorough but not as complete as expected. Information presented is from scholarly but dated sources.

Discussion of how leaders implement each of the models and how they fit with your personal model is clearly present. Discussion is convincing and defines specific elements. Discussion is insightful and forward-thinking. Information presented is from current scholarly sources.

10.0 %Contrast of the Effectiveness of the Models to Bring About Change in an Organization

A contrast of the effectiveness of these models to bring about change in an organization is not present.

A contrast of the effectiveness of these models to bring about change in an organization is present but incomplete.

A contrast of the effectiveness of these models to bring about change in an organization is present but rendered at a perfunctory level.

A contrast of the effectiveness of these models to bring about change in an organization is thorough but not as complete as expected. Information presented is from scholarly but dated sources.

A contrast of the effectiveness of these models to bring about change in an organization is clearly present. Discussion is convincing, insightful, and forward-thinking. Information presented is from current scholarly sources.

10.0 %Evaluation of How Your Personal Model of Leadership Works in Conjunction With Your Leadership Style

An evaluation of how your personal model of leadership works in conjunction with your leadership style is not present.

An evaluation of how your personal model of leadership works in conjunction with your leadership style is present but incomplete.

An evaluation of how your personal model of leadership works in conjunction with your leadership style is present but rendered at a perfunctory level.

An evaluation of how your personal model of leadership works in conjunction with your leadership style is thorough but is not as complete as expected. Information presented is from scholarly but dated sources.

An evaluation of how your personal model of leadership works in conjunction with your leadership style is clearly present. Discussion is convincing, insightful, and forward-thinking. Information presented is from current scholarly sources.

10.0 %Action Plan Using SMART (Specific, Measurable, Actionable, Relevant, and Timely) Goals With an Evaluation of Personal Development to Work on Two Areas of Personal Improvement for Your Leadership Style

An action plan using SMART (Specific, Measurable, Actionable, Relevant, and Timely) goals with an evaluation of personal development to work on at least two areas of personal improvement for your leadership style is not present.

An action plan using SMART (Specific, Measurable, Actionable, Relevant, and Timely) goals with an evaluation of personal development to work on at least two areas of personal improvement for your leadership style is present but incomplete.

An action plan using SMART (Specific, Measurable, Actionable, Relevant, and Timely) goals with an evaluation of personal development to work on at least two areas of personal improvement for your leadership style is present but rendered at a perfunctory level.

An action plan using SMART (Specific, Measurable, Actionable, Relevant, and Timely) goals with an evaluation of personal development to work on at least two areas of personal improvement for your leadership style is presented but is not as complete as expected.

An action plan using SMART (Specific, Measurable, Actionable, Relevant, and Timely) goals with an evaluation of personal development to work on at least two areas of personal improvement for your leadership style is presented.

20.0 %Organization and Effectiveness

7.0 %Thesis Development and Purpose

Paper lacks any discernible overall purpose or organizing claim.

Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.

Thesis and/or main claim are apparent and appropriate to purpose.

Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.

8.0 %Argument Logic and Construction

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.

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.

5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Writer is clearly in command of standard, written, academic English.

10.0 %Format

5.0 %Paper Format (Use of appropriate style for the major and assignment)

Template is not used appropriately or documentation format is rarely followed correctly.

Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.

Appropriate template is used. Formatting is correct, although some minor errors may be present.

Appropriate template is fully used. There are virtually no errors in formatting style.

All format elements are correct.

5.0 %APA Format

Required format is rarely followed correctly. An appropriate number of topic-related scholarly research sources and related in-text citations are not present. No reference page is included. No citations are used.

Required format is attempted, but some elements are missing or mistaken. A lack of control with formatting is apparent. Some sources are not scholarly research or topic-related. Reference page is present. Citations are inconsistently used.

Required format is used correctly, although some minor errors may be present. Scholarly research sources are present and topic-related, but the source and quality of some references is questionable. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.

Required format is fully used. There are virtually no errors in formatting. Scholarly research accounts for the majority of sources presented and is topic-related and obtained from reputable professional sources. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct.

The document is correctly formatted to publication standards. All research presented is scholarly, topic-related, and obtained from highly respected, professional, original sources. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error. The paper could readily be accepted for publication.

100 %Total Weightage

Paragraph 1 ( Long Paragraph )

Paragraph 1 ( Long Paragraph )

Please write a long Paragraph answering to this discussion below with your opinion. Please include citations and references in alphabetical order in case of another source.

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A person’s health is a product of their environment (Ashby & Pharr, 2012). My idea of a healthy community would be an active one that provides easily accessible activities; such as a safe place to play, trails to run, hike, and bike ride. Options need to be offered in a safe place to participate and facilitate use. Ideally, it would have a good economy, be financially stable, well-funded, and with adequate community services to assist the needs of the population. The health of our communities is critical to the growth and development of our region (Ashby & Pharr, 2012).

Healthy communities are ones in which all residents have access to quality education, safe and healthy homes, adequate employment, transportation, physical activity, and nutrition, in addition to quality health care (Ashby & Pharr, 2012). By considering these essential aspects, we realize the relationship between someone’s environment, their behavior, and their health (Ashby & Pharr, 2012).

To create a healthier community, you would initially need to assess what is causing it to be unhealthy. If it has potential but is unsafe to use, I would establish a neighborhood watch to show that crime is not tolerated. Being neighborly, helping, and watching out for each other is one way to show a presence to deter unlawful activity. Growing healthy food in a community garden, reduce neighborhood waste by recycling, shop locally to increase community economics, be a community volunteer, plant trees, reduce energy use are all things we can do to create a more healthy environment (Stevens, 2017).

References

Ashby, D., & Pharr, J. (2012). What is a Healthy Community? Retrieved from https://www.unlv.edu/sites/default/files/24/Health…

Paragraph 2- long paragraph

Paragraph 2- long paragraph

Please write a long Paragraph answering to this discussion below with your opinion. Please include citations and references in alphabetical order in case of another source.

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My idea of a healthy community is a group of families living in the same locality where all citizens, authorities, organizations and families work together for the welfare, health and the quality of life of the whole community. “A healthy community is one where people have good physical and emotional health. But this is more than just the absence of illness. A healthy community promotes well-being and offers a high quality of life” (Bruce, 2011). Healthy communities includes those where its citizens show respect to each other and live in peace and harmony, resident respect and care for nature, clean and safe environment, clean air, affordable and nutritious food, people have access to portable water, safe homes, access to high quality health care and education, practices of physical and healthy lifestyle is promoted by the citizens especially where all residents work together for a better and healthier community. A healthy community is one in which residents are happy with their choice of location and which exhibits characteristics that would draw others to the location. The majority of community residents are relatively functional for their age and health status. (Maurer & Smith, 2013).

Healthy communities have many things in common, such as strong social network, physical assets that are clean, safe and provide identity to the community, strong economic opportunity that improve quality of life, human development that provides opportunity for individual growth, and local institutions that support all of these elements (Bruce, 2011). An article published by The Lincy Institute states that “The health of a community is dependent not only upon the genetics of its residents, but also upon the environment within which those individuals live. A person’s health is a product of their environment”. This in essence means providing care and improving the health of my community.

I will start by gathering the residents and organizations together, make them understand that it is important to work together for the good health of the community and above all the health of every individual in the community. The next step will be to recognize, identify and classify the problems in the community, create an action plan which will allow us design a better community that making healthy choices will be easy. Childhood obesity is one of the problems that I would focus on because of its prevalence and other dangerous diseases it can lead to such as diabetes and heart disease which mortality rate is very high. These can be achieved by working together with school boards, government entities, teachers and parents to create a healthy, nutritious menu for our kids in schools; integrate the help of health institutions and local organizations to provide community activities, health fair; present quick and easy alternatives for healthy eating in today’s busy schedules. It is also imperative that emphasize be made on getting our kids active by providing them more affordable access to sports activities in schools and constructing more recreational areas and parks in the community where kids can play, run and ride bikes safely. The introduction of health topics in the kid’s daily schedule in schools will be very beneficial as it will educate and help them understand what consequences poor healthy habits can do to their life and health. Finally, evaluating the progress, success and the impact these has on the community and creating new ideas and initiatives will ensure our community grows healthy and happy.

It is the responsibility of everyone to build a healthy community. Nurses as healthcare providers play a very important role in the process and success.

References:

Ashby, D. T., & Pharr, J. (2012, January). What is a Healthy Community? Building Healthy Communities in Southern Nevada. Retrieved from https://www.unlv.edu/sites/default/files/24/Health…

Paragraph 3- Long paragraph

Paragraph 3- Long paragraph

Please write a long Paragraph answering to this discussion below with your opinion. Please include citations and references in alphabetical order in case of another source.

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According to Stanhope & Lancaster (2010), community is defined as people and the relationships that form as they grow in their surroundings. Community could be small or large group of people with the same common interest or values. Healthy community can be defined as a group or association that has a focus on specific goal. Examples of healthy community are churches, nursing homes, civic groups, newspaper, police stations, library, outreach programs and neighborhood centers. Nursing communities can be same but different. We all have the same goal that is to improve patient outcomes but different areas of focus for the patient. I belong to a local chapter nursing organization; American Nephrology Nursing Association (ANNA) is a community of nephrology nurses from all over Houston. ANNA, we come together and have meetings to discuss issues regarding our dialysis patients.
According to (Centeio et al., 2018), in the United States, reducing childhood obesity is a problem in elementary schools. If children are obese when they are younger it can lead to developing other diseases such as diabetes, heart disease and cancer when they are older. Encouraging the children to exercise by providing different activities to promote an active lifestyle. Some forms of exercise during school are having fun activities in recess, encouraging students to participate in school sports, Physical Education classes and provide health education. Some ways to encourage a healthy community is actively educating the students and parents of the importance of exercise and problems regarding obesity. At home or neighborhood, parents can take their children for a walk or ride bikes to encourage exercise. Parents have to be actively involved in the care of children to promote a healthy community.

References:

Centeio, E. E., McCaughtry, N., Whitney, E., Moore, G., Kulik, N., Garn, A., Martin, J., Shen, B., Somers, C. L., & Fahlman, M. (2018). Building healthy communities: A comprehensive school health program to prevent obesity in elementary schools. Preventive Medicine. 111. 210-215. Retrieved from: https://www.elsevier.com/locate/ypmed

Tags: nursing please help paragraph with your opinion citations and references

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Paragraph 4- Long paragraph

Please write a long Paragraph answering to this discussion below with your opinion. Please include citations and references in alphabetical order in case of another source.

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The geopolitical community in which I live is California. It is a geopolitical community because it meets the definition by having defined geographical and jurisdictional borders clearly established on a map (Maurer & Smith, 2014). Within this particular geopolitical community, I am a part of various phenomenological communities: concerning race I am caucasian; from a religious aspect, I am a Christian; and from an economic perspective I come from a middle-class family. These types of phenomenological communities bound people together by their interpersonal connectedness; a place is designated by a sense of belonging (Maurer & Smith, 2014).

For community health nurses, it may present a challenge to establish effective and considerate approaches because of many different languages, cultures, and values. However, this effort adds valuable cultural competence experience, which is critical in today’s society. On the other hand, dealing with the same community has the advantage and disadvantage of generally requiring similar care. Since it is a familiar culture, it is typically within a comfort zone and can end up being routine, and there is no opportunity for cultural growth within the caregiver. Cultural competence training can be of great significance in this regard. When you can thoroughly able to have a deep understanding of how to respectfully and competently communicate with people from different cultures, it creates an opportunity for favorable outcomes (HumanServicesEDU.org, 2018).

Some of the global health issues in California include sexually transmitted diseases, tuberculosis, immunizations, obesity, cancer, and drug abuse, among others. Ethnic sub-communities in California, including blacks, whites, Hispanics, Chinese, Indians, and various immigrants from other parts of the world. Cultural, religious and value differences between ourselves and these sub-communities are important to consider when providing respectful healthcare.

References

HumanServicesEDU.org. (2018). Understanding Cultural Competency. Retrieved from https://www.humanservicesedu.org/cultural-competen…

Maurer, F., & Smith, C. (2014). Community Assessment. Retrieved from https://nursekey.com/community-assessment/#s0155

Paragraph 5- Long paragraph

Paragraph 5- Long paragraph

Please write a long Paragraph answering to this discussion below with your opinion. Please include citations and references in alphabetical order in case of another source.

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A geopolitical community in its most conventional view is one that is defined by their borders on a map (Maurer & Smith, 2013). I live in Arlington Texas, located in Tarrant County. It is part of the Mid-cities region of Dallas-Fort Worth-Arlington metropolitan area, approximately 12 miles east of downtown Fort Worth and 20 miles west of downtown Dallas. It is geopolitical because its boundaries are also defined by congressional and school districts as well as counties (Maurer & Smith, 2013). I belong to one phenomenological community, the church because I have a strong relation with them, share the same beliefs, values and interests. A phenomenological community does not have geographical borders and is not separated by landmarks. A nurse may encounter some challenges when providing care in different communities such as cultural diversity. For a community to be responsive, nurses should be culturally sensitive. This will help put the community in the direction of optimal health. There will be a better cooperation and compliance with the community’s health when health information is disseminated in a way that is culturally appropriate. A nurse should not assume that the needs of a similar community would be the same because their needs might be different. An indebt evaluation of both communities will help pinpoint each community’s distinct needs. When the needs of the community is assessed, a sense of trust will be built within the healthcare community. Communities with similar needs can build from one another. Taking on what works for a similar community may be a good idea for the other. Health literacy may be a challenge in the same community. It is important to ensure that the information given in different routes and forms along with the confirmation of understanding will help families and communities with the understanding of disease prevention, process and health promotion. The community can also be brought closer together by building mentor programs for members to assist others to learn to read and write.

Reference:

Maurer, F., Smith, C. (2013). Community/Public Health Nursing Practice. Retrieved from https://pageburstls.elsevier.com/#/books/978-1-455…

response to the below DQ

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Pascal-Milfort posted Jul 11, 2018 11:50 AM

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Dry Cough Case Study

The patient in question presents with the indications of headaches some of the follow-up questions that should be asked, include: do you experience allergies, asthma or any other related medical conditions? Have you suffered from a cold or the flu recently? Furthermore, I would ask if he smokes or spends time around people who smoke. Other important questions relevant to this condition are whether the patient has been exposed to air pollution such as excessive dust or fumes.

From the duration of a cough the patient has had it for approximately three months and therefore it can be categorized as a chronic cough (Chung & Pavord, 2008). The same regard the cough is dry and the severity increases in the evening. Frequent nasal congestion can be noted by the patient especially at times when he is exposed to a stimulus such as dust and cold weather (Chung & Pavord, 2008). The classification according to the duration would help in diagnosis since different coughs have distinct occurrences. As a result, the time frame of a cough can give important information regarding the nature of the cough.

To assist in the diagnosis of the cough several tests are required. This is important carefully differentiate between the almost similar types of a cough (Roda, Guihenneuc-Jouyaux, & Momas, 2013). One of the diagnostic tests to undertake is the physical exam where the patient is checked out for the symptoms of a cough. The clinician or the doctor, in this case, uses a stethoscope to listen to the lungs and identify if there are any wheezing sounds. Other diagnostic tests include the likes the examination of the mucus collected from the nose or the throat. This is the test that can be used to determine if the patient is suffering from a bacterial infection. A chest x-ray, on the other hand, can be taken to help diagnose the conditions such as pneumonia. Also, lung function tests can be conducted to measure the amount of air that s breathed in and out by the patient. This will give an indication of how well the lungs are operating. As such this is one of the useful tests that can be used to diagnose the conditions such as asthma. A sinus infection can be diagnosed by the use of a sinus x-ray.

Differential Diagnosis of the Cough

The differential diagnosis, in this case, entails two conditions. A post-viral cough and asthma induced cough. Both coughs share some characteristics such as persistence, the absence of phlegm, severity as well as the duration.

Post-Viral Cough

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response to the below DQ 150 words with 1 citation/ refrence less than 5 years old apa format

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A 60-year-old man comes to your office because of a persistent cough that has been bothering him for the past 3 months. His cough is dry and is more frequent during the evenings. He also notes frequent nasal congestion, especially when he is exposed to dust and cold weather. He reports no hemoptysis, weight loss, wheezing, fever, or changes in his appetite.

What additional questions would you ask to learn more about his cough?

Do you cough up any phlegm or sputum? How much? What color is it?

Does the cough come on with activity? Position?

Which treatments have you tried?

Are you taking any prescription or over the counter medication?

Do you have shortness of breath?

Do you have asthma?

Do you have a family history of asthma?

Do you have allergies?

Do you have reflux?

Do you smoke?

Are you exposed to any environmental irritants?

(Jarvis, 2016).

How would you classify his cough based on the duration to help with the diagnosis?

A cough lasting over 3 weeks is considered to be chronic (Dunphy, Winland-Brown, Porter, & Thomas, 2015). Chronic coughs can be linked to a couple of different diagnoses. Some diagnosis that may cause a chronic cough include: postnasal drip linked to allergies, postinfection such as the flu causing a cough for 8 weeks, chronic bronchitis (COPD) is characteristic of a productive cough lasting for 3 months, asthma reactive airway associated with a dry cough, gastroesophageal reflux disease (GERD) cough caused by esophagus being irritated, medications such as ACE inhibitors, and environmental exposures can all produce a chronic cough (Dunphy et al., 2015).

What diagnostic tests do you want to include to help you with your diagnosis?

Some test that could be ordered to help correctly identify COPD would include a pulmonary function test or a more common test called spirometry. Spirometer measures how much air the patient can hold and how quickly it is exhaled (Mayo Clinic, 2018). A chest x-ray can reveal other causes of a chronic cough that include emphysema, infections, tumors and GERD (Mayo Clinic, 2018). Another test you can order to diagnosis GERD is an endoscopy (Hopper, 2015).

Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2015). Primary care: Art and science of advanced practice nursing, 4th ed. Philadelphia, PA: FA Davis

Hopper, A. D. (2015). Improving the diagnosis and management of GORD in adults. The Practitioner, 259(1781), 27.

Jarvis, C. (2016). Physical examination & health assessment (7th ed.). St. Louis, MO: Elsevier.

Mayo Clinic. (2018). COPD. Retrieved from https://www.mayoclinic.org/diseases-conditions/cop…

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Topic 1 DQ 1

Topic 1 DQ 1

Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question.

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Substantial disparities exist between ethnic and cultural groups in relation to low birth weight infants and preterm births. These disparities include, “16.3% of non-Hispanic black infants were born preterm, compared to 10.2% of non-Hispanic white infants and 11.3% of Hispanic infants,” (March of Dimes, 2015, para. 3). It is also stated by (March of Dimes, 2015, para. 6), “The rate of low birthweight for overall births was 8.0%. However, the rate for black infants (13.1%) was nearly twice that of white infants (7.0%) and Hispanic infants (7.1%).” Poor outcomes related to low birth weight have lifelong effects on the US population. For example, babies that are born premature are at an increased risk of sudden and lasting health conditions that create social, emotional, and financial consequences for not only the family, but also society (Grand Canyon University, 2012). Speech disorders, behavioral challenges, and learning disabilities are trials that these children and families may be faced with. Congenital abnormalities that where proven fatal year ago, are now treatable. Children with these chronic conditions grow to be adults and require additional medical care. The US healthcare system faces financial challenges to provide medical services to treat higher acuity more complex individuals.

More than half a million babies are born to early in the United States each year (Miracle Babies, 2018). Miracle Babies Family Assistance Program is a community resource available for families with babies that are in the NICU and provides financial services to aid in transportation, gas, parking fees, groceries, hospital meals, and daycare for older children. The family assistance program recognizes the importance of families spending time with their babies while in the NICU and aims to alleviate barriers that could hinder their ability to be present as much as possible which meets the needs of the communities in which these babies are born.

Link: https://www.miraclebabies.org/programs/family-assi…

References Retrieved from https://www.marchofdimes.org/materials/March-of-Di…

Grand Canyon University. (2012). The Health Assessment of Infants. Retrieved from https://lc-ugrad3.gcu.edu/learningPlatform/user/us…

Miracle Babies. (2018). Family Assistance Program. Retrieved from https://www.miraclebabies.org/programs/family-assi…