Community Health Nursing II

Select your site for the community education project.
Write a short 250-300 word APA formatted paper (include title page, introduction, headings for the body, and conclusion) on: First discuss what your topic is and why you choose that topic related to your community needs. Second discuss why you selected the specific site for your presentation related to your topic and community needs and note where and when (place, date) your presentation will take place. (If you are still working on solidifying the site, discuss your options and what your plans are to get this solidified to be a good fit for your topic and community needs) In this course, in every module assignment or discussion, due to the nature of the assignments, you are permitted to use the first person, such as I, We, Me, Us, etc.
you will be conducting an educational presentation in the community. In this first module you will determine your site for the presentation. PLEASE NOTE: The site must be in community. Your presentation cannot be delivered to healthcare professionals or in the hospital setting or during your personal work hours.
Requirements: 250-300 word APA formatted paper (include title page, introduction, headings for the body, and conclusion)

discussion about stress

Discuss three different ways in which you can reduce stress, how they work to reduce stress and how/when you plan to incorporate them into your daily routine. Please review the grading rubric before posting to the discussion board.

Exercise Queston

Assignment 1: Executive Memo
Due by Sunday, Midnight of Week 3
You are the CEO of a Healthcare organization. The patient satisfaction data, as measured by
the Press-Ganey survey, shows most patients who have received care at your hospital would
not recommend the facility to friends and family, and the patients’ overall rating of the
organization is mediocre at best. Your top focus as CEO is to build a superior patient
experience.
Your Assignment:
Based on your reading of the Service Fanatics textbook, including the best practices shared in
the book, draft a 2 to 3 page Executive Memo, to be distributed to all staff and members of your
organization. Be sure your Memo includes the following:
1. Clear and concise outline of the strategy for improving the patient experience
2. Tactics to be used to drive the strategy
3. Description of how all staff can participate in putting “Patients First”
4. Call to Action, with a Statement about how success will be measured
Your assignment must follow these formatting requirements:
• Typed, double-spaced, using Times New Roman font (size 12) with one-inch margins on
all sides.
• In place of a Cover page, provide the following Headings on Page 1 of your Memo:
Ø TO: Insert Professor’s Name
Ø FROM: Insert Your Name
Ø DATE: Insert Assignment’s Due Date
Ø RE: It’s All About The Patient, Assignment 1
Note: The Headings page is not included in the required assignment page length

Advance Patho.

D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately, there have been 6 days of heavy flow and cramping. She denies abdominal distension, backache, and constipation. She has not had her usual energy levels since before her last pregnancy. Past Medical History (PMH): Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries. Case Study 1 Questions:
Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
Why Vitamin B12 and folic acid are important for erythropoiesis? What abnormalities their deficiency might cause in the red blood cells?
The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia. In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
Lab results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.
Cardiovascular Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. En route to the hospital, the patient was placed on a nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg PO) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills. Case Study 2 Questions:
For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarction, describe the modifiable and non-modifiable risk factors.
What would you expect to see on Mr. W.G. EKG and which findings described in the case are compatible with the acute coronary event?
Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarction, which would be the most specific laboratory test you would choose and why?
How do you explain that Mr. W.G’s temperature has increased after his Myocardial Infarction, when can that be observed, and for how long? Base your answer on the pathophysiology of the event.
Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarction. Elaborate and support your answer.
Submission Instructions:
This assignment has 2 case studies. You must work and include both case studies in your initial post.
Your initial post should be at least 500 words for each case study, formatted and cited in the current APA style with support from at least 2 academic sources other than your textbook. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Use at least 1 academic source for each response to your peers other than your textbook. Your reply posts are worth 2 points (1 point per response).
All replies must be constructive and literature must be used accordingly. Your replies must be at least 150 words each.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Grading Rubric

interview help

Tell me about yourself?
a. Well I am an only child, I was born and raised in Los Angeles California where my parents immigrated in the early 1980s. I was raised with humble means, my dad was a pizza delivery driver and my mom was a cashier at a grocery store, grew up in a one bedroom apartment my entire life. I was the first person in my family to graduate highschool. My route to medicine was an interesting one, I have always been involved in a field that surrounded medicine initially they were just positions of employment, for the longest time my goal was to be an executive chef, but as my parents got older they experienced multiple medical problems, my mother specifically is a survivor 2 different types of cancer, in the beginning education for me was put on the backburner because I had to work to help with finances, but having to take care of ailing parents I got further drawn into medicine, and with the positive interactions I had with physicians and various other members of their health care teams, around my early 20s is when I realized that my path was leading me to be a physician, and more specifically I was drawn into family medicine. I have worked in many facets of medicine, volunteering at a free health clinic, working as a pharmacy clerk, research industry and most recently prior to beginning medical school I worked at a home health and hospice agency. I finally got married this past Summer to the woman of my dreams, after covid postponing our wedding 3x, weve been together for 8 years and we have 2 kids, which she had from a previous marriage, she just finished my LVN/LPN degree a year ago and is now in school for her RN, my daughter is also in nursing school to get her BSN, and my son, he is a freshman at the local community college and is interested in real estate and law. Some of my hobbies include; I am a huge DIYer, I have a little bit of experience in auto mechanics, woodworking, plumbing, knife sharpening, I love to build and tinker with things, most recently I built my wife and daughter a bedroom vanity for the TONS AND TONS of creams and makeup they have. I also love to cook and try out new recipes, I a whiz on the grill, one of my dreams is to make a steak for Gordon Ramsay to make him jealous, I am also an avid baker, I have a cheesecake recipe that will get you a guaranteed second date. And lastly a fun fact about me is, my name in Armenian translates into “lightening and thunder”, and my last name means “from the soul of man”, so I am basically Thor.
2. Why family medicine?
The short and simple answer is, I love it and it matches my personality. I am a very calm and easy-going person, and I enjoy talking with people, I like to talk out problems, and work on a collective plan with my patients so we reach a reasonable and preferred outcome. I want to build long lasting relationships with my patients, I want to treat them their parents, kids, relatives, friends etc. Part of this stems from my beliefs of what a family physician is. To me a family physician isn’t just “your doctor” they are your friend, your coach, your advisor, and your counselor. When you are coming to me, you are coming to me with a problem. My job and goal is to be next to you as we navigate this path together. For example if a patient comes in newly diagnosed with diabetes, I have the expertise and knowledge to steer them down the correct path. Ok, so I know what the path of diabetes is, I know how we treat it, I know what happens when we don’t treat. And as we are going down this path, I can help my patients navigate the path with out falling into the traps, making a wrong turn, and eventually getting lost. Going back to the diabetes example, when they come back for follow up and I see their A1c has gone up, ok time to change direction we got to go this way now, why because if we go down this path it will lead to heart disease, and nephropathy etc. With that being said, I am a huge proponent of patient advocacy, patient education, and continuity of care. One of my pet peeves is disruption to continuity of care, because I do not like when patients fall through the cracks. I did quite a few inpatient rotations and I did not enjoy the “lets treat and street” fast paced tempo of inpatient medicine, and I always found myself being the medical student saying wait shouldn’t we do this or do that, and the answer I always got was “this is acute medicine.” For example I had one patient come in with pyelonephritis and on the chest x-ray they found a lesion, which prompted a CT chest and the results showed an incidental finding for a concerning malignaly in the left lower lobe. When I would ask hey shouldn’t we get pulmonology involved, CT surgery etc to identify this malignancly, the answer I got was that it is not an acute problem and it needs to be evaluated outpatient. But the issue with that is who knows how long until the patient can be seen outpatient, or will they be lost to follow up. Which is why one of my goals in FM is if a patient of mine is hospitalized, I would like to be the primary, because that way I know what happened, what is going on, and what my plans are when this patient is discharged. In addition, yes I am very calm and collected, but at the same time, there is a fire that burns in me that will burst into an inferno, if my patients are not cared for up to my standards. For example I had a guy come in with priapism and this guy suffered for 6 days, urology kept dropping the ball, casemanagement was slow on working on a transfer, and finally he got fed up and left AMA. But in the background the FM team I was on was fighting for him, calling up urologists, calling up hospitals to se if they will take a transfer. And me being just a med student with not much power, I did not want to stand by and do nothing, I ended up calling my dad’s urologist in Los angeles and seeing if he could do something or knew someone, I ended up calling my friend at USC (he is an interventional radiologist fellow) and I asked him if there was anything he could do. At the end it was decided he was going to go to a university hospital, but at the same time the family med team, we weren’t going to let him go in pain, so the chief resident called in a prescription for a narcotic for the patients significant other to pick up and with my pharmacy experience, I mentioned hey they may not dispense, so we called different pharmacies around and we found that no one would dispense the medication. I called my friends who were pharmacists at Costco and see if they had any connections to the Costco where we were at to get him medication. I am also a huge proponent in education, in the Armenian community, especially pertaining to women sex before marriage is extremely taboo, but at the same time teenagers and people in their early 20s are having sex, sometimes protected sometimes not protected. So when they come in for their annual physicals or hey when did you have your last pap smear. “OMG NO THAT’S EMBARASSING, THAT PLACE IS PRIVATE, IF I AM NOT A VIRGIN MY PARENTS ARE GOING TO THINK POORLY ABOUT ME” so, there is that stigma I have to battle along with educating, saying things like look, its okay your having sex, its not a big deal, I just want to make sure your safe, because if your bf or whatever has been with someone they can give you an STI, specifically HPV. Also, since part of my dream is to treat families and their loved ones, I want to treat and care for kids as well. I loved my pediatrics rotation, when I would walk in, kids would see this big giant tall guy and they would scream bloody murder, but when I would start smiling and make my voice really high pitched and I would sit on the floor with them and play games, most of the kids ended up climbing me like I was a jungle gym. Also, I love peds because I get to be a kid myself, I get to talk about video games.

SOSC301: Report on Kilmann’s Five Responses to Conflict Situations

Directions
This week you will complete a table and a two-page report.
To begin, use the Virtual Library and other scholarly sources to research Kilmann’s Five Responses to Conflict Situations (Competing, Accommodating, Avoiding, Collaborating, and Compromising). Using the information, you have learned from class and from your own research, complete the table in the template in Appendix A in the document linked below. For each row in the table, provide a description/definition of the response to conflict, as well as at least one “pro” and at least one “con.” Once you have completed the table, read the case study provided in the Word Doc linked below.You will then write a two-page narrative describing the main conflict seen in the case study and applying the possible responses to conflict to the case study.
APA 7th Edition Format Styled Paper

Statement of Purpose: Nurse Midwifery Program

Please help me write statement of purpose for a nursing program that I am potentially looking to apply to. I have uploaded all of the document that you should need. Please read the uploaded document titled “Overview of Midwifery Programs” as that provides background information on the nurse midwifery programs that I am looking to apply to.
Please also look at the document titled “Questions to be answered in Statement of Purpose” as those are the instructions for the statement of purpose. In general, the paper shouldn’t be more than two pages. There are four main questions that need to be addressed in the paper, they don’t have to be answer in any specific order just however the paper flows best.
Please read the document titled “A little bit about me” as this document include a summary of my specific interest and why I want to apply to these programs.
Thank you for your help!

– The social lived experience of elderly population in Saudi Arabia.

The distribution of health is determined by a wide variety of individual, family, social, cultural and community factors. There is a growing body of evidence documenting inequalities in both the distribution of health and access to health care. Elderly population are of utmost importance group who can suffer from such inequalities.
On the light of this statement and relevant recent evidence, elaborate on the following: –
– The social lived experience of elderly population in Saudi Arabia.
– Pay special emphasis to specification of the relevant theoretical explanation for the nature of the relationship between aging and health.
Font should be 12 Times New Roman
Heading should be Bold
Color should be Black
AVOID PLAGIARISM
All assignments must carry the references using APA style. Please see below web link about how to cite APA reference style.
https://guides.libraries.psu.edu/apaquickguide/intext. Click or tap to follow the link

Health information systems presentation

Presentation
Each student has to choose one or more health Application and analyze it then present their topic in the class .
This presentation should include introduction, analysis of the health Application, discussion and recommendations, conclusion and bibliography.

Note: I already added google drive files of VIDA Health application that is used in Alderiya Hospital in Riyadh city, So you can apply the above requirements on it.

Thanks

Health, Wellness

Instructions
Your assignment this week is to:1) Read the article on social determinants of health and COVID-19 posted to Brightspace for today’s date under Content2) Compare two claims about social determinants of health from the COVID article with the Underlying Social Factors of Health reading from Sept. 21 (it has been re-added to today’s date on Brightspace under Content). To compare two claims means to choose two individual statements/arguments from the COVID article that either relate to or somehow confirm or contradict something in the other article.
3) Write your comparison in 300-500 words or verbalize it in a 2-3 minute audio or video file (including in-text citations/footnotes, which should be mentioned out loud if not writing). Be sure to cite any sources you use including any readings, videos, or lecture slides and class discussion. You can use any citation style you like as long as it’s consistent. Quotations are welcome if contextualized. Provide a Reference List (or Bibliography) at the end, even if you’ve only used one source—it is not included in your word count. Your spelling, grammar, and thought organization matter.
The instructor is available in person and on Zoom during Wednesday’s class time to answer any questions, but you have until 10:00 AM on Thursday, Oct. 13th to complete the assignment. The Instructor may not be available via email during this time.
Rubric Name: Social Determinants of HealthPrint Rubric
Criteria2 pointsAcceptable or Developping1 pointIncomplete or Beginning0 pointsCriterion Score

Score of Student presented two claims about social determinants of health from the COVID article, using references,/ 2

Score of Student identified two corresponding aspects of the Social Determinants of Health article, using references,/ 2

Score of Student did a comparison for both claims by identifying how they relate, confirm, or contradict something in the Social Determinants of Health article, using references,/ 2

Score of Assignment is 300-500 written words or 2-3 minutes long for audio/video and contains a bibliography in a known citation style,/ 2

Score of Assignment makes good use of spelling, grammar, and thought organization,/ 2
Score of Social Determinants of Health,/ 10