Title:    Refer to “Impact of Small Nuclear Weapons on Washington, DC: Outcomes and Emergency Response Recommendation” in your assigned readings. Choose three issues that are considered critical according to the report and analyze how your community measures up, esp

Paper type    Essay,  Deadline  29th May 2016 @ 03:44:50 AM

Paper format    APA,     Course level    Master

pages    1   ( or 275 words Minimum)

Spacing    Double Spacing,  sources    2

Paper Details

This is a discussion board question and I have provided both sources please only use those

Below is a discussion board question and I have provided two sources please cite from them one is the peer reviewed scholarly article and the book chap 20

Refer to “Impact of Small Nuclear Weapons on Washington, DC: Outcomes and Emergency Response Recommendation” in your assigned readings. Choose three issues that are considered critical according to the report and analyze how your community measures up, especially in the realm of health care response preparedness.

Impact of Small Nuclear Weapons on Washington, DC: Outcomes and Emergency Response Recommendation
Read “Impact of Small Nuclear Weapons on Washington, DC: Outcomes and Emergency Response Recommendation,” located on the Senate Committee on Homeland Security & Governmental Affairs website.
http://www.hsgac.senate.gov//imo/media/doc/041508Dallas.pdf?attempt=2

1. Health Organizations: Theory, Behavior, and Development
Johnson, J. A. (2009). Health organizations: Theory, behavior, and development. Boston, MA: Jones and Bartlett Publishers. ISBN-13: 9780763750534 (Available as eBook)
Read chapter 20.
http://gcumedia.com/digital-resources/jonesandbartlett/2009/health-organizations_-theory-behavior-and-development_ebook_1e.php

 An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient. 

Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact..

Case Study Analysis Assignment

42-year-old man presents to ED with 2-day history of dysuria, low back pain, inability to fully empty his bladder, severe perineal pain along with fevers and chills. He says the pain is worse when he stands up and is somewhat relieved when he lies down. Vital signs T 104.0 F, pulse 138, respirations 24. PaO2 96% on room air. Digital rectal exam (DRE) reveals the prostate to be enlarged, extremely tender, swollen, and warm to touch.

An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. 

To prepare:

Assignment (2- to 3-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided (not all may apply to each scenario):

• The factors that affect fertility (STDs).
• Why inflammatory markers rise in STD/PID.
• Why prostatitis and infection happens. Also explain the      causes of systemic reaction.
• Why a patient would need a splenectomy after a      diagnosis of ITP.
• Anemia and the different kinds of anemia (i.e., micro      and macrocytic).

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

·  Chapter 24: Structure and Function of the Reproductive Systems (stop at Tests of reproductive function); Summary Review

· Chapter 25: Alterations of the Female Reproductive System (stop at Organ prolapse); pp. 787–788 (start at Impaired fertility) (stop at Disorders of the female breast); Summary Review

·  Chapter 26: Alterations of the Male Reproductive System (stop at Hormone levels); Summary Review

·  Chapter 27: Sexually Transmitted Infections, including Summary Review

·   Chapter 28: Structure and Function of the Hematological System (stop at Clinical evaluation of the hematological system); Summary Review

· Chapter 29: Alterations of Erythrocytes, Platelets, and Hemostatic Function, including Summary Review

· Chapter 30: Alterations of Leukocyte and Lymphoid Function, including Summary Review

Low, N. & Broutet N. J. (2017). Sexually transmitted infections – Research priorities for new challenges. PLoS Medicine, (12), e1002481

Kessler, C. M. (2019). Immune thrombocytopenic purpura [LK1] (ITP). Retrieved from https://emedicine.medscape.com/article/202158-overview

Nagalia, S. (2019). Pernicious anemia[LK1] . Retrieved from https://emedicine.medscape.com/article/204930-overview#a3

Stauder, R., Valent, P., & Theurl, I. [LK1] (2019). Anemia at older age: Etiologies, clinical implications and management. Blood Journal, 131(5). Retrieved from http://www.bloodjournal.org/content/131/5/505?sso-checked=true

Credit Line: Anemia at older age: Etiologies, clinical implications and management by Stauder, R., Valent, P., & Theurl, I., in Blood Journal, Vol. 131/Issue 5. Copyright 2019 by American Society of Hematology. Reprinted by permission of American Society of Hematology via the Copyright Clearance Center.

Conduct a health assessment of a particular population and create an audience-appropriate PowerPoint presentation in which you distribute the results of the assessment.

This component allows you to demonstrate your proficiency for Program Outcomes 1 and 5:

• Program Outcome 1:Health Assessment: Conduct comprehensive and focused assessments of health and illness parameters in individuals, groups, and vulnerable populations.
• Program Outcome 5: Communication: Communicate effectively with all members of the healthcare team, including interdepartmental and interdisciplinary collaboration for quality outcomes.

Part 1

Conduct a health assessment of a population of your choice.

• To accomplish this, describe the key factors that make up an assessment at each of the following levels: 
  • Community.
  • Group.
  • Individual.
• Explain the process for completing a comprehensive health assessment.
• Complete the assessment.
• Write a completed a 3–5 page summary of the results of the health assessment and an explanation of the process you used to conduct it. Be sure to include a brief description of the population you selected.

Part II

Prepare a PowerPoint presentation in which you present your health assessment to your colleagues in one of the following venues that most closely resembles something you might do in your current clinical setting:

1. Multidisciplinary team rounds.
2. An in-service for team members.
3. A meeting of key stakeholders to conduct a multidisciplinary assessment of your selected client population.

To accomplish this, think about the characteristics of the audience you will be presenting your information to:

• What type of information would be appropriate for this group?
• What style of presentation might get the information across in the best way?
• In the notes section of the first slide, describe the characteristics of your target audience.
• In the notes section of each subsequent slide, explain why you are including the information presented on the slide, and support your information with valid scholarly resources.
• The final slide should be the reference list for the resources you used in your presentation.
• There is no required number of slides for the PowerPoint presentation, but you should be sure you address the health assessment as completely as possible for your target audience.

Requirements

• A title page and reference page for each part.
• Resources: At least three current scholarly or professional resources (a total of three needed for both parts).
• Format: All references must be presented in current APA format.
• Font (Part 1 only):Times New Roman, 12 point.

The Interview:

The medical interview serves several functions. It is used to collect information to assist in diagnosis of the present illness, to understand the patient’s values, to assess and communicate prognosis, to establish a therapeutic relationship and to reach agreement with the patient about further diagnostic procedures and therapeutic options. The interview also offers an opportunity to influence patient behaviors.

Discuss the following:

Please answer the following questions and include your rationale and evidence-based research to support your written work.

• What does it means to document accurately and appropriately?
• What are the documenting guidelines? When is it appropriate to use abbreviations?
• What is the difference between subjective and objective data?
• What does it mean to demonstrate clinical reasoning skills?
• How can you use clinical reasoning to plan the organization of a comprehensive exam?
• How will you document variations of normal and abnormal assessment findings?
• What factors influence appropriate tools and tests necessary for a comprehensive assessment?
• Reflect on personal strengths, limitations, beliefs, prejudices, and values.
• How will these impact your ability to collect a comprehensive health history?
• How can you develop strong communication skills.
• What interviewing techniques will you use to interview the patient to elicit subjective health information about their health history?
• What relevant follow-up questions will you use to evaluate patient condition?
• How will you demonstrate empathy for patient perspectives, feelings, and sociocultural background?
• What opportunities will you take to educate the patient?

500 words

Discussion: The Application of Data to Problem-Solving

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

Reflect on the concepts of informatics and knowledge work as presented in the Resources. 

Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

Question

Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?