Meet Maristela, the Brazilian mother of 5 children*

• Busy mother of 5 children living in rural Brazil (Northeast)
• Illiterate with minimal access to health information

o Main points of contact include children’s school, local healthcare center, local market

• Responsible for key health-related decisions within the household
• Recently concerned about Kalazar, a parasite disease carried by sand-flies/ intermediate vectors (e.g. domestic animals)

o Two of her children’s playmates recently died of kalazar (also know as visceral leishmaniasis)

o Diagnosis was missed on first visit to healthcare center; low recognition of key symptoms among health care providers; parents do not know enough about the disease to suggest that physicians/healthcare providers consider it as a potential diagnosis

o Second visit to healthcare center was just too late

o Closest healthcare center is several miles from Maristela’s rural village; transportation problems may delay care

• Feeling powerless and scared for her own children; yet, most people in the village have a fatalistic attitude toward health and illness
• Confused about how Kalazar is contracted, how to suspect it, how to recognize early symptoms, what to do if she does suspect it
• In her village, most communication/news take place via word-of-mouth, radio, and meetings at local religious meetings, markets, etc. A few people have access to television. Schools and health centers have access to the Internet.

Note: Kalazar presents vague symptoms such as fever, weight loss, fatigue, loss of appetite, and an enlarged spleen and liver (CDC, 2006) — also known as “potbelly”. The disease is endemic in the Northeastern region of Brazil and is primarily found in rural areas. The disease has a high mortality rate among children less than five years of age. Treatment is available and effective if administered not too late after the disease’s onset.

Based on the above information and on the definition/examples provided in your book (Schiavo, R. Health Communication: From Theory to Practice. Second Edition. San Francisco: Jossey-Bass, an imprint of Wiley, 2013) 1) Develop the following elements of a potential health communication program intended to engage Maristela and her peers (Brazilian parents of young children who live in rural areas):

• Overall program goal
• One behavioral objective in support of the overall program’s goal
• Two communication objectives in support of the behavioral objective
• One communication strategy that you think would help achieve your behavioral and communication objectives
• Two core messages for Maristela and her peers (please make sure your messages address the most prominent issues that emerged from the above profile and execute your communication objectives and strategies)
• Key progress and outcome indicators (at least one progress and one outcome indicator) to take into account as part of your evaluation plan

Your paper should be 1- 2 pages, double-spaced, and follow APA 7th edition formatting. You will include the primary NCHEC Area of Responsibility and Competencies you are addressing in this assignment as a separate paragraph. Discuss the areas you are practicing for this assignment and the specific competency(ies) you are utilizing. Discuss the importance of these competencies as it relates to the profession of public health. Make sure all program elements are connected (and supportive of each other) and take into account the information (situation- and audience-specific facts) shared in this handout 2) Use one or two sentences to describe how you will make sure that your messages and activities (a) are culturally competent and (b) adequately address the needs of low health literacy groups such as Maristela and her peers (indicate specific activities or methods). What kind of media channels will you consider to reach Maristela and her peers?

Read chapters 18 and 19 of the class textbooks and review the PowerPoint presentations located in the PowerPoint folder. Once done answer the following questions.

1. Identified and explain situations that make populations underserved and apply the recommendations from Healthy People 2020 initiatives to meet individual, family, and population health needs.

2. Are there legal obligations that you can identify in relation to rural, correctional, LGBTQ, or homeless health? Give specific examples and what your resource would be to address these issues.

3.  Explain the different types of disasters and how they may vary, the primary goal of simulation in disaster preparedness and the phases involved in disaster planning

A minimum of 3 evidence-based references no older than 5 years must be used 

APA format (intext citations and references)

800 words

Plagiarism FREE

Read an article and answer a few questions in your own word and please quotes two min/ max that support your reasons in question 1. 

“It not an essay” so please do not summarize from the article. Simply answer the listed questions. 

 https://www.nytimes.com/guides/well/how-to-have-a-better-relationship

   APA Citation

1) List and describe three main conclusions of the article = 1 paragraph which is min/ max 10 to 12 sentences.

2) Are the ideas presented in the article viable? = 1 Paragraph which is min/ max 10 to 12sentences. 

3) How can the information in this article assist your psychological well-being?= 1 paragraph which is min/ max 10 to 12 sentences. 

     

Academic Clinical History and Physical Note 1

Academic clinical history and physical notes provide a unique opportunity to practice and demonstrate advanced practice documentation skills, to develop and demonstrate critical thinking and clinical reasoning skills, and to practice identifying acute and chronic problems and formulating evidence-based plans of care.

Complete an academic clinical history and physical note based on a patient seen during clinical. In your assessment, provide the following.

History and Physical Note

1. Chief complaint/reason for admission/visit/consult.

2. HPI for the H&P or consult notes.

3. Medical, surgical, family, social, and allergy history.

4. Home medications, including dosages, route, frequency, and current medications, if a consultation note

5. Review of systems with all body systems for H&P or consult notes. Review of systems is what the patient or family/friends tell you (by body system).

6. Vital signs and weight.

7. Physical exam with a complete head-to-toe evaluation. Include pertinent positives and negatives based on findings from head-to-toe exam.

8. Lab/Imaging/Diagnostic test results (including date).

Assessment and Clinical Impressions

1. Identify at least three differential diagnoses based upon the chief complaint, ROS, assessment, or abnormal diagnostic tools with rationale.

2. Include a complete list of all diagnoses that are both acute and chronic.

3. List the differential diagnoses and chronic conditions in order of priority.

Plan Component Management and Plan Criteria Incorporation

1. Select appropriate diagnostic and therapeutic interventions based on efficacy, safety, cost, and acceptability. Provide rationale.

2. Discuss disposition and expected outcomes.

3. Identify and address health education, health promotion, and disease prevention.

4. Provide case summary with ethical, legal, and geriatric considerations. Consider potential issues, even if they are not evident.

General Requirements

Incorporate at least three to Five peer-reviewed articles in the assessment or plan. Words count should be between 1000-1500.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.