DUE 8/3 8 P.M EST

8 pages APA not including title and reference page

 Read instructions carefully break down each section and use subheadings

HIV/AIDS TOPIC

Proposal for a Community Health Intervention and Annotated Bibliography

For this Final Project, you develop a proposal for an intervention that addresses a public health problem identified in a particular community or one that is relevant to your own Public Health research and practice interests.

Project Instructions 

To complete this Final Project, you work with your instructor to identify a pressing Public Health issue relevant to your community and/or personal research and professional practice interests. 

The proposal can be for developing a program, an intervention or a research study.

The Project will be completed in a format consisting of the following components:

· A 8-page paper using APA format (not including title page or references) 

· A Table of Contents

· A Manuscript (components list follows) 

The manuscript section of your Final Project must include the following components:

Section I: Introduction (1 page)

In this section, you will include the following elements:

· A description of the health problem you identified

· A brief outline of the need for the community health intervention you are proposing

· Sources of data that you will use to provide a rationale for your intervention proposal

· A statement of the problem or purpose of your proposed intervention

Section II: Annotated Bibliography (3 pages) 

In this section, you will include the following elements:

· An Annotated Bibliography that includes the following: 

* Sources: Six to eight recent (less than 3 years old) primary, peer-reviewed research articles that support the topic of your paper. Beyond the minimum primary research articles that directly relate to your identified topic, you may add additional, high-quality secondary literature (reviews or meta-analyses). You may also use websites if they come from a scholarly and relevant source (e.g., CDC, NCHS). Your sources must follow APA formatting. 

o Annotation: For each research article, include a brief description of the study aim, the methods used, and an analysis of the major findings. For each nonresearch source, provide a concise description of the relevant key points addressed in the source. Include in the annotation a brief description of how you plan to use each source (e.g., to provide statistics for the problem).

Section III: Methodology (2 pages)

In this section, you will include the general goals of your intervention. In your Applied Project these goals will be revised as SMART objectives. In the present project, this section will include the following components:

· Your implementation plan consisting of the following elements: 

** A description of the data based on a needs assessment

1) An explanation of the proposed intervention based on your research, suggested data sources, and annotated bibliography 

2) A brief outline of the proposed intervention 

· A description of the evaluation methods 

· A brief explanation of the ethical issues inherent in the methodology

· A brief explanation of at least three key community stakeholders and why you selected them

Section IV: Conclusion (1 page)

This section will consist of the following components:

· An explanation of which of the 10 Essential Public Health Services (and/or the Certified Health Education Specialist [CHES] Areas of Responsibility) your proposed intervention will address, and why

· An explanation of how your proposed intervention relates to positive social change

Section V: References (1 page)

please pay attention to my case study

4 references

zero plagiarism

Subjective: 

• CC: “I have bumps on my bottom that I want to have checked out.” 

• HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed. 

• PMH: Asthma 

• Medications: Symbicort 160/4.5mcg 

• Allergies: NKDA 

• FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD 

• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) 

Objective: 

• VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs 

• Heart: RRR, no murmurs 

• Lungs: CTA, chest wall symmetrical 

• Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia 

• Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, negMcBurney 

• Diagnostics: HSV specimen obtained 

Assessment: 

• Chancre 

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

• Analyze the subjective portion of the note. List additional information that should be included in the documentation.
• Analyze the objective portion of the note. List additional information that should be included in the documentation.
• Is the assessment supported by the subjective and objective information? Why or why not?
• Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
• Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

Assignment 1: “Captain of the Ship” Project – Obsessive-Compulsive Disorders

In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with an obsessive-compulsive disorder.

Students will:

• Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with obsessive-compulsive disorders
• Recommend psychotherapy based on therapeutic endpoints for clients with obsessive-compulsive disorders
• Identify medical management needs for clients with obsessive-compulsive disorders
• Identify community support resources for clients with obsessive-compulsive disorders
• Recommend follow-up plans for clients with depression disorders

To prepare for this Assignment:

• Select an adult or older adult client with an obsessive-compulsive disorder you have seen in your practicum.

In 3–4 pages, write a treatment plan for your client in which you do the following:

• Describe the HPI and clinical impression for the client.
• Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
• Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
• Identify medical management needs, including primary care needs, specific to this client.
• Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
• Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

Write a short discussion:

Scope and Standards of Nursing Practice

According the text book The American Nurses Association’s Nursing: Scope and Standards of Practice (3rd ed.) discusses integrating the art and science of nursing. Describe how science and art are synthesized in the practice of nursing.

The course outcomes to meet include:

• -Examine the roles and responsibilities of the professional nurse related to promoting health and wellness. (COs 1, 2, and 3)
• -Explain how the American Nurses Association Scope and Standards of Practice and Code of Ethics serve as a foundation for nursing practice and health promotion. (COs 1, 2, and 4)
• -Compare and contrast the nursing process and clinical reasoning. (COs 1, 2, and 3)
• -Apply knowledge of the nursing role to promoting healthy behaviors in others. (COs 2 and 3)
• -Describe how the nursing process is utilized to promote the health of individuals and families. (COs 1 and 2)

Nursing is a complex profession that combines art and science. I believe that it is one of the few jobs that have this gift. Every day we touch the lives of a diverse population. There are fundamental standards and codes we must abide. While upholding these standards, we must continue to educate ourselves and show compassion to our patients (Potter, Perry, Stockert, & Hall, 2017). As with other disciplines, we hear of stories about how individuals stray from the oath or pledge they took to care for those in need. When we no longer function in the role of a nurse who promotes health and wellness, we bring harm to those who we are charged with caring. As you develop your nursing craft at mixing art and science of nursing, consider the implications of not being able to manage both of these aspects of nursing successfully. Take a look at this 2 min video:

Link to the video: https://www.youtube.com/watch?v=8PZNl6vix8Q

 Discussion Question:  Identify three common and expected emotional reactions that a nurse might have when initially working with persons who manifest suicidal behavior disorder.  Discuss actions and interventions the nurse would need to take to keep the patient safe.  As the nurse working with this population, what are resources available to the nurse to assist in dealing with personal feelings about the event and obtain support?