Charlie Dee is a 56-year-old male client with a 30-year history of smoking two packs of cigarettes per day. He is seeing nurse practitioner Sandra Gee for the first time after being diagnosed with chronic obstructive pulmonary disease. Pattern appraisal begins with eliciting the client’s description of his experience with this disease, his perceptions of his health, and how the disease is expressed (symptoms). Mr. Dee states that he has a productive cough that is worse in the morning, gets short of breath whenever he is physically active, and always feels tired. Through specific questions, the nurse practitioner discovers that Mr. Dee has experienced a change in his sleep patterns and nutritional intake. He is sleeping for shorter periods and eating less. She also learns that Mr. Dee’s wife smokes, and that they have indoor cats for pets. He does not think that his wife will be amenable to changing her habits or getting rid of the cats. During this appraisal, the nurse seeks to discover what is important to Mr. Dee and how he defines healthy.

Mutual patterning involves sharing knowledge and offering choices. Upon completion of the appraisal, the nurse summarizes what she has been told and how she understands it. In this way, the nurse and the client can reach consensus about what activities would be acceptable to Mr. Dee. Ms. Gee provides information about the disease and suggestions that will increase his comfort. Noninvasive interventions include breathing retraining, recommendations for a high-protein high-calorie diet, eating smaller meals more frequently, sleeping with the head elevated, and using progressive relaxation exercises at bedtime. The nurse recommends that the Dees buy a high-efficiency particulate air (HEPA) filter and humidifier to assist in removing environmental pollutants and maintaining proper humidity in the home.

Because Mr. Gee has expressed a desire to quit smoking, the nurse suggests that he use forms of centering, such as guided imagery and meditation, to supplement the nicotine patches prescribed by his physician. She also provides him with written material about the disease that he can share with his wife. At the end of the visit, Mr. Dee states that he feels better knowing that he has the power to change some things about his life.

Critical thinking activities

1. Review two published research articles with Rogerian science as the framework guiding the research process. Identify the middle-range theory that was developed or guided the research process in each of the articles.

2. What is the nature of the evidence generated by research of the middle-range theory in critical thinking activity 1?

3. What philosophical tenets from Nightingale contributed to the basis for development of the Rogerian conceptual model?

4. Locate three publications and discuss how the authors used Rogerian science in nursing education.

5. Analyze your clinical practice and identify areas in which practice based on Rogerian science would improve nursing care. Enumerate the changes and the anticipated positive outcomes.

 
COMPETENCIES

7019.1.3 : Community Advocacy

The graduate develops culturally sensitive and relevant strategies to advocate for populations, based on knowledge of community health systems.

7019.1.4 : Community Health Promotion

The graduate proposes health promotion initiatives and services to promote disease and injury prevention.

7019.1.6 : Global Health

The graduate analyzes past and present initiatives meant to improve the health of the global community.

7019.1.7 : Emergency Response

The graduate plans for the preparation, response, and recovery of communities from natural and human-caused emergencies and disasters.

7019.1.9 : Communicable Disease

The graduate analyzes the impact of communicable diseases on the health of individuals, families, and communities in a global environment.

INTRODUCTION

With the increased mobility of human populations, diseases can quickly spread around the world. In addition, changes in vaccination practices have revealed an increase in communicable diseases that were once thought to be under control. These global health issues present new problems for community health officials.

In the Bentonville simulation, you learned how an influenza virus impacted the community. You will provide a PDF report of your completed activities.

In this task, you will also analyze an outbreak of a specific global communicable disease that occurred in the last 50 years that crossed international borders (e.g., the measles outbreak that moved from the Philippines to the United States).

REQUIREMENTS

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course. 

A.  Select one of the following communicable diseases that has had an outbreak across international borders:

•  influenza

•  measles

•  respiratory syndrome coronavirus

•  meningococcal disease

•  HIV/AIDS

•  Ebola virus

•  hepatitis B

•  hepatitis C

•  tuberculosis

•  Zika virus
 

B.  Describe the outbreak of the disease selected in part A, including each of the following:

•  name of the disease

•  the countries involved

•  the date the outbreak was discovered

•  the dates the disease reached each involved country

1.  Analyze the epidemiological determinants and risk factors associated with the outbreak.

2.  Discuss the route of transmission of the selected disease.

3.  Discuss how an outbreak of the selected disease would impact your community at a systems level (e.g., the functioning of schools, local government, businesses, hospitals).

4.  Explain what the reporting protocol would be if an outbreak of the selected disease were to occur in your community.

5.  Discuss two strategies (e.g., patient education strategies, community education strategies) that you would recommend to prevent an outbreak of the selected disease in your community.
 

C.  Submit a PDF of your score summary from Bentonville that includes each of the following completed activities:

•  Influenza in Bentonville

•  Community Advocacy

•  Emergency Response

•  Communicable Disease
 

Note: For an example of how your score sheet should look, refer to the attached “Sample Final Results Report: Influenza in Bentonville.”
 

D.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
 

E.  Demonstrate professional communication in the content and presentation of your submission.

File RestrictionsFile name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( )
File size limit: 200 MB
File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z 

Special instructions, 

Use peer review articles, 

At least one mention from World Health Organization, 

May encounter info on CDC website, center for disease control USA

straight forward paper, use simple language, a couple of pages long. 

Do not execute part C, Bentonville, I have to do it myself

 

Write a paper of 500-750 words (not  including the title page and reference page) paper for your proposed  evidence-based practice project solution. Address the following  criteria:

Proposed Solution

Describe the proposed solution (or intervention) for the problem and  the way(s) in which it is consistent with current evidence. Heavily  reference and provide substantial evidence for your solution or  intervention.

Consider if the intervention may be unrealistic in your setting, too  costly, or there is a lack of appropriate training available to deliver  the intervention. If it is, you may need to go back and make changes to  your PICOT before continuing.

Organization Culture

Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.

Expected Outcomes

Explain the expected outcomes of the project. The outcomes should flow from the PICOT.

Method to Achieve Outcomes

Develop an outline of how the  outcomes will be achieved. List any specific barriers that will need to  be assessed and eliminated. Make sure to mention any assumptions or  limitations which may need to be addressed.

Outcome Impact

Describe the impact the outcomes will  have on one or all of the following indicators: quality care  improvement, patient-centered quality care, efficiency of processes,  environmental changes, and/or professional expertise.

Post comments on your experience with any elements of payroll. Some items to answer:

1. Do you receive a form 1099? Why should you receive a higher hourly rate than if you were issued a W-2 Form (this relates to the self-employment tax of 15.3% based on 7.65% as the withholding from the employee and the match paid by the employer as payroll taxes).
2. W-2’s must be mailed to employees by January 31 each year. The employer must submit W-2 information to the government no later than February 28 each year. What are some the challenges doing this?
3. If you work for a company and have the ability to sign checks, you may have a liability for unpaid payroll taxes. How comfortable are you with this responsibility?
4. If you work for a company that is not properly submitting payroll taxes, this usually creates a legal and financial liability for the company but you can still claim full credit for withholding on your tax return. What do you think of this as a concern for small business owners and officers?
5. At some point, you’ve probably have filled out a W-4. The W-4 was recently revised. View here: https://www.irs.gov/forms-pubs/about-form-w-4  and https://www.irs.gov/pub/irs-pdf/fw4.pdf and consider how you manage your Federal Tax withholding obligation. What are the financial consequences you need to think about as you complete the W-4?

Question 1-

 

When looking at database queries and the different tools used to build and generate queries, time is a major consideration. Artificial Intelligence (AI) is the newest tool on the grid right now. It’s ability to improve the query process is a point worth looking at when it comes to time management. Another point is the fact that AI can learn and therefore change the method of generating queries if databases. Identify a specific aspect of AI as it pertains to database queries, justify your selection of that aspect, and support your position as the subject matter expert (SME).

Your initial response should be a minimum of two paragraphs and should be between 200 and 250 words. The font is Times New Roman, font size should be 12, and the paragraphs are single-spaced. There should be a minimum of one reference supporting your observations. Citations are to follow APA 6.0 or 7.0, but not both.

Question-2

 

When you are reviewing the case study, take into consideration that there is a multitude of ways to automate processes such as this. One of the newer methods of creating these types of automation is to use artificial intelligence (AI). One of the unique properties of AI is that it learns. In this scenario, would AI benefit the process and how might this improve the tasks the researchers are trying to accomplish. In your case study, identify the task in the article you would incorporate AI and explain.

Your response should be a minimum of four paragraphs and should be a minimum of 400 and 450 words. The font is Times New Roman, font size should be 12, and the paragraphs are single-spaced. There should be a minimum of three references supporting your observations. Citations are to follow APA 6.0 or 7.0, but not both.

******Attached file is for question-2******