spread of communicable diseases paper

spread of communicable diseases paper

Develop your position about the individual rights to control the spread of communicable diseases for the good of society.

Develop your position about the individual rights to control the spread of communicable diseases for the good of society.

· Survey the role of boards of health in your community and state (Florida) to determine how communicable diseases are prevented and controlled.

·150-word minimum/250-word maximum without the reference(s).

·  Minimum of one reference, APA format.

Investigate the role and responsibilities of the ethics committee at a clinical institution.

Investigate the role and responsibilities of the ethics committee at a clinical institution.

Legal and Ethical Issues of Advanced Practice Nursing – Week 2 Practice Experience

Ethics Committee Roles and Responsibilities – The Telephone Interview

Investigate the role and responsibilities of the ethics committee at a clinical institution. Conduct a phone interview one of the members of the ethics committee to determine the ethical decision-making process that the ethics committee goes through.

1.  Develop 3 open-ended questions to ask during the interview.

2.  Conduct the phone interview.

3.  Use the questions and answers to write a paper that summarizes your interview.

4.  Choose one question-answer dyad. What inference can you make regarding the importance of the ethics committee on patient rights based on this question-answer dyad?

This assignment will be 3 page, APA formatted, paper and include a minimum of 2 references from peer-reviewed nursing articles that address health care ethics and were published within the last five years.

Explain the pathophysiology behind the signs and symptoms of COPD. 

Explain the pathophysiology behind the signs and symptoms of COPD. 

Chronic Obstructive Pulmonary Disease (COPD) is just as it sounds, a chronic obstruction in the pulmonary function that causes disease. This disease is comprised of two major phenotypes, of which are bronchitis (hypersecretion of mucus and chronic productive cough that occurs consecutively for at least two years with at least a consecutive three-month period each year) (McCance & Huether, 2019) and emphysema (an abnormal permanent enlargement of gas-exchange airways or acini, accompanied by destruction of the alveolar walls without obvious fibrosis (McCance & Huether, 2019). The leading cause of COPD is that of smoking. However, there is another factor that contributes to COPD and that is an inherited mutation in the a1-antitrypsin gene. The development of COPD results from this gene, even in those who do not participate in the consumption of smoke inhalation4. Both emphysema and chronic bronchitis affect ventilation-perfusion mismatch with hypoxemia; however, in chronic bronchitis, bronchial edema is caused by the inspiration of irritants that increases the number and size of mucus glands and goblet cells of the airway (McCance & Huether, 2019). This produces an environment in which mucus cannot be cleared of the airway due to narrowing. Eventually, the continuous production of copious amounts of secretions and narrowed airways lead to an obstruction. In Emphysema, the increases in neutrophils of the airway release protease and elastase that cleave structural collagen and promote tissue breakdown (McCance & Huether, 2019). The introduction of macrophages is also present, which contribute to reduction of surface area regarding gas exchange and loss of cellular apoptosis. When it comes to COPD, the difficulty of expiration is due to the accumulation of copious mucus membranes, loss of elastic recoil (from expansion), and epithelial edema. According to the Centers for Disease Control (CDC), as of 2014, COPD has accounted for 39.1 percent of 100,000 deaths in the United States (CDC, 2018). The CDC also states that, the prevalence of COPD varied amongst states, with Colorado, Hawaii, and Utah exhibiting <4% of cases; Tennesse, West Virginia, Alabama, and Kentucky exhibiting >9%, and states along the lower Mississippi rivers and Ohio exhibit the highest prevalence of COPD (CDC, 2018).

What relationship do you see with Mr. Brown’s vital signs – 26 RR, 91% oxygen saturation, temp: 37.8, HR: 93 BP: 150/70 

When observing Mr. Brown’s vital signs, his respiration rates are increased at 26. Eupnea (normal breathing) is 8 to 16 beats per minute according to our text (McCance & Huether, 2019). Due to this patients’ history of COPD for 10 years, it is safe to say that this patient is breathing heavier due to lack of perfused oxygen. His lungs are working harder at this point to keep him oxygenized. HIs oxygen saturation of 91% exhibits hypoxemia and possibly ‘air trapping’, which can be correlated to the reduction of oxygenation of tissue cells. You must be careful when increasing oxygenation to these patients by nasal cannula, as these patients tend to not be receptive of oxygen outside of airways in increased amounts and may develop hypercapnia. The patient is also running a fever of 100.04 degrees Fahrenheit. This could be a resultant of an infection. The patients’ blood pressure is also elevated. From our last discussion, we discussed risks of constriction due to narrowing of vessels when dealing with increased blood pressures or hypertension.

Describe the goals of care for Mr. Brown. Make sure to use the COPD gold standards of care( https://goldcopd.org/wp-content/uploads/2018/02/WMS-GOLD-2018-Feb-Final-to-print-v2.pdf (Links to an external site.) (Links to an external site.)) for your plan.

As Mr. Brown has not been noted to be an unstable patient of COPD, I will assume for this lesson that he is stable. In saying this, I will address the stable COPD patients’ goals according to the COPD gold standards of care. Smoking cessation is highly encouraged if the patient is a smoker. As there is no cure, maintenance of the disease is highly profitable to the patient in regards of symptoms and exacerbation risks in the future. These patients are asked to identify and reduce irritant exposure. Continuation of prescribed medications such as bronchodilators, corticosteroids, oxygen therapy, and macrolides, to reduce the symptoms experienced by this patient is also reinforced.

How would you follow up on your proposed plan of care? 

Routine follow-up visits are required of this individual, as well as, blood gases, chest x-rays, and pulmonary function test. If not definitive, the introduction of high-resolution CT scanning may be indicated. As COPD is not a curative disease, it is however, a manageable one. Maintaining a functional oxygenation level and exhibiting the abilities to continue to perform activities of daily living (ADL’s) is the end goal of these types of patients.

Acute Conditions

Soap Note 1 Acute Conditions Pick any Acute Disease from Weeks 1-5 (see syllabus)   Immunologic Diseases and  Disorders • Guillain-Barré Syndrome • HIV/AIDS • Hodgkin Lymphoma • Leukemia • Lupus • Multiple Myeloma • Multiple Sclerosis • Scleroderma • Sjögren Syndrome  Atelectasis • Basal/Squamous Cell Carcinoma • Bronchitis • Chronic Obstructive Pulmonary  Disease and Emphysema • Cystic Fibrosis • Influenza • Legionnaires’ Disease • Sleep Apnea, Obstructive • Pleural Effusion • Pneumonia • Pulmonary Emboli • Sarcoidosis • Tuberculosis (TB)

Use APA format and must include minimum of 2 Scholarly Citations.

Follow the MRU Soap Note Rubric as a guide:

Use APA format and must include minimum of 2 Scholarly Citations. The use of tempates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

write about specific elements of a health care worker’s career.

The purpose of this paper is to research, learn and write about specific elements of a health care worker’s career. Is recommended to choose the health care worker in the field you are planning to enter. Paper topic: Registered Nurse.

Format 

The required format is APA 7 th ed. o Using MS Word, the paper is to be neat and well organized using correct spelling and grammar.

Students should use the information and resources located on the MDC Learning Resources Website at https://libraryguides.mdc.edu/c.php? g=239325&p=1591789.

There you will click on the corresponding tabs for each section of the paper to find resources. You will also find a tab for APA 7 th ed. information and a Microsoft Word Template for you to use for this paper. 

A Cover Page

In APA 7 th ed. format

All pages are numbered 

Body of the Report

In APA 7 th ed. format

No abstract, introduction, or author’s note

The body length is three to four pages.

No less than 3 and not to exceed 4 pages.

New Times Roman, 12-point font

One inch margins, double spaced, left justification, no lists, bullets, graphics, tables or pictures  Work is to be expressed in paragraph form only

Discuss the phenomenon of depression effects on appetite.

Discuss the phenomenon of depression effects on appetite
To support your work, use your course and text readings as well as the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format. Patient or lay person medical information portals such as webMD, Medscape, Mayo Clinic, or any disease foundations, such as the arthritis foundation, or the diabetic foundation, are not acceptable resources for your scholarly work.

Response #1: Expand on your own post. Discuss the phenomenon of depression effects on appetite. Describe from a pathophysiologic basis why some people with depression experience a lack of appetite resulting in weight loss while others will experience increased food intake and have weight gain.

Response #2: Expand on your own post. Discuss two additional clinical findings of depression and present the pathophysiologic basis of these symptoms.

How is evidence-based practice (EBP) used in nursing and how does the EBP influence Quality Improvement

How is evidence-based practice (EBP) used in nursing and how does the EBP influence Quality Improvement

How is evidence-based practice (EBP) used in nursing and how does the EBP influence Quality Improvement?

·       Must address the topic.

·       Rationale must be provided.

·       May list examples from your own nursing practice.

·       150-word minimum/250-word maximum without the references.

·       Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.

1.     Discussion Questions response (Outcomes 2, 3, 4): 1 hour

·       Must respond to at least one additional discussion question.

·       Rationales must be provided for the response(s).

·       50-word minimum/100-word maximum without the reference(s).

·       Minimum of one reference (the course textbook can be a reference), APA format.

·       Upload by Thursday, week #5

·       Be prepared to discuss in class, week #5

How does Environmental Health influence achievements of Healthy People 2020 and how does it influence Health of Global Community?

How does Environmental Health influence achievements of Healthy People 2020 and how does it influence Health of Global Community?

Develop your position about the individual rights to control the spread of communicable diseases for the good of society.

· Survey the role of boards of health in your community and state to determine how communicable diseases are prevented and controlled.

·150-word minimum/250-word maximum without the reference(s).

·  Minimum of one reference, APA format.

Discussion Question

How does Environmental Health influence achievements of Healthy People 2020 and how does it influence Health of Global Community?

Must address the topic.

Rationale must be provided.

Illustrate an interdisciplinary approach to improvement of the healthcare outcomes of the vulnerable populations.

150-word minimum/250-word maximum without the references.

Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.

Discuss the place of qualitative and quantitative research in evidence-based practice.

This assignment must be completed on the template provided.
In this assessment you will find a qualitative AND a quantitative study article in the library, provide the APA reference and answer the questions to appraise the research studies. Please use the template provided below to complete the assignment.

Objectives

  • Discuss the place of qualitative and quantitative research in evidence-based practice.
  • Explore the parts of a qualitative and a quantitative research report.
  • Review of APA formatting

Please note it is important that it is important that you do not use a meta-analysis or systematic review as you will not be able to complete the assignment if you choose those types of research articles.

Due Date: Sun, May 23 by 11:59 p.m. Eastern Standard Time (EST) of the US.

Point Value: 30

Instructions

To be successful, complete the following steps in order:

STEP 1. Review the instructional materials and finish learning activities in module 2. Utilize CINAHL to locate a qualitative research article.

STEP 2. Click here to download the rubric. Click here to download the template.

STEP 3. Open the provided template on your computer.

STEP 4. Fill in the portions of the template below each question with your answer; use complete sentences.

  • Please use 1-2 full sentences to answer each question.

Compute the project’s IRR and NPV.

Respond to the following scenario with your thoughts, ideas, and comments. Be substantive and clear, and use research to reinforce your ideas.

Apix is considering coffee packaging as an additional diversification to its product line. Here’s information regarding the coffee packaging project:

  • Initial investment outlay of $40 million, consisting of $35 million for equipment and $5 million for net working capital (NWC) (plastic substrate and ink inventory); NWC recoverable in terminal year
  • Project and equipment life: 5 years
  • Sales: $27 million per year for five years
  • Assume gross margin of 50% (exclusive of depreciation)
  • Depreciation: Straight-line for tax purposes
  • Selling, general, and administrative expenses: 10% of sales
  • Tax rate: 35%

Assume a WACC of 10%.

Should the coffee packaging project be accepted? Why or why not? Compute the project’s IRR and NPV.

In addition, answer the following questions:

  • Do you believe that there was sufficient financial information to make a solid decision on what to do?
  • Was there further financial information that you required that was not provided to you?
  • What financial figure do you believe was the determinant to your decision and why?
  • How would you be able to apply this particular financial information to other situations?
  • Discuss risk methodologies used in capital budgeting.

POWERPOINT 6–12 slides with 150–200 words in notes section