Option 2: Case Management, Health Policy Strategies, Community Empowerment, and Education

You have just accepted your first job as a public health case manager. One of your responsibilities is to promote that health of your community by focusing on the health and safety of the local children. The area has low compliance with childhood immunizations. The affected children are usually not identified until they are ready to enter kindergarten. It is your goal to be proactive and decrease the number of children that are out of compliance and implement a system to help maintain up-to-date immunizations. In your post:

• Identify and discuss the specific responsibilities of the case manager as it relates to the health and safety of the local children.
• Present the current immunization legislature that supports your efforts. How does the Affordable Care Act effect immunizations?
• Discuss how you might empower the community to support and eventually lead the charge for community immunizations.
• Provide specific educational and programmatic strategies to offer the community.
• One page essay
• ALL in APA
• Must include at least one peer reviewed nursing journal article

Utilizing the information you have gathered over the weeks regarding the specific illness group you identified, this week, you will create a plan of care for your chronic illness group.

Create the plan in a 4- to 6-page Microsoft Word document (the 4–6 pages include the holistic care plan). Include the following in your plan:

• Start the paper with a brief introduction describing the chronically ill group you selected and provide rationale for selecting this illness and the participants. Clearly identify the Healthy People 2020 topic chosen and why this topic was chosen.
• You will want to compile the information gathered from Weeks 1–4 over 2 to 3 pages. This should be in APA format and paragraph form. This is not to be copied and pasted from previous assignments. It is to be a summary of each week.
• The paper should include the care plan for your chronic illness group organized under the following headings:
  • Nursing Diagnoses
  • Assessment Data (objective and subjective)
  • Interview Results
  • Desired Outcomes
  • Evaluation Criteria
  • Actions and Interventions
  • Evaluation of Patient Outcomes
• You will need to ensure that the care plan is holistic and includes at least 3 nursing diagnoses related to the topic and interview results from the previous weeks.
• Include strategies for the family or caregiver in the care plan and provide your rationale on how they will work.
• Include a reference page to provide reference for all citations for the paper as well as the care plan.

On a separate references page, cite all sources using APA format.

• Use this APA Citation Helper as a convenient reference for properly citing resources.
• This handout will provide you the details of formatting your essay using APA style.
• You may create your essay in this APA-formatted template.

1. Submit an essay of the developed action plan for a community educational project. The project plan should include 2 (two) goals and objectives based on your topic from Healthy People 2020, an implementation plan for implementing these activities, a budget (if necessary, not required), a justification for the project, a description of where and when the plan will be implemented, and a description of the teaching materials which will be utilized during the execution of the project. Then recommend nursing actions/interventions to improve the health concern and achieve your stated goals and objectives. Discuss potential public and private partnerships that could be formed to implement your recommendations and create a timeline (i.e. 3 month, 6 month) for potential expected outcomes.

The assignment should be written in an APA-formatted essay. The essay should be between 1250 and 1500 words in length and include at least two scholarly sources other than provided materials.

 Please respond this question APA style and less than 20 % of similarity.

Chapters: 16-17    Seidel’s Guide to Physical Examination 8th

1-Breast and Axillae;Abdomen Quadrants of the left breast and axillary tail of Spence.  Vascular supply to the breast is primarily through branches of which two arteries?
a)-What is thelarche?The upper arm drains into which area of lymph nodes?

b)- what changes occur when axillary lymph nodes are removed.

2)-The mother of a girl at Tanner stage 2 asks whether her daughter will start menses early.

a)-What is the correct response to give this mother?

3)-Name the three methods commonly used for ensuring palpation of the entire breast.What do retractions and dimpling signify?

4)-A patient who is in her first trimester of pregnancy asks you what changes she should expect in her breasts. What information and important instructions should you give to this patient?

5)-Describe the appearance of the breasts in postmenopausal women.

6)- Create a chart that compares and contrasts the following conditions:

1. Fibrocystic disease
2. Fibroadenoma
3. Malignant breast tumor

7)-Name the disease of the breast that is a surface manifestation of underlying ductal carcinoma.

8)-What is the peak incidence of breast malignancy?

9)-Explain the kidneys’ role in fluid and electrolyte homeostasis.

10)-How soon after birth bowel sounds should be heard.

11)-What is the function of the alimentary tract?

12)-Which organ plays an important role in the metabolism of carbohydrates, fats, and proteins?

13)-Generate a list of relevant data to gather when assessing abdominal pain.

14)-How do you would assess for masses in the abdomen and how they would document such findings.

15)-Name the sign that appears as a bluish periumbilical discoloration and suggests intraabdominal bleeding.

16)-What could a single umbilical artery alert you to in a newborn?

Which type of hernia is common in infants?

17)-Define Crohn’s disease

18)-If a sudden onset of severe epigastric pain is continuous, unrelieved, and radiating to the groin and back, what problem should be considered?

19)-MB is a 44-year-old white female patient. She is obese, with a past medical history of hypertension, hyperlipidemia, and diabetes. She admits that she does not exercise. She is being evaluated today for right upper quadrant abdominal pain.

1- Differentiate between the three types of cholecystitis.

2- Describe the method for palpating the gallbladder

3- Differentiate between the common symptoms of cholecystitis pain and the associated symptoms.