Sallie Mae Fisher Health History Ms. Fisher is an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension. During the last 6 months, she has been hospitalized four times for exacerbation of her CHF. She was discharged home last Saturday from the hospital after a 3-day stay to treat increased dyspnea, an 8-pound weight gain, and chest pain. Ms. Fisher is recently widowed and lives alone. She has a daughter, Thelma Jean, who lives in town but works full time and has family issues of her own. Therefore, family support is limited. Hospital Discharge Instructions • Mountain Top Home Health to evaluate cardio-pulmonary status, medication management, and home safety. • Medical Equipment Company to deliver oxygen concentrator and instruct patient in use. O2 at 2 liters per nasal prongs PRN. • Prescriptions given at discharge: o Digoxin 0.25 mg once a day o Lasix 80 mg twice a day o Calan 240 mg once a day  • Order written to continue other home meds.  Sallie Mae’s Home Medication List • Zocar 50 mg once a day • Minipres 1 mg once a day • Vasotec 10 mg twice a day • Prilosec 20 mg once a day • Furosemide 40 mg once a day • Effexor 37.5 mg at bedtime • Lanoxin 0.125 mg every other day • Multivitamin once a day • Potassium 40 mEq once a day • Ibuprofen 400 mg q 4 hours as needed for pain • Darvocet N 100 mg q 4 hours as needed for pain • Nitroglycerin ointment, apply 1 inch every day

1. PROVIDE SUBSTANTIVE EVIDENCE (ASSESSMENT DATA) FOR EACH PROBLEM IDENTIFIED. (WRITE AN ESSAY 160 WORDS WITH)Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

PLEASE REVIEW THE VIDEO

(http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).

PROBLEMS IDENTIFIED:

*POLYPHARMACY

*SAFETY

*NUTRITION

*MENTAL HEALTH

2. Utilizing the information write a scripted dialogue in which you provide Sallie Mae EDUCATION  ABOUT THE SUBSTANTIVE EVIDENCE (ASSESSMENT DATA) FOR EACH PROBLEM IDENTIFIED. 

Comment 1

Linear correlation is a measure of dependence between two random variables. A linear correlation tells the strength of the relationship between the two variables. The results of the linear correlation analysis may be a positive correlation, a negative correlation, or no correlation. The conclusion of cigarettes cause the pulse rate to increase is not valid. The linear correlation does not give the results of the relationship between the two variables.  Correlation does not  imply causation in this sample. In a causal relationship the variables have an effect on each other and increases when one another do. In this study the only variables shown are smoking and heart rate. It shows no other variables to
consider such as gender, age, any health factors, or brands of cigarettes. Health factors along with other considerations may cause an increase in the pulse rate by itself. This sample does not give any indications of linear correlation between the two variables. There is no evidence in the statement “cigarettes cause the pulse rate to increase” to make it true without more evidence of both variables. Further research must be performed for the statement to valid. The research should include age, gender, health factors, and brands of cigarettes.

Comment 2

It seems like that the conclusion “Cigarettes cause the pulse rate to increase” is just not taking into consideration other variables and the heart rate can only increase so much. At that point, it would not matter how many more cigarettes a person smoked, the heart rate would not increase at the same rate. The linear correlation would change as the persons heart rate increases and the more cigarettes they smoked. The change in heart rate between the first and second cigarette will not be the same as the change in heart rate between the ninth and tenth cigarette. Identifying the associations between variables is the goal for correlational analyses. If the hypothesis is “Is there a relationship between the number of cigarettes smoked and pulse rate?”, then there is more room to talk about the relationship and arrive at a conclusion that yes, there is a relationship between the variables whether it is positive or negative. A better conclusion might be: There was a statistically significant correlation between the number of cigarettes smoked and pulse rate. This statement also needs to be backed up with results from a test like the Pearson product-moment correlation coefficient. Then the conclusion would be statistically relevant (Grove & Cipher, 2017).

The Session Long Project will involve an in-depth study of a governmental role/program in public health. Your project will involve identifying responsible governmental agencies; describing current challenges and potential impact; proposing a public health policy; researching pertinent laws; and evaluating the ethical principles of laws/policies, financial impact, and sources of funding.

1. Select a governmental role/responsibility in public health for your SLP. Describe the governmental role/responsibility. Identify the agencies responsible at federal, state, and local government level.
2. Describe the current challenges and potential impact of these challenges to public health (related to the item you selected in No. 1).
3. Describe the goal of the proposed policy.
4. What is the supporting evidence for implementing this policy?
5. How is this policy to be achieved?
6. Who is this policy intended to help?
7. Which agencies will implement this policy?
8. How cost-effective do you expect this policy to be?
9. How well do you anticipate this policy will be accepted, given the priorities, culture, values, and political climate?
10. What are your strategies for overcoming barriers in implementing the policy?

SLP Assignment Expectations

Length: Assignment should be from 3 to 4 pages (750 to 1000 words) in length.

Assessment and Grading: Your paper will be assessed based on the performance assessment grading rubric that is linked within the course. Review it before you begin working on the assignment.

The following guidance appears only in Module 1, but it applies to the assignments throughout the course:

File format: Your work should be prepared using Microsoft Word, PowerPoint, or Excel depending upon the assignment instructions. If an assignment requires video or voice recordings, use media formats that are supported by MyTLC Courses as noted on the Trident Support page.

In-text citations and references: Be sure that all information and ideas in your papers are supported by in-text citations and corresponding references at the end of the paper.

Scholarly sources: At least two references must be included from academic sources (e.g., peer-reviewed journal articles) and include required readings. Online sources must be limited to credible professional and scholarly publications such as peer-reviewed journal articles, e-books, or specific Web pages on websites from a university, government, or nonprofit organization (these have extensions .edu, .gov, or .org). Presenting consumer sources such as e-magazines, newspapers, Wikipedia, WebMD, or other commercial websites (these have extensions .com) as references is not appropriate.

Scholarly writing: Use an academic paper format, not an essay based on your opinions or experience. Avoid using the first person in writing. Synthesize what you learned from the sources you read; write papers in your own words; and cite sources within the text, as well as include a properly formatted reference list. APA format is recommended, but you may use another standardized format.

Use of direct quotes: Use of direct quotes should be avoided, as the focus of the assignments is critical thinking. Only use direct quotes when preserving the exact words of an author is necessary. In the rare instance that directly quoted material is used, it must be properly cited (with quotation marks and page numbers in the in-text citation); quotes should not exceed 5%-10% of the total paper content.

Descriptive epidemiology is used to evaluate trends in health and disease and to be able to make comparisons among the population and subgroups within countries; and to provide a basis for planning, provision, and evaluation of services.

As a health officer, you have been asked to collect information to characterize and summarize tuberculosis epidemic in your state.

Write a paper in which you do the following:

1. Discuss the pattern and distribution of the disease in the population of your state as well as subgroups within the state.
2. What recommendations would you make to your administrator based on your findings?
3. Describe the basic types of epidemiologic study designs that are used to test hypotheses, identify associations and establish causation.

Be sure you support essay with evidence from the literature.

Length: 2–3 pages, excluding title page and references.

SLP Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric that is linked within the course. Review it before you begin working on the assignment.

Your work should also follow these Assignment Expectations.