Category: Nursing

Strategic Health Care Planning Course Competencies

In this course, you will examine strategic orientations, planning, and decision making in health care

organizations and environments. You will:

Consider the political, legal, regulatory, organizational, demographic, and multicultural implications of

strategic planning decisions and the ways they impact communities and populations.

Define best practices for health care organization staff development.

Prioritize organizational and regulatory needs with feasible cost-effective solutions.

Nursing Capstone Project Course Competencies

This BSN capstone is the culminating course of your BSN program. In your previous courses, you have demonstrated and expanded your knowledge of healthcare systems and policies, patient education, health promotion, and technology integration. You have examined culturally competent, evidenced-based professional nursing practices and the ways they can be applied to foster health care promotion and disease management and prevention in individuals and diverse populations. In this final course, you will integrate your knowledge into a practical demonstration of your competence in the ten learning outcomes of the BSN program.

Public health & environmental approaches to obesity prevention

Before you begin this assignment, read through the Home page and the required readings. Specifically view the Part 1: Public health & environmental approaches to obesity prevention

This video is part of Public Health Learning Modules project funded by the U.S. Department of Health and Human Services and developed by Temple University Department of Public Health and the Association for Prevention Teaching and Research as a free teaching resource for public health professionals.

For this component of the Session Long Project, you will describe current environmental strategies, practices, and recommendations to build and promote health. Your task is to submit a paper that responds to the following questions:

Describe the problem of obesity in the United States and discuss the role of the built environment in exacerbating such problem.

 

The Centers for Disease Control and Prevention came out with recommended prevention strategies to address the problem of obesity. Describe the three environmental strategies related to food access that were highlighted in the video presentation.

 

Conduct your own literature search and identify two community-level strategies that have been shown to increase physical activity.  Be sure to cite your sources to support your perspective.

Developing an Advocacy Campaign

Application: Part 1 – Developing an Advocacy Campaign To prepare: 1. Select a population health issue of interest to you and identify the population affected by the issue. 2. Locate two scholarly articles, each of which provides a description of an effective health advocacy campaign that addresses your issue. The articles need to focus on two different advocacy campaigns. 3. Analyze the attributes of the two campaigns to determine what made them effective. 4. Reflect on a policy you could propose or suggest a change to a current policy to improve the health of the population you selected. 5. Consider how you could develop an advocacy campaign, applying the attributes identified in similar, effective campaigns. To complete: For the Part 1 application (approximately 3–4 pages of content with a title page and references in APA format) address the following: 1. Describe your selected population health issue and the population affected by this issue. 2. Summarize the two advocacy campaigns you researched in this area. 3. Explain the attributes that made those campaigns effective. 4. Begin to develop a plan for a health advocacy campaign that seeks to create a new policy or change an existing policy with regard to the issue and population you selected. Be sure to include in your plan:

A description of the public health issue and proposed policy solution 1. Specific objectives for the policy you want to be implemented 2. Begin to substantiate of your proposed campaign by data and evidence. 3. Be sure to paste the rubric at the end of your paper.

Health Communication Campaign Objectives Essay

Your final Case Assignment deals with health communication goals and objectives by Healthy People 2020 from the U.S. Department of Health and Human Services. Healthy People 2020 provide 10-year goals and objectives to improve the nation’s health. One specific goal is to use health communication strategies and health information technology to improve health care quality, health outcomes for the population, and to attain health equity (U.S. Department of Health and Human Services, 2012).

 

Using the U.S. Department of Health and Human Services (2012) resource provided, write a paper addressing the following:

 

Identify 3 different health communication objectives listed by Healthy People 2020 (Use the summarized list under the overview section on the direct link from your required reading. Note: they are listed in bullets under the provided link.)

 

Discuss the importance of the health communications objectives you selected.

 

Using personal experience, how would you address the objectives you selected? (Note: Feel free to use your military or other job related experiences that relate to your selected objectives.)

Applying Ethical Frameworks in Practice

Using the steps outlined in the decision-making models in your readings, select one ethical decision-making model and use the model to analyze the case provided.

Case Scenario:

A 6-year-old develops a high fever accompanied by violent vomiting and convulsions while at school. The child is rushed to a nearby hospital. The attending physician makes a diagnosis of meningitis and requests permission to initiate treatment from the parents. The child’s parents are divorced. The mother, who is not the biological parent of the child, has primary custody. She is a Christian Scientist who insists that no medical treatment be offered for religious reasons. The biological father, who resides in another state, is also contacted. He insists that treatment be given and seeks independent consultation from another physician.

Assignment:

In a formal, written paper of 800-1,200 words, answer the following questions:

What is the ethical dilemma here? Describe the decision-making model you selected from your readings. How would you resolve this dilemma using the model? Include, at the end of your paper, a 200-word dialog in which you explain your decision to the family. (Remember to use language that the family would understand). A minimum of three references must be used.

Prepare this assignment according to the APA 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.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

Public Service Announcement Essay

Develop a 30-second public service announcement (PSA) for radio, television, or a website to further bring attention to the issue you have been writing about. Your product, whichever option you choose, must include a voice-over or recorded PSA. Therefore, you will need access to a microphone for this assignment. The module’s required reading from the Community Tool Box covers how to prepare PSAs and when to consider using them. Their examples of PSA scripts are very useful and can give you ideas about how to approach the assignment.

 

Identify the main purpose and target audience of your PSA.

 

Develop a 30-second prerecorded PSA (~ 60-75 words) for a radio, a television, or a website. Make sure to submit both your script and prerecorded PSA.

 

Your PSA should include a “catchphrase” that makes your message memorable. Below are examples of health campaign catchphrases.

 

“Milk does a body good.”

“This is your brain on drugs. Any questions?”

“I learned it by watching you.”

“Friends don’t let friends drive drunk.”

Pharmacology Case Studies

M.T. is an 18-month-old, 20-kg male who presents to the emergency department in status epilepticus, which has continued for approximately 20 minutes. He was brought to the emergency department from a small community via a family vehicle. He has not received any care at this point. The nursing staff has attempted several intravenous line insertions but were unable to gain access. M.T. continues to convulse without interruption.

Which of the following would be the most appropriate route of administration for an anticonvulsant to consider for M.T. and why?

Intramuscular

Percutaneous

Subcutaneous

Rectal

 

Midazolam is a benzodiazepine that can be used effectively for status epilepticus. Which of the following routes of administration has been used effectively for the delivery of midazolam when intravenous access in unobtainable?

Percutaneous

Mucosal

Oral

Subcutaneous

 

Which of the following is true regarding the percutaneous absorption of medications?

The absorption of compounds is inversely related to the thickness of the skin

The absorption of compounds is inversely related to the hydration of the skin

Body surface area (BSA) is decreased, relative to body mass, in the infant and young child when compared with older children and adults

The percutaneous administration of medications is reliable and safe in the infant and young child.

 

What are the advantages of utilizing the mucosal route of administration?

Some medications have very good absorption and systemic effect when administered by nasal spray

Nasal (mucosal) administration avoids the trauma of intravenous line placement

Nasal administration of medication is typically less expensive than intravenous administration

All of the above are advantages of the mucosal route of administration

 

K.F. is a 23-year-old female with a history of acne and bipolar disorder. She currently takes lithium to treat her bipolar disorder and isotretinoin (Accutane) for her acne. She also occasionally takes famotidine for reflux.

Should K.F. become pregnant, which of the following would be considered safe for her to continue taking? Why? Why are the others considered unsafe during pregnancy (pregnancy rating, potential adverse fetal and maternal effects)?

Accutane

Lithium

Famotidine

 

One year later, K.F. is seen again in your clinic. Her acne and bipolare medications have been discontinued and she now presents 4 months pregnant with a complaint of pain and rising fever over the last 5 days. Lab tests show gram-negative bacilli and Widal test comes out positive. Which of the following drugs will most likely be administered and why? Why will the other drugs not be administered?

Ampicillin

Ciprofloxacin

Levofloxacin

Tetracycline

 

 

 

 

 

 

 

 

 

 

 

 

 

R.S. is an 85-year-old female who has congestive heart failure. Over the past 3 months, she has had four hospitalizations. Like many older adults, R.S. is experiencing difficulty swallowing and psychologic changes affecting her medication absorption.

Which of the following would be an appropriate starting point for identifying causes for R.S.’’s frequency of hospitalizations?

Simply ask if she is taking her medications as directed

Assume that her frequent hospitalizations are secondary to expected changes, which are normal parts of aging

Examine all of R.S.’s medication vials to complete an assessment including pill count for adherence

Assume that her frequent hospitalizations are the result of undertreating her conditions.

 

In determining the most appropriate course of treatment for R.S., assessing her life expectancy should never be taken into account. Rather, the same course of treatment should be pursued without regard for life expectancy. WHY?

True

False

 

Which of the following best describes a concern that R.S. is taking OTCs, which may impact her cardiac function?

Assume that if R.S. has not discussed her taking OTCs with her health care providers that this is most likely not an issue

Assume because older adults typically do not take OTCs that this is not an issue with R.S.

Because older adults take a significant number of OTCs without knowledge of their physicians, that R.S.’s use if best assessed through a home visit and the asking of open-ended questions

 

 

 

 

 

 

 

 

 

 

 

 

L.L. is a 67-year-old male who has been diagnosed with benign prostatic hypertrophy (BPH). He is having difficulty with urination. He is currently on Cozaar 100 mg qd for HTN and his BP is well controlled. He is taking no other medications. The doctor has recommended medication for his BPH, but he would like to try an herbal supplement before taking prescription medication.

What herbal supplement should he take?

2 .What is the recommended dosage?

What are possible side effects and/or drug interactions of the herbal supplement?

What warnings should you give L.S. before he starts the herbal supplement?

 

M.C. is a 54-year-old female who presents with menopausal symptoms of hot flashes, mood swings, decreased libido and vaginal dryness. She wishes to try an herbal supplement to reduce her symptoms, as she is concerned about potential side effects of prescription medications.

What herbal supplement would you recommend?

What is the recommended dosage?

What are possible side effects and/or drug interactions of the herbal supplement?

What warnings should you give M.C. before she starts the herbal supplement?

 

P.K. is a 26-year-old female who presents with depression and anxiety. She is hesitant to start prescription antidepressants as she feels their use will negatively affect her libido and sexual function. She states that she has been taking St. John’s worth for the past couple of weeks and wishes to know if this supplement is okay to use.

What are possible side effects and/or drug interactions of the herbal supplement?

What warnings should you give P.K. about the herbal supplement?

Safety of Food from Carcinogens Essay

The Office of Food Additive Safety (OFAS) at the Center for Food Safety and Applied Nutrition (CFSAN) of FDA is charged with, among other responsibilities, regulating industry to ensure that food contact substances and food additives are safe.

Using your course textbook, the South University Online Library, and the Internet, research on major regulations related to food safety. On the basis of your research, answer the following questions:

What are the ten microbiological agents that are implicated in food-borne illness? What are the measures for preventing food-borne illness?

Describe practical methods for the prevention of food-borne illness and indicate how you apply them in your home or business.

What are the procedures that a local health department might use for investigating an outbreak of food-borne illness?

Explain a major regulation for protecting food from carcinogens and discuss its purpose. Do you think there should be any change in this regulation? Why or why not?

What is the intended impact of food safety–related law on your local community?

please support with apa referance page

What tools can be implemented to ensure organizations such as Healing Hands Hospital and physician practices are meeting the policies and procedures set forth by CMS?