High Risks in Adolescent Pregnancies discussion

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High Risks in Adolescent Pregnancies discussion

question : Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.

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……..please do discussion 250 words ……

Discussion week 7

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Discussion week 7

Running head: FRENCH CANADIAN AND GERMAN HERITAGE Dilsy Ricardo Florida National University Nursing Department BSN Program NUR 4636 02/07/2019 Prof. Cassandre Milien, RN MSN 1 FRENCH CANADIAN AND GERMAN HERITAGE 2 1. Describe the health care beliefs of the German and French-Canadian heritages and mention the influence in the delivery of evidence-based health care. All home health duties are traditionally believed to lie with the mother in German culture. These include home remedies as well as arrangements for check-ups. The Germans believe in prevention as opposed to treatment. They are also inclined toward seeking over the counter treatment before delving into professional inquiries (Mossailos & Sarnak, 2016). They highly value natural

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medications such as herbs, roots and so on. Due to their high esteem, physical and mental disabilities are a hard pill to swallow for them (Osborn & Sarnak, 2015). They are, however, not opposed to any modern health care advancement as long as it does not contradict a religious belief. German beliefs often negatively influence the delivery of evidence-based health care. For instance, genetically acquired disabilities are seen as an untreatable shame in society and often left unattended to. When it comes to the French Canadians, they ensure unrestricted accessibility to healthcare upon admission into the system (Best & Miller, 2015). A class system determines health care. This is with higher economic status having personal physicians. Those on the lower side opt to wait for a life and death situation before seeking the necessary care. For the French Canadians, the language barrier proves to be a challenge. Their health care culture is greatly influenced by their Catholic faith. Blood and organ donations are a personal decision with little to no constructive interference. There is a split influence on evidence-based health care delivery due to social stratification. 2. Discuss if there is any similarity in the health care beliefs and practices of the German and French-Canadian heritage with the health care beliefs of your culture. FRENCH CANADIAN AND GERMAN HERITAGE 3 There are several similarities to be seen with my heritage beliefs and the two systems. When it comes to a comparison with the French Canadians, the first meeting point is the socioeconomic factor. In the two, health care accessibility is highly influenced by social stratification. There is also a similarity in pain expression (Rash, 2017). The immigrants record different levels of pain expression as opposed to inherent inhabitants. There is also a similarity to be viewed with a high level of OTC utilization. There is a huge number of individuals recorded to make use of over the counter drugs in both cases. There are also similarities to be identified with the German culture. For instance, there is the use of traditional and indigenous medication. This is a common ground for both cultures. There’s a considerable preference for naturally acquired medication such as herbs, spices, and the likes. They are also alike in terms of home care provision. This is in terms of the family member who is responsible for taking care of the family health care issue. The mother of the home is left with the duty of taking care of all health-related concerns in the household. There is also the fact that health care coverage is one’s prerogative. This is in contrast to the Canadian Universal Coverage plan which is made available to all individuals recorded into the system. 3. If you have to change your health care beliefs for any of one study this week, which one will you choose and why? If I were to change any of the above health care beliefs, I would choose to go with the German Health care culture. This is owing to many reasons. First off, they are high believers in the notion that prevention is better than cure. Therefore, from the onset of birth children are subjected to a preemptive sort of medication. This is such as through immunizations, daily intake of vitamins and so on. There is also the fact that the nutritional values of Germany lean toward a healthy side. This is such as the fact that they keep high-calorie diets to a minimum intake. This FRENCH CANADIAN AND GERMAN HERITAGE 4 ensures that lifestyle diseases caused by inadequate nutrition as well as malnutrition are kept at bay. Furthermore, I am inclined to the use of natural remedies. This is because they are less harmful as opposed to modern medications which are often filled with chemical toxins. This would also apply to home remedies. Putting OTC as a first priority is also a pull factor. This is because it is often a lifesaver in a fiscal sense. German culture does not contain a lot of restrictions when it comes to health care advancement. This is in a sense there is not much opposition to the use of new and developed health care innovations. The only limitation for most is often upon superimposition with the religious beliefs. However, decisions are often left to an individual’s preferences and desires. FRENCH CANADIAN AND GERMAN HERITAGE 5 References Best, K. L., Routhier, F., & Miller, W. C. (2015). A description of manual wheelchair skills training: current practices in Canadian rehabilitation centers. Disability and Rehabilitation: Assistive Technology, 10(5), 393-400. Mossialos, E., Wenzl, M., Osborn, R., & Sarnak, D. (2016). 2015 international profiles of health care systems. Canadian Agency for Drugs and Technologies in Health. Osborn, R., Moulds, D., Schneider, E. C., Doty, M. M., Squires, D., & Sarnak, D. O. (2015). Primary care physicians in ten countries report challenges caring for patients with complex health needs. Health Affairs, 34(12), 2104-2112. Rash, J. (2017). Towards the rapid assessment of pain expression: The Index of Facial Pain Expression (IFPE) (Doctoral dissertation, University of Calgary). Running head: PEOPLE OF FRENCH CANADIAN AND GERMAN HERITAGE People of French-Canadian and German Heritage Karen Echenique Florida National University Culture in Nursing Prof. Cassandre Milien, MSN 1 PEOPLE OF FRENCH CANADIAN AND GERMAN HERITAGE 2 People of French Canadian and German Heritage The first wave of German immigrants came to America for religious freedom. There are over 50 million Americans from German descendants. Although, today, communities continue to use their customs, specifically those who use healthcare. Usually in German families, the mother is the person in charge of the children receiving check-ups, immunizations, and ensuring the intake of supplements. In traditional families, women in the families are often the main overseer of home remedies and treatments. Roots, soups, camphor, peppermint, ammonia, herbs, and poultices are among the most common ingredients for natural remedies. Over the counter medications are also widely used by German Americans because they often believe that each individual is responsible for their own health. Physical disabilities caused by injuries are more accepted than that of innate disabilities. Mental disabilities are lacked in acceptance and are view as a mistake. Germany is among the leading countries in the world who developed both the National and Biomedical insurance in Europe. Biomedical care is general for all of its citizens and is said to be of high quality. Germans have an advantage in medical technology because of their economy and they are able to have many hospitals and doctors per say. In 1997, there was an outbreak of heart disease and cancer which accounted to about 48% of all deaths in eastern and western Germany. Thanks to their advancement in medicine, Germans, were able to help and save many people at the time. As a tradition, Germans, also believe in “naturopathic medicine” which includes water cures of several types. Most members of the German Biomedical corporation have opposed naturopathic medicine but are still used to some length. Most German-Americans demand straight-forward verbal communication about diagnoses and treatments. Moreover, these individuals are always promptly on time and strictly PEOPLE OF FRENCH CANADIAN AND GERMAN HERITAGE 3 believe on being punctual especially when it deals with health. Health care providers and their team should ensure to meet these patients on time and on schedule along with their medication. (Betancourt, Green, Carrillo, & Owusu Ananeh-Firempong, 2016). The use of contraceptives is highly frowned upon in strict German Catholics. Additionally, female patients prefer consulting with the same sex health care personnel but have no problem with receiving treatment from either gender. Conclusively, they have no problem or limitations on blood transfusions or transplantations of any sort. Alcoholism and cigarette smoking are prevalent health behaviors for this specific group of people. Therefore, there are higher chances for cardiac and respiratory diseases. Residing in America, there are about 2.2 million individuals who are French-Canadian. The two main languages are French and English, and less than half of the population uses French as their native language. French-Canadians inherited most of their customs from the first French settlers. Canada has free, general health coverage for all of its residents. Moreover, people in the upper socioeconomic class have family doctors rather than seeking medical care from local community centers or hospitals. Health care providers hold a promising status for FrenchCanadians, especially geriatrics. The health insurance system in Canada is attentive to patients who are practicing folk remedies outside of the law or government issued care. Most FrenchCanadians also use over the counter medications on the regular and have no problem receiving donations, transplantations or blood transfusions. The decision to donate or receive an organ is based on the individual’s personal decision and based on family or cultural influence. Some of their natural cultural beliefs play a significant role in evidence-based compentent care. They strongly believe in natural childbirth and its benefits. Moreover, in the delivery room, men are usually allowed depending on the mother’s choice. Respect from health care personnel PEOPLE OF FRENCH CANADIAN AND GERMAN HERITAGE 4 is expected, especially in older adults. Their heritage expects the expression of one’s feeling and therefore will be open with the provider during the assessment and procedures. In addition, women rarely use contraception that is inserted vaginally but are fine with using other forms of contraception’s as in pills and tubal ligation. French-Canadians and Germans share some similarities with my heritage including accepting blood transfusions, transplantations and donations. As seen in both cultures, the mother is the alpha of the family. She is in charge of all the health care related issues such as immunization and medication regimens. Prayers are usually connected with giving the patient strength and faith as they recover from their illnesses. Conclusively, most often, oral contraceptives are accepted as the most common form of birth control. Most geriatric patients prefer a same sex provider for consultations and admissions but don’t mind different genders for treatments. If I were to change to my health care beliefs to any of the cultures mentioned above, I would probably change to German health culture. Initially, Germans are high believers in preventing any illnesses before you have to cure them, and critically, I think it is a smart idea. I am a big believer in natural remedies as well, they are less harmful contrasting to medications used today. Additionally, from birth, children receive immunizations to prevent many diseases and intake of supplements and vitamins. Germans also value nutrition and believe in high calorie diets, which is a factor I need to learn to improve my diet. German heritage also does not limit the use of health care technology, expect those who impose due to religious beliefs, which is only a small percentage of individuals. PEOPLE OF FRENCH CANADIAN AND GERMAN HERITAGE 5 References Best, K. L., Routhier, F., & Miller, W. C. (2015). A description of manual wheelchair skills training: current practices in Canadian rehabilitation centers. Disability and Rehabilitation: Assistive Technology, 10(5), 393-400. Mossialos, E., Wenzl, M., Osborn, R., & Sarnak, D. (2016). 2015 international profiles of health care systems. Canadian Agency for Drugs and Technologies in Health. Betancourt, J. R., Green, A. R., Carrillo, J. E., & Owusu Ananeh-Firempong, I. I. (2016). Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public health reports. Zimmermann, Kim Ann. (2018). German Culture: Facts, Customs and Traditions. Retrieved from: https://www.livescience.com/44007-german-culture.html
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Contemporary Nursing Practice Discussion

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Contemporary Nursing Practice Discussion

Assignment Week 2 | Scope of Practice and Differentiated Pra… CurrentAll Save Link Assignment Contemporary

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Nursing Practice View Rubric Due Date: Feb 24, 2019 23:59:59 Max Points: 150 Details: The field of nursing has changed over time. In a 750-1,000 word paper, discuss nursing practice today by addressing the following: 1. Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual. 2. Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse. 3. Identify a patient care situation and describe how nursing care, or approaches to decisionmaking, differ between the BSN-prepared nurse and the ADN nurse. 4. Discuss the significance of applying evidence-based practice to nursing care and explain how the academic preparation of the RN-BSN nurse supports its application. 1. Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes. 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. Please refer to the directions in the Student Success Center. Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked. New Attempt Title Attached Documents Citation Report Similarity Index Final Submission Click ‘New Attempt’ to start assignment or attach documents Apply Rubrics Contemporary Nursing Practice 1 Unsatisfactory 0.00% 2 Less than Satisfactory 75.00% 3 Satisfactory 79.00% 4 Good 89.00% 5 Excellent 100.00% 80.0 %Content 10.0 %Evolution Explanation of Explanation of how A general An explanation of A thorough of Nursing how nursing nursing practice explanation of how how nursing explanation of how Practice Over practice has has changed over nursing practice practice has nursing practice Time and changed over time is has changed over changed over time has changed over Resulting Changes time and how this incomplete. A time is presented. is presented. How time is presented. to Scope of evolution has partial summary of How scope of scope of practice How scope of Practice and changed the how scope of practice and and approach to practice and Approach to scope of practice practice and approach to treating the approach to Patient Care and the approach approach to treating the individual have treating the to treating the treating the individual have changed over time individual have individual is not individual have changed over time is discussed. Minor changed over time presented. changed over time is summarized. detail is needed is discussed in is presented. There are some for clarity. The detail. An There are major minor inaccuracies. explanation is insightful account inaccuracies. More Some information accurate and of the evolution of information is is needed for captures all nursing practice needed. clarity. significant and its influence aspects. on scope of practice and patient care is presented. 15.0 The An incomplete A general A comparison of A comparison of %Comparison of differentiated comparison of the comparison of the the differentiated the differentiated Differentiated practice differentiated differentiated practice practice Practice competencies of practice practice competencies of competencies of Competencies of the ADN and BSN competencies of competencies of the ADN and BSN is the ADN and BSN is ADN and BSN are not the ADN and BSN is the ADN and BSN is nursing is clearly presented. compared. presented. presented. presented. Differences Differences Differences Differences between ADN and between ADN and between ADN and between ADN and BSN scope of BSN scope of BSN scope of BSN scope of practice are practice is unclear. practice are practice are described in detail. There are summarized. Some described. Minor The narrative significant information is detail or rationale demonstrates a inaccuracies. More needed for clarity is needed for strong information is or support. clarity or support. understanding of needed. differentiated competencies and scope of practice for the ADN and BSN. 20.0 %Use of A patient care Summary of Summary of Relevant patient Relevant patient Patient Care situation patient care relevant patient care situation is care situation is Situation to illustrating the situation is care situation is described, thoroughly Describe difference incomplete or is presented. including described. The Differences in between ADN and not relevant to Differences in differences in differences in Approach to BSN in decision illustrating the decision making decision making approach to Nursing Care making and differences in and approach to and approach to nursing care and Based Upon ADN approaches to decision making or nursing care based nursing care based scope of practice and BSN patient care is approach to upon ADN and BSN upon ADN and BSN based upon ADN Education not presented. nursing care based education are education. and BSN education upon ADN and BSN generally Difference are described in education. described. between ADN and detail. Narrative Difference BSN scope of demonstrates between ADN and practice is insight into patient BSN scope of described. Minor care, decision practice is detail is needed making, and summarized. More for clarity. differing detail is needed for approaches clarity and between ADN and support. BSN. 20.0 %Application Significance of The significance of A summary of the A discussion on the A discussion of the of Evidenceevidence-based evidence-based significance of significance of significance of Based Practice practice to practice to nursing evidence-based evidence-based evidence-based and RN-BSN nursing care and care and how the practice to nursing practice to nursing practice to nursing Education in how the BSN BSN supports the care and how the care and how the care and how the Nursing Care supports its application of BSN supports the BSN supports the BSN supports the application is not evidence-based application of application of application of discussed. practice is evidence-based evidence-based evidence-based partially discussed. practice is practice is practice is The discussion presented. The presented. Some thoroughly contains significant discussion contains evidence or presented. Strong inaccuracies. minor inaccuracies; rationale is evidence and or, more evidence needed to support rationale is or rationale is claims. provided to needed to support support claims. claims. 15.0 A discussion of An incomplete A summary of how A discussion of A detailed %Communication how nurses today discussion of how nurses today how nurses today discussion of how and Collaboration communicate and nurses today communicate and communicate and nurses today With collaborate with communicate and collaborate with collaborate with communicate and Interdisciplinary interdisciplinary collaborate with interdisciplinary interdisciplinary collaborate with Teams to Support teams, and how interdisciplinary teams, and how teams, and how interdisciplinary Patient Outcomes this supports teams, and how this supports safer this supports safer teams, and how safer and more this supports safer and more effective and more this supports safer effective patient and more effective patient outcomes, effective patient and more effective outcomes, is not patient outcomes, is presented. The outcomes, is patient outcomes, presented. is presented. The summary generally presented. is clearly discussion contains illustrates the Overall, the presented. The inaccuracies and importance of discussion discussion is well fails to working with illustrates the supported and demonstrate the interdisciplinary importance of strongly illustrates importance of teams. Some working with the importance of working with information is interdisciplinary working with interdisciplinary needed for teams. interdisciplinary teams. accuracy or to teams. support claims. 15.0 %Organization and Effectiveness 5.0 %Thesis Paper lacks any Thesis is Thesis is apparent Thesis is clear and Thesis is Development and discernible insufficiently and appropriate to forecasts the comprehensive and Purpose overall purpose developed or purpose. development of contains the or organizing vague. Purpose is the paper. Thesis essence of the claim. not clear. is descriptive and paper. Thesis reflective of the statement makes arguments and the purpose of the appropriate to the paper clear. purpose. 15.0 %Organization and Effectiveness 5.0 %Argument Statement of Sufficient Argument is Argument shows Clear and Logic and purpose is not justification of orderly, but may logical convincing Construction justified by the claims is lacking. have a few progressions. argument that conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. 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. 15.0 %Organization and Effectiveness 5.0 %Mechanics Surface errors are Frequent and Some mechanical of Writing pervasive enough repetitive errors or typos are (includes spelling, that they impede mechanical errors present, but they punctuation, communication of distract the are not overly grammar, meaning. reader. distracting to the language use) Inappropriate Inconsistencies in reader. Correct word choice or language choice sentence structure sentence (register), and audienceconstruction is sentence appropriate used. structure, or word language are used. choice are present. 5.0 %Format 2.0 %Paper Template is not Template is used, Template is used, Format (use of used but some elements and formatting is appropriate style appropriately or are missing or correct, although for the major and documentation mistaken; lack of some minor errors assignment) format is rarely control with may be present. followed formatting is correctly. apparent. 5.0 %Format 3.0 Sources are not Documentation of Sources are %Documentation documented. sources is documented, as of Sources inconsistent or appropriate to (citations, incorrect, as assignment and footnotes, appropriate to style, although references, assignment and some formatting bibliography, style, with errors may be etc., as numerous present. appropriate to formatting errors. assignment and style) 100 %Total Weightage Techniques of presents a argumentation are persuasive claim in evident. There is a a distinctive and smooth compelling progression of manner. All claims from sources are introduction to authoritative. conclusion. Most sources are authoritative. Prose is largely Writer is clearly in free of mechanical command of errors, although a standard, written, few may be academic English. present. A variety of sentence structures and effective figures of speech are used. Template is fully All format used; There are elements are virtually no errors correct. in formatting style. 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.
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Paragraph 6

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Paragraph 6

Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

Based on the objective data presented, apparently Mr. C. is undergoing various medical health risk condition correlate with his excessive gaining weight (obesity) which warrant him to seek medical intervention for possible bariatric surgery. However, according to National Institute of Health (NIH, n. d), sequel to his elevated body mass index (BMI) of 47.8, with his height of 68inches (5feet 6inhces) and weight 134.5kg (296lbs), basically surgery is an option for his weight loss. However, obesity can constitute a complex progressively or exacerbate a wide spectrum of co-morbidities, including type 2 diabetes mellitus (T2DM), hypertension, dyslipidemia, cardiovascular disease (CVD), liver dysfunction, respiratory and musculoskeletal disorders, sub-fertility, psychosocial problems, and certain types of cancer (American Heart Association, 2017).

Upon careful assessment and evaluation of the below data:

  1. High blood pressure elevated: 172/96,(120/80)
  2. Diabetes with elevated Fasting blood Glucose: 146mg/dlL (<100mg/dL) 5.6mmol/l
  3. High Cholesterol (Fatty Liver): elevated 250mg/dL (<200mg/dL)
  4. Hyperlipemia with Triglycerides elevated 312mg/dL (<150mg/dL)
  5. sleep apnea. Rapid respiration of 26

Metabolic disorder is not factor for Mr. C to gain weight, maybe he has genetical impact/leptin resistance/certain food habits or sedentary life style caused sudden recent weight gain about 100pounds in last 2-3years as reflected in the data.

Obesity is an abnormal accumulation of fat, it is one of the biggest health problems in the world. It correlates or associated with diverse or various other diseases, which combined kill millions of people per year.In another contemporary, Obesity constitutes a worldwide epidemic with prevalence rates which are increasing in most Western societies and in the developing world. According toWorld Health Organization (WHO) declared obesity a global epidemic,

Bariatric surgery should be a last priority after trying conventional therapies such as consuming fewer calories, increasing exercise, commercial weight-loss programs, etc. His BMI is 47.9 along with other comorbidities he has and may leads to further health impediment or problems so, he has to lose weight by taking aggressive approach (National Institute of Health n. d). Mr. C can undergo gastric bypass surgery if conventional therapies are not helping in losing weight. Gastric bypass is surgery that helps you lose weight by changing how your stomach and small intestine handle the food you eat(American Society for Metabolic and Bariatric Surgery).

For his Peptic ulcer disease Mr. C Should follow the below drug administration chart

Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL 10AM (3hrs after breakfast) 4PM (3hrs after Lunch) 9PM (3hrs after Dinner) 10.30PM (At bed time)
Ranitidine (Zantac) 300 mg PO at bedtime. 10.30 10.30 PM (At bed time)
Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 6AM (1hr before Breakfast) 12PM (1hr before Lunch) 5pm (1hr before dinner) 10.30 PM (At bed time)

ANS 1:

Assessment of Mr. C. functional health patterns:

  • Health perception/ health management-Mr. C. may be depressed because of his weight so he needs medication and diet compliance and also will need regular exercises and regular annual checkups.
  • Nutritional metabolic pattern – his pattern of food consumption and fluid intake will have to be moderated so that it can reduce his weight also help in his metabolism
  • Sexuality-reproductive activity– may be affected with low libido and dissatisfaction due to his weight and also could also affect his sexual relationships
  • Coping/ stress tolerance-Mr. C. may not be able to tolerate lots of stress because of his body image and thoughts of his weight so he may need available support systems to help him to cope
  • Value-belief-Mr. C. may have problems with his value beliefs and spiritual goals so he may need guidance and spiritual support as his values or beliefs may conflict with his health issues and special religious practices.
  • Elimination-his patterns of excretory patterns may be affected especially bowel movement by the medications he is taking, and there may be frequency or pain in urination and appearance of urine and stool secondary to the disease process and medications.
  • Activity/ Exercise-his patterns of activity will be affected by his weight with problems to exercise or have leisure times and also due to respiratory mobility and may affect his activities of daily living
  • Cognitive perception-he may have sensory problems following his disease especially if he suffers from diabetes (neuropathy). His vision may be affected, taste sensory, and may have problems to manage his condition and decision making
  • Sleep/ Rest pattern-Mr. C., may have problems with sleep and rest as he is already having sleep apnea, his quality of sleep will be affected, and he may need sleeping aids
  • Self-perception/self -concept– his self-perception can be affected especially as a father figure or husband and may not provide family satisfaction as the head and bread winner and also with social interactions (Gordon’s 11 functional health patterns).

ANS 2:

The identified Actual or potential health problems:

1. Type2 Diabetes with Rationale : It may be that being overweight causes cells to change, making them resistant to the hormone insulin. Insulin carries sugar from blood to the cells, where it is used for energy. When a person is insulin resistant, blood sugar cannot be taken up by the cells, resulting in high blood sugar.

2. High Blood Pressure with Rationale: Having a large body size may increase blood pressure because your heart needs to pump harder to supply blood to all your cells. Excess fat may also damage your kidneys, which help regulate blood pressure.

3. Heart disease with Rationale: People who are overweight or obese often have health problems that may increase the risk for heart disease. Excess weight may cause changes to your heart that make it work harder to send blood to all the cells in your body.

4. Sleep Apnea with Rationale: A person who is overweight may have more fat stored around his or her neck. This may make the airway smaller. A smaller airway can make breathing difficult or loud (because of snoring), or breathing may stop altogether for short periods of time. In addition, fat stored in the neck and throughout the body may produce substances that cause inflammation. Inflammation in the neck is a risk factor for sleep apnea.

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5. Osteoarthritis with Rationale: Extra weight may place extra pressure on joints and cartilage (the hard but slippery tissue that covers the ends of your bones at a joint), causing them to wear away. In addition, people with more body fat may have higher blood levels of substances that cause inflammation. Inflamed joints may raise the risk for osteoarthritis.

Reference:

American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016. Retrieved from: https://asmbs.org/app/uploads/2008/09/ASMBS-Nutritional-Guidelines-2016-Update.pdf

Nursing Research Discussion Violence Against Healthcare Professionals

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Nursing Research Discussion Violence Against Healthcare Professionals

My understanding of disparities in healthcare is that there are imbalanced health differences interrelated with social, economic or environmental disadvantages that adversely affect groups of people. The term describes how certain groups of people suffer from health problems in comparison to other groups. The groups can be categorized by sex, ethnicity, age, or income status. The following are 2 Healthy People 2020 Objectives for health disparities: HDS-5.2 Reduce the proportion of children and adolescents with hypertension (8-17 years old) (“Disparities | Healthy People 2020”, 2019). The data states that from 2011 -2014, 3.4% of Mexican American children suffered from hypertension compared to the lowest rate which was 1.7% (white children, not Hispanic), Overall, 3.5 % of children suffer from hypertension, with the 2020 target being 3.2%. C-4: Cervical cancer deaths (age adjusted, per 100,000 population) (“Disparities | Healthy People 2020”, 2019). The data shows that Black or African American females die at a higher rate than other races from cervical cancer. In 2016, 3.2 black women per 100,000 died from cervical cancer compared to the best groups death rate (Asian and Pacific Islander) which was 1.7 per 100,000. The average is 2.5 with the 2020 target being 2.2 deaths per 100,000. The Minority Health and Health Disparity Research Center began in 2002 dedicated to conducting research and operating an outreach center that addresses health disparities in populations that are considered vulnerable. It was made successful with the partnership of NBA player Charles Barkley in 2004. The organization is especially dedicated to minority health issues and disadvantaged communities. Currently, the center has several ongoing research projects aimed at helping the community in areas such as obesity, Diabetes, children’s health, and elderly healthcare. The center has also provided more than 4.1 million dollars in funding to research projects that is dedicated to decreasing health disparities among disadvantaged populations. The center sponsors several outreach programs such as Healthy Happy Kids which educates children on the importance of nutrition and staying active. Childhood obesity is a real problem in the U.S., especially in the South. This program has worked to make eating healthy a rewarding experience through activities such as having local chefs show children how to prepare healthy foods, sometimes in a form of “an Iron Chef-Inspired competition”. This innovative program has been a big success for the center. They also sponsor an especially interesting program called The Center for Healthy African American Men through Partnerships (CHAAMPS) (“UAB – School of Medicine “, 2019). African

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American men are at a high risk for several diseases such as cardiovascular disease, diabetes, and hypertension. The CHAAMPS program is aimed at conducting research that focuses on the health of black American men that they believe have been overlooked over the years. The research program acknowledges that poor health among black men is contributed to social position, socially determined circumstances, and socioeconomic factors that plague this population. References Disparities | Healthy People 2020. (2019). Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities UAB – School of Medicine – Minority Health & Health Disparities Research Center – Healthy Happy Kids. (2019). Retrieved from https://www.uab.edu/medicine/mhrc/outreachprograms/healthy-happy-kids
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write a response to the paper attached below 200-300 words

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write a response to the paper attached below 200-300 words

My understanding of disparities in healthcare is that there are imbalanced health differences interrelated with social, economic or environmental disadvantages that adversely affect groups of people. The term describes how certain groups of people suffer from health problems in comparison to other groups. The groups can be categorized by sex, ethnicity, age, or income status. The following are 2 Healthy People 2020 Objectives for health disparities: HDS-5.2 Reduce the proportion of children and adolescents with hypertension (8-17 years old) (“Disparities | Healthy People 2020”, 2019). The data states that from 2011 -2014, 3.4% of Mexican American children suffered from hypertension compared to the lowest rate which was 1.7% (white children, not Hispanic), Overall, 3.5 % of children suffer from

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hypertension, with the 2020 target being 3.2%. C-4: Cervical cancer deaths (age adjusted, per 100,000 population) (“Disparities | Healthy People 2020”, 2019). The data shows that Black or African American females die at a higher rate than other races from cervical cancer. In 2016, 3.2 black women per 100,000 died from cervical cancer compared to the best groups death rate (Asian and Pacific Islander) which was 1.7 per 100,000. The average is 2.5 with the 2020 target being 2.2 deaths per 100,000. The Minority Health and Health Disparity Research Center began in 2002 dedicated to conducting research and operating an outreach center that addresses health disparities in populations that are considered vulnerable. It was made successful with the partnership of NBA player Charles Barkley in 2004. The organization is especially dedicated to minority health issues and disadvantaged communities. Currently, the center has several ongoing research projects aimed at helping the community in areas such as obesity, Diabetes, children’s health, and elderly healthcare. The center has also provided more than 4.1 million dollars in funding to research projects that is dedicated to decreasing health disparities among disadvantaged populations. The center sponsors several outreach programs such as Healthy Happy Kids which educates children on the importance of nutrition and staying active. Childhood obesity is a real problem in the U.S., especially in the South. This program has worked to make eating healthy a rewarding experience through activities such as having local chefs show children how to prepare healthy foods, sometimes in a form of “an Iron Chef-Inspired competition”. This innovative program has been a big success for the center. They also sponsor an especially interesting program called The Center for Healthy African American Men through Partnerships (CHAAMPS) (“UAB – School of Medicine “, 2019). African American men are at a high risk for several diseases such as cardiovascular disease, diabetes, and hypertension. The CHAAMPS program is aimed at conducting research that focuses on the health of black American men that they believe have been overlooked over the years. The research program acknowledges that poor health among black men is contributed to social position, socially determined circumstances, and socioeconomic factors that plague this population. References Disparities | Healthy People 2020. (2019). Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities UAB – School of Medicine – Minority Health & Health Disparities Research Center – Healthy Happy Kids. (2019). Retrieved from https://www.uab.edu/medicine/mhrc/outreachprograms/healthy-happy-kids
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Anxiety Among School Children Discussion

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Anxiety Among School Children Discussion

Choose articles (peer reviewed and 4 years old ) that will answer answer this questions. Reference APA format.

My Title is: Anxiety Among School Children

Please attach pdf versions of articles used.

Level 1 Questions

  • How do personal or family religious preferences affect on anxiety level at school?
  • Will cultural or sport activities reduce anxiety level among students?
  • Does spiritual education reflect on anxiety level during academic activities?

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Level 2 Questions

  • How can cultural or spiritual activities effect on anxiety treatment?
  • Can cultural or lifestyle preference become a way of reducing anxiety and outcome to higher results on tests?
  • Will marijuana or smoking as a cultural preference become a legal treatment against anxiety at schools?

Nurse Informatics & Technology Skills In Healthcare Industry

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Nurse Informatics & Technology Skills In Healthcare Industry

Information and technology skills are essential for all nurses to have, but especially for nurse informaticists. This assignment requires you to consider how information and technology connect to patient care outcomes and a safe care environment.

Explain why information and technology skills are essential for safe patient care.

Identify the baccalaureate nurse’s role in championing the use of information and technology to improve safety and patient outcomes.

Provide examples of how nurses use technology to make health care-related decisions.

Analyze relationship between the quality and integrity of data entered into a database and the resulting effect on the quality of patient care.

Format your assignment as one of the following:

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  • 875-word paper

Include a minimum of three peer-reviewed sources, and develop an APA-formatted reference page.

Click the Assignment Files tab to submit your assignment.

*******this is due on 3/26/19 at 12:00 noon pacific time**********

Nursing Executive Summary

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Nursing Executive Summary

This forum will support you to share a draft of your executive summary using the guidelines provided in a video, and then provide feedback on each other’s drafts.

Please watch the following video (also under Week 6 content). It reviews some of the principles and strategies in writing an executive summary.

https://youtu.be/upPUz1-C0wA

Then post a draft of your executive summary for your final report to this forum by Thursday, Feb. 21st. This might be a rough draft of your executive summary. The purpose of this discussion topic is to get you started in thinking through your executive summary. Another goal of this discussion topic is to allow your fellow students to see the topic on which you are writing your report and the possible conclusions you might have come up with.

Please note that your executive summary might change throughout this week leading up to the submission of the draft of your report on Sunday.

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Reply to at least one peer in this forum by Sunday, offering him/her tips on ways to improve their executive summary, as well as noting to him/her what was done well.

IMPORTANT NOTE: Be sure that you follow the Executive Summary format described in the video.

Health Disparities Blog Review

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Health Disparities Blog Review

a) Despite of overwhelming evidence of racial, ethnic and cultural disparities in health care, this issue is still not being fully recognized and acknowledged. According to Nelson, public awareness takes an important place when trying to make changes and eliminate racial disparities in health care system (Nelson, 2002). It is argued that racial minorities lack access to or receive lower level of care and treatments compared to the white population. Regardless of patient treatment refusal mortality from cancer, heart disease and other conditions are higher among racial and ethnic

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minorities (Nelson, 2002). What are some of the barriers preventing minority population from receiving timely and adequate care? Lack of medical insurance, illegal immigration status, low income, lack of professional providers in the area and many others (Mandal, 2018). Illegal immigrants remain uninsured thus seek emergency care only in critical conditions. Lack of timely interventions and medications can lead to death from, sometimes, treatable conditions. High deductibles and premium costs can leave a family without coverage thus ignoring some red flags in health condition, such as anemia, hypertension that often result in serious complications and require immediate medical involvement. Language barrier is also an important factor that can influence health care disparities. Trust issues arise if the patient does not understand the provider and vice versa. Hospitals incorporate translation services unlike private practices which again leads to a 911 call as opposed to having regular appointments and prescribed medications. Recruitment of culturally and racially diverse medical providers as well as protecting civil rights are just two of many essential steps to resolving the conflict. Simultaneously, education should be provided to increase patients’ awareness about access to health care, social resources on transportation, assistance with meals, low-cost or free insurance, importance of preventative care and follow-up appointments. b) One might argue that the behavior, decisions and sense of responsibility of individuals will contribute to the health care disparities they experience. It might be easy to say get a job, apply for a medical insurance, see a doctor on a regular basis, exercise, eat healthy, rest, and take your medication; be responsible for your actions and control your life. As adults we must be responsible, but sometimes it is just not enough. As Pomeroy said in her speech, sometimes life breaks us. HIV positive, homeless, mentally or physically disabled individuals deserve same health care as everyone else. One decision to get a higher education may not be enough when people are struggling to make the ends meet. There is a proven correlation between chronic illnesses and level of education. Environment, stress, family that one is born into and other social determinants contribute to health care disparities aside from an individuals’ behavior and decisions. Pomeroy says it is important to feel valuable to the society. Sometimes stereotypes stand in the way of getting a fair status regardless of spotless behavior and best intentions. It is important that everyone tries to do and be at their best but only together as a community we can embrace our “diverse perspectives” and erase the inequalities in health care.
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