Please read the first and second PowerPoint and the summaries and write comments like 5-7 sentence for each what do you think on 2 scenarios.

First PowerPoint and summary 

1- Emergency Departments are always trying to improve their care in order to better serve
their communities. It is very important that nurses are able to execute excellent care in a timely manner. The “national recommendation is for an initial electrocardiogram (ECG) to be obtained within 10 minutes of arrival to the emergency department; this is first-line diagnostic testing for patients presenting with symptoms suggestive of myocardial infarction (MI)” (Stanfield, 2018). Time is very important with patients suffering from MI because delay in treatment can cause a lot of tissue damage and lead to death. According to Stanfield, if treatment occurred within 30 minutes there was a chance at reversing the negative effects. The purpose of this project was to
determine if training and guideline implementation for the first nurse (nurse stationed in the ED lobby) would improve overall door-to-ECG times.
 

Reference:

Stanfield, L. (2018). Practice Improvement: Improvement of Door-to-Electrocardiogram Time
Using the First-Nurse Role in the ED Setting. Journal of Emergency Nursing, 44, 466–471.
https://doi-org.ezproxy.hsutx.edu:4443/10.1016/j.jen.2017.12.011 

2- Second PowerPoint and summary 

Hypothyroidism in Women Summary
Hypothyroidism is the second most common type of endocrine disorder affecting women at reproductive age. The risk of developing this disease increases with age, during pregnancy, the postpartum period, and menopause. The most common cause of hypothyroidism in the United States is Hashimoto’s thyroiditis, which is 5 to 10 times more likely to occur in women than men. Diagnosing hypothyroidism can be very challenging due to the symptoms being similar to those of depression and increased age. Health history and diagnostic tests such as TSH and T4 are crucial factors to diagnosing
hypothyroidism; along with risk factors of, age older than 60 years, type 1 diabetes mellitus or other autoimmune disorders, Graves’ disease, postpartum thyroiditis, turner syndrome and down syndrome, primary pulmonary hypertension, lithium use, family history, amiodarone use, iodine deficiency, radiologic therapy (especially in neck area), multiple sclerosis. There are 3 classifications of hypothyroidism; primary, subclinical, and central, which are differentiated by TSH and T4 levels. If properly treated and TSH level is therapeutic, level on prescribed dosage of levothyroxine will undergo
TSH level evaluation at least every 12 months. If left untreated, physical and mental abnormalities, fetal anomalies including physical and mental defects, hyperlipidemia, coronary artery disease, and a life-threatening complication of untreated hypothyroidism called myxedema coma, associated with sever hypothermia, bradycardia, seizures, and decreased cardiac output eventually resulting in a coma can
occur. 

  

Page 1

· Discuss local statistics from Charles County Maryland for syphilis

· Offer at least one evidence based action plan that is measurable and could be implemented in the community to decrease the incidence of that syphillis.

· Discuss at least one opposition or barrier they may come across with the proposed action plan.

· References must be evidence based and no older than 5 years

Page 2

Discuss local statistics from Charles County Maryland for Human Papillomavirus (HPV)

· Offer at least one evidence based action plan that is measurable and could be implemented in the community to decrease the incidence of that HPV.

· Discuss at least one opposition or barrier they may come across with the proposed action plan.

References must be evidence based and no older than 5 years

Page 3

 

What statistics are available for Charles County Maryland regarding gonorrhea? 

Based on the statistics presented, what can you surmise about the incidence of chlamydia? Any conclusions you can draw here?

What are the CDC recommendations for treatment of gonorrhea in pregnancy? 

Do recommendations change when a pregnant female with gonorrhea is treated?

References must be evidence based and no older than 5 years

 

There are many diseases affecting populations around the globe that include a cultural component as to how they are perceived, treated or cured, and who should be involved when addressing illness. For instance, during the large-scale Ebola outbreak in West Africa in 2015, there were several cultural practices that perpetuated the transmission of disease and hindered containment efforts.

Health and medical professionals must respond to these ‘public health emergencies’ quickly, but must take into consideration how the affected population will react to the response, including cultural beliefs that may contribute to the continued spread of these infections.

After reviewing the Unit 8 Readings, choose either the 2014-15 Ebola outbreak in West Africa or a specific population affected by the HIV/AIDS pandemic as the topic for your paper, and write a minimum 500 word expository essay that addresses the following:

Provide a brief description of the chosen outbreak.

What organizations were/are responsible for responding to the chosen public health emergency?

How did these organizations address cultural practices that may have contributed to the spread of disease?

Was importance placed on how the disease was perceived, treated, and who needed to be involved (traditional healers, religious healers, etc.) in the response?

In your opinion, how successful were the organizations in trying to change cultural beliefs to prevent the spread of disease? Explain.

Additional Readings:

HIV:

Mofolo, Tholoana. (2010). The role of culture in contributing to the spread of HIV/AIDS. AISA POLICYbrief, 29: 1-12.

Sovran, Steven. (2013). Understanding culture and HIV/AIDS in sub-Saharan Africa. Journal of Social Aspects of HIV/AIDS, 10 (1): 32-41.

Wyatt, G. E., Williams, J.K., Gupta, A., and Malebranche, D. (2013). Are cultural values and beliefs included in the U.S. based HIV interventions? Prev Med., 55(5): 362-370.

Ebola:

Manguvo, A., & Mafuvadze, B. (2015). The impact of traditional and religious practices on the spread of Ebola in West Africa: time for a strategic shift. The Pan African Medical Journal, 22(Suppl 1), 9. http://doi.org/10.11694/pamj.supp.2015.22.1.6190

Southall, H. G., DeYoung, S. E., & Harris, C. A. (2017). Lack of Cultural Competency in International Aid Responses: The Ebola Outbreak in Liberia. Frontiers In Public Health, doi:10.3389/fpubh.2017.00005

World Health Organization. (2015). Factors that contributed to undetected spread of the Ebola virus and impeded rapid containment. Retrieved from http://www.who.int/csr/disease/ebola/one-year-report/factors/en/

 This is for the Capstone, all the assignments are related and done based on the same eight articles. I’ve attached my last assignment where you can find the eight articles you need to use. My topic is Nosocomial Infections. The assignment needs to be done by no later than Friday 4/19.
Please let me know if you have any questions.

Thank you,Florin

Details:

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Problem statement
3. Purpose of the change proposal
4. PICOT
5. Literature search strategy employed
6. Evaluation of the literature
7. Applicable change or nursing theory utilized
8. Proposed implementation plan with outcome measures
9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

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.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.