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Overview There are multiple epidemiologic models to view health issues. For thi

Overview
There are multiple epidemiologic models to view health issues. For this discussion concentrate on the epidemiologic model of health promotion and modifiable risk reduction.
Let’s investigate how to apply this model to the current pandemic. Conduct an internet search for your local county’s health department COVID-19 data site.
Post and Respond
1. Create an initial post by that addresses the following in a maximum of 3 paragraphs:
A. What are key aspects of the epidemiologic model of health promotion and modifiable risk reduction?
B. Using the data, how would you apply the model to COVID-19 in your community? In your comments be sure to tell us your county’s location and the size of your community.
C. What additional aspects of the model could be applied to decrease the impact of COVID 19 in your community?
D. Incorporate one professional resource to support your discussion.
2. By 11:59 pm (EST) Friday, respond to one classmate’s post. Your response could:
A. Expand on answering their questions.
B. Identify a different approach or insight.
C. Expand on their concepts or ideas.
3. Identify evidence-based practice in scholarly sources to support your posts. Provide your references in APA Style format. Please make sure to do this part
Ps: My community is Norfolk

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Nursing

Mrs. Y is an 84-year-old client who was recently discharged from the hospital fo

Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.
Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.
The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.
During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s findings were as follows:
Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
The client is noted to have moderate functional issues and ambulates with a cane.
The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.”
Consider Mrs. Y’s current health status and functional decline, then address the following:
Download and complete the Concept Map and Plan of Care worksheet below.
Identify three (3) priority nursing diagnoses for Mrs. Y. Visit the School of Nursing Guide Nursing Reference eBooks section for resources to assist with nursing diagnoses.
Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the Concept Map (template in the worksheet). Be sure each nursing diagnosis includes the following elements:
“related to (r/t)” — descriiption of the client’s problem
“as evidenced by” — descriiption of the client’s symptoms
Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.
Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals). Goals should be: patient specific, measurable, actionable, realistic, and time limited.
Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9 nursing interventions). Each intervention should be in alignment with the goal it is supporting.
Complete the assignment using proper spelling, grammar, and APA.

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Nursing

identify and analyze credible evidence that could be used as the basis for apply

identify and analyze credible evidence that could be used as the basis for applying Evidencce base practice. Provide a specific rationale for the importance or benefit of applying an evidence-based approach. Uses literature to support discussion. Explain criteria that should be considered when determining credibility of resources such as journal articles and websites. Notes one or more ways the criteria could be applied to a specific resource. Analyzes the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis. Additionally, identifies the most useful evidence or resource based upon the analysis.Explains the importance of incorporating credible evidence into an evidence-based practice model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Notes specific examples of how the model could help improve the chosen issue or diagnosis/health care issue.Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors. Exhibits strict and flawless adherence to APA formatting of headings, intext citations, and references. Quotes and paraphrases correctly.

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Nursing

Research the range of contemporary issues teenagers face today. In a 500-750-wor

Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:1. Describe the contemporary issue and explain what external stressors are associated with this issue.2. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what youcan and cannot share with the parent or guardian.3. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented.*You are required to cite a minimum of three peer-reviewed sources to completethis assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.**RubricContemporary Issue and Associated External Stressors 25 pointsAssessment Strategies to Screen for the Issue and External Stressors 22.5 pointSupport Options for Adolescents Encountering External Stressors 18 points Thesis, Position, or Purpose 6.3 pointsDevelopment, Structure, and Conclusion 6.3 points Evidence 5.4 points Mechanics of Writing 5.4 points Format/Documentation 3.6 points

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Nursing

The focus is on public health ethics concepts and application to community/ publ

The focus is on public health ethics concepts and application to community/ public health nursing practice.

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Nursing

Create 3 NAANDA nursing diagnoses for a client with osteoporosis with one smart

Create 3 NAANDA nursing diagnoses for a client with osteoporosis with one smart goal for each diagnosis as well as 2 nursing interventions for each diagnosis. Attached below is the worksheet to fill out.

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Nursing

Jim is a 17-year-old who was brought into the clinic today for back pain. He den

Jim is a 17-year-old who was brought into the clinic today for back pain. He denies injury and does not play sports. His vital signs are within normal limits and his BMI is 24.
Questions: What more should you know about Jim?
What information in your history and exam prompts further testing?
Assuming Jim’s back pain is from muscle strain, how would you manage his condition?

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Nursing

Week 4 you are learning many concepts, the one we will be focusing on with this

Week 4 you are learning many concepts, the one we will be focusing on with this discussion board is appropriate prescribing of medication to the older adult. As Nurse Practitioner, we have the responsibility of deciding if a medication is warranted, which drug is the best to prescribe and how much/often. It is also our responsibility to educate on the side effects of the medication and when to seek medical attention if it should occur. Finally, it is our responsibility to determine the effectiveness of our treatment that was prescribed, for example, is the patient’s glucose stable on Glucophage 500 mg BID PO or do we need to titrate up or down.
Initial Post Instructions:
Please critically evaluate the subjective and objective information provided to you in the attached file below.
The first part of the discussion board is to identify all pertinent positive and, negative information and list missing information.
Then create a differential diagnosis list with at least 3 possibly actual diagnosis based on your findings.
Second part is to create a plan utilizing clinical practice guidelines for the priority diagnosis.
Be sure to utilize template, in-text citations and provide full reference citation at the end of the discussion.
Please use this document for your discussion response:
please use updated references
see below example please use in own words cover all aspect of assignment
Pertinent Positive
History of dizziness resolved by showering (yesterday)
Elevated BP of 189/112 during the feeling of dizziness yesterday
Elevated current BP: 129/86
Family history of Breast cancer, CAD, Diabetes with Hypertension
Has not been to the family doctor in 5 years, will seek urgent care if feeling ill.

Pertinent Negative
Significant medical history
Lightheadedness, dizziness, nausea, vomiting, headache, chest pain, shortness of breath and blurred vision
History of vertigo
History of elevated blood pressure
Increase stress
Use of Tobacco or ETOH
Use of NSAIDs or any recent medications
Use of herbal medicines
Feel like the room is spinning
Feel unsteady on her feet
Weakness, visual changes, ear pain / fullness
Numbness or tingling
Fatigue, Fever and chills
Night sweat
Unexplained weight loss or weight gain
Loss of appetite
Difficulty sleeping
Presence of rashes, itching, nail deformity, hair loss, moles, open areas or bruising
Nasal congestion, sinus pain, facial pressure or rhinorrhea
Sore throat
Difficulty swallowing
Cough and wheezing
Palpitations
Dyspnea
Orthopnea
Dysuria
Hematuria
Pain or swelling in the extremities
Bone pain
Muscle pain
Joint pain
Joint swelling, stiffness, weakness
Back pain
Behavioral changes
Difficulty concentrating
Fainting or motor sensory loss
Seizures
Increase thirst or urination
Thyroid enlargement or tenderness
Suicidal ideation
Depression
Mood swings
Hallucinations
Deformity on the chest
Murmur

See explanation.
Step-by-step explanation
Differential Diagnosis:
Primary hypertension
This means that there’s only present hypertension which is not caused by any other disease
The patient is not aware of the diseases that her parents because one died in MVA and she never knew the other. That is a big significant data that is missing because in maternal side, there’s a history of a cardiovascular disease that has a high percentage of getting passed down to different generations.
Hypertension’s signs & symptoms usually don’t show right away, a patient can be asymptomatic for years without ever knowing that her blood pressure has elevated. Patient might have experienced the first symptom yesterday which was dizziness.
Moreover, patient’s current blood pressure is still a bit elevated.
Secondary hypertension
This means that the hypertension is being caused by another disease that is reversible or manageable The only way to manage this is to manage first the other disease.
Age is a great risk factor for primary hypertension but also to a hundred of lists of other diseases such as renal failure, renal artery stenosis and more.
Since patient has not been to a doctor for 5 years, it’s also possible that she has developed another disease but still asymptomatic up until yesterday when she felt dizzy.
Patient reported that she relieved dizziness after taking a shower. There have been studies where taking a warm shower can lower blood pressure and is great for those with heart conditions. This may be the reason why her dizziness was relieved.
Malignant hypertension
This means an elevation in the blood pressure above 180 in systolic or above 120 in diastolic with an organ damage
This is a differential diagnosis since in the case study, no laboratory examination was done to the patient yet. So we have to rule out if the patient experienced a malignant hypertension yesterday since she also reported that she never had an elevated blood pressure.
Organ damages are mostly symptomatic but they can also be delayed.
It’s a medical emergency however, patient did not go to the hospital right after finding out what her blood pressure was.

References:

Hecht, M. (2019, December 20). Types and Stages of Hypertension. Healthline. https://www.healthline.com/health/types-and-stages-of-hypertension#other-types

Verzwyvelt, M. (2017, September 28). 10 Reasons to Take a Hot Bath or Shower | An Electric Instant Water Heater May Be Good for Your Health. Heatworks. https://blog.myheatworks.com/blog/10-reasons-to-take-a-hot-bath-or-shower
another example:The first part of the discussion board is to identify all pertinent positive and, negative information and list missing information.
Pertinent (+)
65 year-old female – patient is of geriatric age, where cardiovascular and neurologic accidents such as CAD and stroke are more prone to happen
(+) hx of constant dizziness with resolution upon bathing – this is a pertinent positive because this is a symptom of ischemic heart disease, although chest pain should come with the said condition
(+) hypertension with BP 189/112 – blood pressure is at level where hypertensive urgency vs emergency is considered, although the blood pressure was only taken once
(+) family hx of obesity, diabetes, hypertension, breast cancer, CAD – increased risk for the patient to also have the same familial diseases
(+) normal vital signs – patient is apparently well and normal vital signs indicate that the patient is not in distress and this is not an urgent matter that requires urgent intake of medications or any other therapeutic interventions
(+) well-nourished and appears stated age – patient is apparently well
Pertinent (-)
(-) lightheadedness, dizziness, nausea, vomiting, headache, chest pain, shortness of breath or blurred vision – these are all symptoms that could point out to ischemic heart disease, which is an important differential diagnosis for the patient
(-) hx of hypertension – patient is less likely to have any atherosclerotic accidents
(-) medical, surgical or hospitalizations – cause of dizziness is unlikely due to any previous procedures that could have caused any embolisms or any structural abnormalities
(-) fatigue, fever, chills, malaise, night sweats, unexplained weight loss or weight gain, loss of appetite, difficulty sleeping – presumptively rules out infection, malignancies, thyroid abnormalities
(-) headaches or hx of vertigo, loss of vision or blurry vision, fainting, motor sensory loss, increased thirst or urination – presumptively rules out stroke, diabetes
(-) no JVD – presumptively rules out congestive heart failure
Peripheral pulses normal and equal in all extremities – presumptively rules out congestive heart failure
(-) edema noted on extremities – presumptively rules out congestive heart failure
Missing information
History of falls – Has she had any instances where her head hit the ground or something hard?
Dietary habits – Does she like fatty food? Is she eating enough protein?
Lifestyle – How many times a week does she exercise? What are her usual activities of daily living?
Diabetes history – Had she been told by a medical practitioner that she was diabetic?
On anticoagulant therapy? – Has she been taking any warfarin/heparin prescribed by her doctor?
How exactly was the blood pressure taken? Were proper steps followed? – Did she take a 15-minute rest prior to taking her blood pressure? Was the cuff positioned properly? Did she repeat blood pressure taking after 10-15 minutes?
List differential diagnosis list with at least 3 possibly actual diagnosis based on your findings.
Rule out Hypertensive crisis
Hypertensive crises refer to patients with severe blood pressure elevations (systolic blood pressure ≥ 180 mm Hg or diastolic blood pressure ≥ 120 mm Hg), and can be further classified as:
Hypertensive emergency – severe elevation in blood pressure is accompanied by end-organ damage
Hypertensive urgency – severe elevation in blood pressure occurs without end-organ damage
Benign Paroxysmal Positional Vertigo
BPPV is an inner ear disorder manifested by repeated episodes of spinning sensation triggered by changes in head position relative to gravity.
BPPV results from a small crystal of calcium carbonate (canalith, otoconia) entering a semicircular canal, usually affecting the posterior canal but it can also affect the horizontal or anterior (superior) semicircular canals.
Suspect BPPV in patients with a history and physical exam consistent with repeated brief (seconds) episodes of vertigo immediately following changes in head position and without signs or symptoms of hearing loss or an underlying neurological disorder.
Vestibular neuronitis
Vestibular neuronitis is inflammation of the vestibular nerve leading to acute, spontaneous peripheral vertigo.
The exact cause of vestibular nerve inflammation is unknown, but it is potentially due to precedent or concurrent viral infection.
It most commonly affects the superior division of the vestibular nerve (reported in 55%-100% of patients), and less commonly affects the total vestibular nerve (reported in 15%-30% of patients) or rarely, the inferior division of the vestibular nerve (reported in up to 15% of patients).
Patients often present with sudden spontaneous vertigo, nausea/vomiting, unsteadiness, and oscillopsia (visual disturbance in which items in the visual field appear to oscillate).
Step-by-step explanation
Second part is to make a plan utilizing clinical practice guidelines for the priority diagnosis.
Distinguishing hypertensive urgency from emergency requires tests to evaluate cerebral, cardiovascular, renal, and hematological function and damage, including:
blood tests including electrolytes, blood urea nitrogen, creatinine, and complete blood count
cardiac biomarkers
urinalysis (for proteinuria or hematuria consistent with glomerular damage)
toxicology screen
electrocardiogram
careful examination of optic nerve for signs of intracranial hypertension (with pupillary dilation if needed)
Imaging based on clinical suspicion for specific conditions, including:
chest x-ray (for signs of left ventricular failure)
chest computed tomography or Doppler echocardiography in patients with unequal pulses or widened mediastinum on chest x-ray – to look for dissecting aortic aneurysm
head computed tomography in patients with signs and symptoms of neurologic abnormalities to evaluate for ischemic or hemorrhagic stroke, and subarachnoid hemorrhage
Consider an evaluation for secondary causes of hypertension.
After obtaining the patient’s complete history, do the following:
Perform risk stratification and determine proper treatment setting for patient
Obtain vital signs with blood pressure taken in both upper extremities
Perform fundoscopic exam to assess for papilledema, which suggests hypertensive encephalopathy
Screen for noncompliance or abrupt discontinuation of medications that cause rebound hypertension (such as beta-blockers, clonidine, and minoxidil) or alcohol withdrawal
Assess for illicit drug use that could precipitate a hypertensive crisis (such as cocaine, amphetamines, and phencyclidine)
Consider the following laboratory tests depending on the clinical presentation of the patient:
Electrolytes
Blood urea nitrogen
Creatinine
Coagulation studies
Fibrinogen
Urine toxicology screen
Urine pregnancy test
Urinalysis for proteinuria, red blood cells, and cellular casts
Cardiac enzymes
Brain natriuretic peptide
Consider urine protein or 24-hour urine test for catecholamines in select patients where there is concern for secondary hypertension
Consider complete blood count and peripheral blood smear to check for microangiopathic hemolytic anemia
Order electrocardiogram to check for myocardial ischemia, infarction, and/or signs of left ventricular hypertrophy
Determine in-house availability of subspecialists and need for consultation as dictated by specific end-organ involvements
Ensure start of IV (hypertensive emergency) or oral (hypertensive urgency) antihypertensives prior to departure from the emergency department if indicated
please use in own word! examples are answers and format

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Nursing

Create a 2-4 page resource that will describe databases that are relevant to evi

Create a 2-4 page resource that will describe databases that are relevant to evidence base practice about pre-eclampsia and could be used to help a new hire nurse better engage in evidence base practice. Describes communication strategies to encourage nurses to pre-ecampsia, as well as strategies to collaborate with the nurses to access resources. Additionally, notes specific benefits of strategies in helping to build professional competence or a positive professional relationship. Cites literature to support discussion. Describes the best places to complete research within the workplace environment and what types of resources one would want to access resources to find pertinent information for a diagnosis. Notes one or more reasons for utilizing the places within the health care setting.Identifies five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence specific to a clinical diagnosis/health care issue, and ensures three out of five are specific to the diagnosis/health care issue. Ranks the sources from most useful for nurses to least. Explains why the sources selected should provide the best evidence for the chosen diagnosis/health care issue. Notes criteria used to determine the relevance and usefulness of the sources. Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors. Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly.

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everything is contained in the guideline. This message is for the writer of this

everything is contained in the guideline.
This message is for the writer of this paper, this is for a friend, so the writer should choose another drug to write on, I am only helping a friend place this order. All the instructions are the same. The writer already knows what to do.