Discuss the use of descriptive and/or analytic epidemiology to address mental health problems in florida.

  • Discuss the use of descriptive and/or analytic epidemiology to address mental health problems in florida.

The Morbidity and Mortality Weekly Report (MMWR (Links to an external site.)) is an epidemiological report published by the Centers for Disease Control and Prevention (CDC). This weekly report contains data on specific diseases as reported by state and regional health departments, as well as recommendations that have been issued by the CDC. Access the MMWR (Links to an external site.) and select a report pertaining to mental health.

  • Discuss the use of descriptive and/or analytic epidemiology to address mental health problems in florida.
  • Recommend additional measures required to integrate proposed changes into practice.
  • Share your professional experience related to the topic.

 

Instructions:

Use an APA 7 style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply.

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

Describe the principles of genetics and genomics.

Describe the principles of genetics and genomics.

Scenario

One of the clients you worked with in your clinical experience is Native American, a member of the Navajo Nation. He has symptoms of neuropathy and an autoimmune disorder. He relays that it runs in his family and many Navajo people that he knows have these problems. He points out that it was worse in his parents and grandparents’ generations. You decide to do some reading and learn that members of the Navajo and Apache Tribes have a genetic predisposition for these problems.

Instructions

Create an APA formatted document to include the following content:

  • What does natural selection mean regarding population genetics when considering the Navajo and Apache Nations?
  • What is the difference between mutation, migration, selection, and genetic drift?
  • How could population genetics impact care to clients?

Explain what treatments the patient is receiving because of their disease

In order to write a case study paper, you must carefully address a number of sections in a specific order with specific information contained in each. The guideline below outlines each of those sections.

Section

Information to Include

Introduction (patient and problem)

  • Explain who the patient is (Age, gender, etc.)
  • Explain what the problem is (What were they diagnosed with, or what happened?)
  • Introduce your main argument (What should you as a nurse focus on or do?)

Pathophysiology

  • Explain the disease (What are the symptoms? What causes it?)

History

  • Explain what health problems the patient has (Have they been diagnosed with other diseases?)
  • Detail any and all previous treatments (Have they had any prior surgeries or are they on medication?)

Nursing Physical Assessment

  • List all the patient’s health stats in sentences with specific numbers/levels (Blood pressure, bowel sounds, ambulation, etc.)

Related Treatments

  • Explain what treatments the patient is receiving because of their disease

Nursing Diagnosis & Patient Goal

  • Explain what your nursing diagnosis is (What is the main problem for this patient? What need to be addressed?)
  • Explain what your goal is for helping the patient recover (What do you want to change for the patient?)

Nursing Interventions

  • Explain how you will accomplish your nursing goals, and support this with citations (Reference the literature)

Evaluation

  • Explain how effective the nursing intervention was (What happened after your nursing intervention? Did the patient get better?)

Recommendations

  • Explain what the patient or nurse should do in the future to continue recovery/improvement

Your paper should be 3-4 pages in length and will be graded on how well you complete each of the above sections. You will also be graded on your use of APA Style and on your application of nursing journals into the treatments and interventions. For integrating nursing journals, remember the following:

  • Make sure to integrate citations into all of your paper
  • Support all claims of what the disease is, why it occurs and how to treat it with references to the literature on this disease
  • Always use citations for information that you learned from a book or article; if you do not cite it, you are telling your reader that YOU discovered that information (how to treat the disease, etc.)

explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.

Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

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.

Stroke, Parkinson’s disease, Meningitis, Alzheimer,

Stroke, Parkinson’s disease, Meningitis, Alzheimer, ETC. ( could be other things)

The instructions are below. I attached an example of someone else’s case study just to help you write the paper easier.

In order to write a case study paper, you must carefully address a number of sections in a specific order with specific information contained in each. The guideline below outlines each of those sections.SectionInformation to IncludeIntroduction (patient and problem)

  • Explain who the patient is (Age, gender, etc.)
  • Explain what the problem is (What were they diagnosed with, or what happened?)
  • Introduce your main argument (What should you as a nurse focus on or do?)

Pathophysiology

  • Explain the disease (What are the symptoms? What causes it?)

History

  • Explain what health problems the patient has (Have they been diagnosed with other diseases?)
  • Detail any and all previous treatments (Have they had any prior surgeries or are they on medication?)

Nursing Physical Assessment

  • List all the patient’s health stats in sentences with specific numbers/levels (Blood pressure, bowel sounds, ambulation, etc.)

Related Treatments

  • Explain what treatments the patient is receiving because of their disease

Nursing Diagnosis & Patient Goal

  • Explain what your nursing diagnosis is (What is the main problem for this patient? What need to be addressed?)
  • Explain what your goal is for helping the patient recover (What do you want to change for the patient?)

Nursing Interventions

  • Explain how you will accomplish your nursing goals, and support this with citations (Reference the literature)

Evaluation

  • Explain how effective the nursing intervention was (What happened after your nursing intervention? Did the patient get better?)

Recommendations

  • Explain what the patient or nurse should do in the future to continue recovery/improvement

Your paper should be 3-4 pages in length and will be graded on how well you complete each of the above sections. You will also be graded on your use of APA Style and on your application of nursing journals into the treatments and interventions. For integrating nursing journals, remember the following:

  • Make sure to integrate citations into all of your paper
  • Support all claims of what the disease is, why it occurs and how to treat it with references to the literature on this disease
  • Always use citations for information that you learned from a book or article; if you do not cite it, you are telling your reader that YOU discovered that information (how to treat the disease, etc.

Assessing and Treating Patients With Impulsivity, Compulsivity, and Addiction

Assignment: Assessing and Treating Patients With Impulsivity, Compulsivity, and Addiction

Impulsivity, compulsivity, and addiction are challenging disorders for patients across the life span. Impulsivity is the inclination to act upon sudden urges or desires without considering potential consequences; patients often describe impulsivity as living in the present moment without regard to the future (MentalHelp.net, n.d.). Thus, these disorders often manifest as negative behaviors, resulting in adverse outcomes for patients. For example, compulsivity represents a behavior that an individual feels driven to perform to relieve anxiety (MentalHelp.net, n.d.). The presence of these behaviors often results in addiction, which represents the process of the transition from impulsive to compulsive behavior.

In your role as the psychiatric nurse practitioner (PNP), you have the opportunity to help patients address underlying causes of the disorders and overcome these behaviors. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with impulsivity, compulsivity, and addiction.

Reference: MentalHelp.net. (n.d.). Impaired decision-making, impulsivity, and compulsivity: Addictions’ effect on the cerebral cortex. https://www.mentalhelp.net/addiction/impulsivity-and-compulsivity-addictions-effect-on-the-cerebral-cortex/

To prepare for this Assignment:
  • Review this week’s Learning Resources, including the Medication Resources indicated for this week.
  • Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring therapy for impulsivity, compulsivity, and addiction.
The Assignment: 5 pages.  (Case Study Link: https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_08/index.html)

Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

  • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources.

formulate a differential diagnosis with several possible conditions. 

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

To Prepare

  • Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.
  • Based on the Episodic note case study:
    • Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.
    • Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.
    • Consider what history would be necessary to collect from the patient in the case study.
    • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
    • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

  • Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  • Analyze the objective portion of the note. List additional information that should be included in the documentation.
  • Is the assessment supported by the subjective and objective information? Why or why not?
  • Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
  • Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

GENITALIA ASSESSMENT

Subjective:

  • CC: “I have bumps on my bottom that I want to have checked out.”
  • HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
  • PMH: Asthma
  • Medications: Symbicort 160/4.5mcg
  • Allergies: NKDA
  • FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

  • VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia.
  • Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, negMcBurney
  • Diagnostics: HSV specimen obtained

Assessment:

  • Chancre

 What is competitive advantage?

 

QUESTION 1:

What is competitive advantage?
List 3 firms or businesses, particularly in the healthcare sector, that you have read about or have personal experience with. Describe their sources of competitive advantage and how you believe that quality supports (or does not support) their strategy.

What impact have they made on the community? Patient? Provider?

QUESTION 2:

How do hospitals get reimbursement for care provided to the beneficiaries?

Discuss the CMS-HCC risk adjustment system. How and what does CMS use to determine payment rates? How do hospitals get reimbursement for the care they provide to the beneficiaries?

Defining Professional Needs in the Workplace

Defining Professional Needs in the Workplace

Scenario

Your fire company was selected to participate in the revisions to the job analysis for the rank of firefighter. As the company officer, it is your responsibility to ensure that your company is prepared to complete the analysis process. Several firefighters have expressed disinterest in participation in the process that the city’s personnel department will conduct. They intend to inflate all aspects of the job so they will be in a better position to receive a pay increase. They think this will be a good strategy to benefit them and that the personnel department analyst will not know the difference.

In a 3–5 page paper, respond to the following.

  • How do you ensure that a fair and reliable job analysis is conducted?
  • How, or what, will you say to convince the firefighters to follow the proper course of action? How will you determine if the process was done correctly?
  • How will you provide motivation to them to change their thought process?
  • How do differing values held by the firefighters affect the ethical decision-making process, cause potential conflicts, and produce multiple approaches toward resolution?

Also in your paper, identify four possible personnel management concerns that may affect the operations of fire and EMS agencies. Discuss the potential impact of each concern on fire and EMS agencies, and how the concerns should be addressed.

NOTE: This assignment will require outside research. Use at least two credible sources outside of the text material. You may consult the Library, the internet, the textbook, other course material, and any other outside resources in supporting your task, using proper citations in APA style. Discuss how you evaluated the credibility of the resources used.

Strategic Planning for Collaborative Service Delivery

  1. Leadership Development: Strategic Planning for Collaborative Service Delivery
    This assignment involves the development of a brief strategic plan for building a collaborative service delivery model for the organization you have selected for your project assignments. Your organization’s senior leadership has designated you to be the task organizer to address the service delivery model, with a directive to build a team that will be able to address the issues and concerns. You will have to decide what kinds of organizations would need to become involved in the coalition. You might need to bring in legislators or policymakers, health care facilities, schools, private organizations, or philanthropic organizations that have an interest or funding investment in the identified population.
    In your strategic plan, include:

    • A description of the human services delivery focus for the strategic plan.
    • A description of a method for conducting a market assessment of community needs. How will you develop a plan or use an existing tool to assess the community needs?
    • A plan for building capacity for service delivery that involves engaging multiple organizations in the planning process. You will need to identify the organizations that will be included in the planning process, how the forms of governance for the organizations may impact their ability to engage in the planning process, and how they will be invited to participate.
    • A timeline for implementing the plan. Draw a graphic timeline and include key points and dates for development and implementation.
    • Tools and practices you will use to evaluate the plan for success.
    • Your plan must also include:
    • Cultural competency practices necessary to interact effectively with diverse groups and populations.
    • An assessment of the sustainability of the plan, based on governance structures and policy changes that may impact continued implementation.
    • Possible Situations
      The following list includes examples of situations that might become an area of focus to consider for this assignment:
    • The community has seen an increase in suicide among young people.
    • The community has seen an increase in the need for affordable housing programs to assist the needs of an aging population. There has been a noticeable increase in older people who are in need of in-home or facility programs to assist with memory care services.
    • The community has seen a lack of affordable local inpatient treatment facilities for mental health and addiction treatment.
    • The community has seen a lack of adequate after-school programs for grade school and junior-high aged children.
    • The community has seen an increase in drug use among young people.
    • Use the template provided in the assignment resources to complete the assignment.
      Assignment Requirements
    • Written communication: Written communication should be free of errors that detract from the overall message.
    • APA formatting: Headings, resources, and citations should be formatted according to current APA style and formatting guidelines.
    • References: Include at least 8 academic references. References must be from academic journals or textbooks.
    • Length of paper: 8–10 pages.
    • Font and font size: Times New Roman, 12 point.
    • Submit your assignment in the Assignment area as a Word attachment.
      Resources
    • Leadership Development: Strategic Planning for Collaborative Service Delivery Scoring Guide.
    • APA Style and Format.
    • Human Services Masters Research Guide.
    • How Do I Find Peer-Reviewed Articles?.
    • Unit 9 Assignment Template.
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