Go to the following website by clicking on the provided link,  , and select a county and a state (this may be the county/state in which you reside, attend school, or plan to live and work). After reviewing the website and the health outcomes in the County Health Rankings for the area, answer the following questions in a few short sentences as part of your discussion.

1. Select one area in need of improvement and list the general statistics pertaining to the specific problem.
2. How does the creation of the community health center program help to address this public health problem and what can you as a nurse practitioner and/or nurse leader do to influence policy innovation to resolve the problem?

 

The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.

When treating children, prescribers often adjust dosages approved for adults to accommodate a childs weight. However, children are not just smaller adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.  

Photo Credit: Getty Images

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

To Prepare

• Review the interactive media piece in this weeks Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.
• Reflect on situations in which children should be prescribed drugs for off-label use.
• Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.

By Day 5 of Week 11

Write a 1-page narrative in APA format that addresses the following:

• Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
• Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

ZERO PLAGIARISM

5 REFERENCE NOT MORE THAN 5 YEAR 

 What are some of the shortcomings/pitfalls associated with the value sensitive design (VSD) methodology used for assessing the needs of end users and incorporating impacts on stakeholders? And how you can prevent and/or address those identified shortcomings/pitfalls to allow for effective use of VSD approach?

Note : chapter 8 –  Value Sensitive Design of Complex Product Systems  

 

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

• Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
• Consider the role of the nurse informaticist in relation to a healthcare organizations compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
• Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

• Briefly and generally explain the policy or regulation you selected.
• Address the impact of the policy or regulation you selected on system implementation.
• Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
• Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

ZERO PLAGIARISM

FIVE REFERENCES NOT MORE THAN FIVE YEARS

 

Write a 2-pages narrative in APA format that addresses the following:

• Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
• Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
• Explain strategies to making off-label use and dosage of drugs safer for children from infancy to adolescence and descriptions and names of off-label drugs that require extra care and attention when used in pediatrics. Be specific.
• Please use the rubric to formulate your assignment.

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

zero plagiarism

five references not more than 5 years

(1)

n the 19th century, the definition of health was to be free from disease. Disease was widespread at the time due to poor sanitation habits such as, purification of water or removal of waste. With time measures were implicated to reduce poor sanitation habits thus leading to diseases to being manageable. (Falkner, “Chapter 2”, 2018) In the 20th century health was defined as being a functional part of society which was free from disability or the inability to fulfilled roles in society. With the discovery of immunization vaccines disease prevention came to the for front. In 1948, the World Health Organization (WHO) was formed and the focus was on illness prevention.

Currently the definition of health is to preserve the necessary components to be healthy which are, physical, mental and spiritual wellness. In the United States, healthy living is the major focus. Health Promotion and disease prevention is how to have a healthy living. Every 10 years Health People 2020 identify what the nations health concerns are. They are to provide prevention measures.

It is important for nurses to implement health promotion interventions based on evidence-based practice because evidence has shown that if certain habits are practiced it increases a better living for the patient. According to the Healthy People 2020 the website provided great evidence-based information on the prevention of or management of illnesses. Such as, family history and/or eating habits with a high caloric intake of starches makes a person more prone to develop diabetes.

Reference:

Healthy People 2020. (n.d.). Retrieved February 4, 2020, from

Falkner, A. (2018). Chapter 2. In Health Promotion: Health & Wellness Across the Continuum. Grand Canyon University. Retrieved from

Final Recommendation Statement: Abnormal Blood Glucose and Type 2 Diabetes Mellitus: Screening. U.S. Preventive Services Task Force. April 2018.

(2)

Health, being a basic necessity of every human being has developed overtime to what it is currently. In the early 19th century, health was viewed as being free of disease as infectious diseases were predominant and hard to bottle up mainly because of poor sanitation including; insufficient disinfection of drinking water and poor waste disposal. As time went by, disease became more controllable through institution of proper sanitation measures in the early 20th century thus, shifting the definition of disease to be the ability to remain a functional part of society (Falkner, 2018). Due to the diseases ability to cause chronic disabilities; the aspect of prevention became a priority whereby the invention and administration of vaccines helped in total eradication of many diseases (American Academy of Pediatrics, 2015).

 

With the emphasis of disease prevention taking precedence, health evolved into more than being disease free and with the WHO coming into existence, the focus changed and continues to be health promotion which has been defined to be the process of helping people to increase control over, and to improve their health, thus moving beyond a focus on individual behavior to a wide range of social and environmental interventions (WHO n.d.a). Given the goal to create a culture of maintaining healthy living and disease prevention rather than seeking treatment after disease infestation, this concept of health promotion has further advanced to include collaboration and partnerships of the US office of disease prevention with different states to address public health and provide funding for hospital expansion in an effort to meet the increasing needs for health promotion in the nation (Mallee, 2017). Besides this effort, there has been creation of a federal program for health; Healthy People 2020 which was designed to help decrease rising morbidity and mortality rates associated with diseases through setting new goals every 10 years.

 

Due to the impact of the above aspects, wellness has continually improved through factors such as health screenings, proper nutrition, healthy living behaviors and choices. Nurses who are usually the first contact of patients, are tasked with the responsibility of advocating health promotion to ensure quality care. Through their role as educators, they continually strive to be knowledgeable caregivers who base their practice on sound scientific evidence founded research. The incorporation of latest evidence, clinical expertise and patient preference and values helps to influence positive outcomes that ultimately enhance health promotion (Falkner, 2018).

 

References.

American Academy of Pediatrics. (2015). History of immunizations. Retrieved from https://www.healthychildren.org/English/safety-prevention/immunizations/Pages/History-of-Immunizations.aspx

Falkner, A. (2018). In GCUs Health Promotion: Health and Wellness Across the Continuum. Retrieved from

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/health-promotion_health-and-wellness-across-the-continuum_1e.php

Mallee, H. (2017). The evolution of health as an ecological concept. Retrieved from https://sustainabilitycommunity.nature.com/posts/20580-science-paradigms-health-environment-evolution

World Health Organization. (n.d.a). Health promotion. Retrieved from http://www.who.int/topics/health_promotion/en/

  

Answer the following questions supporting with evidence-based research:

What does your resume say about you?

How important are professional organizations to you?

Identify cultural or spiritual considerations related to your chosen professional organization

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

 Case Study 3 & 4 S Inflammatory Bowel Disease and Urinary Obstruction 

Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

The answers must be in your own words with reference to journal or book where you found the evidence to your answer. Do not copy paste or use a past students work as all files submited in this course are registered and saved in turn it in program.

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must have reference cited in text for each answer and minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

 

No Plaigarism!!

I need 1 paragraph on what hypertension is.1 paragraph on on Chronic renal failure and the third paragraph need to be about how they connect including side affects and how a nurse can help prevent  it from reoccuring.

Complete an analysis reviewing how the selected concept and systems disorder is related. 

250 WORDS CITATION AND REFERENCES

Discuss how the concept of “health” has changed overtime. Discuss how the concept has evolved to include wellness, illness, and overall well-being. How has health promotion changed over time? Why is it important that nurses implement health promotion interventions based on evidence-based practice?

Teacher comment:

Peoples view on health have changed over the years. Previously people thought they were healthy if they were free of disease and able to work and support their family. With access to health insurance, people are seeing their physicians for annual check-ups where primary prevention is placed as high priority. Vaccinations are emphasized as each new child is brought into the world. Community events are held to teach people about the importance of a healthy diet and exercise regimen. Risk factors are assessed, and monitoring takes place (ie: elevated blood pressure, impaired fasting blood glucose). There is availability of medications to treat many conditions before they cause damage, and this is the role of secondary prevention detection and treatment. Health care professionals utilize Evidence Based Practice in their care of patients in both health promotion and illness prevention.