Cultural Differences

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The culturally diverse population I chose is high-risk pregnant women with multimorbidities and risks.

Provide background information and characteristics of this group.

Identify areas of concern derived from your assessment of this group.

What are the basic concepts of health promotion and disease prevention?

Explain both the positive and negative factors that can affect health promotion and wellness for these populations in general, and the one you are focusing on in particular.

What barriers to communication may be present, and how might you overcome them?

must be at least 150 words with at least one APA formatted reference throughout the post and at the end as a reference.

Quality Measures

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Healthcare quality standards are critical and provide a baseline against which measurement and evaluation are assessed. There are common performance measurement selection criteria for determining the standards. In addition, it is essential that organizations track their trends in quality improvement measurements in order to continue the improvement process. For this discussion, consider the following:

Identify, compare, and contrast 2–3 external organizations that analyze quality improvement.

Offer a brief description of the unit or organization where you work or have worked in the past.

Identify and describe one healthcare quality standard that is applicable to your area.

How does the performance of your unit or organization measure against local, regional, or national standards?

What process is in place to monitor your unit or organization’s progress, and is this information disseminated to the staff? If so, how?

Identify strategies that could maintain or improve your unit’s current quality performance.

AREA: Denver Colorado, USA

topic: high risk pregnant women with multimorbidities and risks

must be at least 150 words with at least one APA formatted reference throughout the post and as a reference

Patient Safety Initiatives

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In an effort to maintain a healing and caring environment, one of the most important things we can do for our clients is to ensure their safety. Engaging in quality assurance and process improvement strategies are one way to do this, but there are many others as well. For this discussion, consider the following:

Identify one patient safety initiative that is in place or would be helpful in your unit or organization.

What led you or your organization to this selection? What role do you think the risk management department plays in patient safety?

How does (or could) your unit or organization measure its success with this initiative?

What indirect impact could this initiative have (financial, satisfaction, and so on)?

What strategies will you now incorporate into your daily practice to improve patient outcomes in terms of fostering patient safety?

population: High risk pregnant women with multimorbidities and risks. in Denver Colorado, USA.

must be at least 150 words with at least 1 APA formatted reference throughout post and as a reference

Assessing Neurological Symptoms

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To do a comment to each post with two credible reference each comment with citation above 2013

Post 1

Patient Information:

XX, 20, Male

S.

CC: “intermittent headaches”

HPI: 20 year old male who complains of experiencing intermittent headaches, which diffuses all over his head. The great intensity and pressure occurs above the eyes and spreads to the nose, cheekbones, and jaw.

Location: Generalized headache

Onset: Unknown

Character: Pressure

Associated signs and symptoms: Greatest intensity above eyes and spreads to the nose, cheekbone, and jaw

Timing: Intermittent

Exacerbating/ relieving factors: Unknown

Severity: Unknown

Current Medications: Unknown

Allergies: Unknown

PMHx: Unknown

Soc Hx: Unknown

Fam Hx: Unknown

ROS:

GENERAL: Unknown

HEENT: Unknown

GENITOURINARY: Unknown

NEUROLOGICAL: Unknown

MUSCULOSKELETAL: Unknown

LYMPHATICS: Unknown

PSYCHIATRIC: Unknown

ALLERGIES: Unknown

O.

HEENT: Unknown

GENITOURINARY: Unknown

NEUROLOGICAL: Unknown

MUSCULOSKELETAL: Unknown

LYMPHATICS: Unknown

Diagnostic results:

Mental Status Screen: The cause of a headache could have a life-threatening cause. Ruling out life threatening causes first is the priority. Completing a mental status screen first is imperative to ensure the patient is fully orientated and able to provide a accurate health history (Dains, Baumann, & Scheibel, 2016, p. 221).

Determine the presence of a trauma. Bleeding can occur which can result in a sudden change in mental status (Dains, Baumann, & Scheibel, 2016, p. 223).

Determine the presence of any underlying chronic disease process. Patients who are immunocompromised are more likely to acquire an infection that could affect the brain. Furthermore, a headache could result from an electrolyte imbalance, blood sugar change, or hypercapnia to name a few (Dains, Baumann, & Scheibel, 2016, p. 223).

Complete blood count (CBC) with differential: Ordered to detect any abnormal lab findings (Dains, Baumann, & Scheibel, 2016, p. 229).

Computed Tomography Scan (CT): Will detect any intracranial disease and should be completed with a new onset headache or in the presence of abnormal neurological findings (Dains, Baumann, & Scheibel, 2016, p. 229).

Lumbar Puncture: Will evaluate the cerebrospinal fluid pressure and can detect altered components, such as lymphocytes, glucose, protein, and bacteria. Would aid in detecting an infection of the central nervous system (Dains, Baumann, & Scheibel, 2016, p. 229).

Erythrocyte Sedimentation Rate (ESR): Elevated in the presence of inflammation and is utilized when arteritis is suspected (Dains, Baumann, & Scheibel, 2016, p. 229).

Skull Radiography- Utilized post trauma to view intracranial structures (Dains, Baumann, & Scheibel, 2016, p. 229).

A.

Differential Diagnoses:

Tension-Type Headache (TTH): Most common adulthood headache. Often related to muscle contraction that could be caused by hunger, depression, or stress. Sign and symptoms include bilateral, generalized, or localized pain that distributes in the frontotemporal region. The level of pain can be mild to moderate with a throbbing, tight, or pressurized pain with a gradual onset. Duration is different for every patient, but can range from hours to months (Dains, Baumann, & Scheibel, 2016, p. 230; Kim et al., 2017)

Mixed Headache: Occurs from muscular and vascular contraction. The pain is often described as throbbing with a constant pain while the patient is awake. Further symptoms include tightness, pressure, and muscle contraction. This is a possible diagnosis, but not expected due to the patient not complaining of muscle contraction (Dains, Baumann, & Scheibel, 2016, p. 230).

Sinusitis: Would be consider a secondary headache because it is caused by another disease process. Sore throat, postnasal discharge, and facial pain are often seen in conjunction with the headache. Specifically, pain occurs over the affected sinuses. This is a possible diagnosis, but additional respiratory symptoms would be expected if it were the cause (Dains, Baumann, & Scheibel, 2016, p. 230).

Cluster headache: Onset is typically abrupt, occurs at night, and seen mostly in men. Pain is described as as severe, burning, piercing, or neuralgic. An episode can be 15 minutes to 2 hours at a time. The patient will experience several episodes in a cluster of time. Each cluster ranges from days to weeks. Other symptoms seen with a cluster headache are ipsilateral rhinorrhea, conjunctivitis, facial sweating, ptosis, and eyelid edema. Headaches are brought on by the consumption of alcohol, stress, and heat or wind exposure. Overall, the patients clinical presentation does not match cluster headaches (Dains, Baumann, & Scheibel, 2016, p. 230; Weaver-Agostoni, 2013).

Dental disorders: The presence of a tooth abscess or nerve root dysfunction could cause a headache with associate facial pain. The oral inspection of the mouth may reveal redness or area of infection. The oral mucosa will also be tender to touch. This is a possible diagnose for out patient, but not likely given we do not know the results of his oral exam (Dains, Baumann, & Scheibel, 2016, p. 230).

Community Nursing Clinical

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MAP- Mobilize, Assess, and Plan: – background on the health problem, local and global statistics, a windshield survey, demographics of the population of interest, information concerning stakeholders, funding, policy and legal issues as well as plans for implementation.

Public Health Issues

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Present a basic case in which an individual would wish to change a long-term health behavior? For example, a 39-year-old female wishes to stop her two-pack-a-day smoking habit which she has had for 10 years. Using various models and theories of behavioral change help create strategies for modifying the patient’s behaviors. Explain the process/methods that could be used to accomplish this goal. Predict how long this may take and what challenges may present themselves? Review three peers’ postings and provide constructive feedback on additional changes which could be beneficial as well as additional insight.

Please provide APA intext citations and references

Question 2.

Why is health promotion/education such an important component to behavioral change? Why do you think behavioral change is so difficult for an individual?

My Chosen Geographic Area Is Boston Mass

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National health policy sets the tone for the nation on how to implement, strategize, and achieve specific health goals. However, states often times have the option to not fully implement certain health policies based on their state needs. Thus, health policy varies in every state and can lead to varying health outcomes. This week, you will learn the national- and state-level impact of a healthcare policy.

Read the following case study from your textbook:

Case 15: The Diethylstilbestrol Story: An Investigation into the Evolving Public Health Policy for Pharmaceutical Products

Then, visit the Kaiser Family Foundation Web site at Kaiser Family Foundation -Health Policy Research, Analysis, Polling, Facts, Data and Journalism and research health policy at the national and state levels. Narrow down your focus to the geographic region or location you identified in W1: Assignment 3. This would be the same area which you plan to work on for your Course Project.

Then, respond to the following:

Using your chosen geographic region or location, select a particular health policy and then discuss its national- and state-level impact on the population.

Consider and discuss how the policy was implemented and if it was effective at achieving the intended outcome.

Discuss the themes and barriers that arose as a result of implementation to the policy.

Provide support/recommendations for how the policy could be improved upon.

Professional Capstone and Practicum Reflective Journal Essay Assignment Paper

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The assassination of Archduke Franz Ferdinand was the immediate cause of World War I. But the events that led to the Great War go further back into the nineteenth century. As with the Boxer Rebellion of 1900, nationalism, imperialism, and militarism all played a part. World War I Essay Assignment Paper.

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Analyze how the forces of nationalism, imperialism, and militarism irrevocably led to World War I. Pay particular attention to the rise of Pan-Slavism in Eastern Europe and the corresponding rise of nationalism in German-speaking states. Analyze how the alliance system contributed to the ultimate outbreak of war. World War I Essay Assignment Paper

Then analyze the events that drew the United States into World War I. Clearly discuss why America first remained neutral between1914-1917. What role did ethnicity play in America’s neutrality? Then identify and analyze the specific events that led to America’s entrance into the war. Evaluate America’s contribution to the war effort and to what extent America’s entry contributed to the end of the war. Finally, analyze the events that led to the defeat of the Treaty of Versailles. What effect did this have on America’s role in the world during the 1920s and 1930s? Pay particular attention to the role of President Woodrow Wilson both during and after the war, in particular, his efforts to establish the League of Nations. World War I Essay Assignment Paper

This World War I essay assignment paper must be four to five double-spaced pages in length (not including the References page) and utilize no less than four academic quality sources. Margins should be no more than one inch (right and left) and the essay should be composed in an appropriate font and size. Sources must be documented and cited using APA format. World War I Essay Assignment Paper

Critical Thinking Exercise

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This assignment is worth up to 75 points. We will apply course concepts from Myers Chapter 7 (Persuasion) to the following case:

Case. Spin doctoring is form of impression management that has been in the repertoire of public relations practitioners for four decades. The term refers to the tactic of shifting the focus off of the negative and harmful aspects of something by substituting another issue that has positive connotations. Spin doctors change the terms of public perception and debate using the mass media, which today includes blogs and social media like Facebook. Spin doctoring is an international phenomenon the serves the interests of organizations in every sector of society.

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The tobacco industry is considered to be the classic case of spin doctoring. After 1966 when the Surgeon General of the U.S. pronounced that cigarette packages must carry a health warning, the tobacco industry found a way to offset the damaging publicity by sponsoring sports and arts events and giving grants for community development. By de-emphasizing the dangers of smoking and emphasizing the positive contributions being made to community life, Big Tobacco trivialized the health problems and turned attention instead to its displays of corporate social responsibility. Spin Doctoring Essay Assignment Paper – Critical Thinking Exercise.

A contemporary example of spin doctoring relates to the claim that Saddam Hussein had weapons of mass destruction, which was the original rationale for the U.S. invasion of Iraq in 2003. When the intelligence about weapons of mass destruction proved to be faulty, the debate was quickly and skillfully shifted by spin doctors to a humanitarian argument that the Iraqi people must be freed from the clutches Saddam Hussein the ruthless dictator. While no evidence of weapons of mass destruction could be found, mass graves of Iraqi citizens killed at the behest of Saddam Hussein could be found and thus, legitimate the invasion. Spin Doctoring Essay Assignment Paper – Critical Thinking Exercise.

The debate over climate change and global warming is very similar in some ways to the tobacco example because it involves the efforts of hydrocarbons producers to debunk the hypothesis that global warming is primarily caused by the high levels of CO2 emissions associated with the consumption of fossil fuels. By spinning the argument away from CO2 emissions towards touting how technology is producing cleaner, greener fuels, the hydrocarbon industry gives the appearance of being environmentally responsible at a time when the pressure from environmental organizations like Greenpeace and the Suzuki Foundation, and high-profile environmentalists like Al Gore cannot be denied.

Your Assignment: Use critical thinking to analyze the following three questions relating to aspects of persuasion. Specifically utilized the particular course concept or concepts stated in each question.

Which paths(s) to persuasion is/are present in the global warming case? Explain how the paths are shown.
How does the tobacco industry example fit into our understanding of impression management?
Is spin doctoring the same as propaganda or is it fundamentally different? How so? Address the weapons of mass destruction case in your answer.
Expectations

You will address each of the required questions in essay form, explaining the reasoning behind your answer and identifying the course concept(s) explicitly;
You will use subheadings so that each question clearly occupies its own section of the paper;
Your name will appear on the first page of your paper; Spin Doctoring Essay Assignment Paper – Critical Thinking Exercise.
You will use APA citations in the text and include a References section at the end of your paper
You will spell and grammar check your paper
Grading:

60 points per question for quality of your answer and use and understanding of course terminology to each of the required questions (20 points per question). Spin Doctoring Essay Assignment Paper – Critical Thinking Exercise.
15 points for orderly presentation in subsections, freedom from spelling and grammar errors, and use of APA style. Spin Doctoring Essay Assignment Paper – Critical Thinking Exercise

Design for Change Proposal Essay Assignment Paper Guidelines

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Purpose

You are to create a Design for Change proposal inclusive of your Practice Issue and Evidence Summary worksheet from your Capstone Project Milestone 1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program.

Course Outcomes

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This assignment enables the student to meet the following course outcomes.

CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO1)
CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO2)
Due Date

Milestone 2 consists of the proposal for your Design for Change Capstone Project. Use the Turnitin Inbox to submit this assignment by the end of Week 4.

Rubric

Click to view and download the NR451 Milestone 2: Design for Change Proposal Rubric (Links to an external site.)Links to an external site. Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

Points

Milestone 2 is worth 225 points.

You are required to use one of the required articles from the Week 3 Milestone 1 assignment or you will earn a \”0\” for the assignment. In addition, assignments that do not follow the current guidelines or use the required article will be evaluated for evidence of an academic integrity violation. Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.

Directions
A tutorial with tips for completing this assignment may be viewed at https://atge.webex.com/atge/ldr.php?RCID=b0c912eaf53b4aabb1347a026466c60e (Links to an external site.)Links to an external site.
Review the feedback you received from your instructor for Milestone 1, and use it to develop this milestone. Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

Create a proposal for your Design for Change Capstone Project. Open the recommended assignment specific Milestone 2 Design Proposal Template (Links to an external site.)Links to an external site.. Use this to write your paper. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice. Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

The format for this proposal will be a paper following the Publication manual of APA 6 th edition.
The paper is to be four- to six-pages excluding the Title page and Reference page.

As you organize your information and evidence, include the following topics.
Introduction: Write an introduction but do not use \”Introduction\” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.
Change Model Overview: Overview of the ACE Star model (the model we have been discussing this session); define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings. Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines
Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.

Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, \”How do I know this?\” and then cite the source. Scholarly sources are expected, which means using peer-reviewed journals and credible websites.
Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change

Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

NR451 Milestone2 Rubric
Criteria Ratings Pts
This criterion is linked to a Learning Outcome Introduction
Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified.) Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

25.0 pts
Introduction to the plan is nursing focused, and evidence-based. Potential interventions clearly identified.

22.0 pts
Introduction to the plan is missing one of the elements listed in the first column.

20.0 pts
Introduction to the plan is missing two elements listed in the first column.

10.0 pts
Introduction lacks evidence to support need for change and/or potential solution is not evidenced-based.

0.0 pts
Introduction is missing.

25 pts
This criterion is linked to a Learning Outcome Change Model Overview
An overview of the ACE Star model as a guide for change is given. Scope of the problem is identified. Stakeholders are identified. Team members and their roles and practice area are identified and discussed. State how nurses should use this model as a guide to facilitate change.

50.0 pts
Overview of the ACE Star model is given. Scope of problem is identified. Rationale for change is present. Stakeholders are identified. Practice area, team members and role are discussed.

44.0 pts
All elements in the first column are included but discussion of one or more items lacks details.

40.0 pts
Overview is missing one of the elements from the first column.

19.0 pts
Overview of the ACE Star model is given. Scope of problem is not identified. Rationale for change is not present. Stakeholders are not identified. Practice area, team members and role are not discussed.

0.0 pts
Change Model Overview is missing all elements of the first column.

50 pts
This criterion is linked to a Learning Outcome Evidence
Evidence is provided thru basic information that indicates a change is needed. For example, there have been 6 urinary tract infections over the last two months and there were none present the last two years at the same time period. What are some of the evidence-based interventions you discovered in your Evidence Summary that do you plan to use?

50.0 pts
Evidence summary is thoroughly provided with information of the current problem in the work setting indicating a change is needed. Interventions discovered in Evidence Summary are used in planning for change.

44.0 pts
Evidence summary contains all elements in the first column, however, one or more items lacks detail.

40.0 pts
Evidence is vaguely provided through information of the current problem in the work setting indicating a change is needed. Some of the interventions discovered in Evidence Summary are used in planning for change.

19.0 pts
Evidence is provided through information of the current problem but is not convincing. Interventions discovered in Evidence Summary are not used in planning for change.

0.0 pts
Evidence summary is not provided. Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines

50 pts
This criterion is linked to a Learning Outcome Translation
Activities to achieve the final steps of change are fully described. What is needed to achieve? How do you translate what information you have gathered into practice? Include measurable outcomes. How do you inform staff? What is your plan of action to pilot the plan? What is the timeline?

50.0 pts
Activities to achieve final steps of change are fully described. Ways to translate evidence into practice are discussed (outcomes). Methods to inform staff, activities planned for plan of action and timeline are discussed.

44.0 pts
Activities to achieve final steps of change are adequately described.

40.0 pts
Activities to achieve final steps of change are briefly described.

19.0 pts
Minimal description of the activities to achieve final steps of change.

0.0 pts
Activities for final change plan are missing. Translation of evidence into practice is missing.

50 pts
This criterion is linked to a Learning Outcome Conclusion
Clear, solid summary of the key points, ACE Star model and steps of the change plan are included; ways to sustain the change plan are described.

25.0 pts
Detailed summary of main points using ACE Star model. Ways to sustain plan are thoroughly described.

22.0 pts
Summary of main points/model is brief. Ways to sustain plan are briefly described.

20.0 pts
Summary of main points/model is vague. Ways to sustain plan are vaguely described.

10.0 pts
Summary of main points/model OR ways to sustain plan are not described.

0.0 pts
Summary is missing. There is no plan to sustain change.

25 pts
This criterion is linked to a Learning Outcome Mechanics
APA format 6th edition. Grammar, sentence structure, punctuation, and spelling correct. References, citations correct. Paper formatted in APA format. 0-1 errors

25.0 pts
APA format 6th edition. Grammar, sentence structure, punctuation, and spelling correct. References, citations correct. Paper formatted in APA format. 0-1 errors

22.0 pts
Two to three errors in elements from the first column.

20.0 pts
Four to five errors in elements from the first column.

10.0 pts
Six to seven errors in elements from the first column.

0.0 pts
More than seven errors.

25 pts
Capstone Project Milestone 2: Design for Change Proposal Essay Assignment Paper Guidelines