Write a paper of 800-1,000 words that describes the national and international implications of Childhood obesity and diabetes. Include the following:

1. Scope and depth of the problem.
2. Countries that are faring better or worse than others.
3. How the United States ranks on this issue in relation to other countries.
4. Efforts of the World Health Organization and other agencies on this issue.
5. Existing disparities (include race, age, and gender, as appropriate) in relation to the issue: Describe the populations that have emerged as being disadvantaged and why.
6. Include 1 paragraph on health policy and ethics on childhood obesity and diabetes

Peter R Kongstvedt states, “The case manager is consistently challenged with managing fiscal constraints with patient expectations in light of orders and expectations articulated by the care team. This requires a highly skilled individual, certainly not a job for the faint of heart.” The case manager can also play a role in identifying disease prevention strategies.

In 2 pages, develop a “job description” or job outline for a case manager. Consider disease prevention as part of the responsibilities of the role. Also consider education and skills. Feel free to set up your information in a table. Give your work a professional look, and be sure to include each of the following headings or sections:

• Facility name
• Department
• Position title
• Classification
• Position grade or level
• Shift and/or days of the week
• Reporting relationships
• Summary statement
• Responsibilities
• Required competencies or position requirements
• Physical requirements or working conditions
• Date written
• Date revised

For information on case managers, see your reading. You may also want to conduct research in the following websites:

• Case Management Society of America (CMSA)
• American Case Management Association (ACMA)

Do not simply reproduce a position description that already exists! This is plagiarism. Be creative. You will be evaluated on the information contained in the position description, as well as how professional your document looks.

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
3. In 800-900 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation 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.

You are required to submit this assignment to LopesWrite.

Discussion Question  

Formulating the Research Question, Problem Statement, Research Purpose

In the Week 1 discussion forum you had an opportunity to present a potential problem and an innovative solution specific to your role specialization. In addition, you have reviewed the literature to identify qualitative and quantitative research articles and submitted annotated bibliographies to provide evidence supporting the problem.

Considering the feedback provided to you by the faculty member it is now time to prepare your problem statement, research purpose, and research question.

First share your refined problem and proposed solution (given your review of literature this may have changed depending on the evidence you were able to provide). Next, follow the steps to help define your research question.

1.Craft the problem statement and research purpose. 

2.Design your research question aimed at solving (a part of) the problem and include the following components which will focus the literature review.  

PICOT Question:  

Patient, Population or Problem 

1.What are the characteristics of the patient or population? 

2.What is the condition or disease you are interested in?  

Intervention or exposure 

3.What do you want to do with this patient (e.g. treat, diagnose, observe)?  

Comparison 

4.What is the alternative to the intervention (e.g. placebo, different drug, surgery)?  

Outcome 

5.What are the relevant outcomes (e.g. morbidity, death, complications)? 

6.Ensure that the research question is answerable, feasible and clinically relevant

This is to be a 4-5 page paper (not including the title and reference page) in APA format (6th ed) answering the following questions.  You do not need an abstract.

1.  Identify a patient problem you have had in the clinical setting.

• What formal structures were in place to help address the problem?
• How did you or could you use evidence to investigate the problem?
• Did you have time to search for evidence?  If not what were the barriers you faced?
• What databases did you access for evidence and why? (be specific).

2. Find a clinical practice guideline from the National Guideline Clearinghouse archives or any other site that produces guidelines such as the American College of Cardiology CHF guidelines,  that would be suitable for the patient problem you identified.  Critically appraise the guideline using the AGREE II Instrument in your textbook, p 207 box 7.1.