Assignment: Practicum – Week 5 Journal Entry

 Select a client whom you observed or counseled that suffers from a disorder related to trauma. Then, address the following in your Practicum Journal: Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications. Using the DSM-5, explain and justify your diagnosis for this client. Explain whether any of the therapeutic approaches in this week’s Learning Resources would be effective with this client. Include expected outcomes based on these therapeutic approaches. Support your approach with evidence-based literature. Explain any legal and/or ethical implications related to counseling this client Using proper citation in APA Format, at least three references no more than five years old 

500 words Public Health Discussion "The Planning Process"

DUE 3/15/2018 8 P.M EST

PUBLIC HEALTH ….CAMPAIGN PRESCRIPTION DRUG OVERDOSE

APA FORMAT MIN 4 REFERENCES

  

Discussion: The Planning Process

In planning for your public health campaign (PRESCRIPTION DRUG OVERDOSE), first you must identify the problem. You ask questions such as “what is happening in the community?” and “what are the critical issues that need to be addressed within my target audience?” By asking these types of questions, you gain knowledge about the true needs of the community and can develop public health campaigns reflecting those needs. Second, you must establish your goals for your campaign, and identify effective marketing techniques and a communication plan. The planning process is a comprehensive yet valuable tool for any public health leader to maintain clarity, organization, and focus of the campaign.

For this Discussion, consider the important elements of the planning process and what factors (individual, environmental, financial, social, to name a few) could inhibit or enhance the development and/or implementation of your public health campaign.

With these thoughts in mind:

Post a brief description of which element of the planning process is most valuable in developing a public health campaign (PRESCRIPTION DRUG OVERDOSE) and explain why. Then describe one factor (individual, environmental, financial, etc.) that may facilitate and one factor that may inhibit the planning of your public health campaign and explain why.

   

Please follow instruction. Note I posted RUBRIC. APA format needed.

Select a public health issue and write a 750-1,000 word policy brief that provides a brief summary of the issue, options to solve the issue, and the best way to solve this issue. Select a public health issue from one of the following American Public Health Association websites: Climate Change (https://www.apha.org/topics-and-issues/climate-change) or Topics and Issues (https://www.apha.org/topics-and-issues). 

Follow this outline when writing the policy brief: Identify issue. Background information – (a) Population effected; (b) Local, state or national level; and (c) Evidence about the issues supported by resources Problem statement. Suggestions for addressing the issue (solutions) – (a) Including necessary stakeholders (government officials, administrator); and (b) Include budget or funding considerations, if applicable Impact on the Health Care Delivery System

Include three peer-reviewed sources and two other sources to support the policy brief.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

RUBRIC:

Background Information:

A discussion of background information is thoroughly developed with supporting details.

Problem Statement:

A problem statement is thoroughly developed with supporting details.

Suggestions:

Suggestions for addressing the issue are thoroughly developed with supporting details.

Impact:

A discussion on the impact on the health care delivery system is thoroughly developed with supporting details.

Thesis Development and Purpose:

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction:

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use):

Writer is clearly in command of standard, written, academic English.

Paper Format (use of appropriate style for the major and assignment):

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style):

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Defining the Problem and Research Methods

  

Assignment 2: Defining the Problem and Research Methods

Sections 1 and 2 of Major Assessment 7: Using an Epidemiological Approach to Critically Analyze a Population Health Problem

How do culture and environment influence health? What role does personality play in health outcomes? How do stressful life events influence disease? As a health care professional, you have most likely witnessed the influence of psychosocial factors on individual health. These factors also have a significant impact on population health. Chronic conditions such as high blood pressure and heart disease, as well as degenerative diseases, can be studied at the population level through the use of epidemiologic methods (Friis, 2014). The insights gained from this type of research can then positively impact health outcomes locally, nationally, and globally.

As you continue working on Assignment 2, which is due by Thursday 04/05/2018 Day 5 of this week, consider how psychosocial factors influence your population and population health issue.

To complete:

In 5–6 pages, APA format with a minimum of five (5) scholarly references (see list of required readings below), write the following sections of your paper:

Section 1: The Problem

1) Introduction (ending with a purpose statement: “the purpose of this paper is…)

2) A brief outline of the environment you selected (i.e., home, workplace, school)

3) A summary of your selected population health problem in terms of person, place, and time, and the magnitude of the problem based on data from appropriate data resources (Reference the data resources you used.)

4) Research question/hypothesis (same as the one in assignment 1. I’m including an attachment of assignment 1 you did for me).

Section 2: Research Methods

1) The epidemiologic study design you would use to assess and address your population health problem

2) Assessment strategies (i.e., if you were conducting a case-control study, how would you select your cases and controls? Regarding the methods and tools, you would use to make these selections, how is it convenient for you as the researcher or as the investigator to use this tool?)

3) Summary of the data collection activities (i.e., how you would collect data—online survey, paper/pen, mailing, etc.)

4) Conclusion of the whole paper.

Required Readings

Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.

Chapter 10, “Data Interpretation Issues”

Chapter 15, “Social, Behavioral, and Psychosocial Epidemiology”

Appendix A – Guide to the Critical Appraisal of an Epidemiologic/Public Health Research Article

In Chapter 10, the authors describe issues related to data interpretation and address the main types of research errors that need to be considered when conducting epidemiologic research, as well as when analyzing published results. It also presents techniques for reducing bias. Chapter 15 features psychosocial, behavioral, and social epidemiology. Appendix A includes criteria to consider when reading an empirical journal article.

Elliott, A. M., Smith, B. H., Penny, K., Smith, W. C., & Chambers, W. A. (1999). The epidemiology of chronic pain in the community. The Lancet, 354(9186), 1248–1252.

This article describes an early epidemiologic study on chronic pain. Carefully review this article noting the structure of the research design, assessment and data collection, and analysis strategies. You will refer to this article for Discussion 2.

Oppenheimer, G. M. (2010). Framingham Heart Study: The first 20 years. Progress in Cardiovascular Diseases, 53(1), 55–61.

The Framingham Heart Study is a landmark epidemiologic study that began in the 1940s. The author of this article reviews the history of the Framingham Heart Study and its contribution to population health. As you read this article, consider any sources of bias or potential conflict of interest. You will refer to this article for Discussion 2.

Phillips, C. V., & Goodman, K. J. (2004). The missed lessons of Sir Austin Bradford Hill. Epidemiologic Perspectives & Innovations, 1(3). Retrieved from http://www.biomedcentral.com/1742-5573/1/3 

In 1965, Austin Bradford Hill worked on a paper that has become a standard in public health and epidemiologic study about how to make decisions based on epidemiologic evidence. Hill put forth strategies for inferring causation and stressed the need for considering costs and benefits when planning health-promoting interventions. Review this article, which examines how Hill’s strategies are often misused or misinterpreted.

Centers for Disease Control and Prevention. (2011). CDC health disparities and inequalities report—United States, 2011. Morbidity and Mortality Weekly Report, Supplement, (60), 1–114. Retrieved from http://www.cdc.gov/mmwr/pdf/other/su6001.pdf. [Read pages 11–32]

This report consolidates national data on disparities in mortality, morbidity, behavioral risk factors, health care access, preventive health services, and social determinants of critical health problems in the United States by using selected indicators. The required section of reading introduces the social determinants of health and environmental hazards.

World Health Organization. (2011). Social determinants of health. Retrieved from http://www.who.int/social_determinants/en/

According to the World Health Organization, “The social determinants of health are mostly responsible for health inequities—the unfair and avoidable differences in health status seen within and between countries.” This article presents an introduction to social determinants of health.

World Health Organization. (2011). Social determinants of health: Key concepts. Retrieved from http://www.who.int/social_determinants/thecommission/finalreport/key_concepts/en/index.html

This article outlines key concepts related to the social determinants of health.

Healthy People 2020. (2011). Social determinants of health. Retrieved from http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=39

This website presents an overview of the social determinants of health and addresses how the information relates to Healthy People 2020.

UCL Institute of Health Equity. (2012). ‘Fair society healthy lives’ (The Marmot Review). Retrieved from http://www.instituteofhealthequity.org/projects/fair-society-healthy-lives-the-marmot-review

Optional Resources

Genaidy, A. M., Lemasters, G. K., Lockey, J., Succop, P., Deddens, J., Sobeih, & Dunning, K. (2007). An epidemiological appraisal instrumental – a tool for evaluation of epidemiological studies. Ergonomics, 50(6), 920–960.

Centers for Disease Control and Prevention. (2011). Social determinants of health. Retrieved from http://www.cdc.gov/socialdeterminants/

HDS-Case Assignment 1

Note:

I need  complete 2-3 pages paper  on the following assignment.  HALF PAGE LENGTH IS NOT ACCEPTED.  Must  address the all steps properly .  Must  include 3-5 credible references  from provide required readings  and cited in APA.   Must provide  100% original work .

DO NOT PROVIDE THE PREVIOUSLY USED WORK.

DO NOT WRITE QUESTIONS IN ANSWER!

 

 

CS Discussion

  ****DUE IN 7 HRS!!!!!!****

Please write at least 75 words PER question, and at least ONE citation and reference PER question. 

1. Discuss how the Affordable Care Act and Patient’s Bill of Rights protect patients and health care professionals. What areas of the Affordable Care Act would you change and why?

2. Adhering to HIPAA regulations to maintain confidentiality is an important rule of compliance regulation to follow concerning computerized medical clinic settings. Discuss patient confidentiality related to a computerized medical clinic. What violations could occur within a computer medical clinic setting, and what would you do to correct the violations? 

3. Discuss four purposes of medical records. Based on the four purposes you listed, what could cause a patient to lose trust in the medical clinic? How would you address the issue?

4. Discuss different types of Medical Documents and their purpose. If you were given the opportunity to make changes to medical documents to enhance the patient’s experience with electronic health records, what would the changes be and why?

5. Discuss four types of insurance coverage and give example of benefit coverages and the cost of plans. Of the four different types of coverage, which plan would you select, and why? 

6. Discuss third-party privacy, security, and compliance guidelines that affect medical coding, and list examples. What errors can occur within security and compliance guidelines. Would you report the errors? If yes, please list why, and what outcome you would expect to see from reporting the errors.

7. Most insurance contracts require providers to bill insurance companies before billing patients, with the exception of co-payments. What process can you implement as the billing and collections specialist to ensure payment is collection from patients? Explain how you would implement the process.

Case Study 1 & 2 Lyme Disease and Peripheral Vascular Disease

 Lyme Disease 

A 38-year-old male had a 3-week history of fatigue and lethargy with intermittent complaints of headache, fever, chills, myalgia, and arthralgia. According to the history, the patient’s symptoms began shortly after a camping vacation. He recalled a bug bite and rash on his thigh immediately after the trip. The following studies were ordered: 

Studies Results Lyme disease test, Elevated IgM antibody titers against Borrelia burgdorferi (normal: low) 

Erythrocyte sedimentation rate (ESR), 30 mm/hour (normal: ≤15 mm/hour) Aspartate aminotransferase (AST), 32 units/L (normal: 8-20 units/L) 

Hemoglobin (Hgb), 12 g/dL (normal: 14-18 g/dL) 

Hematocrit (Hct), 36% (normal: 42%-52%) 

Rheumatoid factor (RF), Negative (normal: negative) 

Antinuclear antibodies (ANA), Negative (normal: negative) 

Diagnostic Analysis 

Based on the patient’s history of camping in the woods and an insect bite and rash on the thigh, Lyme disease was suspected. Early in the course of this disease, testing for specific immunoglobulin (Ig) M antibodies against B. burgdorferi is the most helpful in diagnosing Lyme disease. An elevated ESR, increased AST levels, and mild anemia are frequently seen early in this disease. RF and ANA abnormalities are usually absent. 

Critical Thinking Questions 

1. What is the cardinal sign of Lyme disease? (always on the boards) 

2. At what stages of Lyme disease are the IgG and IgM antibodies elevated? 

3. Why was the ESR elevated? 

4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment.

Peripheral Vascular Disease

 A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg. 

Studies Results Routine laboratory work Within normal limits (WNL) 

Doppler ultrasound systolic pressures Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure) 

Arterial plethysmography Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves 

Femoral arteriography of right leg Obstruction of the femoral artery at the midthigh level 

Arterial duplex scan Apparent arterial obstruction in the superficial femoral artery 

Diagnostic Analysis 

With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic. 

Critical Thinking Questions 

1. What was the cause of this patient’s pain and cramping? 

2. Why was there decreased hair on the patient’s right leg? 

3. What would be the strategic physical assessments after surgery to determine the adequacy of the patient’s circulation? 

4. What would be the treatment of intermittent Claudication for non-occlusion? 

HINF500

Write a 350- to 525-word explanation why the positions were integrated into the organization in the manner that you arranged them.

Click the Assignment Files tab to submit your assignment.

PATHO WEEK 1 DISCUSSION

Case Study:

Mr. Smith, a 60 year-old man with coronary heart disease, experienced frequent bouts of angina pectoris. One day while moving a piece of heavy furniture, he experienced excruciating pain over his left chest. He began sweating heavily, became short of breath, and then collapsed. He was transferred to the emergency room at a nearby hospital. Mr. Smith’s EKG was diagnostic of myocardial infarction. A coronary angiography was performed and an occlusion was found in a in the descending branch of the left coronary artery. Intravenous drugs were administered to dissolve the clot that was causing the obstruction. His cardiologist informed him that some of his heart muscle had died as a result of the myocardial infarction.

Discussion Questions:

1. Discuss the risk factors for a myocardial infarction.

2. As per your analysis, what type of cell injury did Mr. Smith sustain and why?

3. Differentiate between reversible and non-reversible cell injury.

4. Discuss the pathophysiological changes that occur during a myocardial infarction.

5. Correlate the subjective and objective findings of a myocardial infarction with the disease

Three Part Assignment Due Tomorrow 3/01/2020 at 12:00 pm eastern standard NO Plagerism

 

Part 1: Agenda Comparison GridUse the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.Describe the administrative agenda focus related to the issue you selected.Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.Explain how each of the presidential administrations approached the issue.(A draft of Part 1: Agenda Comparison Grid should be posted to the Module 1 Discussion Board by Day 3 of Week 1.)

    

Part 2: Agenda Comparison Grid AnalysisUsing the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there? Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?

Part 3: Fact Sheet or Talking Points BriefBased on the feedback that you received from your colleagues in the Discussion, revise Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis.Then, using the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. Be sure to address the following:Summarize why this healthcare issue is important and should be included in the agenda for legislation.Justify the role of the nurse in agenda setting for healthcare issues