Nursing homework help

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Purpose: Comment the Discussion (Class 505 Unit 3 Comment 1)

 

Thing to Remember:

Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

1 References, find resources that are 5 years or less

No errors with APA format 6 Edition

 

To Comment:

There are 3 levels of protection, primary, secondary and tertiary prevention.  Primary prevention is preventing the patient from developing by reducing and possible removing risk factors. An example would be teaching a patient who is overweight about the importance of eating healthier choices, investing in daily exercises, and avoiding unhealthy habits such as smoking and drinking to prevent type II diabetes.

The secondary level of prevention is performed after the patient has been diagnosed with the disease.  An example would be a patient who has a fasting blood glucose level of more than 125mg/dl but does not display any symptoms will be diagnose as type II diabetic.  Early detection and education of healthy eating choices, routine exercises and healthy lifestyle habits can prevent further progression of the disease and possible cure the disease.

The third type of prevention is tertiary and is for the patient who already diagnosed with the disease, symptomatic, and requires treatment.  This patient is no longer at risk for disease but is at risk for further complications.  This type of prevention would be practice with a patient diagnosed with diabetes who has not yet developed other common comorbidies like hypertension, cardiovascular disease, and kidney disease.  Adhering to medication instructions, checking blood glucose as recommended, healthy eating habits, routine exercising, avoiding unhealthy habits like smoking and or alcohol consumption, life changes to expect, and importance of life change to avoid further complications.

References

Bhattacharya, P., & Roy, A. (2017). Primary prevention of diabetes mellitus: current strategies and future trends. Italian Journal of Medicine, 11, 15-22. Retrieved from http://italjmed.org/index.php/ijm/article/view/itjm.2016.634/821

Fletcher, R. (2013). Clinical epidemiology (5th ed.). Retrieved from [Chegg] https://ereader.chegg.com/#/books/9781469829784/

Thomas, M., & Atkins, R. (2006, September 1,). Blood pressure lowering for prevention and treatment of diabetic kidney disease. Drugs. Retrieved from http://web.a.ebscohost.com.lib.kaplan.edu/ehost/pdfviewer/pdfviewer?vid=7&sid=a4a3ed7e-b2de-4e84-b203-5a9151725e0f%40sessionmgr4006

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Article

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This is the first of three Journal Article Assignments that you will complete in this course. For this assignment, you will locate one peer-reviewed journal article related to a topic covered in Module 1 and create a professionally designed PowerPoint presentation. In the presentation, you must identify and explain the purpose of the study (article), interpret definitions and variations in definitions, if any. Length of the presentation should be at least five minutes long and include audio embedded on each slide.

 

Further information about this assignment, including a grading rubric, can be found in the Start Here folder.

 

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Nursing homework help

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What health risks associated with obesity does Mr. C. have?

 

Nearly one third of the adult population of the United States is overweight or obese (Centers of Disease Control and Prevention, 2015). Obesity and diabetes are major health problems that are rapidly getting worse in the United States. In addition, obese people have an increased risk for the development of cardiovascular disease because obesity is often accompanied by elevated serum lipid levels. Obesity is also associated with hypertension. Obesity places an increased workload on the heart, which increases oxygen demand. According to the Centers of Disease Control and Prevention “the estimated cost of obesity in the United States was 147 billion in 2008 and the medical costs of people who are obese were $1,429 higher than those of normal weight” (Centers of Disease Control and Prevention, 2015). Obese people are also more likely to have delayed wound healing and wound infection because adipose tissue impedes blood circulation and its delivery of nutrients, antibodies, and enzymes required for wound healing. Obese clients also have difficulty breathing when sedated (Orlando Sentinel, 2012).

 

Is bariatric surgery an appropriate intervention? Why or why not?

 

 

 

According to the American Nurses Association “bariatric surgery provides dramatic improvement” to obese people that suffer from chronic diseases such as heart disease, hypertension, sleep apnea, degenerative joint disease, gastroesophageal reflux disease, asthma, and depression (American Nurses Association, 2009).

 

 

 

Bariatric surgery can be very effective when combined with a comprehensive treatment plan according to the American Society for Metabolic and Bariatric Surgery (American Society for Metabolic and Bariatric Surgery, 2015). The combined treatment can be an effective tool to provide a client with a long term weight-loss and help the client increase the quality of their health. Bariatric surgery has shown to help improve or resolve many obesity-related conditions, such as type 2 diabetes, hypertension, and heart disease it also helps in reducing the need to continue taking so many medications for these co-morbidities.

 

 

 

According to the US National Library of Medicine National Institutes of Health the following are some pros and cons of bariatric surgery (US National Library of Medicine National Institutes of Health, 2012):

 

 

 

Pros Cons
Initial and sustained weight loss Initial failure to lose weight
Resolution of obesity-related comorbidities Potential complication: preoperative, surgical, gastrointestinal, nutritional, and psychological
Improved mortality Initial costs
Reduction in obesity-related health risks Weight regain
Improved quality of life Permanency
Psychosocial benefit  

 

Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: (a) Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime; (b) Ranitidine (Zantac) 300 mg PO at bedtime; and (c) Sucralfate / Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.

The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

Carafate Mylanta Zantac
0600    
  1000  
1100    
  1500  
1700    
  2100  
2300   2300

Assess each of Mr. C.’s functional health patterns using the information given (Hint: Functional health patterns include:

Health-perception – health management – Based on the information provided in the case study Mr. C has always been heavy since he was a child but has gained 100 pounds in the last 2-3 years. With the limited information and the increase weight in the last 2-3 years I can only presume that Mr. C might live a sedentary lifestyle that might be related to lack of motivation or lack of education or readiness.

 

Nutritional – metabolic – Mr. C  is 5 feet 5 inches and weighs 295.9 pounds. According to Premier Health, Mr. C has a BMI of 47.6 and is considered morbidly obese (Premier Health, 2015). He also claims that he has gain 100 pounds in the last 2-3 years.  Based on the information he falls under Nutrition, Imbalanced, More Than Body Requirements as evidenced by reported higher baseline weight.

Elimination – Mr. C has a peptic ulcer and symptoms include passing of bloody stools or black tarry stools. Possible nursing diagnoses can be constipation/diarrhea related to effects of medications on bowel function.

Activity-exercise – Mr. C has an office job and based on his increased weight of 100 pounds in the last 2-3 years lives a sedentary lifestyle. The case study does not specify if Mr. C performs any type of exercise activities but we can assume that he is able to perform activities of daily living.

Sleep-rest – Mr. C is morbidly obese and suffers from sleep apnea due to his overweight.

Cognitive-perceptual – Mr. C appears alert and oriented and able to make his needs known.

Self-perception – self-concept – Mr. C claims that he has been heavy all his life and has gained 100 pounds in the last 2-3 pounds.  Mr. C is looking into bariatric surgery as a solution to his morbid weight.

Role-relationship – Based on the case study Mr. C is a single man not involved in a relationship.

Sexuality – reproductive – is a young man but the case study doesn’t offer any other information.

Coping – stress tolerance – Mr. C is able to identify that he has a problem with his weight. He is taking initiative by reducing salt intake to control his hypertension and he is looking into bariatric surgery to reduce his weight problem.

What actual or potential problems can you identify?  Describe at least five problems and provide the rationale for each.

 

1) Health maintenance ineffective related to sedentary lifestyle (Ackley & Ladwig, 2011).

2) Imbalanced nutrition more than body requirements related to lack of basic nutritional knowledge (Ackley & Ladwig, 2011).

3) Disturbed sleep pattern related to sleep apnea (Ackley & Ladwig, 2011).

4) Deficient knowledge related to his obesity, disturbed body image by verbalization of his weight gain (Ackley & Ladwig, 2011).

5) Ineffective coping related to lack of knowledge of weight gain resources (Ackley & Ladwig, 2011).

References

 

Ackley, B., & Ladwig, G. (2011). Nursing diagnosis handbook: An evidence-based guide to planning care (9th ed.). St. Louis: Mosby, Elsevier

American Nurses Association. (2009). Weight-loss surgery. Retrieved from

http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TasbleofContents/Vol142009/No1Jan09/Weight-Loss-Surgery.html

American Society for Metabolic and Bariatric Surgery. (2015). Benefits of bariatric surgery. Retrieved from https://asmbs.org/patients/benefits-of-bariatric-surgery

Centers of Disease Control and Prevention. (2015). Adult Obesity Facts. Retrieved from

http://www.cdc.gov/obesity/data/adult.html

Orlando Sentinel. (2012). Obese patients create big problems for surgeons. Retrieved from

http://articles.orlandosentinel.com/2012-07-25/news/os-obese-patients-20120724_1_obese-patients-normal-weight-person-bmi

Premier Health. (2015). BMI calculator. Retrieved from

http://www.premierhealthspecialists.org/phspractice.aspx?id=64848

US National Liberty of Medicine National Institutes of  Health. (2012). Quick fix or long-term cure? Pros and cons of bariatric surgery. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3470459/

            

 

 

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Essentials of Public Health Class

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A poem by T.S. Eliot (1943) says, “We had the experience but missed the meaning.” As your experience in this course comes to a close, I don’t want you to miss the meaning of the materials you have read, papers you have written, and discussions we have had throughout the session. They are more than a series of assignments and grades – the end result should be an improvement in your higher-order thinking and your ability to make connections between thoughts and ideas.

You can achieve that through reflection, the art of taking charge of your own mind. Reflection is a mental process that challenges you to use critical thinking to examine the course information, analyze it carefully, make connections with previous knowledge and experience, and draw conclusions based on the resulting ideas.

A well cultivated critical thinker (Paul & Elder, 2008): raises vital questions and problems, formulating them clearly and precisely; gathers and assesses relevant information, using abstract ideas to interpret it effectively comes to well-reasoned conclusions and solutions, testing them against relevant criteria and standards; thinks open-mindedly within alternative systems of thought, recognizing and assessing, as need be, their assumptions, implications, and practical consequences; and communicates effectively with others in figuring out solutions to complex problems.  

For this discussion, take some time to reflect upon 2 concepts that you learned in this course. What are the concepts? What insight or ideas did you gain from learningeach of these concepts? Were there aspects of the concepts that you would challenge? What is the importance of these concepts to public health? How will you use this new wisdom in your current or future career?  In order to earn maximum credit, the comment should be more than your opinion, and more than a quick “off the top of your head” response. Be sure to support your statements, cite sources properly within the text of your comments, and list your reference(s). The response must be a minimum of 250 words.

Britton, B. & Serrat (2013). Reflective Practice. Retrieved from http://www.slideshare.net/Celcius233/reflective-practice-27714069

Eliot. T.S. (1944) Four Quartets, The Dry Salvages, pt.2. London. Paul, R. & Elder, L. (February, 2008). The Miniature Guide to Critical Thinking Concepts and Tools. Foundation for Critical Thinking Press

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Nursing homework help

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Hi Autumn, excellant post. I can see how people with weight problems   can get frustrated with diets and weight loss not happening fast   enough. There are many benefits to bariatric surgery, but there are   also risks, and long term complications. Bariatric surgery is not   always the best option to lose weight. It will require discipline and   compliance to keep the weight from coming back. One would think that   if you have discipline, one could lose weight without surgery. This is   major surgery that comes with risks. Surgical risks are bleeding,   blood clots, infection, and much more, including death. Long term   risks include bowel obstruction, dumping syndrome, malnutrition,   vitamin deficiency, nausea, vomiting, low blood sugar. and even death.   Bariatric surgery can help improve sleep apnea, hypertension,   diabetes, and prevent stroke, but there is a tradeoff for other health   problems. If possible, it would be best would be best to change eating   habits and exercise.

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Nursing homework help

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Offering a safe and healthy environment through enhancing the quality the patient care. Providing preventive and clinical services for example Diabetes screening, Cancer screening, all these will assist in early recognition of the diseases and early management. Empowering people. In order for people to be healthy they require to be offered easy and reasonable options to uphold their health. These consist of accessing healthy food, facilities to exercise, proper nutrition information, and positive social relations. Doing away with health disparities. There should be no people who should carry an unequal burden of disease and illness.

How nursing fit into this shift?

Nursing can fit to this shift via evidence-based suggestions while encouraging people to receive preventive services like counseling, screenings and preventive medications (Benjamin, 2011). Through public health education, the nurses can also inspire bigger groups of people to take part in healthy lifestyles and eventually live longer lives.

References

Benjamin, R. M. (2011). The National Prevention Strategy: Shifting The Nation’s Health-Care System. Public Health Reports, 126(6), 774–776.

Graffigna, G. (2016). Promoting patient engagement and participation for effective healthcare reform. Hershey, Pennsylvania (701 E. Chocolate Avenue, Hershey, PA 17033, USA: IGI Global.

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Nursing homework help

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Offering a safe and healthy environment through enhancing the quality the patient care. Providing preventive and clinical services for example Diabetes screening, Cancer screening, all these will assist in early recognition of the diseases and early management. Empowering people. In order for people to be healthy they require to be offered easy and reasonable options to uphold their health. These consist of accessing healthy food, facilities to exercise, proper nutrition information, and positive social relations. Doing away with health disparities. There should be no people who should carry an unequal burden of disease and illness.

How nursing fit into this shift?

Nursing can fit to this shift via evidence-based suggestions while encouraging people to receive preventive services like counseling, screenings and preventive medications (Benjamin, 2011). Through public health education, the nurses can also inspire bigger groups of people to take part in healthy lifestyles and eventually live longer lives.

References

Benjamin, R. M. (2011). The National Prevention Strategy: Shifting The Nation’s Health-Care System. Public Health Reports, 126(6), 774–776.

Graffigna, G. (2016). Promoting patient engagement and participation for effective healthcare reform. Hershey, Pennsylvania (701 E. Chocolate Avenue, Hershey, PA 17033, USA: IGI Global.

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Nursing homework help

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Overview

Create and record a 5–10-minute (10–12-slide) presentation of a balanced scorecard briefing for a CEO using Adobe Connect and PowerPoint.

Note: The assessments in this course are presented in sequence and must be completed in order.

Organizations are required to demonstrate outcomes as a condition of participation for government and some private payers. The balanced scorecard is a methodology used to complete an implementation plan for the strategy and as a method measure results against predetermined benchmarks.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 2: Develop a strategic organizational plan that provides human and financial resources to support targeted organizational outcomes.

Present operational recommendations and strategic control mechanisms including goals, objectives, resources, and action steps.

Define critical success indicators that allow an organization to measure success in implementing the strategy.

Competency 3: Recommend an organizational structure and design to optimize a strategic plan.

Propose a strategic plan to optimize outcomes and mitigate risks in an organization.

Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration.

Create a visually pleasing professional presentation tailored to a specific audience that uses charts and/or images that support the content.

Communicate persuasively and clearly in a limited time frame.

Context

Today, in health care management, there is an appropriate emphasis on outcomes and results. However, in the specific case of strategic management, we often say that the process of strategic thinking is more important than the product—the plan. In health care, the product is actually the service of care delivery.

Strategic thinking is a challenging and exciting task for healthcare leaders. It requires experienced health care executives to think creatively and reserve judgment of new ideas.

The Assessment 4 Context document contains important information about the following topics related to successful implementation of strategic plans:

Decision making methodologies.

Culture, structure, and value chain.

Implementation strategies.

Change strategies.

Strategic control.

Questions to Consider

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

What role does a TOWS analysis play when looking for some strategic alternatives?

What is a value differentiation strategy?

How would you use it and why?

If you were looking for a marketing strategy, how would you determine which market entry strategy would provide the quickest entry into the market?

What advantages might the slowest strategy offer?

What changes first: Strategy or structure?

What role does consumerism play in marketing a service?

Does your health organization operate as a consumerism-driven service? If so, how does this affect the organization?

What issues do hospital leaders face in responding to a disaster from the perspective of human resources, legal, and financial issues?.

What, if anything, is a local hospital required to do in response to a disaster?

What are the primary differences in the human resources strategies needed for expansion, contraction, and maintenance of scope?

Which type of adaptive strategy is the most difficult to implement from a human resources perspective? Why?

What is the linkage between the internal environment and value-adding service delivery and support services.

What would be a good example of this in your own health care organization?

Required Resources

The following resources are required to complete the assessment.

Recording a Presentation (I would do this part)**

This assessment requires you to record your presentation using Adobe Connect (or a similar tool capable of recording presentations). If a tool other than Adobe Connect is used, you are required to provide the instructor ease of access in order to evaluate the recorded presentation. Instructions and tutorials are available from the Using Adobe Connect support page on Campus. The following resource is a quick overview of the steps and configuration information needed to record your presentation:

Adobe Connect Recording Quick Start Guide.

Adobe Connect

In preparation for using Adobe Connect to record your presentation for this assessment, complete the following:

If you have not already done so, install and test your recording device (headset or webcam with integrated microphone) on your computer, using the installation instructions included in the package.

Suggested Resources

The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

Assessment 4 Context.

Library Resources

Burton, D. A. (2015). 6 predictions for health care and population health. Healthcare Financial Management, 69(4), 58–63.

Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2013). Strategic management of health care organizations (7th ed.). San Francisco, CA: Jossey-Bass.

Chapter 6, “Developing Strategic Alternatives,” pages 204–251.

Chapter 9, “Value-Adding Support Strategies,” pages 345–381.

Chapter 10, “Communicating the Strategy and Developing Action Plans,” pages 383–409.

Kaplan, R. S., & Norton, D. P. (1996). Using the balanced scorecard as a strategic management system. Harvard Business Review, 74(1), 75–85.

Kaplan, R. S., & Norton, D. P. (2004). Measuring the strategic readiness of intangible assets. Harvard Business Review, 82(2), 52–63.

Kun, K. E., Kassim, A., Howze, E., & MacDonald, G. (2013). Interviewing key informants: Strategic planning for a global public health management program. The Qualitative Report, 18(9), 1–17.

Malof, L. C. (2013). The power of data—From data mining to consumer pricing and quality-of-care tools. Benefits Quarterly, 29(4), 20–23.

Meyer, C. K., Clapham, S. E., & Lemke, A. (2014). Strategic planning at UnityTrust Hospital. Journal of Business and Behavioral Sciences, 26(3), 112–126.

Rosenberg, L. (2012). Are healthcare leaders ready for the real revolution? Journal of Behavioral Health Services & Research, 39(3), 215–219.

Internet Resources

Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

Balanced Scorecard Institute. (n.d.) What is strategic planning? Retrieved from https://balancedscorecard.org/Resources/Strategic-Planning-Basics

Balanced Scorecard Institute. (n.d.) Creating organizational strategic alignment. Retrieved from https://balancedscorecard.org/Resources/Cascading-Creating-Alignment

Balanced Scorecard Institute. (n.d.) What is a key performance indicator? Retrieved from https://balancedscorecard.org/Resources/Performance-Measures-KPIs

Kovner, K. (2013). 8 simple rules for stronger PowerPoint presentations. Clickz. Retrieved from http://www.clickz.com/clickz/column/2306763/8-simple-rules-for-stronger-powerpoint-presentations#

Wang, C. (2015). 7 design tips for effective, beautiful PowerPoint presentations. The Shutterstock Blog. Retrieved from http://www.shutterstock.com/blog/7-design-tips-for-effective-beautiful-powerpoint-presentations

Assessment Instructions

Note: Assessment 3, TOWS Matrix must be completed before beginning this assessment.

Preparation

Organize your thoughts. Use the balanced scorecard methodology to complete an implementation plan for the strategy you recommended for your corporation in Assessment 3. You are encouraged to strive for flow of logic, substance, and brevity.

Set up your Adobe Connect Meeting Room. You will be recording your presentation in your Adobe Connect meeting room and including a link to the recorded file in the assessment submission comment box and in your document. Links to the Adobe Connect Tutorials can be found in the Resources section of this assessment.

Step One: Create PowerPoint Presentation

When preparing the information for your presentation, focus on the conceptual level to make sure you are on target and aligned with strategic goals. Remember, CEOs expect presentations to be brief, substantive, and concise.

Design for your Audience: If your organization has “branding standards,” use them. You are expected to follow generally recognized guidelines for professional presentations. Spare your audience from a “death by PowerPoint” experience. Consult the suggested resources to remind yourself of the do’s and don’ts of effective presentations.

Address the following points in your briefing:

Describe at least five objectives, with your corresponding metrics, targets, and initiatives, to help the organization achieve the strategic direction you have designed.

Present your operational recommendations and strategic control mechanisms.

Include the strategic goals, objectives, and action steps for reconfiguring and aligning the organization’s structure, systems, shared values, management style, staff, and skills.

Include critical success indicators that the organization can use to measure its performance in implementing the strategy.

Evaluate the effect of your strategy formulation, weighing factors of measurement against current measurement benchmarks in the organization.

Presentation Structure

In the real world, you can consider yourself lucky when you get 5–10 minutes of a CEOs time. You will need to limit your briefing to 10–12 slides or you will run out of time. Structure your briefing following the format below. Use the notes portion of each slide to write your script and practice your script to make sure you stay as close to the suggested time frames as possible.

Slide 1: Cover (15 seconds).

Slide 2: Vision/Mission/Values (30 seconds).

Slide 3: External environment analysis tool applied (table) (1 min).

Slide 4: Internal analysis tool applied (table or graphic) (1 minute).

Slide 5: Gap analysis: desired position v. actual (1 min).

Slide 6: Recommend directional strategy (1 minute).

Slide 7: Develop 3–4 key goals/objectives (1 minutes).

Slide 8: Visual: Balanced Scorecard table with 1–3 performance indicators and associated metrics (1 min).

Slide 9: Analysis (1 min).

Slide 10: Recommendations/Conclusions (1 min).

Slide 11: References.

Step Two: Practice and Record Your Briefing I WOULD DO THIS PART**

Use your Adobe Connect Meeting Room to practice and record your briefing. When you are satisfied with your recorded presentation, complete the following steps before submission:

Change Access Type to Public: Your recording must be made “public” so that the instructor can view it.

Paste the URL for Viewing into the activity text box: On the Recording Information page, click the URL for Viewing to watch your recording. If you are satisfied with your recording and are ready to share it with your instructor, copy the URL for Viewing and paste it into the activity text box.

Submit your PowerPoint presentation, any relevant addendums along with the link to your Adobe Connect recording (The URL for Viewing) to this assessment.

Note: Be sure that you are posting the specific URL for Viewing for the Adobe Connect recording rather than the URL for the meeting room in which the recording was made.

Additional Requirements

Time length: A 5–10 minute recorded presentation targeted to the CEO of your corporation. Paste the URL for Viewing into the assessment comments box.

Number of slides: PowerPoint slide deck containing 10–12 slides.

Addendum: Include all relevant supporting details, such as data, charts, and graphs as an addendum to the presentation. Indicate the slide associated with the relevant data set.

APA formatting: Resources and citations are formatted according to current APA style and formatting.

Number of Resources: Use a minimum of six authoritative contemporary sources to support your presentation.

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Discussion Depression

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Read the following case study and answer the questions in a 2 page Word document:

GF is 41year-old woman who arrives for her first visit at the clinic. She reports that she has been feeling sad and depressed, with crying spells, trouble sleeping, increased appetite, impaired concentration, and fatigue. She has experienced depression in the past but was able to overcome the symptoms without medication. Upon physical exam, she appears to be poorly groomed and with minimal facial expression. She is slow to respond to questions. She admits to being very anxious and worried about “everything.” She denies any current suicidal ideation. However, she expresses concerns about the future and that it may not be an improvement. She has tried over-the-counter medications to help with sleep, but they have not been effective. Answer the following questions:

  • • What additional information would you gather before making a decision about what to do with GF?
  • • What approach would you suggest for this patient? Which of her symptoms would concern you and require immediate intervention? Which medications would you use, include dosage and schedules.
  • • Does she need to be referred to another provider, or can she be managed in a primary care setting?
  • • Are there any non-pharmacological strategies that might be appropriate for her depression and insomnia? Include highlights of patient teaching and /or lifestyle alterations. Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication.

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Disaster Planning for Public Health

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Assignment: Disaster Planning for Public Health

By Day 7 of Week 5

  • Select a potential natural or man-made disaster that could happen in your community. Then, write a 3- to 4-page paper about the disaster from the community nurse’s perspective.

Section 1: The Disaster, Man-Made or Natural

  • What disasters may strike your community and why? For example, do you live in “Tornado Alley,” or has climate change resulted in unusual cold weather snaps or blizzards in your community? Are you located in a flood plain? Include possible diseases that may result from a natural disaster, such as tetanus or cholera.

Section 2: The Nursing Response

  • Formulate responses to the disaster, considering systems and community levels of intervention.
  • Review websites where a disaster plan may be available for the public, or if one is not currently available, call public health department to see if a disaster plan exists for your community and what the plan contains.
  • In addition to reviewing websites for information about your local disaster plan, you will need to locate best practice/evidence-based practice guidelines in professional literature to determine whether your community’s disaster plan is as sound as it might be or if there is room for improvement.

Section 3: Is My Community Prepared for a Disaster?

  • What conclusions can you draw about your community’s preparedness plan from having completed this evaluation?

Week 4: Evidence-Based Practice in Disaster Planning: Nurses as Leaders

  • Public health surveillance is one way that public health officials target intervention strategies (Turlock, 2016). Often, it is through prompt recognition of and reporting of incidents of communicable disease that a disaster can be averted (Turlock, 2016). Surveillance activities often prompt questions such as, What is causing the disease? How is it spreading? And who is at risk (Turlock, 2016)? While it is true that preparedness planning cannot eliminate all traces of threat to a community, planning assures that medical services and treatment are deployed in an effective, efficient, and rapid manner (Turlock, 2016). Public health plays a vital role in coordination of providers, assurance of supplies particularly when the Strategic National Stockpile pharmaceuticals and supplies are required, and mobilization of state and national response systems. Public health officials may also provide health care services when required (Turlock, 2016).
  • Stanhope (2016) noted that evidence-based practice (EBP) has become more important in health care for many reasons: increased expectations of consumers, increased availability of information through the Internet, increased accountability for results, health care economic changes, and growing numbers of lawsuits, among other reasons. EBP is a lifelong problem-solving approach that regularly produces excellent results and often provides the theoretical underpinnings for programs to mitigate problems in the community. Once programs are in place, evaluation of their effectiveness should be conducted to determine whether they are worth the continued expenditure of resources. Use of EBP is vital to assure safe outcomes for populations during disasters, such as massive communicable disease outbreaks, and should be the foundation of disaster-planning strategies.

Required Readings

Stanhope, M., & Lancaster, J. (2016). Public health nursing: Population-centered health care in the community (9th ed.). St. Louis, MO: Elsevier.

  • Chapter 15, “Evidence-Based Practice” (pp. 342–354)
  • Chapter 23, “Public Health Nursing Practice and the Disaster Management Cycle” (pp. 503–528)
  • Chapter 24, “Public Health Surveillance and Outbreak Investigation” (pp. 529–544)
  • Chapter 25, “Program Management” (pp. 545–567)

Required Media

  • Laureate Education (Producer). (2009a). Family, community and population-based care: Emergency preparedness and disaster response in community health nursing [Video file]. Baltimore, MD: Author.
  • TED. (2012). How to step up in the face of disaster [Video file]. Retrieved from                   https://www.ted.com/talks/caitria_and_morgan_o_neill_how_to_step_up_in_the_face_of_disaster
  • This Ted Talk describes the actions of two sisters who step up as leaders during a tornado disaster in their community.

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