Category: Health Care and Life Sciences

Health Care

The New York City Community Health Profiles capture the health of 59 community districts across the city. They contain over 50 measures of neighborhood health, emphasizing that our health starts where we live, work and play. These reports highlight the disparities among neighborhoods and can be used by policymakers, community groups, health professionals, researchers and residents to encourage community engagement and action.

Go to https://www1.nyc.gov/site/doh/data/data-publications/profiles.page

Scroll down to find your NYC community/neighborhood. If you do not live in NYC, choose a random neighborhood. Answer the questions in complete sentences. Upload this assignment to blackboard.

Healthcare

Live your truth. Express your love. Share your enthusiasm. Take action towards your dreams. Walk your talk. Dance and sing to your music. Embrace your blessings. Make today worth remembering.

Dr. Steve Marboli

How true is this?  Today  and every day is a great day to express yourself, tell someone you love them, take action.  How will you remember today?  I am remembering it for cold weather, surprise flowers, trying a new recipe and a good visit with family.

How will you remember today?  Do we have an opportunity to make each day memorable?  What truths give your strength?  Share your thought, ideas, your enthusiasm in this week’s Blog!!!

blog writing

Explain in detail each of the four categories and related positions of Perry’s Scheme of Intellectual Development. Support with in-text citations.

Questions to answer and frame your written assignment essay:
a. Explain in detail each of the four categories and related positions of Perry’s Scheme of Intellectual Development. Support with in-text citations.
b. In your opinion which of the four categories/positions would Associate in Science (or Associate in Applied Science) students be in as they first enter the dental hygiene program? Support with in-text citations.
c. Would they be at a different position on the scheme by the end of the two years? If so, which position do you believe they are in? How do they progress along the continuum? Support with in-text citations.
d. In your opinion, which of the four categories/positions would the Bachelor of Science in Dental Hygiene student be in at this time in their careers and education as they first enter the degree completion program? Is the Associate in Science recent graduate with three to six months clinical experience entering the Bachelor of Science program in a different Perry position than the Bachelor of Science student with many years of clinical experience? Support with in-text citations.
Questions to answer and frame your written assignment essay:
a. Please take the Kolbs Learning Style Inventory. Do you agree with your results and does it describe your learning style? Support with in-text citations.
b. Describe in detail all four Kolb learning styles; Accommodating, Assimilating, Converging, Diverging as well as the respective dimensions. Support with in-text citations.
c. Which learning style best describes the dental hygienist and other health professionals? Support with in-text citations.
e. In your opinion, does a distance learning environment accommodate all four learning styles and can a student move around the Kolb wheel in such an environment? Support with in-text citations.

Any topic (writer’s choice)

Discussion question: 300 words
Watch the Diary of Medical Mission Trip videos dealing with the catastrophic earthquake in Haiti in 2010.  Reflect on this natural disaster by answering the following questions.

!. Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, and tertiary prevention. Provide innovative examples that have not been  discussed by previous students. 
2. Under which phase of the disaster do the three proposed interventions fall?  Explain why you chose that phase.
3. With what people or agencies would you work in facilitating the proposed interventions and why?

High risk or vulnerable population

    Identify the main concept (a condition affecting a high-risk or vulnerable population)
    Describe the supporting subtopics of:
o    Health disparities impacting the population globally
o    Ethical considerations (three or more)
o    Human rights from the Universal Declaration of Human Rights (three or more)
o    Human rights group or organization that would assist with this population or condition (one or more)

Spiritual considerations surrounding a disaster

Discussion question with 300 or more words:

1. What spiritual considerations surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or man made disaster.  How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues?

Interview and Interdisciplinary Issue Identification

For this assessment, you will create a 2-4 page report on an interview you have conducted with a health care professional. You will identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.

As a baccalaureate-prepared nurse, your participation and leadership in interdisciplinary teams will be vital to the health outcomes for your patients and organization. One way to approach designing an improvement project is to use the Plan-Do-Study-Act (PDSA) cycle. The Institute for Healthcare Improvement describes it thus:

The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change in the real work settingby planning it, trying it, observing the results, and acting on what is learned. This is the scientific method adapted for action-oriented learningEssentially, the PDSA cycle helps you test out change ideas on a smaller scale before evaluating the results and making adjustments before potentially launching into a somewhat larger scale project (n.d.).

You might also recognize that the PDSA cycle resembles the nursing process. The benefit of gaining experience with this model of project design is that it provides nurses with an opportunity to ideate and lead improvements. For this assessment, you will not be implementing all of the PDSA cycle. Instead, you are being asked to interview a health care professional of your choice to determine what kind of interdisciplinary problem he or she is experiencing or has experienced in the workplace.

It would be an excellent choice to complete the PDSA Cycle activity prior to developing the report. The activity consists of four questions that create the opportunity to check your understanding of best-practices related to each stage of the PDSA cycle. The information gained from completing this formative will promote your success with the Interview and Interdisciplinary Issue Identification report. This will take just a few minutes of your time and is not graded.

Reference
Institute for Healthcare Improvement. (n.d.). How to improve. Retrieved from http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx

Demonstration of Proficiency
Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
Summarize an interview focused on past or current issues at a health care organization.
Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
Describe change theories and a leadership strategy that could help develop an interdisciplinary solution to an organizational issue.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
Professional Context
This assessment will introduce the Plan-Do-Study-Act (PDSA) Model to create change in an organization. By interviewing a colleague of your choice, you will begin gathering information about an interprofessional collaboration problem that your colleague is experiencing or has experienced. You will identify a change theory and leadership strategies to help solve this problem.

Scenario
This assessment is the first of three related assessments in which you will gather interview information (Assessment 2);  design a proposal for interdisciplinary problem-solving, (Assessment 3); and report on how an interdisciplinary improvement plan could be implemented in a place of practice (Assessment 4). At the end of the course, your interviewee will have a proposal plan based on the PDSA cycle that he or she could present to stakeholders to address an interdisciplinary problem in the workplace.

For this assessment, you will need to interview a health care professional such as a fellow learner, nursing colleague, administrator, business partner, or another appropriate person who could provide you with sufficient information regarding an organizational problem that he or she is experiencing or has experienced, or an area where they are seeking improvements. Consult the Interview Guide [DOCX] for an outline of how to prepare and the types of information you will need to complete this project successfully.

Remember: this is just the first in a series of three assessments.

Instructions
For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment. Note that there are differences between basic, proficient and distinguished scores.

When submitting your plan, use the Interview and Issue Identification Template [DOCX], which will help you to stay organized and concise. As you complete the template, make sure you use APA format for in-text citations for the evidence and best practices that are informing your plan, as well as for the reference list at the end.

Additionally, be sure to address the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

Summarize an interview focused on past or current issues at a health care organization.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Describe potential change theories and a leadership strategies that could inform an interdisciplinary solution to an organizational issue.
Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue.
Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style.
Additional Requirements
Length of submission: Use the provided template. Most submissions will be 2 to 4 pages in length. Be sure to include a reference page at the end of the plan.
Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
APA7 formatting: Make sure that in-text citations and reference list follow current APA style.

Any topic (writer’s choice)

Managing care in a Culturally Considerate manner

CASE STUDY 2

Patient Profile
F.M. is a 68-year-old white man who comes to the emergency department (ED) in the early afternoon with a 2-day history of severe chest pain. The pain started on wakening the previous day. The pain increased during the night, but his wife could not convince him to go to the hospital. He comes to the ED today because the pain is severe and no longer relieved by rest.

Subjective Data

Describes recurring chest pain for the past 6 months that was relieved by rest; the pain is a feeling of heaviness in chest with no radiating pain to arm or jaw or accompanying complaints of nausea or dizziness
Recently the chest pain has become severe and is no longer relieved by rest; is now complaining of being slightly nauseated
His father died of a heart attack at age 62
Denies alcohol or drug use
Smokes one pack of cigarettes per day
Describes his lifestyle as sedentary
Objective Data

Physical Examination

Blood pressure 180/96, pulse 98, temperature 99.8 F, respirations 20
Height 511, weight 210 lbs, BMI 29.3 kg/m2
Alert and oriented to person, place, and time
Skin diaphoretic and clammy
Heart rhythm regular, no murmurs or extra heart sounds
Lungs are clear to auscultation
Diagnostic Studies

Hemoglobin 14 g/dL
Chemistry panel is normal
Cardiac markers – pending
Electrocardiogram showing changes that correlate with non-ST-segment-elevation myocardial infarction (NSTEMI)
Collaborative Care

9% NaCl infusing into IV catheter at 75 mL/hr
Nitroglycerin and morphine given with relief of pain

What are F.M.s modifiable risk factors for coronary artery disease (CAD)? What are his non-modifiable risk factors?
What is the difference between chronic stable angina pain and pain associated with myocardial infarction?
What are diagnostic studies indicated for F.M.?
F.M. is diagnosed as having a myocardial infarction (MI).What are the signs and symptoms of Myocardial Infarction?
What is the priority nursing care for F.M.?
What other interventions do you anticipate for F.M. at this time?

review the clinical guideline

https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/abdominal-aortic-aneurysm-screening

Review of the clinical practice guideline (click download PDF) and answer two questions:
1)  Purpose of the CPG
2)  Type of provider that would utilize the CPG

I need like 3-6 sentences for each question

Any topic (writer’s choice)

Managing care in a Culturally Considerate manner

CASE STUDY 2

Patient Profile
F.M. is a 68-year-old white man who comes to the emergency department (ED) in the early afternoon with a 2-day history of severe chest pain. The pain started on wakening the previous day. The pain increased during the night, but his wife could not convince him to go to the hospital. He comes to the ED today because the pain is severe and no longer relieved by rest.

Subjective Data

Describes recurring chest pain for the past 6 months that was relieved by rest; the pain is a feeling of heaviness in chest with no radiating pain to arm or jaw or accompanying complaints of nausea or dizziness
Recently the chest pain has become severe and is no longer relieved by rest; is now complaining of being slightly nauseated
His father died of a heart attack at age 62
Denies alcohol or drug use
Smokes one pack of cigarettes per day
Describes his lifestyle as sedentary
Objective Data

Physical Examination

Blood pressure 180/96, pulse 98, temperature 99.8 F, respirations 20
Height 511, weight 210 lbs, BMI 29.3 kg/m2
Alert and oriented to person, place, and time
Skin diaphoretic and clammy
Heart rhythm regular, no murmurs or extra heart sounds
Lungs are clear to auscultation
Diagnostic Studies

Hemoglobin 14 g/dL
Chemistry panel is normal
Cardiac markers – pending
Electrocardiogram showing changes that correlate with non-ST-segment-elevation myocardial infarction (NSTEMI)
Collaborative Care

9% NaCl infusing into IV catheter at 75 mL/hr
Nitroglycerin and morphine given with relief of pain

What are F.M.s modifiable risk factors for coronary artery disease (CAD)? What are his non-modifiable risk factors?
What is the difference between chronic stable angina pain and pain associated with myocardial infarction?
What are diagnostic studies indicated for F.M.?
F.M. is diagnosed as having a myocardial infarction (MI).What are the signs and symptoms of Myocardial Infarction?
What is the priority nursing care for F.M.?
What other interventions do you anticipate for F.M. at this time?