1. Consider the past achievements in public health as many have implications around the globe.
2. Describe a global health concern that has impacted your community or those you care for.
3. Discuss what surveillance data could be pulled from an electronic health record (EHR) you have used or currently use in your nursing practice.
4. Take a moment to review the Twitter feed for compelling Tweets that are related to informatics, global health, and population health outcomes.
5. Share an overview the Tweet and how it is likely to impact future collaborative trends in community health.
6. Compose a 280-character or fewer Tweet that describes what you would like to see as a Tweet in the next decade related to public health achievements. Please try to be realistic, but also be visionary. Remember Twitter only allows 280 characters (this includes spaces, etc.) so you will need to be concise. It should include a hashtag. Include a reference URL if applicable. Share this Tweet in the discussion. (Note: A Twitter account is not required nor share your Tweet on social media). 

1. Consider the past achievements in public health as many have implications around the globe.
2. Describe a global health concern that has impacted your community or those you care for.
3. Discuss what surveillance data could be pulled from an electronic health record (EHR) you have used or currently use in your nursing practice.
4. Take a moment to review the Twitter feed for compelling Tweets that are related to informatics, global health, and population health outcomes.
5. Share an overview the Tweet and how it is likely to impact future collaborative trends in community health.
6. Compose a 280-character or fewer Tweet that describes what you would like to see as a Tweet in the next decade related to public health achievements. Please try to be realistic, but also be visionary. Remember Twitter only allows 280 characters (this includes spaces, etc.) so you will need to be concise. It should include a hashtag. Include a reference URL if applicable. Share this Tweet in the discussion. (Note: A Twitter account is not required nor share your Tweet on social media). 

Assignment Overview

You have just been hired by your State’s health department to help develop a health promotion program. Your first assignment is to use the CDC database, WISQARS Leading Causes of Death Reports, to find out what the leading causes of death in your State are, and how different groups within your State compare to those of the State as a whole. You will use that information to decide which determinants of health your program should focus on. *** I am living in Korea, but from Florida if you want to use that state****

Case Assignment

1. Go to http://www.cdc.gov/injury/wisqars/leading_causes_death.html, and select “Leading Causes of Death 1999 to 2017 (ICD-10), National, Regional and State (Restricted).”
2. For Report Options, select your State.
3. Scroll down to “Advanced Options” and select “Top 5” as the number of causes.
4. Look at the column on the right, labeled All Deaths, to find the top 5 causes of death.
5. Repeat those steps, but select Race, Sex, and specific Age groups on the Report Options to see how/if the leading causes of death vary among differing demographic groups.
6. In an essay, please answer the following:
   1. What state did you select?
   2. What are the 5 leading causes of death for your State. How do they compare with the 5 leading causes of death for the US?
   3. Describe how/if the leading causes of death vary based on different demographic variables such as race, sex, and age. Be specific about which variables you looked at.
   4. Based on the findings for your state, what 3 determinants of health would you choose as priorities for health promotion programs? Would you focus your efforts on any specific one?
   5. Please explain how those 3 determinants of health affect people’s behaviors in ways that promote well-being. How do they affect people’s behaviors in ways that hinder well-being? Give examples and support your statements with references.

Assignment Expectations

Length: 2 pages

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should also follow these Assignment Expectations.

Required Reading

U.S. Department of Health and Human Services. (2018). Healthy People 2020: Leading Health Indicators. Retrieved June 30, 2018, from http://www.healthypeople.gov/2020/LHI/default.aspx

U.S. Department of Health and Human Services (2016). Healthy People 2020: Leading Health Indicators.Retrieved from http://www.healthypeople.gov/2020/LHI/default.aspx

U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion (2014). Public Health Learning Modules-Module 1: Using Healthy People 2020 to Improve Population Health. Part Three: Healthy People and the National Center for Health Statistics. Retrieved from https://vimeopro.com/aptrmodules/phlm/video/75910069

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
5. Inhaled short-acting bronchodilator (ProAir HFA)
6. Inhaled corticosteroid (Flovent HFA)
7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to 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

Please pay attention info below

zero plagiarism

five references not more than 5 years

While cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) have many similarities, they are distinctly different therapeutic approaches. When assessing clients and selecting one of these therapies, you must recognize the importance of not only selecting the one that is best for the client, but also the approach that most aligns to your own skill set. For this Assignment, as you examine the similarities and differences between CBT and REBT, consider which therapeutic approach you might use with your clients. 

Learning Objectives

Students will:

• Compare cognitive behavioral therapy and rational emotive behavioral therapy
• Recommend cognitive behavioral therapies for clients

To prepare:

• Review the media in this week’s Learning Resources. 
• Reflect on the various forms of cognitive behavioral therapy. 

The Assignment

In a 1- to 2-page paper, address the following:

• Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
• Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.
• Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.