hi dear,

 can help me to finish this assignment with good quality and be on time please?

 I just need to response to the 2 Discussions, and about 50 words for each responses.

1)Boston REACH Coalition video

The Boston REACH Coalition video reveals some very important coalition concepts. Among them is the idea of people coming together. In the video members of the African American community have decided to come together (Dailymotion, 2019). They have noted the health disparities in their communities and have decided to pool their resources together. Another coalition concept evident in the video is a common goal. All the members of the coalition in the video would like a situation where members of the African American community in Boston have the same health outcomes as the Caucasian members of the society.

The health disparities mentioned in the video can be attributed to the social environment in which people live. Members of the African American community live in areas which are not rich in resources. This means that they have fewer opportunities to engage in healthier habits compared to members of the Caucasian community who live in resource rich neighborhoods. This has led to African Americans having disproportionately poorer health outcomes. Boston REACH can improve this by advocating for an increase in the necessary health related resources in black communities such as quality health facilities and markets where fresh groceries are sold(Altman, 2014).Testimony to the Labor Health and Human Services Video,Dr. Randy Pausch displayed several advocacy concepts. Among them was creating an emotional connection. He told his story about pancreatic cancer in a manner that appealed to the emotions of all the listeners (Pancreatic Cancer Action Network, 2008). Another concept was the sharing of all the relevant knowledge. He shared all the knowledge that he felt was relevant on the topic such as the lack of progress in the search for better treatment methods for pancreatic cancer and the lack of funding for research to this effect.Voluntary policies, local ordinances state law and federal law can affect health outcomes in target populations. They can determine the funding that is dedicated to a given health factor in the target population. This in turn determines the number of people willing to work on the given health issue facing the target population. In essence system factors help to determine which health factors receive the most attention in terms of funding (Loue, Lloyd, 2017).

2)  After watching the building healthier community’s video with the Boston reach coalition I took away two main concepts that I saw were reinforced in their community. First, the Boston reach coalition creates a place of comfort by being able to provide their community to come to meetings and feel like their voices are heard and to learn about keeping each other healthy by collaborating with doctors and to meet people like themselves. Second, is the changing of policies to create health equality. The coalition isn’t just focused on people’s everyday behavior but on the community health outlook and how to make those changes on a government level. That leads me to the health disparities, not having the same healthy resources for the African American community when comparing to the white communities in Boston has led to health disparities with misinformation about health and health food choices to give a few examples.  Watching the testimony that Dr. Randy Paush gave to the Labor Health and Human Services board was very interesting and informative. He really wanted lawmakers to hear how important it is to get funding for research on pancreatic cancer. He explained that a lot of patients with pancreatic cancer don’t live very long so it was important to him to get in front of them and explain how truly terrible pancreatic is for patients. He gave a lecture to students regarding pancreatic cancer and it was recorded and put on YouTube that had 6 million views before he gave his testimony to lawmakers in DC. He said in his statement that he was an accidental celebrity and he used his platform to spread the word on how lightly funded pancreatic cancer research is. He repeatedly said in his statement on if young, ambitious researchers had funding to research pancreatic cancer then the future could be bright for patients that get diagnosed with pancreatic cancer and if it didn’t get proper funding then he wouldn’t have much hope for those patients. Government policies are extremely important to cases like this. Breast cancer has come a long way from just twenty years ago and it has everything to do with researchers getting that funding in order to calm, cure or even pause a disease.   

Thanks,

CASE STUDY 1- Reflecting on week 2’s lessons in the syllabus, select a patient population (pediatric, young adult, adult or geriatric), and briefly analyze a common/acute EENT condition (Sinusitis, Pharyngitis, Epiglottitis, Infectious Mono, Epistaxis, Allergy rhinitis, Hearing loss, common eye conditions etc.…there are several to choose from), that may affect this population. Briefly tell how it impacts the patient’s quality of life and analyze the current research evidence on this topic and gold standard of care if any for your chosen population. (You may use an example from your clinical rotation (past or present) that you have encountered). Describe how you, the FNP, can/or have made a difference in the care of patients with this specific disease and tell of one specific patient care teaching that he/she may do to help minimize disease symptoms. (Due 01/27/19.

CASE STUDY 4 – Reflecting on week 9’s lessons in the syllabus, select a patient population (young adult, adult or geriatric), and briefly analyze a common STDs & urological disorder (ex – UTI, Hematuria, Urolithiasis, Urinary Incontinence, Ac. Pyelonephritis, HIV, Bacterial vaginosis, Chlamydia, Gonorrhea, Trichomoniasis, Syphilis) that may affect this population. Briefly tell how it impacts the patient’s quality of life and analyze the current research evidence on this topic and gold standard of care if any for your chosen population. (You may use an example from your clinical rotation (past or present) that you have encountered). Describe how you, the FNP, can/or have made a difference in the care of patients with this specific condition and tell of one specific patient care teaching the patient can benefit from. Please post your CS directly in the thread so that your colleagues can see it and be sure to read and respond/comment on one of your colleagues posting.  

1. What similarities and differences exist between the classification of causes of death and the classification of diseases?

Your response should be at least 75 words in length

2.Describe the pros and cons of revising the coding system on a regular basis.

Your response should be at least 75 words in length.

3. Place the items listed below in chronological order.

The final rule on the adoption of ICD-10-CM/ICD-10-PCS was published.

The Veterans Administration and the U.S. Public Health Service began studies of the use of the ICD for hospitals indexing purposes.

The U.S. Department of Health and Human Services (HHS) published a proposed rule to adopt ICD-10.

ICD-9-CM replaced earlier, less specified versions of the classifications system.

The National Center for Health Statistics (NCHS) began testing the ICD-10 system for use in the United States.

The World Health Organization (WHO) published ICD-10.

Unintended pregnancy is something I know very much about, I had an unintended pregnancy at the age of 19.  Never in my wildest dream did I think it would happen to me, I knew the consequences of an intimate relationship, but at my age, I was invincible.  While I was sitting with my OB/GYN my options were discussed, and at that time there weren’t all these different ways to deal with an unintended pregnancy, you either had the baby or had an abortion, but abortions were not as “easy” as they are today.  Pills were not given and 10 minute procedures were not around, there was intense bleeding and pain and there was a very real chance that the reproductive organs could be damaged and the patient could never have children later in life.                I chose to have my child and I bless each day that I have her, but not all young women can easily make that decision and with advances in medicine they have more options than ever before.  I was amazed over this past week when I went to Planned Parenthood with a staff member, who is alone, we went over the many options that she had and she was educated in the different ways she could choose her way.  I am not saying that I agree with her choice or the choices of the other women that were in the waiting room, but the idea that they had many options is what I was impressed with.                The contraceptives offered to young adults, presently allow for options based on what fits their needs.  Teen pregnancy is prevalent in the nation and with recently approved long acting contraceptives for adolescents there are ways to help teens be more responsible with intimate relationships.  Intrauterine devices and implants are the choice for the main line of contraception for all women including the young adults.  Currently prescriptions for contraceptives show that the main choice is pills for young adults, some feel it is due to barriers of knowledge and cost (K. McKellen, 2018).  Nurse practitioners will be at the forefront of providing education to their patients, helping reduce the number of teen pregnancies and ensuring that all their patients have access to them.  According to a 2015 survey, only 3.3% of adolescents are using LARC’s for their last sexual encounter.  What has been found through this study was that the type of contraceptive chosen by the patient was directly based on the type of provider they see (S. Dixon, 2018).  Again, this is where nurse practitioners will be vital in aiding how teens and their parents view the use of LARC’s. How do you personally feel about youth and LARC’s?ReferencesMcKellen, e. a. (2018). The Latest in Teen Pregnancy Prevention: Long-Acting Reversible       Contraception. The Journal of Pediatric Medicine, e91-e97.Dixon, e. a. (2018). What Do Parents Know and Believe About LARC Use in Teens?       Journal of Adolescent Health, S37-S140.