2023 Respond to this post with a positive response Ask a probing

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Nursing 2023 POST CASEY-FG

Respond to this post with a positive response Ask a probing 2023 Assignment

                        Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

                                                  Main Post 

Throughout my years as an ICU nurse, critical thinking has become a skill that I utilize on a daily basis in my clinical practice. Not only are critical thinking skills a part of my daily practice, but I also observe my colleagues putting their critical thinking skills to use in their every day clinical practice. One example of critical thinking skills being used in ICU clinical practice is when multiple drips are being titrated on a patient that is extremely ill. As an ICU nurse, it is essential and vital that you utilize critical thinking skills when choosing which drip to titrate up or down or which drip to start or stop. Another instance where I have observed critical thinking skills being used in the ICU is when I would attend a rapid response on one of the medical floors. As the critical care nurse, I must use my critical thinking skills to choose the right lab tests to run, determine what might be going on with the patient that is in distress, and choose the right treatment pathway.

 

I try to improve my clinical competence in every way I can, especially by employing my critical thinking strategies. Some of the strategies I use most often include listening, continuing to learn every chance I get, and explaining to my colleagues why I came to a specific conclusion. I use the strategy of listening to improve my clinical competence because it helps me find new solutions to everyday problems that I might face in the ICU. Learning helps improve my clinical competence because it makes me a better ICU nurse. The more I learn, the more proficient I can become. I like to explain my rationale for the conclusion I came to because another colleague might have something important to add that would aid in solving the problem at hand. 

 

Clinical scholarship is defined as an approach that enables evidence-based nursing and the development of best practices to meet the needs of clients efficiently and effectively (Stanley et al., 1999). 

Critical thinking is defined as the objective analysis and evaluation of an issue in order to form a judgment (Benner, Hughes, & Stuphen, 2008, p. [Page 120]). 

Clinical practice is defined as either the field of principal professional clinical activity (Wilkes, Mannix, & Jackson, 2013).

 

After reviewing the definitions of clinical scholarship, critical thinking, and clinical practice I was able to see how each term is interconnected. In order to have a clinical scholarship like approach in clinical practice, it is essential that critical thinking tools be utilized. The development of the best practices in clinical nursing practice will not occur if there is no critical thinking involved in the process (Wilkes, Mannix, & Jackson, 2013).

These three terms should be looked at as a single unit; one cannot exist without the other. 

 

 

 

Benner, P., Hughes, R. G., & Stuphen, M. (2008). Patient Safety and Quality: An 

 

               Evidence-Based Handbook for Nurses.Rockville, MD. 

 

Stanley, J., PhD, Keating, S. B., EdD, Edwardson, S., PhD, Easley, C. E., PhD, Alichnie, 

 

               C., PhD, & Edwards, J., PhD. (1999, March 15). Defining Scholarship for the 

               

               Discipline of Nursing. Retrieved December 31, 2018, from

 

               https://www.aacnnursing.org/News-Information/Position-Statements-White-

 

               Papers/Defining-Scholarship 

 

Wilkes, L., Mannix, J., & Jackson, D. (2013). Practicing nurses perspectives of clinical 

 

scholarship: a qualitative study. BMC nursing, 12(1), 21. doi:10.1186/1472-6955-

 

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2023 Please In 2 3 paragraph respond to this post A Walk Through The Steps of a Nursing Research

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Nursing 2023 A Walk Through The Steps Of A Nursing Research

Please In 2 3 paragraph respond to this post A Walk Through The Steps of a Nursing Research 2023 Assignment

Please In 2-3 paragraph respond to this post : 

A Walk Through The Steps of a Nursing Research Study-2.docx 

What have you learned and will it make a difference?

In my welcome letter to you, I indicated that every class should change your thinking about the focus of the class. Again read the provided ” A Walk Through The Steps of a Nursing Research Study”.  This is the same document you were provided during Week 1. Has your ability to read with understanding changed? Briefly share your thoughts regarding this experience. In this discussion forum  from a “qualitative approach” briefly reflect on what you have learned about nursing research, evidence based nursing and its impact on you as a professional nurse earning a baccalaureate degree in nursing.  From a “quantitative approach”, reflect on your response to the scale of your reading and understanding of nursing research you identified in week 1. How has it changed? What activities most contributed to your enhanced knowledge base?  

Additionally, I would like you to discuss your preparedness to respond to the Institute of Medicine’s mandate that “Participants have set a goal that, by the year 2020, 90 percent of clinical decisions will be supported by accurate, timely, and up-to-date clinical information, and will reflect the best available evidence* (IOM, 2007).   What strategies can you personally implement to address this mandate on a personal/professional level beyond obtaining your baccalaureate degree in nursing? What is the state of your employing institution (no need to name your institution-just identify if it is an acute care setting, long term setting etc) in addressing this mandate since it was initiated in 2007 and with only 1 year left?  Will your employing institution meet the mandate? Initiate a discussion regarding this mandate with a managerial/administrative/ person in your employing institution to gain their perspective on evidence based practice. Here is a website that you can select to review to gain information on this directive. If possible, informally ask some of your nursing colleagues if they are aware of the mandate. What challenges do you foresee to the implementation of evidence-based nursing practice in your workplace?

http://www.ncbi.nlm.nih.gov/books/NBK52821/

Lastly, discuss how you would identify the “best available evidence” and what is the  significance of “Level of Evidence” as it relates to evidence that informs your nursing practice. 

It is expected in this forum that you use/implement the appropriate nursing research terminology. Hint: consider your words like research, prove etc. 

Also my initial respond about level of understanding of  article”A Walk Through The Steps of a Nursing Research Study-“from week 1 was: 

“I read the document ” A Walk Through The Steps of a Nursing Research Study”, my comfort level in reading and understanding this document was satisfying me since I got all explanation very organized and well formated that made it easy to read and get the idea.My knowledge base of nursing and all types of researches was my effective tool to understand most of the document. From quantitative approach I can rate my comfort level 8 out of 10, which I am still happy to this level of understanding.”

Now by the end of this course is expected that my level of understanding increased, so you know how to answer this question compare to my initial post from first week.

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2023 Post your week 14 discussion questions here People of Irish Heritage People of Italian Heritage People of Puerto Rican

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Nursing 2023 Week 14

Post your week 14 discussion questions here People of Irish Heritage People of Italian Heritage People of Puerto Rican 2023 Assignment

Post your week 14 discussion questions here.

People of Irish Heritage.

People of Italian Heritage.

People of Puerto Rican Heritage.

Read chapter 23, 33 and 34 of the class textbook and review the attached PowerPoint presentations.  Read content chapter 33 and 34 in Davis Plus Online Website.  Once done answer the following questions;

1.  Discuss the organization and the family role in every one of the heritages mentioned about and how they affect (positively or negatively) the delivery of health care.

2.  Identify sociocultural variables within the Irish, Italian and Puerto Rican heritage and mention some examples.

 A minimum of 2 replies to any of your peers sustained with the appropriate references must be posted.  Only the assignment must be attached in a word document in the forum, replies do not.  References must be no older than 5 years.  A minimum of 700 words is required.  Please follow the instructions on how to present the first page and the name of the assignment when you post should be Week 14 discussion questions.

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2023 Pharmacotherapy for Endocrine and Musculoskeletal Disorders Patients with endocrine and musculoskeletal disorders often require long term treatment and

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Nursing 2023 Advanced Pharmacology

Pharmacotherapy for Endocrine and Musculoskeletal Disorders Patients with endocrine and musculoskeletal disorders often require long term treatment and 2023 Assignment

  

Pharmacotherapy for Endocrine and Musculoskeletal Disorders

Patients with endocrine and musculoskeletal disorders often require long-term treatment and care resulting in the need for extensive patient education. By appropriately educating patients, advanced practice nurses can assist patients with the management of their disorders. In clinical settings, patients with endocrine and musculoskeletal disorders typically seek treatment for symptoms that pose problems to their everyday lives as ordinary tasks may become difficult to complete. For instance, patients might have difficulty walking short distances, preparing meals, or even running errands. To reduce these symptoms and additional health risks, it is essential to develop drug therapy plans with individual patient factors in mind.

To prepare:

· Select one of the following endocrine or musculoskeletal disorders: thyroid disease, osteoarthritis, rheumatic arthritis, gout, multiple sclerosis, or fibromyalgia. Consider the types of drugs that would be prescribed to patients to treat symptoms associated with this disorder.

· Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how this factor might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.

With these thoughts in mind:

Write

A description of the endocrine or musculoskeletal disorder you selected(I am looking for an explanation at the cellular or molecular level (whenever possible). including types of drugs that would be prescribed to patients to treat associated symptoms.

· Then, explain how the factor you selected might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.

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2023 1 Mrs Elle 80 years of age is a female patient who

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Nursing 2023 Critical Thinking, Ethical Decision Making, And The Nursing Process

1 Mrs Elle 80 years of age is a female patient who 2023 Assignment

 

1. Mrs. Elle, 80 years of age, is a female patient who is diagnosed with end-stage cancer of the small intestine. She is currently receiving comfort measures only in hospice. She has gangrene of her right foot and has a history of diabetes controlled with oral agents. She is confused and the physician has determined that she is unable to make her own informed decisions. The hospice nurse, not realizing that the weekly order for CBC and renal profile had been discontinued, obtained the labs and sent them to the nearby laboratory for processing. The abnormal lab results obtained later that day revealed that the patient needed a blood transfusion. The hospice nurse updated the patient’s medical power of attorney who was distressed at the report. The patient’s wishes were to die peacefully and to not have to undergo an amputation of her right foot. But if the patient receives the blood transfusion, she may live long enough to need the amputation. The patient’s physician had previously informed the medical power of attorney that the patient would most likely not be able to survive the amputation. The patient’s medical power of attorney had made the request to cease all labs so that the patient would receive comfort measures until she died. The patient has no complaint of shortness of breath or discomfort. 

  1. What ethical dilemma exists?
  2. Who are the stakeholders and what gains or losses do each have?
  3. What strategies should the hospice nurse take to resolve the ethical dilemma?

2. The nurse receives a 12-year-old girl from the operating room after an emergent appendectomy due to ruptured appendix. Upon arrival to the postanesthesia care unit, the patient is drowsy, but arousable to voice; she was extubated in the operating room and is receiving oxygen by facemask at 40%. She has two peripheral IVs in her left arm that are infusing Lactated Ringers solution at 100 mL/hr. A nasogastric tube is attached to low constant suction, and a small amount of aspirate is noted. She has a urinary catheter that is draining clear, yellow urine. Her abdominal dressing is dry and intact. Upon arousal, she complains of abdominal pain.  

  1. What NANDA-approved nursing diagnoses may be relevant to this patient?
  2. Once the nursing diagnoses are determined, what steps does the nurse take to complete the Planning Phase of the Nursing Process?
  3. What is the difference between nursing diagnoses and collaborative problems?

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2023 Theorist PowerPoint Presentation Please choose any nursing theorist that is presented in this course Follow the

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Nursing 2023 nursing theory w13 assignm

Theorist PowerPoint Presentation Please choose any nursing theorist that is presented in this course Follow the 2023 Assignment

 

Theorist PowerPoint Presentation 

Please choose any nursing theorist that is presented in this course.

Follow the information below for the PowerPoint Presentation.

Ensure that you follow the grading rubric below.

Provide feedback on at least two PowerPoint presentations.

  • Title Slide (Title, You Name, School Name, Course Number and Name, Professor Name, Date)
  • Introduction of the Nursing Theorist (Select any theorist from this course)
  • Classification of the theory (Grand Theory, Middle Range, Practice Level, etc.).
  • Discuss the model/concept of the presented theory (theoretical overview).
  • Applicability to nursing practice (Clinical or Professional Examples)
  • Implications for Nursing Research (How will this theory advance nursing practice?)
  • Conclusion (Summary)
  • References

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2023 understanding of scholarly writing Document Introduction to Scholarly Writing Tips for Success PDF This document which accompanies

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Nursing 2023 week 4 150 words mins follow instructions below due tomorrow December 21 at 7pm NO Plagiarism

understanding of scholarly writing Document Introduction to Scholarly Writing Tips for Success PDF This document which accompanies 2023 Assignment

 

understanding of scholarly writing.

Document: Introduction to Scholarly Writing: Tips for Success (PDF)

This document, which accompanies the media program of the same title, provides resources for improving your scholarly writing and critical-thinking skills.

Document: Stages in Critical Reading of Research Articles (Word document)

This chart describes the purpose of, and questions for, six stages of critically reading research articles. Focus on the many activities and questions that make up the critical reading process. Begin to consider the journal articles and books you read in terms of these criteria.

Document: APA Basics Checklist: Citations, Reference List, and Style (PDF)

Required Media

Laureate Education, Inc. (Executive Producer). (2012c). Introduction to scholarly writing: Purpose, audience, and evidence. Baltimore, MD: Author. 

Note:  The approximate length of this media piece is 4 minutes.

Learning to be a scholarly writer will enhance your writing skills and increase your ability to succeed as an online learner as well as in your professional life. This media program will introduce you to the key concepts of scholarly writing. 

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Laureate Education, Inc. (Executive Producer). (2012d). Introduction to scholarly writing: Tips for success. Baltimore, MD: Author. 

Note:  The approximate length of this media piece is 3 minutes.

This media program presents tips for becoming a scholarly writer, including how to identify fears related to scholarly writing and connect with resources to improve writing skills. 

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Document: Course Media Credits (PDF)

Discussion: Using the Walden Library

Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use the research literature to explore ideas, guide your thinking, and gain new insights. As you search the research literature, it is important to use resources that are peer-reviewed and from scholarly journals. You may already have some favorite online resources and databases that you use or have found useful in the past. For this Discussion, you explore databases available through the Walden Library.

To prepare:

  • Review the information presented in the Learning Resources for using the Walden Library, searching the databases, and evaluating online resources.
  • Begin searching for a peer-reviewed article that pertains to your practice area and is of particular interest to you.
  • Identify the database that you used to search for a peer-reviewed article in your area of practice and interest.
  • Reflect on your experience with searching the database. Did you note any difficulties when searching for an article? What steps/strategies did you find helpful for locating a peer-reviewed article? Would this database be useful to your colleagues? Would you recommend this database?
  • Once you have select your peer-reviewed article, evaluate its strengths and weaknesses in terms of scholarly writing, bias, opinion, quality of evidence, and appropriateness to its target audience.
By Day 3

Post a brief summary of your peer-reviewed article, the database you located your article in, your database searching experience, key words utilized in the search, and analysis of the strengths and weaknesses of the article.

Support your Discussion assignment with specific resources used in its preparation using APA formatting. You are asked to provide a reference for all resources, including those in the Learning Resources for this course.

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2023 Write a critical appraisal that demonstrates comprehension of two qualitative research studies Use the Research Critique Guidelines Part 1

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Nursing 2023 Nursing Research

Write a critical appraisal that demonstrates comprehension of two qualitative research studies Use the Research Critique Guidelines Part 1 2023 Assignment

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses. Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment :” The prevalence of pressure ulcer and pressure injury  in the Hospital and Skilled nursing Facility” to complete this assignment. In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. 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. Refer to the LopesWrite Technical Support articles for assistance

RUBRIC

Rough Draft Qualitative Research Critique and Ethical Considerations – Rubric         No of Criteria: 10 Achievement Levels: 5          Criteria  Achievement Levels    Description  Percentage      Unsatisfactory             0.00 %                     Less than Satisfactory             75.00 %                     Satisfactory             83.00 %                     Good             94.00 %                     Excellent             100.00 %                                       Content                 75.0                                   Background of Study                15.0         Background of study including problem, significance to nursing, purpose, objective, and research questions is incomplete.         Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation.         Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation.         Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation.         Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation.                      Method of Study               15.0         Discussion of method of study including discussion of conceptual/theoretical framework is incomplete.         Discussion of method of study including discussion of conceptual/theoretical framework is included but lacks relevant details and explanation.         Discussion of method of study including discussion of conceptual/theoretical framework is partially complete and includes some relevant details and explanation.         Discussion of method of study including discussion of conceptual/theoretical framework is complete and includes relevant details and explanation.         Discussion of method of study including discussion of conceptual/theoretical framework is thorough with substantial relevant details and extensive explanation.                      Results of Study               15.0         Discussion of study results including findings and implications for nursing practice is incomplete.         Discussion of study results including findings and implications for nursing practice is included but lacks relevant details and explanation.         Discussion of study results including findings and implications for nursing practice is partially complete and includes some relevant details and explanation.         Discussion of study results including findings and implications for nursing practice is complete and includes relevant details and explanation.         Discussion of study results including findings and implications for nursing practice is thorough with substantial relevant details and extensive explanation.                      Ethical Considerations               15.0         Discussion of ethical considerations associated with the conduct of nursing research is incomplete.         Discussion of ethical considerations associated with the conduct of nursing research is included but lacks relevant details and explanation.         Discussion of ethical considerations associated with the conduct of nursing research is partially complete and includes some relevant details and explanation.         Discussion of ethical considerations associated with the conduct of nursing research is complete and includes relevant details and explanation.         Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation.                      Conclusion               15.0         Conclusion does not summarize a critical appraisal and applicability of findings.         Conclusion is vague and does not discuss importance to nursing.         Conclusion summarizes utility of the research and importance to nursing practice.         Conclusion summarizes utility of the research from the critical appraisal and the findings importance to nursing practice.         Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice.                       Organization and Effectiveness                 15.0                                   Thesis Development and Purpose               5.0         Paper lacks any discernible overall purpose or organizing claim.         Thesis is insufficiently developed or vague. Purpose is not clear.         Thesis is apparent and appropriate to purpose.         Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.         Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.                      Argument Logic and Construction               5.0         Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.         Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.         Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.         Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.         Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.                      Mechanics of Writing (includes spelling, punctuation, grammar, language use)               5.0         Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.         Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.         Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.         Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.         Writer is clearly in command of standard, written, academic English.                       Format                 10.0                                   Paper Format (use of appropriate style for the major and assignment)               5.0         Template is not used appropriately or documentation format is rarely followed correctly.         Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.         Template is used, and formatting is correct, although some minor errors may be present.         Template is fully used; There are virtually no errors in formatting style.         All format elements are correct.                      Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)               5.0         Sources are not documented.         Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.         Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.         Sources are documented, as appropriate to assignment and style, and format is mostly correct.         Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.       Total Percentage 100

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2023 Discussion A 10 year old child named Elizabeth is brought into the emergency department

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Nursing 2023 Assessing for Family Violence

Discussion A 10 year old child named Elizabeth is brought into the emergency department 2023 Assignment

 

Discussion

A 10-year-old child named Elizabeth is brought into the emergency department by her mother. The mother appears anxious but sits quietly next to her daughter in the waiting room. When called into the triage area, the mother gives a history of coming home from work to find Elizabeth sitting on the couch watching television. Elizabeth did not go to the door to greet her or look toward her when she said hello. The mother thought the daughter’s behavior was odd because she always greeted her at the door with a hug. As she approached Elizabeth, she noticed that she was clutching her right arm as if in pain. The mother asked what was wrong, but Elizabeth remained silent. Then she said “Nothing is wrong.” The father is sleeping upstairs. The mother gives a family history of having an alcoholic husband who usually drinks himself to sleep. She said he has abused Elizabeth physically and psychologically in the past, and she brought her to the emergency room because she fears he has hurt her. When Elizabeth is asked about the abuse she appears scared, insecure, and withdrawn.

  1. What considerations should be made by the nurse, to provide a physically and emotionally safe environment for the interview and assessment of this client who has experienced domestic abuse?
  2. In your response, include some special considerations that should be taken when interviewing a child.

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Respond to this post with a positive response Ask a probing question 2023 Assignment

Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

 

                                          INITIAL POST

                 Population Health Determinants for Heart Disease

             Heart disease is a prevalent population health issue for many parts of our nation and is affected by all five of the population health determinants.  One of these determinants is access to healthcare which included prevention strategies, treatments, and management of disease (Kindig, Asada, & Booske, 2008).  Medical management of hypertension, hyperlipidemia, and Diabetes would decrease the risk of heart disease (HealthyPeople.gov, 2014c).  The individual behavior determinant is behaviors within a person’s control such as diet, exercise, and smoking habits (Kindig et al., 2008).  All three of these habits can affect heart health (HealthyPeople.gov, 2014c).  The social environment determinant includes socioeconomic factors (Kindig et al., 2008).  Access to education is imperative for heart health, not only for knowledge of healthy habits but also the need to make a livable wage as described by Laureate Education (2012).  A livable wage is necessary for affordable health care and affordable healthy foods (HealthyPeople.gov, 2014c).  The physical environment determinant affects the heart health of those exposed to long-term poor air quality (HealthyPeople.gov, 2014b).  Lastly, the genetics determinant effects heart health.  Genetics are inherited characteristics such as race and family history (Kindig et al., 2008). HealthyPeople.gov (2014c) identified African Americans at highest risk for heart disease.  Also, those with a family history of heart disease are at high risk themselves (HealthyPeople.gov, 2014c).  When assessing the data, each of the five determinants affects heart disease.

Impactful Determinants

             When assessing the population health determinants, a couple of them are significantly impactful.  The one most impactful is individual behavior, as making lifestyle changes can dramatically decrease the risk of heart disease.  In America, nearly 82 percent of adults and adolescents do not get enough exercise, and about 34 percent of adults and 16 percent of adolescents are obese (HealthyPeople.gov, 2014d).  Between 2000 and 2004 smoking was attributed to ischemic heart disease leading to 126,005 deaths (Centers for Disease Control and Prevention, 2008).  Making choices of healthy behaviors such as exercise, diet, and not smoking would reduce the risk of heart disease.  

            Another impactful determinant is access to health care.  Managing diseases such as hypertension, diabetes, and hyperlipidemia can reduce the risk of damage done to the heart and increase years of quality life. Objectives by HealthyPeople.gov (2014c) include increased screening for those who have cardiac risk factors.  Screening can help early diagnoses and treatments leading to better management of cardiac risk factors.

Epidemiologic Data

            Epidemiologic data support the significance of heart disease by assessing the statistics of death related to heart disease.  For example, in 1999, heart disease accounted for about 195 deaths per 100,000 according to HealthyPeople.gov (2014a).  However, in 2016, about 94 deaths per 100,000 were cardiac-related showing a decreased trend (HealthyPeople.gov, 2014a).  Because of epidemiologic data, objectives such as increasing the number of adults who get their blood pressures measured, decreasing hypertension in adults, and increasing aspirin intervention in adults with cardiac risk factors, could lead to policy initiatives (HealthyPeople.gov, 2014c).  Epidemiologic data represented a significant issue, led to objectives and policies, and then, allowed for evaluation of the objectives and policies (Laureate Education, 2012).

References

Centers for Disease Control and Prevention. (2008). Smoking-attributable mortality, years of potential life lost, and productivity losses — united states, 2000-2004. Retrieved from https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5745a3.htm 

HealthyPeople.gov. (2014a). Coronary heart disease deaths (age adjusted, per 100,000 population). Retrieved from https://www.healthypeople.gov/2020/data/Chart/4582?category=1&by=Total&fips=-1

HealthyPeople.gov. (2014b). Environmental quality. Retrieved from https://www.healthypeople.gov/2020/leading-health-indicators2020/-lhi-topics/environmental-quality

HealthyPeople.gov. (2014c). Heart disease and stroke. Retrieved from https://www.healthypeople.gov/2020/topics-/-Objectives/topics/heart-disease-and-stroke 

HealthyPeople.gov. (2014d). Nutrition, Physical Activity, and Obesity. Retrieved from https://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi-topics/Nutrition-Physical-Activity-and-Obesity

Kindig, D., Asada, Y., & Booske, B. (2008). A population health framework for setting national and state health goals. JAMA, 299(17), 2081–2083.

Laureate Education (Producer). (2012). Population health. Baltimore, MD: Author. 

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