Healthy People Initiative

The topic this week asks you to apply what you have learned to the following case study.

As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1 hour from campus and commutes each day. Using Healthy People 2020 and your text as a guide, answer the following questions.

1. What additional information would you like to gather from Maria?
2. What are Maria’s real and potential health risks?
3. Why is Maria’s culture important when obtaining the health assessment?
4. Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?
5. What nursing interventions would you incorporate into Maria’s plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections.

 Hematological System

Often in the medical field, an emphasis is placed on the importance of the heart and the lungs. While these two organs are vital to the sustainability of life, the blood is what makes the cardiovascular and respiratory systems function—it’s the connection for the heart and lungs. For this reason, disorders of the hematological system can be potentially devastating for patients. Consider the case of Connie Prochnow. Connie was diagnosed with leukemia after seeking medical care for bruising, shortness of breath, and exhaustion. Her blood disorder resulted in alterations that impacted other body systems, including her respiratory system (UW Health, 2012). Since the heart and the lungs rely so heavily on the blood, it is important that hematological disorders are quickly identified and managed.

 

Huether, S. E., & McCance, K. L. (2012). Understanding pathophysiology (Laureate custom ed.). St. Louis, MO: Mosby.

 

• Chapter 19, “Structure and Function of the Hematologic System”

 

This chapter examines components of the hematologic system, development of blood cells, mechanisms of hemostasis, and hematologic value changes in pediatrics and geriatrics. It also focuses on common blood tests for hematologic disorders.

 

• Chapter 20, “Alterations of Hematologic Function”

 

This chapter focuses on common alterations of hematologic function, including alterations of erythrocyte function, leukocyte function, lymphoid function, splenic function, platelets, and coagulation.

 

• Chapter 21, “Alterations of Hematologic Function in Children”

 

This chapter expands on alterations of hematologic function by presenting disorders that affect children, such as disorders of erythrocytes, coagulation, and platelets.

McPhee, S. J., & Hammer, G. D. (2010). Pathophysiology of disease: An introduction to clinical medicine (Laureate Education, Inc., custom ed.). New York, NY: McGraw-Hill Medical.

 

• Chapter 6, “Blood Disorders”

 

This chapter begins by exploring the anatomy and physiology of blood and the coagulation system. It then examines two types of anemia caused by red cell disorders. White blood cell disorders and platelet disorders are also examined.

Optional Resources

American Sickle Cell Anemia Association. (2010). Retrieved from http://www.ascaa.org/

 

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Discussion: Anemia

In clinical settings, advanced practice nurses often encounter patients with blood disorders such as anemia. Consider the case of a 17-year-old girl who is rushed to the emergency room after suddenly fainting. The girl’s mother reports that her daughter has had difficulty concentrating for the past week, frequently becomes dizzy, and has not been eating normally due to digestion problems. The mother also informs the nurse that their family has a history of anemia. With the family history of anemia, it appears that this is the likely diagnosis. However, in order to properly diagnose and treat the patient, not only must her symptoms and family history be considered, but also factors such as gender, ethnicity, age, and behavior. This poses the question: How do patient factors impact the incidence and prevalence of different types of anemia?

To Prepare

• Review Chapter 20 in the Huether and McCance text. Reflect on the pathophysiological mechanisms of iron deficiency anemia.
• Select one of the following types of anemia: pernicious anemia, folate deficiency anemia, sideroblastic anemia, chronic inflammation anemia, or post-hemorrhagic anemia. Identify the pathophysiological mechanisms of the anemia you selected.
• Consider the similarities and differences between iron deficiency anemia and the type of anemia you selected.
• Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact these anemic disorders.

By Day 3

Post an explanation of the pathophysiological mechanisms of iron deficiency anemia and the anemia you selected. Compare these two types of anemia, as well as their potential causes. Finally, explain how genetics, gender, ethnicity, age, and behavior might impact the anemic disorders you selected.

Read a selection of your colleagues’ responses.

 

Students will:

• Analyze the pathophysiology of anemia
• Compare the pathophysiology of iron deficiency anemia to the pathophysiology of other types of anemia
• Evaluate the impact of patient factors on anemic disorders
• Understand and apply key terms, concepts, and principles related to alterations of the hematological system

Can you please use the emergency department for this Assignment. And please see attached.  Attached is an example paper, you cannot use this paper word for word, it is just an example.  I hope all of this information helps!!

Assignment: Application: Systems Theory

As noted in the Learning Resources, systems theory provides a meaningful and beneficial means of examining challenges in health care organizations. To do this effectively, however, it is essential to assess all system components, as some may be relatively healthy while others are problematic.

• Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).
• Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.
• Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.
• Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.
• Research professional standards that are pertinent to your identified problem.
• Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.)

• Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.
• Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).
• Based on this information, explain how you would address the problem as follows:
  • Formulate a desired outcome.
  • Identify goals and objectives that would facilitate that outcome.
  • Translate those goals and objectives into policies and procedures for the department or unit.
  • Describe relevant professional standards.
• Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.

Word count: 500 to 750

Reference Style: APA Referencing

At least 4 Harvard references.

Must include in-text citation for all the references

Deadline: 10 hours

NB// Must be Completed within the next 10 hours Maximum, NO extension of deadline, the sooner the better

I have attached the case study assignment instructions.

I have also attached a friend’s work, only use it as a resource and a reflection. Do not copy or paraphrase, just use as a reference/sample guide

NR 443 Discussions Week 1 to 7 

NR 443 Discussions Week 1

NR 443 Week 1 DQ 1 :

Healthy People 2020 (Graded)

The federal government developed Healthy People as a set of national health objectives that are periodically evaluated to measure progress in the nation’s health goals and healthcare services. HP 2020 has a renewed focus on identifying, measuring, tracking, and reducing health disparities through a determinants-of-health approach.

This week, please briefly discuss a Healthy People 2020 objective under the topic area of your choice. Go to www.healthypeople.gov and select any one of the objectives under the topic area of your interest. Using the local, national, or international news, describe actions you, as a community health nurse, could take in formulating policy changes to help promote the objective you have selected. Cite references to support your views.

NR 443 Week 1 DQ 2 :

Determinants of Health (Graded)

Healthy People 2020 identified four Foundation Health Measures (FHM) that reflect the major health concerns in the United States. The third FHM isDeterminants of Health. The description of Determinants of Health is:

“A range of personal, social, economic, and environmental factors that influence health status are known as determinants of health. Determinants of health include such things as biology, genetics, individual behavior, access to health services, and the environment in which people are born, live, learn, play, work, and age” (U.S. Department of Health and Human Services, n.d., About Determinants of Health section, para. 1).

Go to the “Learn More About Determinants of Health” (http://www.healthypeople.gov/2020/about/DOHAbout.aspx ) and choose one of the five Determinants of Health that you feel is most important for community health. In your posting, share the determinant of health and the rationale for your choice. Remember to cite any references used for developing your rationale.

NR 443 Discussions Week 2

NR 443 Week 2 DQ 1 :

Census Data and Epidemiological Data (Graded)

Go online to the U.S. Census Bureau atwww.census.gov. Obtain information about the demographic characteristics of the population for your county of residence. Once you are on the website, choose the link to “QuickFacts”, and from there you can choose state, county, and city data. You may have to look at county data if your city is not listed. There is also a tab where you can see U.S. comparable data, too.

Include information about age, income, housing, and education. Post a brief summary of the key demographic characteristics of the population in your county (do not copy and paste directly from the website) and apply these data to your community by answering the following questions:

• How do the data from your county compare to the sets of data from the other counties posted by other students in your discussion group?
• Based on the demographic data, what health needs might you anticipate for the population in your county?

NR 443 Week 2 DQ 2 :

Communicable Diseases (Graded)

Review the levels of prevention of communicable diseases discussed in Chapter 25 (Nies& McEwen, 2011). Choose a communicable disease objective listed within theHealthy People 2020 topic area (p. 492). Discuss a role (function) that you, as a CHN, could play in implementing the objective. What community health nursing intervention would you implement? Describe at least two levels of prevention you could address and how you can address them.

NR 443 Discussions Week 3

NR 443 Week 3 DQ 1 :

Collaborating With the Community (Graded)

Identify a community or aggregate you are currently involved with at home (personal life) or at work. Cite some major value, major strengths, and health needs of your community or aggregate. How could a nurse work collaboratively with a community to build on these strengths and facilitate community empowerment? Keep in mind the different methods of community outreach the nurse could utilize.

Please note: According to Nies and McEwan (2011), the definition of an aggregate is a “community composed of people who share common characteristics” (p.92). Remember, aggregates do not necessarily know or interact with one another, but share a common bond such as religious belief, age, life experience, illness, etc.

NR 443 Week 3 DQ 2 :

Resources (Graded)

Assurance is one of the three core functions of public health. Knowing what resources are available is part of this function. Find a resource in your community that could be used as a referral source and share information about the services provided. Who is eligible for the services? What could be done in order to improve the accessibility, acceptability, affordability, or availability of this resource in your community? Make sure to address all four of the A’s in your posting.

NR 443 Discussions Week 4

NR 443 Week 4 DQ 1 :

Concerns for the School Nurse (Graded)

As the school nurse role continues to evolve, there are increasingly more health concerns for the school nurse. Does the locale make a difference in the problems, or are health problems in children and adolescents universal? In some inner-city areas, poor nutrition is a prevalent issue. What do you think are the biggest problems in your areas?

NR 443 Week 4 DQ 2 :

Nurse’s Role in Community Health Settings (Graded)

When caring for populations in community settings, the nurse has many different roles, such as advocate, case manager, educator, researcher, administrator, and so on. Choose one of the community healthcare settings from your textbook or lessons and discuss how one of these roles might be carried out by the community health nurse in the setting you chose.

NR 443 Discussions Week 5

NR 443 Week 5 DQ 1 :

Vulnerable Populations (Graded)

As nurses, we all know what we should do to maintain a healthy lifestyle, but often knowledge does not translate into actual behavior. Vulnerable populations may face additional individual and/or societal barriers to being healthy. What are those barriers? What can nurses do to overcome some of the barriers that you identified?

NR 443 Week 5 DQ 2 :

Priority Setting When Working With Vulnerable Populations (Graded)

This week, we have discussed many different vulnerable populations. Choose a vulnerable population and discuss what you think the top three priorities are for a CHN working with them. Cite at least one scholarly reference that supports your decision.

NR 443 Discussions Week 6

NR 443 Week 6 DQ 1 :

Environmental Pollutants (Graded)

Visit the U.S. Environmental Protection Agency’s Envirofacts website athttp://www.epa.gov/enviro/ . Enter your city, zip code, or location. Explore the site to learn more about your environment and things that might be impacting the health of its citizens. Identify something new you learned about your environment and how it could be affecting health by completing this statement, “I didn’t know ____.” How could you, in the role of a community health nurse, address these concerns?

NR 443 Week 6 DQ 2 :

Disaster Preparedness (Graded)

Visit the websitehttp://www.ready.gov . Review the steps for being prepared for a disaster. As a community health nurse, what elements do you think are important to stress to the community? How is your community preparing for a potential disaster, or how has it prepared?

NR 443 Discussions Week 7

NR 443 Week 7 DQ 1 :

How Do You Define Health? (Graded)

Think about how you define health. Do you think your definition is universal, or is it specific to your culture and/or beliefs? How might another culture’s definition differ?

NR 443 Week 7 DQ 2 :

Affordable Healthcare (Graded)

Please explore the website www.healthcare.gov. Choose the “Get Answers” tab towards the top of the page. Please review several of the topics under this tab and share something that you learned about how the Marketplace works and how this would apply to those in your community.

The Affordable Care Act is a controversial topic and I’m sure there are many different viewpoints represented in our class. For this discussion, let’s focus on understanding the basics of the Marketplace so that we can provide accurate information for our patients and communities.