Category: Nursing

Health Issues in Your Community
For your project, you will visit the CDC website and select an article that addresses a health issue of your interest (for example, H1N1, obesity, diabetes, asthma, teenage pregnancy, etc.). Click here to visit the CDC website.
Addressing the following questions:
What public health issue have you selected and why? Provide a brief explanation of the issue.
How long has the health issue been prevalent in the community?
What are the factors that have caused the issue to become a public issue? Support your answer with data from your research.
Are there any social implications of the issue? Why or why not?
What prevention and intervention measures have been implemented to address this issue in your community?
Are there any issues that are not being adequately addressed? Support your answer with data from your research.
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

CO # 1: Compile a comprehensive and systematic health history to assess medical, familial, developmental, cultural, occupational, psychosocial, and nutritional factors that influence health status. Evaluate these factors in the process of making discriminative clinical judgments
CO # 2: Develop effective communication and interviewing techniques to gather comprehensive health information from individuals across the lifespan. CO # 3: Evaluate the physical integrity of persons ranging in age from adolescents to older adults by documenting health assessment findings accurately and succinctly, utilizing appropriate terminology and communication strategies for healthcare professionals.

Instructions
Health Issues in Your Community
For your project, you will visit the CDC website and select an article that addresses a health issue of your interest (for example, H1N1, obesity, diabetes, asthma, teenage pregnancy, etc.). Click here to visit the CDC website.
Addressing the following questions:
What public health issue have you selected and why? Provide a brief explanation of the issue.
How long has the health issue been prevalent in the community?
What are the factors that have caused the issue to become a public issue? Support your answer with data from your research.
Are there any social implications of the issue? Why or why not?
What prevention and intervention measures have been implemented to address this issue in your community?
Are there any issues that are not being adequately addressed? Support your answer with data from your research.
As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Submission Details:
Your assignment should be addressed in a 3- to 5-page document.

Before beginning work on this discussion forum, please review the link “Doing Discussion Questions Right,” the expanded grading rubric for the forum, and any specific instructions for this topic.
The main goal of public health is to prevent diseases and promote health of a population level.
Research, and read about a public health issue of your interest. Based on your research, express your views on the following:
What is the difference between public health and individual health?
How does the system of health care delivery in the United States support the goals of public health?
Is the health issue identified by you during the research being adequately addressed? Why or why not?
What initiatives are in place to address your identified public health issue? Explain at least two such initiatives.
What are the risks or social factors associated with your identified health issue?
How are the three levels of government (national, state, and local) working together to address your identified health issue?

Topic: Inadequate Access to Healthcare issue and use what you learn using EBP to guide health technology, community resources, screening, outreach, referral and follow up to improve health outcomes in the community.
Must address all of the topics. More than 200 words.
APA format, including a minimum of two references within a 5 year span.
Requirements: 2 pages

Please respond to discussion below using current APA edition and 2 scholarly references. Must be at least 150 words. Everything went really well this week! Once more, I consider myself lucky to have an excellent preceptor. She does a great job going over pharmaceutical side effects and diagnosis explanations. This has shown to be very beneficial in determining the cause of a patient’s complaint, in my experience. The majority of the time, it’s because a new drug was added to their existing regimen. This week at my clinical, we encountered a male patient who was 71 years old and had a history of excessive cholesterol. The patient reports that he is in excruciating pain and that his right big toe is swollen and red. He states that the pain was limited to his great toe and that it started a day ago. He now reports that the discomfort is also present in his ankle. After looking over his prescriptions, none of them seem to be the source of this problem right now.
Serum uric acid levels, complete blood count (CBC), and radiography are part of the patient’s care plan to confirm the diagnosis and rule out the existence of a competing diagnosis. The presence of hyperlipidemia prompted the drawing of a lipid panel as well. Gout, a metabolic disease characterized by a pathology involving uric acid levels over 7 mg/dL in men and 6 mg/dL in women, is the primary diagnosis. Urate deposits form in cartilage, soft tissues, and joints as a result of the high uric acid level. Reduced renal clearance, enzyme abnormalities, consuming too many purine-rich foods, obesity, dehydration, hunger, alcohol consumption, and diabetes are a few risk factors for gout (Dunphy, Winland-Brown, Porter & Thomas, 2019). The patient exhibits characteristic symptoms and indicators of the acute phase of the disease, including pain, elevated body temperature in the affected area, edema, and redness that would be indicative of gout.
He has been administered 750 mg of Naproxen, 250 mg every eight hours for five to eight days, and 1.2 mg of Colchicine as a loading dosage, followed by 0.6 mg one hour later, and 0.6 mg once or twice daily for the next twelve hours, or until the gout episode goes away. An additional component of the gout treatment was non-pharmacologic therapy. The patient was told to use topical ice whenever necessary. This patient’s information sources for anticipatory counsel and preventative care were reviewed. He received education on the value of maintaining a nutritious, well-balanced diet to prevent weight gain. Additionally, he received crucial information about limiting the intake of beef, lamb, pork, seafood, and low-fat products; increasing the consumption of vegetables; staying hydrated; adhering to a suitable exercise regimen; and avoiding meats high in purines, such as liver, kidney, and sweetbreads.
As to the American College of Physicians (ACP), the major clinical diagnosis for gout illness is as follows. Urate crystals in the aspirated fluid from the afflicted location, however, confirm the diagnosis. For individuals who may have acute gout, the American College of Physicians (ACP) advises using synovial fluid analysis when clinical judgment dictates that diagnostic testing is required. For the diagnosis of gout, synovial fluid analysis has been the gold standard. Acute gout misdiagnosed or misdiagnosed can lead to needless surgery, hospital stays, insufficient care (antibiotics for infected joints, for example), and overprescription of long-term medication. In the event that these standards are not met, the physician should either apply their professional judgment or refer the patient to a resource that can fulfill them.
After examining this patient, I could see how his care plan may incorporate a differential diagnosis like great toe cellulitis. I am also aware of how crucial it is to place the appropriate lab orders in order to rule out differential diagnosis and determine the root of the issue so that it may be appropriately treated. Seeing this patient made me feel at ease, especially since I was able to diagnose them using my prior knowledge because I had encountered a similar circumstance during my last clinical rotation.

Please respond to discussion below using current APA edition and 2 scholarly references. Must be 150 words. Similarly to the first clinical week, the second clinical week was successful without significant challenges. As a result of my previous clinical rotations, during which I gained invaluable knowledge and skills regarding patient assessments and disease diagnosis, I assessed more patients independently and interacted more effectively with my preceptor as we discussed patient treatment plans together. Due to the interprofessional team collaboration, it was easy to handle complicated cases and develop patient-centered treatment plans.
Nursing Scenario
A 65-year-old white male presented to the clinic complaining of lower back pain. On examination of the patient’s back, the left side was more tender and asymmetrical. The patient informed the clinician that he had fallen at home but never sought medical intervention. He sought medical attention after pulling heavy luggage at the airport. A lumber X-ray showed a compression fracture of L3-L4. The patient is prescribed medications Baclofen 10 mg TID for three days and Ibuprofen 600 mg every 6 hours for pain management. The patient was recommended to consult an orthopedic surgeon and not lift anything heavier than 5 pounds to prevent further back injury.
Patient Assessment, A Plan of Care, and Differential Analysis
A comprehensive history and physical examination are required to determine the primary diagnosis of lower back pain. In this patient’s case, the history included questions about the mechanism of injury, quality of pain, and past and current treatments. The nurse practitioner performed a straight leg raise test, whereby the patient was requested to lie supine while maintaining one leg straight by activating the quadriceps (Harper & Klineberg, 2019). The nurse practitioner performed a slow, progressive elevation of the leg. As soon as the leg was below 45 degrees with the radiation below the knee, the patient felt pain and paresthesia. The test was critical to diagnosing L3 and L4 radiculopathies. Based on these findings and the X-ray results, which showed a compression fracture of L3-L4, the primary diagnosis was lumbar disc herniation. When the patient was assessed, his back was asymmetrical on the left side, with a bruise, which could have been caused by strain and stress when he fell on the dominant side.
Differential diagnoses included in this assessment were mechanical back pain, vertebral compression fractures, and spondylolisthesis (Rickers et al., 2021). The rationale behind these differential diagnoses was pertinent positives in each condition, including lower back pain, tenderness, radicular pain, and pain exacerbation when straining. However, a pertinent symptom that ruled out these conditions was back asymmetry on the left side. Since these persistent disabling symptoms are still present, he was referred to an orthopedic surgeon.
Health Promotion Intervention
Health promotion interventions included adequate rest to prevent muscle strain, physical rehabilitation, and therapies to ease pain, such as massage, ultrasound, and transcutaneous electrical nerve stimulation (Rickers et al., 2021). The patient was also educated on stretching, posture, and proper body mechanics, such as avoiding bending forward or twisting.
Lessons from the Clinical Experience
This week was successful because it helped me gain more insight and experience caring for geriatric patients. My clinical experience taught me several important lessons about referring patients to specialty doctors and collaborating with other interprofessional team members.

Topic: Inadequate Access to Healthcare issue and use what you learn using EBP to guide health technology, community resources, screening, outreach, referral and follow up to improve health outcomes in the community.
Must address all of the topics. More than 200 words.
APA format,
including a minimum of two references within a 5 year span.

PowerPoint presentation Drug: Prednisone
Drug pharmacology, pharmacokinetics
Brand name
Generic name
Dosing
Indications for use
Side effects
Contraindications
Pregnancy class
perform a cost analysis of the drug.
Provide a patient case study on a patient in which you would utilize prednisone and include at least two peer-reviewed evidence-based studies related to the drug.
Describe the appropriate patient education.
What is the role of a Nurse Practitioner for prescribing this medication to this patient ?
Describe the monitoring and follow-up.
Create a separate document with a bibliography table including five academic articles used in the research, include the information you found on prednisone including the author, the date, article name, location of the published source and page number.

Post 1: 300 words minimum, APA. Discuss how evidence-based guidelines shape APRN practice.
Are physicians (MDs and Dos) and APRNs held to the same evidence-based standards?
Are APRNs independent and autonomous providers just as physicians (MDs and Dos)?
What are collaborative agreements between physicians and APRNs?
Are NPs required to pay physicians so they can practice?
How do APRNs incorporate consultation and collaboration with their supervising physicians?
Post 2: 300 words minimum, APa
Describe the reimbursement mechanisms (Medicare, Medicaid, private insurers, and HMOs) for APRNs
Are there any differences in the fee schedules between Physicians and non-physician providers (NPP) such as APRNs? Please describe.
Can APRNs own their own practices in your state? Why or why not?