Response to a discussion post . Advanced Pharmacology

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OM

 Learning Resources

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Chapter 1, “The History and Interviewing Process”This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.

Chapter 5, “Recording Information”This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
Chapter 2, “The Comprehensive History and Physical Exam” (pp. 19–29)

Deckx, L., van den Akker, M., Daniels, L., De Jonge, E. T., Bulens, P., Tjan-Heijnen, V. C. G., … Buntinx, F. (2015). Geriatric screening tools are of limited value to predict decline in functional status and quality of life: Results of a cohort study. BMC Family Practice, 16, 1–12.  https://doi-org.ezp.waldenulibrary.org/10.1186/s12875-015-0241- x 

Wu, R. R., & Orlando, L. A. (2015). Implementation of health risk assessments with family health history: Barriers and benefits. Postgraduate Medical Journal, (1079), 508–513. 

Lushniak, B. D. (2015). Surgeon general’s perspectives: Family health history: Using the past to improve future health. Public Health Reports, (1), 3. 

Jardim, T. V., Sousa, A. L. L., Povoa, T. I. R., Barroso, W. K. S., Chinem, B., Jardim, L., … Jardim, P. C. B. V. (2015). The natural history of cardiovascular risk factors in health professionals: 20-year follow-up. BMC Public Health, 15(1111), 1–7. https://doi-org.ezp.waldenulibrary.org/10.1186/s12889-015-2477-8 

Shadow Health Support and Orientation Resources

Use the following resources to guide you through your Shadow Health orientation as well as other support resources:

Frey, C. [Chris Frey]. (2015, September 4). Student orientation [Video file]. Retrieved from https://www.youtube.com/watch?v=Rfd_8pTJBkY

Shadow Health. (n.d.). Shadow Health help desk. Retrieved from https://support.shadowhealth.com/hc/en-us 

Document: Shadow Health. (2014). Useful tips and tricks (Version 2) (PDF)

Document: Sh

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

  • By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
  • How would your communication and interview techniques for building a health history differ with each patient?
  • How might you target your questions for building a health history based on the patient’s social determinants of health?
  • What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
  • Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
  • Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
  • Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

Response

  • Share additional interview and communication techniques that could be effective with your colleague’s selected patient.
  • Suggest additional health-related risks that might be considered.
  • Validate an idea with your own experience and additional research.

 Respond to this post. At least 2 citations. APA format. 7th edition

Building a Health History

My assigned patient for this week’s discussion is a 14-year old biracial male living with his grandmother in a high-density public housing complex.  As clinicians, it is very important to gather as much pertinent information as you possible can. This will help with building health history and identify potential issues or concerns. Building health history and gathering pertinent information also give clinicians the opportunity to customize care to a patient’s individual needs. This will also help with forming diagnosis and implementing plan of care.

Interview and Communication Techniques

When conducting an interview with an adolescent, it is imperative that you develop a rapport with the patient, parents, or guardian. Developing a rapport will make the adolescent comfortable and easier to communicate with. I would provide privacy so that the patient and I are away from his family. This will allow the patient to share information with me that he may not disclose if his family was present. I would first find out about his interests, hobbies, and other things he enjoys doing. I would inform him that the environment is a safe space, and he should express himself as he sees fit. I would then begin my head to toe assessment, informing the patient of what I am doing while doing it. While doing my head to toe assessment, I would allow the teen to talk about any concerns he may currently have. I would also use the opportunity to enquire about school, nutrition, health, activities with friends and his homelife. After completing my assessment, I would invite his guardian to rejoin us and give her the opportunity to express any concerns or issues she may have. I would advocate for my patient as I see fit and I would educate all parties involved on any abnormal findings and the best plan of care. When communicating, I would use simple words that are easily understood, to prevent any miscommunication or misunderstanding.   

Risk Assessment Instrument

I chose the HEADSS interview tool for my adolescent patient. This is a screening tool that is used to facilitate communication and to create a sympathetic, confidential, and respectful environment where youths may be able to attain adequate healthcare (BC Children’s Hospital, n.d.).

Home: Who lives with the adolescent? Does he have roommates? What are the relationships like with the other persons living in his household?

Education and Employment: Which school is he attending? How are his grades? What is his favorite subject? Does he like going to school? How is his relationship with his teachers and classmates? What are his future goals?

Activities: Sports activities, hobbies, favorite music/movies, and exercise regimen.

Drugs: Any tobacco use, illicit drug, or alcohol use?

Sexuality: Sexual orientation, any physical or sexual abuse, ask if patient is sexually active, knowledge of STD, and use of condoms.

Suicide/Depression: Enquire about suicidal or homicidal ideation (past or present), mood swings, emotional outburst, and feelings of depression.

Substance abuse is an identified risk factor among adolescents. According to the World Health Organization (2018), harmful drinking among adolescents is a major concern because it is an underlying cause of injuries, violence and premature deaths.

Five Targeted Questions

My five target questions are:

• Have you ever had any thoughts of harming yourself or anybody else?

• Are you sexually active and if so, are you using condoms?

• Have you ever used alcohol, or illicit drugs?

• Do you feel comfortable at home or at school?

• Tell me about how you feel at home. Are you comfortable, do you think you are being treated

   fairly?

References

BC Children’s Hospital (n.d.). H.E.A.D.S.S.- A Psychosocial Interview for Adolescents.

 http://www.bcchildrens.ca/youth-health-clinic-

site/documents/headss20assessment20guide1.pdf 

World Health Organization (2018). Adolescents: health risks and solutions.

 https://www.who.int/news-room/fact-sheets/detail/adolescents-health-risks-and-

solutions#:~:text=prevent%20these%20deaths.-

,Mental%20health,of%20developing%20mental%20health%20problems.

REPLY QUOTE EMAIL AUTHORSelect: All None

 

Alternatives to Incarceration

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A recent study illustrates that nearly two (2) million juveniles are  processed through juvenile courts across the United States each year.  Depending on the nature of the crime, juveniles may face detention or  incarceration if they are convicted. Given the fact that many courts are  reluctant to incarcerate criminal offenders, judges often consider  alternatives to incarceration. The driving force behind these  alternatives is to save taxpayer money yet still demand offender  accountability and impose sanctions for criminal behavior. 

Use  the Internet or Strayer databases to research the use of sanctions other  than incarceration or detention for juvenile offenders. 

Write a two to three (2-3) page paper in which you:

  1. Examine  the underlying historical and economic reasons behind the quest for  alternatives to incarcerating offenders in jails and prisons.
  2. Describe  three (3) alternatives to incarceration that juvenile courts currently  use. Provide examples of such alternatives in practice to support the  response.
  3. Discuss the significant societal and individual  benefits of imposing sanctions or punishments that do not involve  removing an offender from his / her family or community.
  4. Use at least three (3) quality references. Note: Wikipedia and other Websites do not qualify as academic resources.  

Your assignment must follow these formatting requirements:

  • Be  typed, double spaced, using Times New Roman font (size 12), with  one-inch margins on all sides; citations and references must follow APA  or school-specific format. Check with your professor for any additional  instructions.
  • Include a cover page containing the title of the  assignment, the student’s name, the professor’s name, the course title,  and the date. The cover page and the reference page are not included in  the required assignment page length.

The specific learning outcomes associated with this assignment are: 

  • Explain how delinquents have been handled throughout history.
  • Contrast the differences between the juvenile and adult justice system in the United States.
  • Identify  successful evidence-based treatment modalities for juvenile delinquents  and be able to describe the ingredients of effective programs.
  • Use technology and information resources to research issues in juvenile delinquency and justice.
  • Write clearly and concisely about juvenile delinquency and justice using proper writing mechanics

Comprehension

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Violence as American as Apple Pie

Why have America’s crazies adopted mass murder as one of their favorite forms of self-expression?

Choose 2 of these questions.

1. What does Gwynne Dyer mean when he says that “violence is as American as apple pie”?

2. What is Dyer’s attitude toward the problem of mass killings in the United States? Where in the article is Dyer’s attitude best revealed?

3. Write a newspaper article of your own giving your theory as to why there are fewer shooting deaths in Canada than there are in the United States.

Violence as American as Apple Pie

GWYNNE DYER

Why have America’s crazies adopted mass murder as one of their favorite forms of self-expression?

IN ENGLAND, where mass killings are extremely rare, last year’s Hungerford massacre caused a further tightening of the already extremely strict gun-control laws. But in the United States, the recent multiple shooting in Winnetka, Illinois, would not even have got much national attention (only one dead, six wounded) if the killer had not been a woman and all but one of the victims children between six and nine years old.

“We’ve been in business for 10 years, and we sell guns every day,” said John Morgan, who runs the Chicago-area gun shop where Laurie Dann bought three handguns in the past two years. “This is the only time anything close to this has happened.”

Oh, well, that’s all right. One mass shooting per gun shop per decade isn’t all that bad.

Nevertheless, some spoil-sports are bound to bring up the question of gun control in America again. As Robert Fletcher of the Illinois State Police cautiously declared: “Guns don’t kill people; crazy people with guns kill people. And crazy people have access to guns.” 

Indeed they do. So what should be done about it?

Both sides of the gun-control argument, in the U.S. and elsewhere, contain some major misconceptions. First, guns kill people. Dann could not have done that damage with her bare hands, or with a kitchen knife.

Second, crazy people are probably no more abundant in the U.S. than in other countries, or in America’s own past. But crazy people do not go in much for mass slayings elsewhere, nor was this a common pattern in the U.S. even 25 years ago.

Third-and most disconcertingly-the availability of firearms cannot be the only explanation for a very high kill rate. In Switzerland, where the murder rate is not even a tenth of the American figure, there is one automatic weapon in private hands for every 10 citizens.

Switzerland bases its defence on a militia containing all fit adult males, who can be mobilized in 48 hours. To speed the mobilization process, they are obliged to keep their weapons and ammunition at home-and although Dorothy Parker once described Switzerland as “beautiful but dumb,” it contains the usual quota of greedy, violent and crazy people.

Yet on the whole, the Swiss do not shoot one another, either individually or in bunches, despite having available enough automatic weapons (illegal in most American states) to exterminate themselves many times over.

The same goes for Israel, where submachine-guns and assault rifles are just another piece of furniture in many homes-especially in border areas. Israel, too, has crazies, gangsters and jealous spouses, but they don’t shoot other Israelis despite ample supplies of weaponry.

So, there must be some additional, probably cultural, reason for the phenomenal amount of gunplay in the U.S.

Why have America’s crazies adopted mass murder as one of their favorite forms of self-expression?

It’s true that America’s losers, drifters and marginal people, who inevitably include a significant proportion of men and women just a hair-trigger away from violence, get less attention and support from the government and the community than comparable groups in almost any other developed country. But that has always been true of the U.S., and in the past it did not lead to mass killings very often.

I blame the media: monkey see, monkey do. In a country where it is only slightly more difficult to buy a gun than frozen pizza, a few crazies were bound to go on shooting sprees eventually-and show all the other crazies just how much attention you could command from society if you came out shooting.

Some of the most popular terrorist techniques (notably aircraft hijacking) took root by the very same process.

Yet you cannot, or at least should not, censor the media. In practice, we leave them free to report, and try to prevent, hijackings by rigorous security controls at airports.

The same principle applies to the control of mass murder. It applies equally to the larger number of killings and woundings that ordinary Americans inflict on one another by gunfire every year (250,000 dead and 1.5 million wounded by “Saturday Night Specials” alone in the past 20 years).

Guns kill people-especially handguns, which have no other purpose-and making it difficult to obtain them would save a lot of lives. Gun control is especially necessary in America, because American cultural assumptions (and here is the key difference from the Swiss) are far more permissive about the individual’s right to resort to violence.

These assumptions, no doubt, come in part from America’s frontier past. There may even be a genetic factor at play: those who had the initiative to leave their homes were often the most individualist and nonconformist members of the societies they left behind. At any rate, violence is as American as apple pie.

A country whose people have these reflexes needs gun control far more than Switzerland does. However, precisely because it has these reflexes, it is the country least likely to get it.

Gwynne Dyer is a London-based Canadian writer and foreign affairs analyst. Reprinted by permission of the author.

QSO-300 Operations Management 2-2 Final Project Milestone One: Managing Operations

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Prompt: For the first milestone of your final project, you will submit a managing operations case study analysis that uses the tools and techniques that operations managers use. This case study analysis will be incorporated into the final summative analysis. This milestone is due in Module Two. Refer to the case study (located in the Reading and Resources area of Module One), your own independent research, and the course materials to complete this milestone. Specifically, the following critical elements must be addressed: I. Generating Value A. Evaluate how the company in the case study uses operations management functions to provide products and generate value for its customers. Support your claims with examples from the case study or outside sources. B. Assess how this company achieves a competitive advantage using operations management. Provide examples found in the case study or outside sources to support your reasoning. C. Compare and contrast service operations and manufacturing operations at the company in the case study. How are they the same? How do they differ? How does each of these operations provide value for their customers? II. Theories and Techniques A. Compare and contrast the critical path method (CPM) and the program evaluation and review technique (PERT). What types of projects at this company would favor PERT over CPM? Why? What types of projects at this company would favor CPM over PERT? Why? B. Explain the steps used to develop a forecasting system. How would these steps be specifically utilized by this company? What do you predict would be the result of implementing a forecasting system for the top-selling product line at this company? C. List the major categories of supply chain risk and associated risk reduction tactics. How could the company mitigate exposure to supply chain disruptions caused by natural disasters? For example, consider the 2011 earthquake and tsunami that devastated parts of Japan. Guidelines for Submission: The format for this assignment will be a Word document using a business writing format of your choice. There is no minimum page length requirement, but the submission should be double spaced, and no more than four pages in total. If you used a program such as Excel to complete any of the assignment, copy and paste this into your Word document for submission. You may also include your original document from another program as supplementary material if you believe this will strengthen your contribution.

self actualization

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This week you will complete a 2-3-page expository paper investigating a famous person from the list provided, and examining their journey toward becoming fully functioning and self-actualized. You will use a minimum of two peer-reviewed sources from the library in addition to the textbook and provided biography.

  • Give a brief overview of Maslow’s Hierarchy of Needs.
  • Define self-actualization using your own words and supporting it with a reliable supporting it with at least one reliable source, either from the library or from the textbook.
  • Select one of the following individuals (below), read the related biographical article and provide a brief introduction to the background of your selected individual, appropriately using quotes and paraphrasing when needed to support the facts.
  • Examine the selected individual and apply at least 3 characteristics of a self-actualized person to their life, giving examples and supporting the applied characteristics with a reliable source.

14th Dalai Lama

Pettinger, T. (2018, February 1). Dalai Lama biography. Biography Online.

https://www.biographyonline.net/nobelprize/dalai-lama-14th.html

Billy Graham

Balmer, R. (2020). Billy Graham. In Encyclopedia Britannica. Encyclopedia Britannica.

https://www.britannica.com/biography/Billy-Graham

Clara Barton

Pettinger, T. (2019, November 3). Clara Barton. Biography Online.

https://www.biographyonline.net/humanitarian/clara-barton-biography-quotes.html

Nelson Mandela

Pettinger, T. (2018, February 13). Biography Nelson Mandela. Biography Online.

https://www.biographyonline.net/politicians/nelson-mandela.html

Confucius

Pettinger, T. (2020, February 9). Confucius biography. Biography Online.

https://www.biographyonline.net/poets/confucius.html

Bob Geldof

Pettinger, T. (2011, February 10). Bob Geldof biography. Biography Online.

https://www.biographyonline.net/music/bob-geldorf.html

Helen Keller

Pettinger, T. (2017, March 3). Helen Keller biography. Biography Online.

https://www.biographyonline.net/women/helen-keller.html

Sojourner Truth

Michals, D. (2015). Sojourner Truth. National Women’s History Museum.

https://www.womenshistory.org/education-resources/biographies/sojourner-truth

Reply with a comment with 2 reference below each comment to post 1, post 2, post 3 and post 4

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POST 1

Karine

Quality Indicators

Agency for Healthcare Research and Quality [AHRQ] (2018) defines quality indicators [QI] as measures of healthcare quality that generate data to be utilized by healthcare leaders and administrators. The QI data is used for decisions on quality improvement, staffing, operational budget, and innovations. AHRQ develops QI to provide healthcare leaders along with evaluation tools (AHRQ, 2018). Nash et al. (2019) believe that a variety of QI is needed to achieve six areas for improvement identified by the Institute of Medicine [IOM] committee on safety. The six areas of improvement are; effectiveness, patient-centeredness, timeliness, efficiency, and equity (Institute of Medicine, Committee on Quality of Health Care in America [IOM], 2001). Quality improvement is categorized into three areas of quality of care: structural, process, and outcome (Institute for Healthcare Improvement [IHI], 2020).

 Two Nurse-Sensitive Indicators of Quality in Ambulatory Care

I currently work in the ambulatory care setting in an integrated academic institution as the Senior Manager for Clinical Services and Operations for Neurosurgery, Stroke Neurology, and Neurology & Sleep. The two indicators chosen for this discussion are; pain assessment and follow-up and unplanned transfers to hospital (Start et al., 2018). These two QI are nursing-sensitive QI that relates to ambulatory care for my current practice. The work setting is the Physician Group Practice [PGP] for each of the three departments, with four neurosurgery clinic locations, one stroke clinic, and two sleep centers. The patient population is approximately 60% neurosurgery, 30% stroke, and 10% sleep therapy.

Early Quality Improvement Theories and Philosophies on the Development of the Two QI

The emphasis on QIs for ambulatory care became actualized in late 1997, with a committee appointed by the American Nurses Association [ANA] to expand nursing-sensitive quality indicators [NSQI] to ambulatory care (Martinez et al., 2015). The ANA committee aimed to show nursing contributions in the ambulatory practice in improving health outcomes and healthcare delivery cost efficiencies. Despite this push by ANA to expand NSQI to ambulatory care, the process was slowed until 2008 with Swan article that called for nurses to act on NSQI in ambulatory care. The American Academy of Ambulatory Care Nursing [AAACN] in 2013 committee started on the challenge for NSQI in ambulatory care, with the first set of NSQI being published in 2014 (Martinez et al., 2015). 

The concept of pain assessment and follow-up is embedded in every aspect of patient care. Petiprin (2020) sees the nurse playing the most critical role in assessing and managing the patient’s pain. The evolution of patient pain assessment and management has always had nurses at the forefront. Nursing theories and quality tools have been used over the years by nurses to study and implement pain management (Petiprin, 2020b). Mid-ranged psychological theories such as Kolcaba’s Comfort Theory are used by nursing research in the evolution of pain management in nursing care (Petiprin, 2020a).

Marquet et al. (2015) see unplanned admission transfers to hospital, as the marker for patients’ adverse events [AES]. AEs concerns are international health issues for healthcare leaders, professionals, administrators, patients, and their families. Annually AEs lead to unintended injuries or complications, disabilities, deaths, prolongation of hospital stay, and higher healthcare costs rather than the patient’s disease (Marquet et al., 2015).

     Two Nursing Research Articles that Relate to Two QI Influence on Practice

Article one: Pain Assessment and Follow-up

Meissner et al. (2017) examine the use of QIs in acute postoperative pain management [POPM]. The goal was to use QIs to facilitate caregivers to differentiate between good and poor quality of pain management. The researchers seek to explore the evidence gathered from pain specialists’ experiences in managing patients’ acute pain postoperatively and literature review using QI for acute POPM. The specialist for this study was chosen from Europe and the United States of America [USA]. The inclusion criteria for the participants were a member of a Pain Advisory Board (Meissner et al., 2017). The QIs assessed the healthcare providers’ services and how efficient the interventions were in relieving acute postop pain.

The QI measures used were documentation, timeliness of pain assessment, pain reassessment, and timeliness to giving analgesic medication. Pain assessment was done on day one postop using the numerical rating scale of 0 – 10 was used for pain assessment, with 0 being no pain and 10 being the maximum pain experienced. The review found that patients had poor pain management, with pain levels being moderate to severe, 4 – 10 on the numerical scale (Meissner et al., 2017). The data review found that the barriers to acute POPM were; cost to treat acute pain, lack of knowledge on pain management among staff, lack and unclear instructions, inadequate pain assessments, and sub-optimal care (Meissner et al., 2017). 

Article Two: Unplanned Transfers to Hospital

Marquet et al. (2015) view unplanned transfers to the hospital due to preventable adverse patient reactions. The researchers’ research was a three-stage retrospective review on screening, records review, and consensus judgment over six months in Belgium. The study aimed to examine the frequency of preventable adverse reactions and lead to unplanned admission or higher levels of care. A total of 830 medical records were reviewed, 456 of the medical record revealed patient adverse reactions. The review found that 56% of the adverse events were preventable that lead to unplanned hospital admission. This review also revealed that 25% of these adverse reactions required a higher level of care in the intensive care unit. Unplanned transfer to hospital is also a quality standard for The Joint Commission [TJC]. The AHRQ provides a toolkit for healthcare organizations to report and analyze the prevalence and rate of unplanned transfers to hospital (Rahn, 2016).

              References

Agency for Healthcare Research and Quality. (2018). AHRQ quality indicators. https://www.ahrq.gov/cpi/about/otherwebsites/qualityindicators.ahrq.gov/qualityindicators.html

Institute for Healthcare Improvement. (2020). How to improve with the model for improvement. chi.org. https://education.ihi.org/topclass/topclass.do?CnTxT-144791570-contentSetup-tc_student_id=144791570-item=967-view=1

Institute of Medicine, Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. ProQuest Ebook Central. https://ebookcentral.proquest.com

Marquet, K., Claes, N., De Troy, E., Kox, G., Droogmans, M., Schrooten, W., Weekers, F., Vlayen, A., Vandersteen, M., & Vleugels, A. (2015). One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event. Critical Care Medicine, 43(5), 1053–1061. https://doi.org/10.1097/ccm.0000000000000932

Martinez, K., Battaglia, R., Start, R., Mastal, M. F., & Matlock, A. M. (2015). Nursing-sensitive indicators in ambulatory care. Nursing Economic$, 33(1). https://doi.org/https://www.aaacn.org/sites/default/files/documents/news-items/NursingEcARTICLE_NursingSensitiveIndicatorsinAmbulatoryCare.pdf

Meissner, W., Huygen, F., Neugebauer, E. A., Osterbrink, J., Benhamou, D., Betteridge, N., Coluzzi, F., De Andres, J., Fawcett, W., Fletcher, D., Kalso, E., Kehlet, H., Morlion, B., Montes Pérez, A., Pergolizzi, J., & Schäfer, M. (2017). Management of acute pain in the postoperative setting: The importance of quality indicators. Current Medical Research and Opinion, 34(1), 187–196. https://doi.org/10.1080/03007995.2017.1391081

Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools, fourth edition (4th ed.). Health Administration Press.

Petiprin, A. (2020a). Kolcaba’s theory of comfort. Nursing Theory. https://nursing-theory.org/

Petiprin, A. (2020b). Pain scale 1-10. Nursing Theory. https://nursing-theory.org/articles/pain-scale.php

Rahn, D. J. (2016). Transformational teamwork. Journal of Nursing Care Quality, 31(3), 262–268. https://doi.org/10.1097/ncq.0000000000000173

Start, R., Matlock, A. M., Brown, D., Aronow, H., & Soban, L. (2018). Realizing momentum and synergy: Benchmarking meaning ambulatory care nurse-sensitive quality indicators. Nursing Economic$, 36(5), 246–251. https://doi.org/https://www.aaacn.org/sites/default/files/documents/NSI-Measure-Table.pdf

POST 2

Bilinda

Quality Indicators

Nursing-sensitive indicators (NSIs) can be an essential tool in identifying patient care issues that could arise in the healthcare setting. By analyzing the data on specific NSI, the quality of patient care can be optimized, and patient satisfaction can be improved. As a result, NSIs have become a progressively effective and dependable method to support nursing care quality and performance measurement in the healthcare establishment, including evaluating clinical nursing practice (Heslop et al., 2014). The American Nurses Association (ANA) and the National Database of Nursing Quality Indicators (NDNQI) are two sources of information and guidelines for nurses and nurse managers to use in planning patient care and workloads for each nursing unit. Quality indicators refer to clear, measurable items to outcomes and demonstrate the effect on health and population (Rahn, 2016). The different frameworks and theories appeal to care that concentrates on the patients’ individual needs, wishes, and cultural practices. 

Two Nurse-Sensitive Indicators of Quality

 Patients with Chronic Kidney Disease (CKD) are at risk for End-Stage Kidney Disease (ESKD), leading to dialysis or transplantation (Manns et al., 2017).  To optimize kidney health, health systems should monitor the quality of care provided to patients suffering from CKD (Manns et al., 2017) with specifics quality indicators (QI) such as nosocomial infections and falls. These NSIs affect other aspects of nursing other than renal care, and as a concept, it is effective in developing nursing care implementation (Heslop et al., 2014). However, the conceptual basis, theoretical role, meaning, use, and interpretation of the concept of NSIs tend to differ. Generally, the studies of indicators of nosocomial infections and falls derive from the NDNQI point to facilitate the ability of health organizations to act in response to patient and staff needs (Montalvo, 2007). 

Article One

 

 Abbasi et al. (2020) described the quality indicator of nosocomial infection in CKD patients. This is a quality assessment for improving patient quality outcomes. Nosocomial infections are classified as NSI because the best practices add to nursing’s knowledge base and help nurses nationwide to advance nursing practice and patient outcomes (Montalvo, 2007). ESRD is one of the leading causes of morbidity and mortality, and more extended hospital stay, prolong catheterization, decrease white blood cell count. Multiple comorbidities are risk factors that reduce quality outcomes and increase dialysis patients for nosocomial infections. Nursing interventions include ways to decrease nosocomial infections, such as pneumonia, urinary tract infections (UTIs), bloodstream infections, and diarrhea (Abbasi et al., 2020, p. 6). Reducing risk factors will enhance the patient’s QoL, a conceptual framework developed by Walker and Avant (Boudreau & Dubé, 2014). Increasing the life expectancy of this patient population is a significant health target, and health care professionals can achieve this by minimizing infection complications (Abbasi et al., 2020). The relationship between ESRD and NSI nosocomial infections is very intriguing.

Article Two

            Gao et al. (2018) identified a group of NSQIs to evaluate the quality of clinical nursing of ESRD patients in the dialysis unit. They utilized the Delphi surveys to collect opinions from independent experts, where 11 NSQIs were identified. One of the NSQIs determined was the incidence of falls among hemodialysis patients. The rate of falls in ESRD is higher compared to the general population. Risk factors identified for falls are diabetic visual impairment, fragile bones, dizziness, fatigue, and cardiopulmonary dysfunctions; thus, making falls an essential NSQI. Therefore, nursing interventions comprise of efforts to prevent falls and associated injuries by intensive monitoring and education.

 QIs are established and supported by the NDNQI to provide for the need for multifunctional and comprehensible quality measures used to measure healthcare performance. The usage of QI is evidence-based and can be used to differentiate inconsistencies in the eminence of care provided to people at outpatient and inpatient facilities.

References

Abbasi, S. H., Aftab, R. A., & Chua, S. S. (2020). Risk factors associated with nosocomial infections among end stage renal disease patients undergoing 

hemodialysis: A systematic review. PloS One, 15(6), e0234376. https://doi-

org.ezp.waldenulibrary.org/10.1371/journal.pone.0234376

Boudreau, J. É., & Dubé, A. (2014). Quality of life in end stage renal disease: A concept

 analysis. CANNT Journal, 24(1), 12–20.

Gao, J. L., Liu, X. M., Che, W. F., & Xin, X. (2018). Construction of nursing-sensitive

 quality indicators for haemodialysis using Delphi method. Journal of clinical 

nursing, 27(21-22), 3920–3930. https://doi.org/10.1111/jocn.14607

Heslop, L., Lu, S., & Xu, X. (2014). Nursing-sensitive indicators: a concept 

analysis. Journal of advanced nursing, 70(11), 2469–2482. 

https://doi.org/10.1111/jan.12503

Manns, L., Scott-Douglas, N., Tonelli, M., Weaver, R., Tam-Tham, H., Chong, C., &

 Hemmelgarn, B. (2017). A population-based analysis of quality indicators in 

CKD. Clinical Journal of the American Society of Nephrology, 12(5), 727-733.

Montalvo, I., (2007).  The National Database of Nursing Quality Indicators. OJIN: The

 Online Journal of Issues in Nursing, 12(3).

Rahn, D. J. (2016). Transformational Teamwork. Journal of Nursing Care 

Quality, 31 (3), 262-268. doi: 10.1097/NCQ.0000000000000173.

POST 3

Victoria

Descriptive Epidemiology

Descriptive epidemiology is used to characterize the distribution of disease within a population. It describes the person, place, and time characteristics of disease occurrence. Analytical epidemiology is used to test hypotheses to determine whether statistical associations exist between suspected causal factors and disease occurrence. Since disease does not occur randomly but in patterns that reflect the underlying factors, descriptive epidemiology portrays the occurrence of disease with respect to the characteristics of person, place, and time. The person encompasses who is being affected, like males versus females? Rich versus poor? and other factors. Place relates to the geographical location of the problem like in cities or rural areas, in some states more than others, or in the United States versus other countries and time refers to when the problem is occurring like during summer or winter. Descriptive epidemiology is used to discover clues to the causes of health and illness as it helps to recognize patterns of disease and generate hypothesis regarding their underlying causes (Friis, and Sellers, 2021).

Prescription Drug Overdose

The selected health problem for this discussion is prescription drug overdose.

Prescription drug abuse and overdoses are a major public health concern. In 2019, nearly 50,000 people in the United States died from opioid-involved overdoses. The misuse of and addiction to opioids including prescription pain relievers, heroin, and synthetic opioids such as fentanyl is a serious national crisis that affects public health as well as social and economic welfare (CDC,2017). Men are more likely than women to engage in illicit drug use  but women may be more susceptible to craving and relapse, which are key phases of the addiction cycle. Findings from a recent literature suggests that women 40-64 years are more likely to use prescription opioids compared to men. Seventy-nine percent of individuals who overdose on opioids are non-Hispanic White, 10% are Black and non-Hispanic, and 8% are Hispanic (Silver and Hur, 2020).

 Opioid addiction, such as heroin and prescription pain medication, is a growing problem in the United States and internationally. Knowledge and respect for the epidemiology of opioid abuse and addiction, its consequences, and the role of the prescriber and nurse in reducing the risk of opioid abuse and addiction is critical to reduce the incidence of adverse outcomes and deaths (Green, 2017). Drug poisoning deaths involving opioid analgesics have more than tripled since 1999, with more than 16,000 deaths in 2013 alone. The CDC has been focused on boosting resources for State prevention efforts in conjunction with other Federal efforts to help States expand and intensify their work to address this growing problem (CDC,2017).

The United States have seen an epidemic of opioid misuse and abuse that has been called the deadliest drug crisis in American history. Opioid addiction includes the abuse of prescription, nonprescription, and illegal pain relievers The misuse of and addiction to opioids, including prescription opioids, heroin, and synthetic opioids such as fentanyl, is a serious problem that affects not only the health of many Americans but also the social and economic welfare of the country (Mattson et al., 2021).

Data Sources with Strengths and Limitations

Data sources utilized for this discussion are secondary or use of existing data from hospital outpatient statistics.  The strength of this data source is that clinics and outpatient departments provide a large volume of care for this population. The limitations are that hospital records are not well developed sometimes, and diagnostic data may be incomplete. Another data source is data from public health clinics. A strength of this data source is that the data can be used for possible identification of cases for disease study and the limitation is that the population denominator is unknown (Friis, and Sellers, 2021).

Two Methods to Use in Collecting Raw Data For descriptive epidemiology of Prescription Drug Overdose

To determine the descriptive epidemiology of prescription drug overdose, it is important to identify and classify which types of drugs are involved in an overdose, how often they are involved, and how that involvement changes over time. Data can be collected from two methods, primary and secondary data sources. Primary data is original data collected by interviewing people while secondary data is data collected by other individuals or organization.

How Methods Would Influence the Completeness of Case Identification

Identifying the type of drug and the drug involvement will help to determine appropriate prevention and response activities.

References

Centers for Disease Control and Prevention. (2017). Opioid overdose. https://www.cdc.gov/drugoverdose/states/state_prevention.html

Friis, R. H., & Sellers, T. A. (2021). Epidemiology for public health practice (6th ed.). Jones & Bartlett.

Green, J. (2017). Epidemiology of Opioid Abuse and Addiction. Journal of Emergency Nursing, 43(2), 106–113. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jen.2016.09.004

Mattson, C. L., Tanz, L. J., Quinn, K., Kariisa, M., Patel, P., & Davis, N. L. (2021). Trends and Geographic Patterns in Drug and Synthetic Opioid Overdose Deaths – United States, 2013-2019. MMWR. Morbidity and Mortality Weekly Report, 70(6), 202–207. https://doi-org.ezp.waldenulibrary.org/10.15585/mmwr.mm7006a4

Silver, E. R., & Hur, C. (2020). Gender differences in prescription opioid use and misuse: Implications for men’s health and the opioid epidemic. Preventive Medicine: An International Journal Devoted to Practice and Theory, 131. https://doi-org.ezp.waldenulibrary.org/10.1016/j.ypmed.2019.105946

POST 4

Melanie

Introduction

            Obesity is a global challenge. Many adverse events are related to obesity. The purpose of this discussion is to explore obesity and its relation to descriptive epidemiology. 

Descriptive Epidemiology

            The field of descriptive epidemiology depicts the occurrence of a health concern considering characteristics of person, place, and time (Friis & Sellers, 2021). Furthermore, defining features within these characteristics can help outline patterns and possible underlying causes (Friis & Sellers, 2021). By doing this, descriptive epidemiology is a valuable tool to prevent disease and plan for a satisfactory response to a health concern.

            Obesity is a population health concern as it can have serious health, economic, and social consequences (Centers for Disease Control and Prevention (CDC), 2021a). Health complications include hypertension, dyslipidemia, diabetes, coronary heart disease, stroke, sleep disturbances, mental illness, and body pain (CDC, 2021). Due to obesity, health care costs increase. For obesity-related reasons, affected individuals may not be able to participate in certain activities or work. 

Person, Place, and Time

            Obesity can result from various factors, including genetics, environmental influences, and behaviors (CDC, 2021). By utilizing descriptive epidemiology methods, preventative measures and pertinent interventions can be applied to susceptible populations. Person, place, and time are determining characteristics.

Determinants of place include international, geographic variations, urban or rural differences, and localized occurrences (Friis & Sellers, 2021). In a nationally representative cross-sectional sample study, Wen et al. (2017) found that the odds of obesity were greater in rural areas compared to urban areas. Educational and environmental factors are relevant to the disparity (Wen et al., 2017). Globally, 61% of the population of Nauru is obese (Procon.org, 2020). 

Aspects of time include cyclic fluctuations, point epidemics, secular time trends, and clustering (Friis & Sellers, 2021). Robinson et al. (2021) suggest that the Covid-19 pandemic may have had a disproportionately sizeable and negative influence on weight-related behaviors among adults with a higher BMI.       

Characteristics defining person include race, sex, and age. In 2017, 42.5% of adults over 20 years of age had obesity (CDC, 2021b). According to the CDC (2021b), 34 states and the District of Columbia had an obesity prevalence of 35% among non-Hispanic Black adults. In most countries, females are more obese than males (Ameye & Swinnen, 2019). In a Brazilian study, Araujo et al. (2018) conclude that racial disparities in obesity are socioeconomic status level and sex dependent. 

Data Sources and Associated Strengths and Limitations

            Most of the data sources from this discussion utilized the PubMed database. Strengths from this database include a wide variety of baseline data and information. A limitation may be that the representative sample in an article may not accurately portray the whole population. Most of the articles utilized secondary data as it was derived from existing surveys.  One of the articles utilized primary data as participants completed a questionnaire. A strength is that the data is from the original source, but a limitation may be that the participant may falsely answer. Another data source utilized was the National Center for Health Statistics by the CDC. This is a federal government website that provides various health statistics. This source is valuable as there is a great deal of health statistics that are easily accessible.

Raw Data Collection

            Two methods to collect raw data are wearable technologies and hospital data. Public health professionals can utilize hospital data on to determine if obesity is present. However, hospital statistics lack the representation of a specific population (Friis & Sellers, 2021). Wearable technologies can provide data on vital signs and physical activity. However, this can present challenges as devices may not be consistently utilized to provide accurate data for the completeness of a study. Furthermore, public health professionals must respect privacy and data sharing principles.

References

Ameye, H., & Swinnen, J. (2019). Obesity, income and gender: the changing global relationship. Global Food Security, 23, 267-281.

Araujo, M. C., Baltar, V. T., Yokoo, E. M., & Sichieri, R. (2018). The association between obesity and race among Brazilian adults is dependent on sex and socio-economic status. Public Health Nutrition, 21(11), 2096–2102. https://doi-org.ezp.waldenulibrary. https://www.cdc.gov/obesity/index.htmlorg/10.1017/S1368980018000307

Centers for Disease Control and Prevention. (2021a). Overweight and obesity. Overweight and obesity. https://www.cdc.gov/nchs/fastats/obesity-overweight.htm

Centers for Disease Control and Prevention. (2021b). Obesity and overweight. National center for health statistics. https://www.cdc.gov/nchs/fastats/obesity-overweight.htm

Friis, R. H., & Sellers, T.A. (2021). Epidemiology for public health practice (6th ed.). Jones & Bartlett. 

Procon.org. (2020). Global obesity levels. https://obesity.procon.org/global-obesity-levels/

Robinson, E., Boyland, E., Chisholm, A., Harrold, J., Maloney, N. G., Marty, L., Mead, B. R., Noonan, R., & Hardman, C. A. (2021). Obesity, eating behavior and physical activity during COVID-19 lockdown: A study of UK adults. Appetite, 156. https://doi-org.ezp.waldenulibrary.org/10.1016/j.appet.2020.104853

Wen, M., Fan, J. X., Kowaleski-Jones, L., & Wan, N. (2018). Rural-urban disparities in obesity prevalence among working age adults in the United States: Exploring the mechanisms. American Journal of Health Promotion, 32(2), 400–408. https://doi-org.ezp.waldenulibrary.org/10.1177/0890117116689488

Evualation plan for accountable care organization formation

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Consider the following scenario:

You are a health care administrator for a large community hospital in an urban market. Your hospital has already made substantial investments in health information technology and physician participation. In response to health care reform, several competing hospitals are starting to form ACOs to participate in new payment models designed to reduce costs and improve population health.

The board of directors for your hospital has requested that you lead the development of an evaluation plan to assess the potential impact of ACO formation. In particular, the board wants to understand how the ACO will align with the organization’s strategy and what information will be required to assess the impact of the ACO on your organization’s performance.

For this Assignment, reflect on the scenario presented, and consider how you might implement an evaluation plan for the desired outcomes and goals described. Consider what steps you might take as a current or future health care administrator and how an evaluation plan should be developed for a project such as that described in the scenario.

The Assignment (15–20 pages):

  • Describe the measures and methods you would use for the evaluation plan, and explain why you would use them. Be sure to include what type of data you need to collect and a definition of the metrics you would use.
  • Propose and develop a timeline for the implementation and evaluation plan for the scenario described. Be sure to highlight any challenges or opportunities in regard to adhering to the proposed timeline you develop. Suggest additional strategies you might recommend to ensure the implementation and evaluation plans are completed on time. Be specific and provide examples.
  • Explain how the evaluation plan contributes to the feedback loop for effective management of an ACO.
  • Explain how you will ensure that the evaluation plan you propose is aligned strategically with the mission of the ACO and why.

product development discussion board week11

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This week we covered the topic of Fashion Retailing & Distribution.   Now it’s time to select review two of your favorite fashion retailers and their strategies.

Please name the two retailers you are selected and discuss the following items:  

  • What category does each fit into?  What are the characteristics of the category of retailers that you named?
  • Does the retailer engage in omnichannel distribution?  If so, why?  If not, why not?
  • What are the customer touchpoints that these fashion retailers use to connect with their customers?
  • Why does this retailer appeal to you?  What are they doing right to appeal to their customers?  What could they be doing better? 

Please Note: 

  • Be sure to follow the rubric guidelines; you should create one substantive initial response to the the discussion prompt.
  • Please be sure to post your own thoughts.  If you do utilize research or quote from your research, you do need to properly cite that material, in APA format.
  • You must also respond to at least two of your peers with substantive comments.  (Please be sure to address and sign all posts.)
  • Please remember to return to your original post to respond to replies that you may receive from the Professor or your peers.

Kaltura Health Policy Analysis

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 Purpose 

This assignment will focus on developing a health policy analysis presentation that includes a problem statement, background, landscape, options and recommendations from the week’s readings.  The health policy analysis presentation is based upon an identified healthcare issue in one’s local community.  

Activity Learning Outcomes 

Through this assignment, the student will demonstrate the ability to:  

  1. Employ strategies to impact the development, implementation, and consequences of holistic healthcare policies using evidence-based practice principles (CO1) 
  2. Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors (CO2) 
  3. Analyze social, historical, ethical and political contexts of healthcare policies and advanced practice leadership (CO4) 
  4. Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice (CO5) 

requirement:

https://cdnapisec.kaltura.com/index.php/extwidget/preview/partner_id/2363221/uiconf_id/43522921/entry_id/1_mi79qul4/embed/dynamic

transcript:  Hello and welcome all to this presentation on the week bore assignment, Health, Policy Analysis, culture presentation, and enter Bible six and p. I am Dr. John, the SLR. I am Course Leader PR and our Bible six and p. Full-time faculty and professor. This orientation will help you understand how to complete the assignment, to understand where the health policy analyses are. And so let’s go through the requirements for the assignment, then we’ll talk about specific. So great. In the Week Four assignment area, you will see the overview. Be researching healthcare issues that have been identified in your local community. Included, we have included many examples. They are, well, imagine yourself as a family nurse practitioner, primary care practice. You’ll notice a trending healthcare issue in your local community. You think to yourself, somebody has to do something about it. And in fact, that is you as an NP leader mirror community. Choosing a health care issue common in your local area gets you involved in the health of your community, something you will be doing as a practicing nurse practitioner. This assignment is not a patient treatment plan by the health policy analysis about that particular healthcare issue. This is very important. Other, more about the requirements, you’ll be developing a PowerPoint presentation offline. And it’ll be structuring and health policy analysis presentation that addresses the following topics, particular to your health problem. Referring to title bomb techs chapter 14 is essential. And on page 279 of that text, it goes through each parts of the health policy analysis, including the problem statement, background, landscape, options, and recommendations. These are the sections of your PowerPoint that you will be needing to fill in. Once you’ve completed the PowerPoint will you will then use culture, a software to record the presentation. A little, be a video of you presenting. Your PowerPoint is you run through the slides when of course your microphone. Greater recording resources are located in home and resources and then technology resources in the course. So let’s start by some definitions. And again, health policy analysis. He’s not a patient plan of care. So again, definitions, definition of a policy analysis. It’s an analysis that provides informed advice to a client that relates to a public policy decision. A decision included that in the course of action or inaction is framed by the clients powers and values. Let’s talk about power for a moment. The power is, does your client actually had the power to do it in value is why is it meaningful to the client? So again, on page 279 of the title, mom texts this brief definitions of all the components of a policy analysis. But now let’s take a look at a more in depth. Beginning, of course, with a problem statement and it defines the problem being addressed in the analysis, typically written in question format and maybe one or two sentences. The title bom, bom tax has multiple examples. The problem statement can be broad or narrow, but for the purposes of this assignment, statement should be much more narrow. Broad problem statements. Take a look at the big picture. Your goal for this assignment assist, help start by solving a health care issue in your local community and you will be saving the world another day. So again, I’m more of a narrow focus. It isn’t tasting to include recommendations in the problem statement, but this should be avoided. So for instance, a problem statement says, drug abuse can be solved by doing these things. You’re operating recommendations and that should be avoided. So now let’s take a look at some problem statements from students that have had in the past. So you have a better a better understanding for nurse practitioners. Decreased, rising drug abuse in the local community and promote recovery. How can mental help access achieved them? Self-score community? What action should you can take to reduce occurences of opioid abuse? What actions will help decrease the incidence of bad lesson tobacco use including beeps. And how can NPS helped to reduce opioid overdose in Camden, New Jersey? So as you read these, you’re seeing, you’re seeing this is not a treatment, but this is prevention. This is primary care prevention. As a family nurse practitioner working in an outpatient family practice, this is exactly what you will be doing, is you’ll be preventing, is it’s, it’s a much law plus expensive and certainly a lot better for your patients to prevent the problems from occurring as opposed to having happened to treat them. Then next is background, and this section provides information not an analysis of the problem, is use layout future options section is factual information that shows a complete picture of the health care issue. It also shows why the issue is important and must be addressed immediately. This section is not partisan or argumentative, that only lays out the facts. Oftentimes with statistics from reliable sources. And I wrote on the next slide, I’ve included some examples. These are very statistical. Come, they come from reliable sources within text references. You can, counties located in Michigan provides the population they are in a particular year. 1993 to 90 to 2014, obesity nutrition rates increased from 11.7%. I’ll read one more is 2628.6% of the valves and can founding world BCE. So again, this is statistical information that used to help to understand the breadth and depth of a health care issue in a local community. Now let’s talk about landscape. Landscape is often tied into the background, in, into the background. But as I’ve stated the background section, the factual information model landscape shows contexts. Contacts is shown by identifying key stakeholders and key factors that must be considered for your health care problem. Stakeholders. As you read, research your healthcare problem, you’ll start to understand who the key stakeholders are. And at some point we’ll have an exhaustive list. There is no required number of stakeholders. You will then outline their correlation to the problem. Let’s take a look at the title mom texts page to A13. And if we look at 283 at the top left, here are some examples of some key stakeholders. Perhaps a politician or are your state’s legislature or and governors. Pharmaceutical industry, health insurance industry, AARP and other elder rights groups, advocacy groups with sable, pharmacists lobby or on pharmaceutical companies and internet based pharmaceutical companies. Key stakeholders and may have a positive or negative impact on the health care issue. Let’s take a look at age 284, box 14, dash one. And you can see possible factors to include in a lanky key that faction is include political factors, social factors, economic factors, legal factors, and practical factors. Well, that’s a good area to start to understand. Once you’ve identified your problem statement, you can start taking a look at these factors and help you develop your landscape through your presentation. Once you’ve completed that, it’s time to look at the options. Now based upon the facts from the background in contexts, from the landscape, it is time to develop options. Page to 85 of the title bomb plaque shows places May 1 look for possible options. The bottom left might be for media, scholarly articles, interest group recommendations. Then take experts in the field, congressional testimony, legislation, whether it’s pastor pending and propose an agency reports. Again, the options talks about the power of the client and the value of the choir. A little bit more about that before we go on for the purpose of this assignment, Scarlatti, outside sources are especially peer-reviewed. Journal articles are required. The options that you will discuss are typically three to five, gives the client some choice of what to do about the health care problem. In this case, a client may most likely will include many of the stakeholders that you’ve discussed. Depending upon that healthcare 100 thousand and pay 286 and title bomb techs provides examples of auction criteria. We look, they’re able 14 dash two. You’ll see some sense sample option criterion. Again, it’s again going to be very particular to your healthcare issue. Now onto recommendations. Finally, this time to choose recommendations based upon the data you presented thus far. The title mom texts states to choose one. However, since you will be discussing a specific health care problem, for the purpose of the purposes of this assignment, multiple recommendations may be chosen and discuss. Again, depending upon the healthcare issue, providing pro and con lists may be appropriate, or perhaps a list of recommendations that may have a priority bless pursued this and then this after evaluating the effects of the first intervention. That concludes this assignment Orientation, please be sure to reach out to your faculty with any questions or issues that may have enjoyed assignment. It is a great primer for new graduates to get involved in the local community. Thank you. And I hope you enjoyed the this assignment. 

 

  1. Research healthcare issues that have been identified in your local community. Develop a power point presentation with speaker notes. You will then use the power point during your Kaltura recording. Structure a health policy analysis presentation that addresses the following topics particular to your health problem. 
    • Problem Statement 
    • Background 
    • Landscape 
    • Options 
    • Recommendations 

 

  1. Next, record your Kaltura presentation showing your power point and yourself speaking. Upload your power point with speaker notes AND your Kaltura presentation  into the week 4 assignment. How to use Kaltura resources are in Home/Resources/Technology Resources. 

    Posting your recording:

    • Go to the week four assignment tab and hit Submit Assignment
    • Use the Text Entry Tab. You will have the option of selecting the Kaltura icon
    • It will take you to your My Media Gallery and upload it from there.

 

Structure a health policy analysis presentation that addresses the following topics particular to your health problem.

  • Problem Statement
  • Background
  • Landscape
  • Options
  • Recommendations

Research healthcare issues that are present in one’s local community. 

Develop a ppt. offline that addresses the topics according to the criterion listed. 

Open forum:  This is a required, but not graded open forum. Your post should add further clarity to the assignment and content of the readings and lessons for the week. Please feel free to post questions related to content or assignments. 

2 different hws. one is 8 sentences the other is 500 words

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1.explain first, why a cultural relativism perspective on Islam can be detrimental for our understanding of Muslims and terrorism. Please link your explanation to the following quote:

“This history assumes that people’s public behavior, specifically their political behavior, can be read from their religion, Could it be that a person who takes his or her religion literally is a potential terrorist? That only someone who thinks of a religious text as not literal, but as metaphorical or figurative, is better suited to civic life and the tolerance it calls for? How, one may ask, does the literal reading of sacred texts translate into hijacking, murder, and terrorism? (p. 767)”

Second, explain why a de-historized approach to culture leads to a myopic understanding of terrorism.Also, please feel free to note your personal reactions and thoughts to article. I would be interested to read them.

2.The killing of Denise Brown Simpson was a perfect fit for a Hollywood drama. She was a beautiful, blond, Southern California woman. The suspect, her ex-husband, was an international star, a pro-football hall of fame member, who had created a successful acting career in commercials and movies. The Bronco “chase” before his arrest was the most widely viewed live incident on American television since the opening sallies in the Iraq war. The trial was broadcast in full, mostly by the brand new cable television outlets but also breaking into regular programs on network news. Beyond the horror and tension related to the crime, the case brought about widespread discussion of race, a topic often ignored in polite society. The country was riveted to hear Detective Mark Fuhrman utter the N-word on national television, perhaps the first time the word was heard in many living rooms. Write 500 words about the basics of the case and the media impact. Due Friday. Plenty of sources available in the posted. No personal opinions, only cited commentary.