· PART 1

· Review Healthy People 2020 Global Health Initiatives. Choose one disease process and discuss the disease process, the goal of Healthy People 2020, and how the CDC plays a role in meeting the goal. 

Asthma: Healthy People 2020 Global Health Initiative

           Asthma is a chronic inflammatory pulmonary disease that obstructs the air paths to the lungs, making it difficult or in serious attacks, almost impossible to breathe. Asthma is primarily caused by environmental factors, allergens, as well as viral infections. Symptoms may include tightening of the chest, sudden breathlessness, wheezing, coughs, and chest pains (Etats-Unis, Department of Health and Human Services, Centers for Disease Control and Prevention & National Center for Health Statistics, 2012).  Asthma is recognized as one of the leading respiratory disorders under the Healthy People 2020 Topic Areas: Respiratory Diseases and Sleep Health. This includes the establishment of the National Asthma Education and Prevention Program (NAEPP), which offers guidelines for asthma care and indicators of the burden of COPD.

           The Healthy People 2020 goals associated with asthma include reduction of emergency department admissions for asthma, and minimization of the proportion of individuals who miss work or school days. In addition, Healthy People 2020 seeks to increase the fraction of people with current asthma who get appropriate asthma care, according to NAEPP (Etats-Unis, Department of Health and Human Services, Centers for Disease Control and Prevention & National Center for Health Statistics, 2012).   Part of this initiative includes evaluating and monitoring, patient education and awareness, and controlling factors that contribute to asthma severity and medical treatment. In line with the goals of the Healthy People 2020, CDC established the National Asthma Control Program (NACP) to support millions of individuals with Asthma in the United States to control the disease (Centers for Disease Control and Prevention, 2017). The program seeks to minimize the number of asthma-related deaths, reduce asthma hospitalizations and emergency visits, and reduce cases of school days or workdays missed.

PART2

How have change the numbers for asthma, along the years? Have number of deaths decreased compared to last decade? I just want to know how successful was Healthy people 2010 

 

Create a Power Point Presentation to discuss the following:

You have been asked to implement a new computer charting system within your hospital. The staff at the hospital has been using paper charting and the staff’s age range is from 20 to 72. You will need to address the following:

1. Who would you want on your team to help you as you implement this change and why? (interdisciplinary team)
2. What should you consider when communicating this change to staff? How should the change be communicated to staff? (in-service, shift meeting)
3. How are you going to implement the change, handle resistance, and be the change agent?
4. What issues do you need to address about the use of technology within the hospital? (security, website surfing, documentation)
5. What type of technology would you like to see (tablets, laptops, PC’s) why?
6. How do you address the concerns of your staff who do not have a computer and are scared of them?

Power Point should include at least 3 outside references and the textbook. It should include title and reference slides and be 14-20 slides.  

 

1) **********minimum 5 full pages ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms  (All paragraphs must be narrative and cited in the text- each paragraphs)

3)********** It will be verified by Turnitin and SafeAssign 

4) References not older than 5 years

5) Each answer must be identified according to the question number. Check the list of questions. Your answer should start objectively answering the question

Question:

1)…………

2)…………

3)…………

Answer:

1)…………

2)…………

3)…………

__________________________________________________________________

Part 1

1) Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. 

2) 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 to complete this assignment.

  

Practice problem: Are children between the ages of 3 and 18 raised by obese adoptive parents at higher risk of obesity compared to children raised by non-obese adoptive parents?

Part 2

In 3 pages, summarize two qualitative studies related with part 1

1) explain the ways in which the findings might be used in nursing practice

2) Address ethical considerations associated with the conduct of the study.

The Internet as a Healthcare Tool

Sometimes patients are afraid to tell their doctor they don’t understand the doctor’s directions or the diagnosis. With the invention of many medicine-based websites, patients can get questions answered more frequently. But, this is a double-edged sword. If the patient gets a website that is not reliable, or they are unable to make sense of the information it contains, they can become unduly scared, or misled to take steps that may not make them well. On the other hand, with the correct information, patients will become more educated about their condition and even help the doctor by relaying things that they thought were insignificant but now realize was actually important.

An HIM professional may be able to recommend specific websites to the patient and encourage them to write down questions to bring back to the next visit. View the two links below to learn more about how to educate patients:

• Do Patients Understand? (Links to an external site.)Links to an external site.
• The Doctor, The Patient And The World-Wide Web: How The Internet Is Changing Healthcare (Links to an external site.)Links to an external site.

Here are two videos that explore websites you can trust for medical information, and why.

Top 5 Websites for Medical and Health Care Problems – Trustworthy Research (4:41)https://youtu.be/4Y_4or214V8

What are the Best Websites for Health Advice? (1:08)https://youtu.be/bvSscjesoNc

Assignment:

It is a trend for patients to be considered “consumers” in today’s healthcare system. Research has indicated that patients who have good relationships with their physicians tend to be more satisfied with their care and have better results. Write a 4-paragraph paper that indicates what would constitute a “good relationship” between a medical provider and a patient, and why it might result in better outcomes. Save your file as “Relationship” 

Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

1. Evidence-Based Solution
2. Nursing Intervention
3. Patient Care
4. Health Care Agency
5. Nursing Practice

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. Please refer to the directions in the Student Success Center.

RUBRIC:

Identification of Clinical Problem/Issue

Clinical problem/issue is identified based on key concepts that define evidence-based practice or clinical experience. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can show a marked improvement through a nursing intervention.

Clinical Problem/Issue, Including Description, Evidence-Based Solution, Nursing Intervention, Patient Care, Health Care Agency, and Nursing Practice

Clinical problem/issue description includes a developed and thorough explanation of the problem/issue, the setting, the patient population, and the rationale for why it is a problem/issue. The identified clinical problem/issue explains the following elements with detail and clarity: evidence-based solution, nursing intervention, and improved patient care consistent with specific health care agency resulting in nursing practice change. Sound rationale is provided in the discussion of the clinical problem/issue resolution.

PICOT Statement Focused on Resolution, Improvement, Application, and Intervention

PICOT statement clearly focuses on the resolution of a clinical problem/issue and aims at improving patient care through the application of an evidenced-based nursing intervention.

PICOT Statement Including Population, Intervention, Comparison, Outcomes, and Time

Population, Intervention, Comparison, Outcomes, and Time are comprehensive and thoroughly developed with supporting details.

Presentation

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Paper Format (use of appropriate style for the major and assignment)

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Please do well, this is the assignment that you did it, see the teacher comment and improve it and research what the PICOT means but Isn’t that I found. I need you doing well because I loss grade in 433 class with PICOT assignments. Thank you.

Framing the Research Question: PICO (T) Evidence-based models use a process for framing a question, locating, assessing, evaluating, and repeating as needed. PICO (T) elements include: Problem/Patient/Population, Intervention/Indicator, Comparison, Outcome, and (optional) Time element or Type of Study.