1. With all the money that is spent on health care in the United States, why is it that U.S. health care is not the best? What can nurses do to change this?

2. In your opinion, will the Affordable Care Act improve healthcare delivery system in the US?

~2 Paragraphs, APA format with citations as applicable.

Case Study – The Elderly Scenario:

As a community health nurse, you are working in an outpatient clinic in a community that serves mainly elderly clients.This year, you noted that 85 percent of the visits resulting in hospitalization resulted from bronchitis, asthma, pneumonia, and influenza as compared to last year. At that time; the visits were due to colds, sore throats, influenza, bronchitis, and pneumonia, in order of frequency.Maria Perez, a 73-year-old Cuban American woman has been referred for community health nursing services following her discharge from the hospital. She smokes two packs of cigarettes per day. She was recently hospitalized as a result of a severe shortness of breath due to an asthma attack. The primary care provider prescribed respiratory treatments using Albuterol via jet nebulizer every 4-6 hours as needed. Mrs. Perez lives alone and has three cats to take care of.

Instructions:Read the scenario above and answer the following questions:

1)What are the biophysical, psychological, physical environmental, sociocultural, behavioral, and health system factors influencing Mrs. Perez’s health?

2)Describe at least three primary, secondary, and tertiary prevention strategies that would be appropriate in resolving Mrs. Perez’s health problems. 

3)Why would they be appropriate?

4)What activities related to health promotion and disease prevention would you plan for the late fall?

5)How would you evaluate your nursing interventions? 

6)What criteria would you use to evaluate care?

Please read the scenario and answers all questions promptly APA format. please include all references. 

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. 

This is a SOAP case study . I just need  the assessment and Plan ( education, recommendation, etc) as a nurse practitioner.  I need 2 pages by Sunday. It does not have to be APA and no references needed. Attached is the case study. Please let me know if the instructions are clear and how much 

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the options below.

1. Chickenpox

2. Tuberculosis

3. Influenza

4. Mononucleosis

5. Hepatitis B

6. HIV

7. Ebola

8. Measles

9. Polio

10. Influenza

Epidemiology Paper Requirements

Address the following:

1. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.

2. Describe the social determinants of health and explain how those factors contribute to the development of this disease.

3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?

4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.

5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.

6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of four peer-reviewed or professional references is required.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract/thesis is required.

Example of Communicable Disease Chain

a. Infection Agent

Microbes – all types

Pathogenicity

Invasiveness

Virulence

Infective dose

Resistance

b. Susceptible Host

Defense mechanisms

Immunity (natural or artificial)

c. Reservoirs

Humans

Animals

Plant/Soil

d. Portal of Retry

Same as exit

e. Portal of Exit

Respiratory

Integumentary

Blood

GI

Sexual

f. Means of Transmission

Direct

Indirect