This week’s assignment is STEP 1 – Introduction and Problem Statement.

First, the student will select a clinical question from the Approved List of PICOt/Clinical Questions   and will customize the question to meet his or her interest. My PICOT Question

For elderly patients above 60 years with pressure ulcers (P) will the negative pressure wound therapy (I) as opposed to standard moist wound therapy (C) improve the healing of the pressure ulcer (O) during their two-week stay at the hospital (T).

Next, the student will use the outline below and submit via a Word doc to the assignment link.   

1. Provide a title that conveys or describes the assignment.

2. Introduction – Provide an introduction to your topic or project. The introduction gives the reader an accurate, concrete understanding what the project will cover and what can be gained from implementation of this project.

3. Overview of the Problem – Provide a synopsis of the problem and some indication of why the problem is worth exploring or what contribution the proposed project is apt to make to practice.

4. References – Cite references using APA 6th ed. Manual.

5. 4 pages.

Expectations

· Format: Completed Word doc with references in APA 6th ed. format

· File name: Save the file with Student First Name_Last Name_Part 1 

 look at this site: https://acimedical.wordpress.com/2012/07/26/complications-with-negative-pressure-wound-therapy-abstract-and-introduction/ 

Choose one of the numerous partners involved in global health (clinical care providers, governmental agencies, private foundations, corporations, intergovernmental groups, public-private partnerships, nonprofit organizations, the defense sector, universities, the media, and many others. 

1. Select a health related topic for which you want to advocate for. Request help from the agency/ entity of your choice in order to help the problem at hand.  Example: Request Apple to donate $1.00 for every iPhone they sell to provide clean water for the community in Bangladesh.
2. Create a 5 to 10 slide PowerPoint presentation to deliver your message to the agency/ entity of your choice about the health related issue you want help with. 
3. Your slides should:
   • first slide (after title slide) should explain at least three (3) objectives of your request.
   • clearly state purpose of request to agency/ entity. 
   • show relevant and up to date statistic on the problem you are trying to advocate for. (include references)
   • use references according to the APA Style Guide.
   • be original work, and will be checked for plagiarism.

1) Minimum 9 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 2 pages

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

              Part 8: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Community Nursing

Consider especially vulnerable populations within those communities and identify their specific challenges. 

(Mandatory)  You must include in the references : Websites such as CDC’s Climate and Health or EPA’s Climate Change Adaption Resource Center

Assisting communities to adapt to climate change is a challenge we face. 

1. Pick a community near you and determine what climate change impacts they may face (Miami).

2. What vulnerabilities they may have. 

Part 2: Complementary and alternative Health Care

Topic:  Chiropractic 

 1. Where does the word Chiropractic come from?

2. Background / history

3. Who can practice it? Training in Chiropractic?

Part 3: Crisis Intrvention

Violent Behavior in Institutions

Statistics shows that 48% of no fatal injuries from occupational assaults in the United States occurred in health care and social services particularly mental health workers.

1.  Mention, explin and discuss at least 3 precipitating factors for violent behavior in institutions?

Part 4: Aging

1.  Identify two common urinary tract difficulties commonly experienced by the elderly

2. Write two appropriate nursing intervention for the two urinary tract difficulties in elderly  of point 1

3. Describe two age-related changes in male and female reproductive systems, (Mandatory) citing normal and abnormal conditions.

Part 5: Physiology 1

Stress and Disease: 

1. Describe the physiologic effects on body systems of increased cortisol levels released during the stress response.

Part 6: Physiology 2

HIV/AIDS:

1. Describe and discuss transmission

2. pathogenesis

3. clinical manifestations

4. treatment 

5. prevention

Part 7: Pharmacology 1

1. Discuss the adverse event reporting system for medications

2. Explain the outcomes of these adverse report findings, and changes to practice. 

Part 8: Pharmacology 2

 1. Discuss medications to treat asthma. 

2. What specifically should patients be taught about these medications to prevent adverse side effects?

Video Paper Requirements 40 points (select ONE movie and answer all the questions and other information you research to support your answers) The paper must be in APA format.

Personality Disorders

Select one of the following movies and answer the discussion questions that

follow in APA format report.

 Girl Interrupted (1999 Drama; Angelina Jolie, Winona Ryder,

Whoopie Goldberg)

 Fatal Attraction (1987 Thriller/Drama; Glenn Close, Michael

Douglas)

 Natural Born Killers (1994 Thriller/Drama; Woody Harrelson,

Juliette Lewis)

 American Psycho (1999 Drama/Suspense; Christian Bale)

Must answer the following questions in your APA formatted paper.

• Identify the character and the psychological disorder they display.
• Did the movie accurately portray the symptoms of the disorder? Was this an accurate clinical picture? Explain in detail and provide examples from the movie.
• Discuss any inaccuracies and misconceptions perpetrated of the disorder in the Movie. If the disorder was misrepresented explain how this could be misleading to a typical movie-goer?
• How is a personality disorder different from an Axis 1 disorder?

Dissociative Disorders

 Primal Fear (1996 Drama/Suspense; Richard Gere, Edward Norton)

 Me, Myself and Irene (2000 Comedy; Jim Carey, Renee Zellweger)

 Identity (2003 Thriller; John Cusack, Ray Liotta, Amanda Peete)

 Fight Club (1999 Action/Drama; Brad Pitt, Edward Norton)

 Secret window (2004 Thriller; Johnny Depp, John Turturro)

• Identify the character and the psychological disorder they display.
• Did the movie accurately portray the symptoms of the disorder? Was this an accurate clinical picture? Explain in detail and provide examples from the movie.
• Discuss any inaccuracies and misconceptions perpetrated of the disorder in the movie. If the disorder was misrepresented explain how this could be misleading to a typical movie-goer. Many reputable theorists believe DID does not exist. What do you think? Support your thoughts.

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. 

CASE STUDY #2

CHEIF OF COMPLAIN: A 25-year-old Hispanic female, computer programmer presents to your clinic complaining of a 12-day history of a runny nose

SUBJECTIVE: States that her symptoms began about 12 days ago. She suffers from allergies; she gets a runny nose during the spring-time, pollen season. However, in the winter, her allergies are not a problem.

OBJECTIVE  DATA: 

VS: (BP) 115/75, (P) 89, (RR) 16, (T) 100.4°F (38°C), O2 sat 98% on room air

GENERAL: No signs of acute distress. Patient appears mildly fatigued. She is breathing through her mouth. Breathing easily. Voice has a nasal quality to it.

HEENT:Ear canals: normal; EYES: normal; NOSE: Bilateral erythema and edema of turbinates with significant yellow drainage on the right. Nares: Obstructed air passages

RESPIRATORY : CTA AP&L

NECK/THROAT: Posterior pharynx: mildly injected, scant postnasal drainage (PND), no exudate, tonsils 1+, no cobblestoning

HEART: Regular rate and rhythm, no murmur, S3, or S4

answer the following questions:

1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for your each differential diagnosis.

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.