Health Care

Research Paper

Research Paper

Please, review the following case study. The following questions with guide your research paper.

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Maria is 15 years old and 74 pounds overweight. Her father is an uber driver who was recently diagnosed with type 2 diabetes and cardiovascular disease. Her mother works for a cleaning company. She is overweight with lipid disorder (high blood levels of low-density lipoprotein (LDL) cholesterol and triglycerides). She is taking two antihypertensive medications at present time. At a recent health science fair at Maria’s school, a student-led screening clinic documented Maria’s blood pressure at 141/92 mm Hg. The family immigrated from Nicaragua 3 years ago and they do not have health insurance.

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During health science fair, the following data was recorded: 56% of the students with BMI 25.0 to <30 and 18% of the students with BMI 30.0 or higher.

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Consider yourself a community health nurse.

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  • Is obesity a major health issue in the United States?
  • According to the National Health and Nutrition Examination Survey (NCHS, CDC; BRFSS, 2012), how is obesity defined?
  • What is your role as a community nurse?
  • What risk factors should be explored for Maria’s family for cardiovascular disease? Mention social determinants of health in this case. Incorporate the concepts of health promotion and risk reduction.
  • Would you apply any of the behavioral change models to address health promotion and risk reduction in this case (theoretical frameworks of behavioral change / models discussed on Chapter 5 of textbook). Describe your selection.
  • Public health nurses use statistics to demonstrate the need for obesity program development and community interventions. According to the most recent CDC data: What data were identified about obesity in children and adults?
  • Is there a necessity of planning a community nursing intervention? How will you do that? Will you work alone or in collaboration / teamwork? Will you look for funding? How?
  • If you decide to do a community intervention. How would you evaluate the community-level intervention(s)?
  • Will you use social marketing to change health behaviors or beliefs, social or cultural norms, or community standards to improve health or benefit society. Which resources will you use?
  • Mention research studies that support any of the above (1 through 9) (mention at leas 3 research studies in the paper).

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The National Institutes of Health

The National Institutes of Health

Between 2004 and 2007, the National Institutes of Health conducted a STEP study.

The STEP Study is the name of a clinical trial to test an experimental human immunodeficiency virus (HIV) vaccine that aimed to stimulate production of immune system T cells that can kill HIV-infected cells. The study enrolled 3,000 participants at sites in Australia, Brazil, Canada, the Dominican Republic, Haiti, Jamaica, Peru, Puerto Rico, and the United States.

On the basis of its first evaluation of vaccine efficacy, the findings were as follows:

  • There were 24 cases of HIV infection among the 741 volunteers who received at least one dose of the investigational vaccine.
  • There were 21 cases of HIV infection among the 762 volunteers who were vaccinated with a placebo.
  • In volunteers who received at least two vaccinations:

The investigators of the vaccine trials have decided to cease immunizations and are contacting study volunteers to inform them of the developments.
Prior to beginning this study, how would you have described the risks and benefits of the study to participants? Share your thoughts and discuss the ethical issues surrounding this study at the beginning and at the time the decision was made to terminate the study.
Justify your response using examples and reasoning. Comment on the postings of at least two classmates, explaining whether you agree or disagree with their views.

Reference:

National Institutes of Health (2007). Immunizations are discontinued in two HIV vaccine trials. Retrieved from http://www.niaid.nih.gov/news/newsreleases/Archive…

Evaluation Criteria:

  • Provided at least one risk and one benefit.
  • Discussed at least two ethical issues at the beginning and two ethical issues at the end of the study.
  • Justified answers with appropriate research and reasoning by using examples and references from textbooks, the South University Online Library, and other acceptable references, citing the sources in APA format.
  • Commented on the postings of at least two classmates by asking questions, providing a point of view with a rationale, challenging a point of the discussion, or making a relationship between two or more points.

Requirements: 2-3

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Learning activity# 5

Learning activity# 5

Research and analyze at least five (5) monographs, articles, websites, or other credible sources published over the last year that inform notable concerns, practices and solutions in United States healthcare finance.( 4 pages minimum)

  1. Briefly summarize the content and conclusions of each of your research sources. Provide source links.
  2. After considering the research, what were your biggest analytical judgments about the current state and future prognosis of about the healthcare finance topics you selected? Why?
  3. What major barriers did you learn about that might impact the speed and trajectory of future solutions to the healthcare finance challenges you identified from your research?
  4. Formulate and explain three specific, practical ideas you believe major healthcare organizations should prioritize for implementation to improve their financial practices, processes and performance outcomes in the future. How do you envision your ideas would benefit patients and other stakeholders of the healthcare ecosystem? What would be different and better from the status quo?

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The heart?

The heart?

Janet was the tallest person in her family. Her brother used to joke with her and tell her she could play Abraham Lincoln in any play because she was tall and lanky just like good old Abe.

Janet was the star center on her high school basketball team. She had always been tall with big hands and long fingers, perfect for snagging the ball on rebounds. Recently, Janet had begun wearing contact lenses because she was having trouble seeing the hoop clearly. The optometrist had diagnosed her with nearsightedness, something that her parents also experienced.

Recently, while practicing basketball with her high school team, Janet experienced some pain in her chest. She mentioned this to her coach, but since it was the beginning of the season and they had recently started practicing, the coach assumed that she had pulled or overworked a muscle. The coach suggested that she take some Tylenol and apply ice to her chest to relieve the pain.

Five minutes in to their first game of the season, Janet experienced dizziness and motioned for the coach to take her out. As she walked to the bench, she lost consciousness and passed out. The referees couldn’t feel a pulse and started CPR while waiting for the paramedics and ambulance to arrive.

When Janet came to, she was in a hospital bed in CCU of the local hospital. The doctors advised her that she likely had a disease called Marfan’s syndrome. As a result of that disease she had experienced cardiac arrest and that she had a mitral valve prolapse.

Deliverables

Answer the following questions and save your responses in a Microsoft Word document. Provide a scholarly resource to support your answers.

  1. What are the four valves found in the heart and where are they located? Give all names for each valve.
  2. What is a mitral valve prolapse and what causes this in Marfan’s syndrome specifically?
  3. What happens to blood flow (specifically) with a mitral valve prolapse (where would the blood back up to and why)?
  4. If a person were to have a prolapse of the tricuspid valve, what specifically would happen to the flow of blood in that case?
  5. Do you think Janet will ever play basketball again? Why or why not?

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mn580 fnp II Constipation and encopresis

mn580 fnp II Constipation and encopresis

Constipation and encopresis

Focusing on the pediatric patient, discuss the current evidence-based recommendations by leading pediatric experts and professional organizations. Focus your discussion on guidelines for pediatric healthcare providers prescribing medications to the young pediatric patient.

You are expected to present your initial topic including, but not limited to, the following items:

Pathophysiology

Physical exam findings

Differential diagnoses and rationale

Management plan to focus on pharmacotherapy agents based upon evidence-based practice guidelines

About one page. At least 3 references, not older than 5 years old. APA style

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