Write a paper that addresses the following:

1. What is the role of a community health nurse? 
2. How does the community health nurse assist the families of patients in their home settings?
3. What are some of the barriers related to the initiation of home care services in communities?
4. How does living in an urban area versus a rural area affect home care services?

Your paper must be three to four pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1” margins. Include a minimum of three references.

Healthy Chicago 2025 Reflection Activity

Please click on link below to view the Healthy Chicago 2025 Campaign Launch. Please view entire session and answer the following reflection questions. 

https://live.avchicago.com/HealthyChicago2025/

Healthy Chicago gives us a look at how all of us can have a voice in creating a healthier city. Change happens when we make healthy choices as a society. Looking at health in a broad sense is what public health is about. Everything impacts a person’s health: housing, education, income, community design, transportation, and the environment. Healthy Chicago 2025 discussed a life expectancy gap between black and white residents of almost nine years. We have to evaluate what are the reasons for this gap and how we as health care providers can assist to change it. Together, we can change the direction of health in America.

1. Why would it be important to gather information from a variety of people –different backgrounds, different economic status, different age groups, when we are discussing “What makes a healthier Chicago?” 

2. List some barriers to having good health, equitable health care in the city of Chicago?

3. What was a topic that the panel shared that impressed you?

4. Were you surprised about the life expectancy rates in the city of Chicago?

5. In the video they mentioned, Logan Square Neighborhood Association. What if any neighborhood organization are you familiar with? What is the purpose of a neighborhood organization in a community?

Select a global health issue affecting the international health community. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues. 

Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.

Due Date: Thursday 24

Chapter 7 – Economic and Legal Issues.Chapter 

Chapter 8 – Assessment and Documentation for Optimal Care.

Questions: 

The gerontological nurse is responsible to conduct a complete “head-to-toe” physical assessment. There are several considerations of common changes in late life during physical assessment discussed in your textbook. 

1.Mention at least 3 common changes in late life that the gerontological nurse needs to have in consideration during a physical assessment.

2. Explain each one of them.

Guidelines: The answer should be based on the knowledge obtained from reading the book, no just your opinion. 

Grading Criteria: Student mentioned 3 common changes in late life that the gerontological nurse needs to have in consideration during a physical assessment (30%). Student explained each one of them (70%).

Mr. E is a pleasant, 70-year-old, black, male

Source: Self, reliable source

Subjective:

Chief complaint: “I urinate frequently.”  

HPI:  Patient states that he has had an increase in urination for the past several years, which seems to be worsening over the past year. He estimates that he urinates clear/light yellow urine approximately every 1.5-2 hours while awake and is up 2-4 times at night to urinate. He states some urgency and hesitancy with urination and feeling of incomplete voiding. He denies any pain or blood. Denies any head trauma. Denies any increase in thirst or hunger. He denies any unintentional weight loss.

Allergies: NKA

Current Mediations:

Multivitamin, daily

Aspirin, 81 mg, daily

Olmesartan, 20 mg daily

Atorvastatin, 10 mg daily

Diphenhydramine, 50 mg, at night                                                                                                                   

Pertinent History: Hypertension, hyperlipidemia, insomnia

Health Maintenance. Immunizations: Immunizations up to date

Family History: No cancer, cardiac, pulmonary or autoimmune disease in immediate family members

Social History: Patient lives alone. He drinks one cup of caffeinated coffee each morning at the local diner. He denies any nicotine, alcohol or drug use. 

ROS: Incorporated into HPI

Objective:

VS – BP: 118/68, HR: 86, RR: 16, Temp 97.6, oxygenation 100%, weight: 195 lbs, height: 70 inches.

Mr. E is alert, awake, oriented x 3.  Patient is clean and dressed appropriate for age.

Cardiac: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop

Respiratory: Clear to auscultation 

Abdomen: Bowel sounds positive. Soft, nontender, nondistended, no hepatomegaly           

Neuro: CN 2-12 intact                                                                                                                        

Renal/prostate: Prostate enlarged, non-tender. No asymmetry or nodules palpated

Labs:

Test Name

Result

Units

Reference Range

Color

Yellow

Yellow

Clarity

Clear

Clear

Bilirubin

Negative

Negative

Specific Gravity

1.011

1.003-1.030

Blood

Negative

Negative

pH

7.5

4.5-8.0

Nitrite

Negative

Negative

Leukocyte esterase

Negative

Negative

Glucose

Negative

mg/dL

Negative

Ketones

Negative

mg/dL

Negative

Protein

Negative

mg/dL

Negative

WBC

Negative

/hpf

Negative

RBC

Negative

/hpf

Negative

Lab

Pt’s Result

Range

Units

Sodium

137

136-145

mmol/L

Potassium

4.7

3.5-5.1

mmol/L

Chloride

102

98-107

mmol/L

CO2

30

21-32

mmol/L

Glucose

92

70-99

mg/dL

BUN

7

6-25

mg/dL

Creat

1.6

.8-1.3

mg/dL

GFR

50

>60

Calcium

9.6

8.2-10.2

mg/dL

Total Protein

8.0

6.4-8.2

g/dL

Albumin

4.5

3.2-4.7

g/dL

Bilirubin

1.1

<1.1

mg/dL

Alkaline Phosphatase

94

26-137

U/L

AST

25

0-37

U/L

ALT

55

15-65

U/L

Pt’s results

Normal Range

Units

WBC

9.9

3.4 – 10.8

x10E3/uL

RBC

4.0

3.77 – 5.28

x10E6/uL

Hemoglobin

11.5

11.1 – 15.9

g/dL

Hematocrit

35.0

34.0 – 46.6

%

MCV

85

79 – 97

FL

MCH

28

26.6 – 33.0

Pg

MCHC

34

31.5 – 35.7

g/dL

RDW

14

12.3 – 15.4

%

Platelets

220

150 – 379

X10E3/uL

PSA

5.4

0-4.0

ng/mL

Assessment:

Diagnosis: Benign prostatic hyperplasia, ICD-10: N40.1

Please answer the following:

For the sake of this case study, the patient has confirmed BPH and prostate cancer has already been ruled out. Hence, please document your prescribed treatment plan for this patient (i.e. don’t state “refer to urology”).

1. What is your treatment plan (include specific dosage and frequency)? Why did you choose this treatment plan? Do you change any of his current medications?  In your answer, please describe, briefly, the pharmacodynamics (1 point) and pharmacokinetics (1 point) of your treatment choice and how they influenced your decision. Does the patient have any comorbidities that influenced your choice as well (1 point)? 

       Three months later, the patient notes improvement, but no resolution of symptoms. What would be your next prescribed treatment option (1 point)?

1. Document the education you would provide for this patient, specific to the prescribed medication. Please include information pertinent to the patient (2 points) and common potential adverse effects (2 points).