Category: Nursing

Psychological and Financial Elder Abuse Sample Essay

Psychological abuse entails cases where by the care giver humiliates and handles the elderly without respect. Notably, in most cases these type of abuse is characterized by name calling, and harsh disregard for the elderly person opinion. Abolishing this type of abuse is coupled with myriad challenges including in ability to recognize signs of occurrence since in most cases there is no physical evidence. Moreover, this abuse is mostly perpetrated by care givers and the elderly are likely to normalize it and might find it hard to report it. Although, psychological abuse has detrimental effects including instigation of mental problem, WHO (2017) highlights it as the most under reported form of elderly abuse.

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Financial elder abuse occurs when an individual mostly a family member misappropriates resources of the elderly or uses financial power to subdue the elderly. Unlike other forms of abuse, financial abuse is subtle and hard to notice and thus difficult to abolish Psychological and Financial Elder Abuse Sample Essay. Further according to WHO (2017), curbing financial abuse is also complicated by the fact that the perpetrators are by closely attached with the elderly such as care givers or family members. In some cases the elderly person has no knowledge of its occurrence and thus no reporting occurs.

Key Strategies to advocate and protect the elderly from psychological and financial abuse include encouraging the community members to help by heightening scrutiny for plausible cases of abuse and report them to the authority. As such, community members should be taught the signs manifest in psychological abuse such as observing behavior changes in the elderly. In this case increased fearfulness, uncommunicative tendencies and isolation among others should be taken to signify possibility of psychological abuse. Manifestations of financial abuse on the other hand include cases of massive withdraws from the elderly accounts and sudden cases of unpaid bills.

The community members should also be encouraged to observe behavioral change by the care giver. In this regard, inhibiting visitors to the elderly and cases whereby the care giver portrays indifference and heightened hostility to the elder such as name calling should also warrant report of possible elderly financial or psychological abuse Psychological and Financial Elder Abuse Sample Essay. Further, I would encourage the need for the authorities and other agencies involved with the elderly take any reported suspicion seriously and take immediate action to curtail the abuse and accrued effects to the elderly.

References

World Health Organization. (2017). Prevention of Elderly Abuse. WHO Psychological and Financial Elder Abuse Sample Essay

Quantitative research that has health care implications

Third time I’m posting this paper (warming somewhat difficult task) so far it has conquered two tutors. I will attach some example papers. I do have the critique from the graders will post in private chat with tutor the format is correct but the content is not! I also attached the table the five areas are suppose to go in! I can only give one day since I have posted this paper so many times already. Quantitative research that has health care implications.

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A. Evaluate a primary 
quantitative
 research peer-reviewed journal article (
suggested length of 3–5 pages
) that has healthcare implications by doing the following:

1. Identify how the researcher addresses the 
five
 following areas of the selected journal article, using the attached “Evidence Table”:

• background or introduction

• review of the literature

• discussion of methodology

• data analysis

• researcher’s conclusion

2. Critique whether the evidence presented in 
each
section of the journal article supports the researcher’s conclusion. Quantitative research that has health care implications.

3. Explain the protection of human subjects and cultural considerations of the journal article.

4. Identify strengths and limitations of the study.

5. Describe how the evidence informs nursing practice.

B. Evaluate a primary 
qualitative
 research peer-reviewed journal article (
suggested length of 3–5 pages
) that has healthcare implications by doing the following:

1. Identify how the researcher addresses the 
five
 following areas of the selected journal article, using the attached “Evidence Table”:

• background or introduction

• review of the literature

• discussion of methodology

• data analysis

• researcher’s conclusion

2. Critique whether the evidence presented in 
each
 section of the journal article supports the researcher’s conclusion.

3. Explain the protection of human subjects and cultural considerations of the journal article.

4. Identify strengths and limitations of the study. Quantitative research that has health care implications.

5. Describe how the evidence informs nursing practice.

C. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized

Sources of Stress in Nursing Students: A Systematic Review of Quantitative Studies A1 Quantitative Article: Pulido-Martos, M., Augusto-Landa, J., & Lopez-Zafra, E. (2012). Sources of stress in nursing students: a systematic review of quantitative studies… [corrected] [Published erratum appears in INT NURS REV 2012 Jun; 59(2):289]. International Nursing Review, 59(1), 15-25 11p. doi:10.1111/j.1466-7657.2011.00939.x Background or Introduction This study planned to recognize the fundamental wellsprings of stress for understudies of nursing and the development of the stressors when preparing in nursing capabilities. Levels of stress are higher for health care experts than for different laborers. A higher number of stressors with negative wellbeing results are available, particularly among nursing experts. Stress is a psychosocial component that impacts the scholarly execution and prosperity of this gathering. The enthusiasm for breaking down wellsprings of stress in nursing understudies is because of the impact that their preparation period may have on their view of weight on their future work (Pulido-Martos, Augusto-Landa, & Lopez-Zafra, 2012, p. 15). Review of the Literature A precise audit of the experimental literature on stressors in nursing understudies were examined. Quantitative research that has health care implications. The inquiry involved all the articles distributed toward the end of 2010. The writers led a reading of titles and abstracts and settled on the choice to incorporate articles in the survey in light of the accompanying criteria: (i) the study included one or more instruments to gather data on anxiety variables among nursing understudies, (ii) the study included just nursing understudies or, if different examples were viewed as, the study gave data on nursing understudies independently, and (iii) the work included quantitative data on wellsprings of stress, barring those studies that lone reported a worldwide measure of stress. Articles were incorporated into the audit in the event that they met these three criteria. If there should arise an occurrence of disparities between the scientists, discourse gatherings bound together the decision. At long last, papers that construct their examination in light of a subjective elucidation of the data gathered (e.g. talk examination, discussion investigation) were rejected (Pulido-Martos, Augusto-Landa, & Lopez-Zafra, 2012, p. 16). Discussion of Methodology The most well-known wellsprings of stress identify with scholastics (audits, workload and issues connected with concentrating on, among others). Different wellsprings of anxiety incorporate clinical sources, (for example, apprehension of obscure circumstances, botches with patients or treatment of specialized hardware). When all is said in done, no progressions happen at the distinctive years of the understudy’s training (Pulido-Martos, Augusto-Landa, & Lopez-Zafra, 2012, p. 16). Data Analysis Eighty-six articles (out of 784) seemed to meet the destinations and criteria of this efficient modification on the premise of titles and abstracts. After the complete readings, 63 articles were disposed of. for one of the accompanying reasons: (i) tests were not only nursing understudies, and their outcomes were not isolated from different understudies, (ii) the outcomes just reported worldwide scores and not calculated scores, or( iii) although the abstract did not report a qualitative study, it turned out to be clear after reading the study that a qualitative technique was utilized. Subsequently, the final test was lessened to 23 studies (Pulido-Martos, Augusto-Landa, & Lopez-Zafra, 2012, p. 17). Researcher’s Conclusion Contrasting studies was difficult due with the methodological contrasts between them. In any case, the authors of the study amendment gives an ebb and flow best in class and expressive data that may be exceptionally helpful for future exploration. They bring up the significance of instructors and clinical facilitators to be delicate of these stressors and furnish understudies with successful adapting methodologies to manage the inescapable wellsprings of stress present amid nurse education and training. These techniques may prompt the lessening of negative mental side effects connected with view of stress. Future exploration ought to consider investigating papers that have utilized subjective techniques to contribute data to this work (Pulido-Martos, AugustoLanda, & Lopez-Zafra, 2012, p. 23). Quantitative research that has health care implications. Critique whether the evidence presented in each section of the journal article supports the researcher’s conclusion. According to the various sections presented in the journal article is appears that all sections support researchers conclusion. They broke down the specific target of every study. Besides that, they dissected the circumstance and stressors, considering the scholarly year the understudies are in. The survey incorporates cross-sectional studies with understudies from a solitary scholarly course, cross-sectional studies looking at different scholastic courses and longitudinal studies that incorporate the advancement of the wellsprings of anxiety for the same gathering crosswise over various scholastic courses. Another specific goal was to examine circumstances and stressors straightforwardly identified with the behavior of clinical practice as a feature of the preparation of students (Pulido-Martos, Augusto-Landa, & Lopez-Zafra, 2012, p. 20). Finally, given that some of the studies looked into analyze levels and wellsprings of anxiety in tests of understudies from various instructive frameworks, we recognize distinctively wellsprings of anxiety of the instructive framework. Explain the protection of human subjects and cultural considerations of the journal article. In a portion of the explored examines, most of the specimens were understudies enlisted under the new qualifications that have a more noteworthy scholarly load. In addition, they concentrated on sources of stress saw by understudies in the customary framework with those in the new framework; in the northeast of Scotland made this comparison and in Spain inspected the developments of the new instructive projects. Identify strengths and limitations of the study. There are numerous difficulties in contrasting studies. The organization of the specimen, the instrument utilized and the coding of reactions are among the variables that may block examination of the outcomes got in various studies. In addition, now and again, the outcomes allude to the measurements or components of the wellsprings of stress, and in different cases, the outcomes allude to the substance or specific things of these measurements. Quantitative research that has health care implications. Therefore, the authors reported the specific aftereffects of this efficient survey on the base of the accompanying criteria: (i) the examination targets, (ii) the investigation of stress isolated by scholastic courses, (iii) wellsprings of anxiety connected with clinical practice and (iv) wellsprings of stress as far as educational programs (Pulido-Martos, Augusto-Landa, & Lopez-Zafra, 2012, p. 17). Describe how the evidence informs nursing practice. The evidence informs the nursing practice that those in charge of the projects ought to consider the time spent by understudies on the proposed undertakings to maintain a strategic distance from work burden. Besides, elective types of appraisal past the securing of aptitudes for testing, for example, learning-focused evaluation, could lessen scholastic stress among understudies and the decrease of negative mental manifestations. B1 Qualitative Article: Greenslade, M. V., Elliott, Barbara,PhD., R.N., & Mandville-Anstey, S. (2010). Sameday breast cancer surgery: A qualitative study of women’s lived experiences. Oncology Nursing Forum, 37(2), E92-7. Retrieved from http://search.proquest.com/docview/223115755?accountid=87314 Background or Introduction The purpose of the study was to try and comprehend the encounters of woman having same-day breast cancer surgery and make suggestions to help healthcare professionals impact change to upgrade the nature of care. It is relatively clear that breast cancer is a common disease among woman and this study projects that the length of stay for woman having breast cancer surgery can be eliminated to about 48 hours, as opposed to a week or more. The research suggest that if woman having same day breast cancer surgery may have better outcomes if they are properly educated when preparing for surgery. Review of the Literature Surveying the emotionally supportive networks of ladies with breast cancer ought to be a fundamental piece of nursing practice. Alongside having solid bolster systems, ladies recognized that reasoning decidedly, keeping occupied, and looking for wellbeing related data were adapting techniques that encouraged recuperation. Likewise observed that supports, for example, family, companions, and human services experts are basic for psychosocial conformity and successful adapting Discussion of Methodology This study was conceded from the Human Investigations Committee, Memorial University of Newfoundland, Canada. A purposive specimen of 13 ladies was selected from outpatient branches of two city hospitals on the east shore of Canada. Ladies going to the preadmission facilities preceding experiencing same-day breast cancer surgery were drawn closer by nursing staff and asked whether they would be occupied with taking an interest in the study. The individuals who agreed to partake were taken after to decide qualification. Members who stayed overnight were barred. A constructivist approach with inside and out interviews and relative examination to create and systemically compose information into four noteworthy interrelated subjects and an interfacing key thread (Greenslade, Elliott, & Mandville-Anstey, 2010, p. E93). Data Analysis The discoveries delivered four noteworthy interrelated subjects: planning, timing, supports, and community health nursing interventions. Inseparably laced inside every subject was a key string of the effect on adapting. The four subjects, and also the vital thread, are depicted in this segment with an interpretive methodology (Greenslade, Elliott, & Mandville-Anstey, 2010, p. E93). Researcher’s Conclusion Same-day surgery for breast cancer is not reasonable for each patient. Patients who are more established, have attending conditions, live an extensive separation from the clinic, or have different family obligations may not be reasonable hopefuls. Each woman with breast cancer ought to be evaluated independently to decide the way to deal with surgery. In this manner, the creators prescribe that a screening apparatus be produced to decide fitting appropriateness for same-day breast cancer surgery (Greenslade, Elliott, & Mandville-Anstey, 2010, p. E97). Quantitative research that has health care implications. This study permitted the scientists to pick up a superior comprehension of the encounters of ladies having same-day surgery for breast cancer. Critique whether the evidence presented in each section of the journal article supports the researcher’s conclusion. The evidence presented in each section of the journal article, to an extent, supported the researcher’s conclusion. Looking towards the review of literature, the assumptions made that a support system was relevant in woman who have same-day breast surgery served as a significant outcome of how woman need their support system in place from the time of diagnosis not just for same-day surgery. Explain the protection of human subjects and cultural considerations of the journal article. The study was based on interviews of 13 woman where data were gathered amid audiotaped, unstructured interviews, either by phone or in the members’ homes. Interviews were directed by and large eight weeks postoperatively and went in length from 45–60 minutes. Open-ended inquiries were utilized to invigorate dialog. Coding schemata were created, at first with a slender spotlight on points and after that assembled into more extensive classes. Subject marks were produced to mirror the expansive themes shared by members. Further investigation guaranteed methodical association of subjects, and a constructivist methodology was utilized to comprehend the mind boggling universe of lived experience from the perspective of the individuals who live it (Greenslade, Elliott, & Mandville-Anstey, 2010, p. E93). Identify strengths and limitations of the study. The one limitation shown within this study was the small sample size that was utilized. Having a small sample size does allow for the study to prove or disprove the theory being studied. One strength of the study was to willingness of the participant and how the researchers utilized various methods of conducting this study by mean of open-ended questions for the woman being interviewed. Describe how the evidence informs nursing practice. The evidence of this study helps to inform the nursing practice that with the proper education and a strong support system will allow for woman with breast cancer same-day surgery to be better equipped to deal with tier diagnosis as well as the means to recuperate after such an intensive type surgery. Helping these patients to prepare themselves for surgery and teaching them the various routes of preadmission is vital. In addition, timing is always of the essences. Furthermore, educating family and others of the patient with breast cancer proves to be an essential part of recovery for the patient. Not to mention, evidence on community health nursing intervention is also key for the nursing practice. It provides another outlet for patient to gain outside support if they are troublesome of receiving support from friends and family. Last but not least, evidence shows that teaching coping skills can better prepare patients as well as the nurse practice when helping same-day breast cancer surgery patients. Evidence Based Nursing and Research 1 Evidence Based Nursing and Research Nefertiti Aziz Western Governors University June 19, 2016 Evidence Based Nursing and Research 2 The experiences of black fathers concerning support for their wives/partners during labor: A Systematic Review of Quantitative Studies A1 Quantitative Article: Rosich-Medina, A., & Shetty, A. (2007). Paternal experiences of pregnancy and labour. British journal of midwifery, 15(2), 66. Background or Introduction The researchers present a purpose statement on the research topic with clarity and in an unambiguous manner. He acknowledges the difference that exists between fathers who witness their wives in labor and those who never had such an experience. The article identifies a scenario in illustration of the impact father’s presence to the mother during the delivery process. Finally, the author brings the reader into the knowledge of the research context, specifying that the research was done in an immediate context in particular labor wards of specific private and public provincial hospital (Rosich-Medina, 2007). Review of the Literature The author presents the literature review after the introduction of research methods. In the literature review, the author cites fifteen reviewed journal articles. On the theoretical base, the psychological influence of the father’s presence is examined. The evidence used in this part are dated 2007 to 2011. The evidence on the emotional impact on the mother by the father’s presence is dated 2008. The literature review on this journal gives a comprehensive basis for conducting the study. In so doing, relevant pieces of evidence are presented. In additional, the hypothesis and rationale for the study are present (RosichMedina, 2007). Quantitative research that has health care implications. Discussion of Methodology On the method section, the article outlines clearly how the research methods were designed. The study is contextual in nature, and phenomenological methods of data collection were used. The article also specifies the reason for the selection of private and provisional public hospitals. The researchers organized their research to form populations and samples fathers were divided into two groups of five where the first group included fathers from the private hospitals and had been present during labor. The second group had fathers from the provisional hospital and had not been present during labor. Tape recording devices were used in the gathering of the data during the interview of the two groups of samples after assuring them that their anonymity would be maintained (Rosich-Medina, 2007). Evidence Based Nursing and Research 2 Data Analysis The researchers collected data from a total of ten fathers, five who had their wives deliver in private hospitals in their presence and five who had their wives in provisional hospitals in their absence. Another interview followed the next day on of the mother’s post-partum period after suitable arrangements with respondents. Kerlinger’s methods of data analysis were used in the analysis of the data where the researcher and a qualified nursing researcher carried out an independent analysis of the transcript. Additionally, the researcher explains how they ensured credibility and trustworthiness of the data. Trustworthiness was observed during analysis by the use of the model of Lincoln and Guba Strydom. On the other hand, peer examination and member checking were used in the enhancement of credibility (Rosich-Medina, 2007). Researcher’s Conclusion The research reports the findings in a concise manner. A clear outline of both the positive and the negative results are clearly stated as found out found the research. Besides, the researcher brings to light that the study was based on a sample data from a larger population. The assumption of the research is that the findings of the investigation samples can be included to the larger community. However, the researcher has not limited further research on the topic (RosichMedina, 2007). 2. Critique whether the evidence presented in each section of the journal article supports the researcher’s conclusion. The evidence provided in different sections of the article supports the conclusions. For instance, the researcher makes a finding that the presence of the father during labor yielded positively by strengthening the bond between the mother, the child and the father. The conclusion can be supported by the data obtained on fathers who were present during labor of their wives through the feeling and experience they gained. Four out of five men helped their wives and expression they give shows that the bonds between them, the mother and the child were stronger for seeing all the pain that the mother had to go through (Rosich-Medina, 2007). Evidence Based Nursing and Research 3 Quantitative research that has health care implications. Explain the protection of human subjects and cultural considerations of the journal article. The journal article has evidence of protection of human rights and cultural considerations. The researchers conduct research on two groups of fathers with a total of ten samples. In the interview process, the interviewers are made aware that the interview is going to be recorded for further analysis. The right to the kind of interview and purpose of the interview does not breach the human rights. Additionally, the identity of the interviewees is kept anonymous. Cultural considerations are also observed because a sample of the interviewed black fathers who were not present during the labor of the mothers attributed that as a taboo. They explained that that would be a taboo. At least three out of five men claimed that their cultures could not allow them to witness their wives delivering although there was nothing wrong with that. Therefore, cultural considerations also reveal in the research (Rosich-Medina, 2007). 4. Identify strengths and limitations of the study. The results indicated high reliability on the information obtained because there was a negligible statistical difference on the results. The research also controlled the occurrence of errors by Quantitative research that has health care implications.

Strategies to Maintain Comfort for the Elderly Suffering From Chronic Diseases

Identify two strategies you can implement to provide comfort to maintain function with an ethnically diverse older adult with a chronic disease? This can be nutrition, ADLs, exercise, etc.

Citations should conform to APA guidelines.

 

Most of the senior citizens in the United States suffer from at least one chronic disease. Around 80 percent of the elderly suffer from a chronic disease and 50 percent have been diagnosed with a chronic disease (Dowell, Haegerich, & Chou, 2016). Therefore counter measures to deal with chronic diseases should be highly prioritized as this population of the elderly continues to grow. This paper explores regular medical checkups and adopting healthy life style as most favorable strategies that can be undertaken while dealing with ethnically diverse elderly patients suffering from a chronic disease in a bid to Maintain Comfort. Strategies to Maintain Comfort for the Elderly Suffering From Chronic Diseases.

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Regular medical checks

Most chronic diseases are life threating if not detected early or managed properly for the individuals already suffering from them. Therefore attention should be given to patients as many may be hesitant to pointing out any physical problem that they might be experiencing. Regular prostrate, breast, cervical and cancer screenings, diabetes and cholesterol tests should be focused on (Wiley et al., 2015). Moreover, professional observation on any physical, mental and past behaviors may also aid in giving clues about a present condition. These observations can be highly relied to combat the disease as many elderly citizens especially those suffering from dementia have a tendency of losing track time and forgetting past events.

Practicing a healthy lifestyle

Healthy lifestyle ranges from healthy eating, regular exercise and avoiding drugs and substance abuse, is an adequate strategy in management of chronic illness among the elderly while the elderly with chronic conditions may not be able to get around well especially in cases involving arthritis, partial paralysis, they should be encouraged to exercise. Strategies to Maintain Comfort for the Elderly Suffering From Chronic Diseases. When they can, they should be encouraged to use a stationary bike, soft rubber exercise balls or balloons for stretching or throwing back and forth, and any other exercise deemed appropriate including taking a walk. Patients should also be encouraged to take healthy and balanced diets, have enough sleep, and avoid stress moreover monitoring of prescribed medication should also be prioritized (Burgio, Gaugler, & Hilgeman, 2016).

References

Burgio, L. D., Gaugler, J. E., & Hilgeman, M. M. (Eds.). (2016). 
The spectrum of family caregiving for adults and elders with chronic illness
. Oxford University Press.

Dowell, D., Haegerich, T. M., & Chou, R. (2016). CDC guideline for prescribing opioids for chronic pain—United States, 2016. 
Jama
, 
315
(15), 1624-1645.

Wiley, J. A., Rittenhouse, D. R., Shortell, S. M., Casalino, L. P., Ramsay, P. P., Bibi, S., & Alexander, J. A. (2015). Managing chronic illness: physician practices increased the use of care management and medical home processes. 
Health Affairs
, 
34
(1), 78-86. Strategies to Maintain Comfort for the Elderly Suffering From Chronic Diseases.

Obesity in Texas Community Assignment

In Texas, there are some challenges that face different communities especially health related issues. Therefore, the most common significant challenges in the communities include obesity, drug and substance abuse and maternal health. These are the most significant challenges that are highly inhibiting the ability of the Texas communities to reach the required health levels. Therefore, this paper will provide a significant understanding of obesity as the major source of health concern in Texas. Obesity in Texas Community Assignment. These will include a significant understanding of important service facilities that play a huge role in the provision of health-related data and information.

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The growing prevalence of obesity amongst adults and children is a major public health challenge both nationally and internationally. Being overweight or obese can increase the risk of developing a range of other health problems such as coronary heart disease (CHD), type 2 diabetes, some cancers, and stroke and reduce life expectation. The concerns of obesity are not limited to the direct impact on health. Overweight and obesity also have adverse social consequences through perception, social exclusion and loss of or lower earnings, and adverse consequences on the wider economy through, for example, working days lost and increased benefit payments (Loue and Quill, 2013). Obesity in Texas Community Assignment.

Obesity is a common complex disorder that involves the presence of excessive amount of fat in the body. The rate at which obesity in children is rising faster to have caught the attention of health care professionals, childhood advocates and parents all over the world. Obese children have their weight above the normal average weight and are not proportional to their age and height. The incidences of obesity in children tend to increase with age. Boys are said to be obese if their body fat is way above thirty-two percent while girls are obese if their total body fat is more than twenty-five percent.

Therefore, despite being a national health concern, childhood obesity is a growing problem in Texas. The national survey of Children’s health affirms that 32.2% of Texas children are overweight and obese which is significantly higher than the national average. This very serious issue is supposed to be effectively considered to ensure that there are better health relations among both children and adults in Texas. Obesity in Texas Community Assignment. The increased prevalence of obesity among both children and adults in Texas is thus as a result of various factors, which include the most significant, being the lifestyle that is adopted by many individuals within Texas communities (Springer et.al, 2015.)

Obesity is becoming a world crisis since in every country the number of individuals with obesity complications is greatly increasing every single year. The increased obesity population rates can be attributed mainly to poor eating habits and inadequate or lack of exercises that are supposed to keep the body energetic hence eliminating the extra fats that accumulate in the systems. Different countries are in advanced stages in fighting against this complication that is fast derailing the economic and social development of the first world countries all over the globe. Previously obesity was strictly termed as rich nation diseases, but it has since circulated to all individuals regardless of how or where they come from (Dooyema et.al, 2013). Obesity in Texas Community Assignment.

Different researches are being carried out with the main task of unfolding how obesity can be controlled at early stages since it usually develops during the ages of development when an individual is still very young. These researchers are majorly capped by favorable government policy that is put in place with the aim of combating the growth of obesity and also sensitizing citizens at large on how to lead a healthy lifestyle as well. The main method on how obesity can be controlled is by ensuring that children from an early age participate in physical exercises. By doing this, they can use the extra fat that tends to lie in the lower part of the heart bring many complications to patients. Most people with obesity disorder suffer from heart-related complications. This is due to the effect the extra oil and fats has on the human body. These researchers, therefore, focus on important data that is obtained from various service facilities within our communities.

Foods with high amounts of fats and sugar and fewer vitamins is a contributor. This results in the presence of many accumulated fats in the body. The body tends to use a given rate of energy produced in the body, and the rest is just a waste if an individual has no ways by which the excess energy, it accumulates in the body and causes many discomforts to the individuals. Many of the food industries normally deal with already processed foodstuffs where many food additives. Also, because they are cheaper than the natural food that is more important to the body. This has led to the over-consumption of this diets which are unhealthy to individuals yet they go on to consume unknowingly (Ory et.al, 2013). Obesity in Texas Community Assignment.

Within my community, obesity is a significant health concern especially because individuals have adopted certain lifestyles that do not promote better nutritional levels among individuals. There are a significant number of facilities within the community that have significant information relating to obesity and its prevalence. Obesity in Texas Community Assignment. They include the health department, department of human and social services, crisis childcare center, community center, American Red Cross and the emergency management director.

The interaction with these service providers was able to provide significant information relating to common issues, prevalence and the best way obesity in the community can be successful controlled. All these organizations are concerned with the wellbeing of the community especially with health issues and ensuring that there is better engagement in health issues within the community. Thus, the target population of these service providers includes all community members since they are parties of interest. The wellbeing of the community members is a responsibility of this service provider organization and have significant information concerning obesity at different levels in the society (Hoelscher et.al, 2014) Obesity in Texas Community Assignment.

These organizations are found almost everywhere within the community, and thus it is much easier to know their presence. Most of these organizations work hand in hand with federal agencies, which in turn play a significant role in ensuring that there is better information, which can be considered in different cases. Thus, most of their advertisement strategy is mostly implemented by the national agencies.  Most of these facilities are non-profit generating companies, which makes it easier to focus on quality data collection relating to different health concerns within the community.

Barriers to effective service delivery always exist, and they can be found in different levels. Most family members are not putting into much consideration the importance of regular checkups, which create a very different environment thus making it very difficult for these service agencies to obtain any significant information relating to obesity. This makes it difficult to have better information involving obesity prevalence within the community. Obesity in Texas Community Assignment.

These service facilities are easily accessible and operate free toll numbers, which are easily accessible all day long in case of emergency. This has been able to help many extreme obesity cases where community members develop significant health complications such as cardio- vascular disease due to excess fats around the heart area.  Thus to improve the engagement between these facilities staff and the community member’s language has been a significant integral element providing better relations within the community.

References

Dooyema, C. A., Belay, B., Foltz, J. L., Williams, N., & Blanck, H. M. (2013). 
The childhood obesity research demonstration project: A comprehensive community approach to reduce childhood obesity.
 Childhood Obesity, 9 (5), 454-459.

Hoelscher, D. M., Butte, N. F., & Barlow, S. (2014). 
A systems approach to childhood obesity prevention and treatment: The Texas Child Obesity Research Demonstration (TX CORD) project.
Child Obes, 11, 71-91. Obesity in Texas Community Assignment.

Loue, S., & Quill, B. E. (Eds.). (2013). 
Handbook of rural health
. Springer Science & Business Media.

Ory, M. G., Nichols, D., Dickerson, J. B., Madsen, K. K., Dowdy, D. M., Menendez, T., & Hoelscher, D. M. (2013). 
Creating a tipping point: Texas obesity policy actions in review, 2000–2010. 
Progress in community health partnerships: research, education, and action, 7 (4), 419-427.

Springer, A. E., Li, L., Ranjit, N., Delk, J., Mehta, K., & Kelder, S. H. (2015). 
School-level economic disadvantage and obesity in middle school children in central Texas, USA: a cross-sectional study.
 International Journal of Behavioral Nutrition and Physical Activity, 12 (1), 1.

Evaluation Results 2/4/17, 3)50 PM Evaluation Report Evaluation Results Print Do you have a question or need support? Use the E-Care form to contact the WGU E-Care Team for questions or support. E-Care Support Request Form Author: Dona Robert Date Evaluated: 01/11/2017 04:28:16 PM (MST) DRF template: Application of Community Health and Population-Focused Nursing (UG, C228, VWT11215) Program: Application of Community Health and Population-Focused Nursing (UG, C228, VWT11215) Evaluation Method: Using Rubric Display: All Comments Criteria Description Evaluation Summary for App of Comm Health & Pop-Foc. Nurs: VWT Task 1 Final Score: Does not Meet Overall comments: 1/11/17 The prevalence of obesity, substance abuse and maternal health are discussed, with obesity showcased as the highest priority for the community. Barriers and resources to prevention are located and identified in the assessment. Discussion of the major health concern and the relation to Healthy People 2020 goals is not found in the assessment. Detailed Results (Rubric used: VWT Task 1 (1215)) Articulation of Response (clarity, organization, mechanics) (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate provides unsatisfactory articulation of response. The candidate provides weak articulation of response. The candidate provides limited articulation of response. The candidate provides adequate articulation of response. The candidate provides substantial articulation of response. Criterion Score: 4.00 A. Identification of Community https://staffdev.taskstream.com/staff_dev/staff_dev/mentor/eval_re…cph5cqcf&progid=&eid=uffdfq00ayhuh4coh6cvhozq&popup=1&ehs=a_z9eucf Page 1 of 4 Evaluation Results 2/4/17, 3)50 PM (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate does not accurately identify a community for which there is published data available that will support the diagnosis. Not applicable. Not applicable. Not applicable. The candidate accurately identifies a community for which there is published data available that will support the diagnosis. Criterion Score: 4.00 B. Assessment of Needs and Risks (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate does not provide an assessment of how each of the tools listed was used in the assessment of the identified community. The candidate provides an assessment, with no detail, of how 1–5 of the tools listed was used in the assessment of the identified community. The candidate provides an assessment, with limited detail, of how each of the 6 tools listed was used in the assessment of the identified community. Obesity in Texas Community Assignment. The candidate provides an assessment, with adequate detail, of how each of the 6 tools listed was used in the assessment of the identified community. The candidate provides an assessment, with substantial detail, of how each of the 6 tools listed was used in the assessment of the identified community. Criterion Score: 4.00 Comments on this criterion: 1/11/17 Each of the six tools is clearly addressed in the assessment B1. Interpretation of Collected Data (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate does not provide a logical interpretation of the collected data using concepts of epidemiology. The candidate provides a logical interpretation, with no detail, of the collected data using concepts of epidemiology. The candidate provides a logical interpretation, with limited detail, of the collected data using concepts of epidemiology. The candidate provides a logical interpretation, with adequate detail, of the collected data using concepts of epidemiology. The candidate provides a logical interpretation, with substantial detail, of the collected data using concepts of epidemiology. Criterion Score: 4.00 C1. Problems in the Selected Community​ (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate does not identify any problems based on the Healthy People 2020 goals for the selected community. Not applicable. The candidate identifies 1–2 top problems based on the Healthy People 2020 goals for the selected Not applicable. The candidate identifies 3 top problems based on the Healthy People 2020 goals for the selected https://staffdev.taskstream.com/staff_dev/staff_dev/mentor/eval_re…ph5cqcf&progid=&eid=uffdfq00ayhuh4coh6cvhozq&popup=1&ehs=a_z9eucf Page 2 of 4 Evaluation Results 2/4/17, 3)50 PM community. community. Criterion Score: 4.00 Comments on this criterion: 1/11/17 Obesity, substance abuse and maternal health are discussed in the assessment. C1a. Problems in Relation to Goals (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate does not provide a logical discussion of the problems in relation to the Healthy People 2020 goals. The candidate provides a logical discussion, with no detail, of the problems in relation to the Healthy People 2020 goals. The candidate provides a logical discussion, with limited detail, of the problems in relation to the Healthy People 2020 goals. The candidate provides a logical discussion, with adequate detail, of the problems in relation to the Healthy People 2020 goals. The candidate provides a logical discussion, with substantial detail, of the problems in relation to the Healthy People 2020 goals. Criterion Score: 0.00 Comments on this criterion: 1/11/17 The health concerns in the community are clearly discussed in the assessment. There is no discussion found highlighting the problem in relation to Healthy People 2020 goals. C2a. Availability of Community Resources​ (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate does not provide a logical discussion of community resources that are available to address the selected problem. The candidate provides a logical discussion, with no detail, of community resources that are available to address the selected problem. The candidate provides a logical discussion, with limited detail, of community resources that are available to address the selected problem. The candidate provides a logical discussion, with adequate detail, of community resources that are available to address the selected problem. The candidate provides a logical discussion, with substantial detail, of community resources that are available to address the selected problem. Criterion Score: 4.00 C3. Primary Prevention Topic​ (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate does not formulate a logical primary prevention topic based on the problem identified in part C2. Not applicable. Not applicable. Not applicable. The candidate formulates a logical primary prevention topic based on the problem identified in part C2. (1) 1=Does Not (2) 2=Minimally (3) 3=Competent (4) 4=Highly Criterion Score: 4.00 D. Sources (0) https://staffdev.taskstream.com/staff_dev/staff_dev/mentor/eval_re…ph5cqcf&progid=&eid=uffdfq00ayhuh4coh6cvhozq&popup=1&ehs=a_z9eucf Page 3 of 4 Evaluation Results 2/4/17, 3)50 PM 0=Unsatisfactory/Not present Meet Standard Competent The candidate does not provide in-text citations and references. The candidate provides only some intext citations and references. The candidate provides appropriate in-text citations and references with major deviations from APA style. Competent The candidate provides appropriate in-text citations and references with minor deviations from APA style. The candidate provides appropriate in-text citations and references with no readily detectable deviations from APA style. Criterion Score: 4.00 https://staffdev.taskstream.com/staff_dev/staff_dev/mentor/eval_re…ph5cqcf&progid=&eid=uffdfq00ayhuh4coh6cvhozq&popup=1&ehs=a_z9eucf Page 4 of 4 Running head: OBESITY IN TEXAS COMMUNITY Obesity in Texas Community Dona Robert 01/10/2017 1 OBESITY IN TEXAS COMMUNITY 2 In Texas, there are some challenges that face different communities especially health related issues. Therefore, the most common significant challenges in the communities include obesity, drug and substance abuse and maternal health. These are the most significant challenges that are highly inhibiting the ability of the Texas communities to reach the required health levels. Therefore, this paper will provide a significant understanding of obesity as the major source of health concern in Texas. These will include a significant understanding of important service facilities that play a huge role in the provision of health-related data and information. The growing prevalence of obesity amongst adults and children is a major public health challenge both nationally and internationally. Being overweight or obese can increase the risk of developing a range of other health problems such as coronary heart disease (CHD), type 2 diabetes, some cancers, and stroke and reduce life expectation. The concerns of obesity are not limited to the direct impact on health. Overweight and obesity also have adverse social consequences through perception, social exclusion and loss of or lower earnings, and adverse consequences on the wider economy through, for example, working days lost and increased benefit payments (Loue and Quill, 2013). Obesity is a common complex disorder that involves the presence of excessive amount of fat in the body. The rate at which obesity in children is rising faster to have caught the attention of health care professionals, childhood advocates and parents all over the world. Obese children have their weight above the normal average weight and are not proportional to their age and height. Obesity in Texas Community Assignment. The incidences of obesity in children tend to increase with age. Boys are said to be obese if their body fat is way above thirty-two percent while girls are obese if their total body fat is more than twenty-five percent. OBESITY IN TEXAS COMMUNITY 3 Therefore, despite being a national health concern, childhood obesity is a growing problem in Texas. The national survey of Children’s health affirms that 32.2% of Texas children are overweight and obese which is significantly higher than the national average. This very serious issue is supposed to be effectively considered to ensure that there are better health relations among both children and adults in Texas. The increased prevalence of obesity among both children and adults in Texas is thus as a result of various factors, which include the most significant, being the lifestyle that is adopted by many individuals within Texas communities (Springer et.al, 2015.) Obesity is becoming a world crisis since in every country the number of individuals with obesity complications is greatly increasing every single year. The increased obesity population rates can be attributed mainly to poor eating habits and inadequate or lack of exercises that are supposed to keep the body energetic hence eliminating the extra fats that accumulate in the systems. Different countries are in advanced stages in fighting against this complication that is fast derailing the economic and social development of the first world countries all over the globe. Previously obesity was strictly termed as rich nation diseases, but it has since circulated to all individuals regardless of how or where they come from (Dooyema et.al, 2013). Different researches are being carried out with the main task of unfolding how obesity can be controlled at early stages since it usually develops during the ages of development when an individual is still very young. These researchers are majorly capped by favorable government policy that is put in place with the aim of combating the growth of obesity and also sensitizing citizens at large on how to lead a healthy lifestyle as well. The main method on how obesity can be controlled is by ensuring that children from an early age participate in physical exercises. By doing this, they can use the extra fat that tends to lie in the lower part of the heart bring many OBESITY IN TEXAS COMMUNITY 4 complications to patients. Most people with obesity disorder suffer from heart-related complications. This is due to the effect the extra oil and fats has on the human body. These researchers, therefore, focus on important data that is obtained from various service facilities within our communities. Foods with high amounts of fats and sugar and fewer vitamins is a contributor. This results in the presence of many accumulated fats in the body. The body tends to use a given rate of energy produced in the body, and the rest is just a waste if an individual has no ways by which the excess energy, it accumulates in the body and causes many discomforts to the individuals. Many of the food industries normally deal with already processed foodstuffs where many food additives. Also, because they are cheaper than the natural food that is more important to the body. This has led to the over-consumption of this diets which are unhealthy to individuals yet they go on to consume unknowingly (Ory et.al, 2013). Within my community, obesity is a significant health concern especially because individuals have adopted certain lifestyles that do not promote better nutritional levels among individuals. There are a significant number of facilities within the community that have significant information relating to obesity and its prevalence. They include the health department, department of human and social services, crisis childcare center, community center, American Red Cross and the emergency management director. The interaction with these service providers was able to provide significant information relating to common issues, prevalence and the best way obesity in the community can be successful controlled. All these organizations are concerned with the wellbeing of the community especially with health issues and ensuring that there is better engagement in health issues within the community. Thus, the target population of these service providers includes all OBESITY IN TEXAS COMMUNITY 5 community members since they are parties of interest. The wellbeing of the community members is a responsibility of this service provider organization and have significant information concerning obesity at different levels in the society (Hoelscher et.al, 2014). These organizations are found almost everywhere within the community, and thus it is much easier to know their presence. Most of these organizations work hand in hand with federal agencies, which in turn play a significant role in ensuring that there is better information, which can be considered in different cases. Thus, most of their advertisement strategy is mostly implemented by the national agencies. Most of these facilities are non-profit generating companies, which makes it easier to focus on quality data collection relating to different health concerns within the community. Barriers to effective service delivery always exist, and they can be found in different levels. Most family members are not putting into much consideration the importance of regular checkups, which create a very different environment thus making it very difficult for these service agencies to obtain any significant information relating to obesity. This makes it difficult to have better information involving obesity prevalence within the community. These service facilities are easily accessible and operate free toll numbers, which are easily accessible all day long in case of emergency. This has been able to help many extreme obesity cases where community members develop significant health complications such as cardio- vascular disease due to excess fats around the heart area. Thus to improve the engagement between these facilities staff and the community member’s language has been a significant integral element providing better relations within the community. OBESITY IN TEXAS COMMUNITY 6 References Dooyema, C. A., Belay, B., Foltz, J. L., Williams, N., & Blanck, H. M. (2013). The childhood obesity research demonstration project: A comprehensive community approach to reduce childhood obesity. Childhood Obesity, 9 (5), 454-459. Hoelscher, D. M., Butte, N. F., & Barlow, S. (2014). A systems approach to childhood obesity prevention and treatment: The Texas Child Obesity Research Demonstration (TX CORD) project. Child Obes, 11, 71-91. Loue, S., & Quill, B. E. (Eds.). Obesity in Texas Community Assignment. (2013). Handbook of rural health. Springer Science & Business Media. Ory, M. G., Nichols, D., Dickerson, J. B., Madsen, K. K., Dowdy, D. M., Menendez, T., & Hoelscher, D. M. (2013). Creating a tipping point: Texas obesity policy actions in review, 2000–2010. Progress in community health partnerships: research, education, and action, 7 (4), 419-427. Springer, A. E., Li, L., Ranjit, N., Delk, J., Mehta, K., & Kelder, S. H. (2015). School-level economic disadvantage and obesity in middle school children in central Texas, USA: a cross-sectional study. International Journal of Behavioral Nutrition and Physical Activity, 12 (1), 1. …

Evaluation Results 2/4/17, 3)50 PM Evaluation Report Evaluation Results Print Do you have a question or need support? Use the E-Care form to contact the WGU E-Care Team for questions or support. E-Care Support Request Form Author: Dona Robert Date Evaluated: 01/11/2017 04:28:16 PM (MST) DRF template: Application of Community Health and Population-Focused Nursing (UG, C228, VWT11215) Program: Application of Community Health and Population-Focused Nursing (UG, C228, VWT11215) Evaluation Method: Using Rubric Display: All Comments Criteria Description Evaluation Summary for App of Comm Health & Pop-Foc. Nurs: VWT Task 1 Final Score: Does not Meet Overall comments: 1/11/17 The prevalence of obesity, substance abuse and maternal health are discussed, with obesity showcased as the highest priority for the community. Barriers and resources to prevention are located and identified in the assessment. Discussion of the major health concern and the relation to Healthy People 2020 goals is not found in the assessment. Detailed Results (Rubric used: VWT Task 1 (1215)) Articulation of Response (clarity, organization, mechanics) (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate provides unsatisfactory articulation of response. The candidate provides weak articulation of response. The candidate provides limited articulation of response. The candidate provides adequate articulation of response. The candidate provides substantial articulation of response. Criterion Score: 4.00 A. Identification of Community https://staffdev.taskstream.com/staff_dev/staff_dev/mentor/eval_re…cph5cqcf&progid=&eid=uffdfq00ayhuh4coh6cvhozq&popup=1&ehs=a_z9eucf Page 1 of 4 Evaluation Results 2/4/17, 3)50 PM (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate does not accurately identify a community for which there is published data available that will support the diagnosis. Not applicable. Not applicable. Not applicable. The candidate accurately identifies a community for which there is published data available that will support the diagnosis. Criterion Score: 4.00 B. Assessment of Needs and Risks (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate does not provide an assessment of how each of the tools listed was used in the assessment of the identified community. The candidate provides an assessment, with no detail, of how 1–5 of the tools listed was used in the assessment of the identified community. The candidate provides an assessment, with limited detail, of how each of the 6 tools listed was used in the assessment of the identified community. The candidate provides an assessment, with adequate detail, of how each of the 6 tools listed was used in the assessment of the identified community. The candidate provides an assessment, with substantial detail, of how each of the 6 tools listed was used in the assessment of the identified community. Criterion Score: 4.00 Comments on this criterion: 1/11/17 Each of the six tools is clearly addressed in the assessment B1. Interpretation of Collected Data (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate does not provide a logical interpretation of the collected data using concepts of epidemiology. The candidate provides a logical interpretation, with no detail, of the collected data using concepts of epidemiology. The candidate provides a logical interpretation, with limited detail, of the collected data using concepts of epidemiology. The candidate provides a logical interpretation, with adequate detail, of the collected data using concepts of epidemiology. The candidate provides a logical interpretation, with substantial detail, of the collected data using concepts of epidemiology. Criterion Score: 4.00 C1. Problems in the Selected Community​ (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate does not identify any problems based on the Healthy People 2020 goals for the selected community. Not applicable. The candidate identifies 1–2 top problems based on the Healthy People 2020 goals for the selected Not applicable. The candidate identifies 3 top problems based on the Healthy People 2020 goals for the selected https://staffdev.taskstream.com/staff_dev/staff_dev/mentor/eval_re…ph5cqcf&progid=&eid=uffdfq00ayhuh4coh6cvhozq&popup=1&ehs=a_z9eucf Page 2 of 4 Evaluation Results 2/4/17, 3)50 PM community. community. Criterion Score: 4.00 Comments on this criterion: 1/11/17 Obesity, substance abuse and maternal health are discussed in the assessment. C1a. Problems in Relation to Goals (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate does not provide a logical discussion of the problems in relation to the Healthy People 2020 goals. The candidate provides a logical discussion, with no detail, of the problems in relation to the Healthy People 2020 goals. The candidate provides a logical discussion, with limited detail, of the problems in relation to the Healthy People 2020 goals. The candidate provides a logical discussion, with adequate detail, of the problems in relation to the Healthy People 2020 goals. The candidate provides a logical discussion, with substantial detail, of the problems in relation to the Healthy People 2020 goals. Obesity in Texas Community Assignment. Criterion Score: 0.00 Comments on this criterion: 1/11/17 The health concerns in the community are clearly discussed in the assessment. There is no discussion found highlighting the problem in relation to Healthy People 2020 goals. C2a. Availability of Community Resources​ (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate does not provide a logical discussion of community resources that are available to address the selected problem. The candidate provides a logical discussion, with no detail, of community resources that are available to address the selected problem. The candidate provides a logical discussion, with limited detail, of community resources that are available to address the selected problem. The candidate provides a logical discussion, with adequate detail, of community resources that are available to address the selected problem. The candidate provides a logical discussion, with substantial detail, of community resources that are available to address the selected problem. Criterion Score: 4.00 C3. Primary Prevention Topic​ (0) 0=Unsatisfactory/Not present (1) 1=Does Not Meet Standard (2) 2=Minimally Competent (3) 3=Competent (4) 4=Highly Competent The candidate does not formulate a logical primary prevention topic based on the problem identified in part C2. Not applicable. Not applicable. Not applicable. The candidate formulates a logical primary prevention topic based on the problem identified in part C2. (1) 1=Does Not (2) 2=Minimally (3) 3=Competent (4) 4=Highly Criterion Score: 4.00 D. Sources (0) https://staffdev.taskstream.com/staff_dev/staff_dev/mentor/eval_re…ph5cqcf&progid=&eid=uffdfq00ayhuh4coh6cvhozq&popup=1&ehs=a_z9eucf Page 3 of 4 Evaluation Results 2/4/17, 3)50 PM 0=Unsatisfactory/Not present Meet Standard Competent The candidate does not provide in-text citations and references. The candidate provides only some intext citations and references. The candidate provides appropriate in-text citations and references with major deviations from APA style. Competent The candidate provides appropriate in-text citations and references with minor deviations from APA style. The candidate provides appropriate in-text citations and references with no readily detectable deviations from APA style. Criterion Score: 4.00 https://staffdev.taskstream.com/staff_dev/staff_dev/mentor/eval_re…ph5cqcf&progid=&eid=uffdfq00ayhuh4coh6cvhozq&popup=1&ehs=a_z9eucf Page 4 of 4 Running head: OBESITY IN TEXAS COMMUNITY Obesity in Texas Community Dona Robert 01/10/2017 1 OBESITY IN TEXAS COMMUNITY 2 In Texas, there are some challenges that face different communities especially health related issues. Therefore, the most common significant challenges in the communities include obesity, drug and substance abuse and maternal health. These are the most significant challenges that are highly inhibiting the ability of the Texas communities to reach the required health levels. Therefore, this paper will provide a significant understanding of obesity as the major source of health concern in Texas. These will include a significant understanding of important service facilities that play a huge role in the provision of health-related data and information. The growing prevalence of obesity amongst adults and children is a major public health challenge both nationally and internationally. Being overweight or obese can increase the risk of developing a range of other health problems such as coronary heart disease (CHD), type 2 diabetes, some cancers, and stroke and reduce life expectation. The concerns of obesity are not limited to the direct impact on health. Overweight and obesity also have adverse social consequences through perception, social exclusion and loss of or lower earnings, and adverse consequences on the wider economy through, for example, working days lost and increased benefit payments (Loue and Quill, 2013). Obesity is a common complex disorder that involves the presence of excessive amount of fat in the body. The rate at which obesity in children is rising faster to have caught the attention of health care professionals, childhood advocates and parents all over the world. Obese children have their weight above the normal average weight and are not proportional to their age and height Obesity in Texas Community Assignment. The incidences of obesity in children tend to increase with age. Boys are said to be obese if their body fat is way above thirty-two percent while girls are obese if their total body fat is more than twenty-five percent. OBESITY IN TEXAS COMMUNITY 3 Therefore, despite being a national health concern, childhood obesity is a growing problem in Texas. The national survey of Children’s health affirms that 32.2% of Texas children are overweight and obese which is significantly higher than the national average. This very serious issue is supposed to be effectively considered to ensure that there are better health relations among both children and adults in Texas. The increased prevalence of obesity among both children and adults in Texas is thus as a result of various factors, which include the most significant, being the lifestyle that is adopted by many individuals within Texas communities (Springer et.al, 2015.) Obesity is becoming a world crisis since in every country the number of individuals with obesity complications is greatly increasing every single year. The increased obesity population rates can be attributed mainly to poor eating habits and inadequate or lack of exercises that are supposed to keep the body energetic hence eliminating the extra fats that accumulate in the systems. Different countries are in advanced stages in fighting against this complication that is fast derailing the economic and social development of the first world countries all over the globe. Previously obesity was strictly termed as rich nation diseases, but it has since circulated to all individuals regardless of how or where they come from (Dooyema et.al, 2013). Different researches are being carried out with the main task of unfolding how obesity can be controlled at early stages since it usually develops during the ages of development when an individual is still very young. These researchers are majorly capped by favorable government policy that is put in place with the aim of combating the growth of obesity and also sensitizing citizens at large on how to lead a healthy lifestyle as well. The main method on how obesity can be controlled is by ensuring that children from an early age participate in physical exercises. By doing this, they can use the extra fat that tends to lie in the lower part of the heart bring many OBESITY IN TEXAS COMMUNITY 4 complications to patients. Most people with obesity disorder suffer from heart-related complications. This is due to the effect the extra oil and fats has on the human body. These researchers, therefore, focus on important data that is obtained from various service facilities within our communities. Foods with high amounts of fats and sugar and fewer vitamins is a contributor. This results in the presence of many accumulated fats in the body. The body tends to use a given rate of energy produced in the body, and the rest is just a waste if an individual has no ways by which the excess energy, it accumulates in the body and causes many discomforts to the individuals. Many of the food industries normally deal with already processed foodstuffs where many food additives. Also, because they are cheaper than the natural food that is more important to the body. This has led to the over-consumption of this diets which are unhealthy to individuals yet they go on to consume unknowingly (Ory et.al, 2013). Within my community, obesity is a significant health concern especially because individuals have adopted certain lifestyles that do not promote better nutritional levels among individuals. There are a significant number of facilities within the community that have significant information relating to obesity and its prevalence. They include the health department, department of human and social services, crisis childcare center, community center, American Red Cross and the emergency management director. The interaction with these service providers was able to provide significant information relating to common issues, prevalence and the best way obesity in the community can be successful controlled. All these organizations are concerned with the wellbeing of the community especially with health issues and ensuring that there is better engagement in health issues within the community. Thus, the target population of these service providers includes all OBESITY IN TEXAS COMMUNITY 5 community members since they are parties of interest. The wellbeing of the community members is a responsibility of this service provider organization and have significant information concerning obesity at different levels in the society (Hoelscher et.al, 2014). These organizations are found almost everywhere within the community, and thus it is much easier to know their presence. Most of these organizations work hand in hand with federal agencies, which in turn play a significant role in ensuring that there is better information, which can be considered in different cases. Thus, most of their advertisement strategy is mostly implemented by the national agencies. Most of these facilities are non-profit generating companies, which makes it easier to focus on quality data collection relating to different health concerns within the community. Barriers to effective service delivery always exist, and they can be found in different levels. Most family members are not putting into much consideration the importance of regular checkups, which create a very different environment thus making it very difficult for these service agencies to obtain any significant information relating to obesity. Obesity in Texas Community Assignment. This makes it difficult to have better information involving obesity prevalence within the community. These service facilities are easily accessible and operate free toll numbers, which are easily accessible all day long in case of emergency. This has been able to help many extreme obesity cases where community members develop significant health complications such as cardio- vascular disease due to excess fats around the heart area. Thus to improve the engagement between these facilities staff and the community member’s language has been a significant integral element providing better relations within the community. OBESITY IN TEXAS COMMUNITY 6 References Dooyema, C. A., Belay, B., Foltz, J. L., Williams, N., & Blanck, H. M. (2013). The childhood obesity research demonstration project: A comprehensive community approach to reduce childhood obesity. Childhood Obesity, 9 (5), 454-459. Hoelscher, D. M., Butte, N. F., & Barlow, S. (2014). A systems approach to childhood obesity prevention and treatment: The Texas Child Obesity Research Demonstration (TX CORD) project. Child Obes, 11, 71-91. Loue, S., & Quill, B. E. (Eds.). (2013). Handbook of rural health. Springer Science & Business Media. Ory, M. G., Nichols, D., Dickerson, J. B., Madsen, K. K., Dowdy, D. M., Menendez, T., & Hoelscher, D. M. (2013). Creating a tipping point: Texas obesity policy actions in review, 2000–2010. Progress in community health partnerships: research, education, and action, 7 (4), 419-427. Springer, A. E., Li, L., Ranjit, N., Delk, J., Mehta, K., & Kelder, S. H. (2015). School-level economic disadvantage and obesity in middle school children in central Texas, USA: a cross-sectional study. International Journal of Behavioral Nutrition and Physical Activity, 12 (1), 1.Obesity in Texas Community Assignment.

NSG 6435 Week 7 Full Assignments – iHuman case titled Tommy Acker, Child Abuse

Assignment 1: Comprehensive Case Study

General Guidelines for Comprehensive Case Study – Week 7 Assignment 1

Your case study should not be just a SOAP note of a patient encounter—it should be a

comprehensive evaluation of an iHuman patient case.

You will complete a Comprehensive SOAP note on the approved Pediatric SOAP Note template

based on the findings of the iHuman case – then major research and discussion of the disease

process are presented. NSG 6435 Week 7 Full Assignments – iHuman case titled Tommy Acker, Child Abuse.

This case study should be a summative evaluation supported by a minimum of 5 evidence-

based articles.

BUY A PLAGIARISM-FREE PAPER HERE

Evaluation of the case study should be no more than 3-4 substantive paragraphs.A minimum of

five evidence-based sources (in addition to your text) should be used for your case study.

Course texts will not count as a scholarly source; if using data from websites you must go back

to the literature source for the information-no secondary sources are allowed, ie, Medscape,

UptoDate, etc.

This week, complete the iHuman case titled “Tommy Acker, Child Abuse”.Click here for

information on how to access and navigate iHuman.

Name your SOAP note document SU_NSG6435_W7_A1_lastname_firstinitial.doc

i-Human

i-Human is an interactive cloud based system that provides comprehensive learning that

integrates clinical experience.The i-Human system helps students develop patient assessment

and diagnostic reasoning skills at various levels of education.Students will receive online

guidance, feedback, and coaching during the learning process.

Student Login Instructions for NSG 6435 Week 7 Full Assignments – iHuman case titled Tommy Acker, Child Abuse

Logging in to i-Human:

Log on at:

http://toolmanagement.next.ecollege.com/tools/thirdparty/blti.ed?launch=LS:iHuman:Patients

Next Steps:

1) If you were unable to attend a Student Orientation Webinar, please watch this introduction

video: https://vimeo.com/185046053/228aea3fc9

2) Additional tutorial videos can be found on the i-Human home screen under the title “Player

Screencast Tutorials”

3) After attending the webinar or viewing the tutorial you are ready for your first practice

case.

4) The i-Human Student Support Center (link on the home screen under the videos) is a

resource for our most frequently asked questions.The Student Manual is also located here.

5) If you are having any issues that are not answered through the webinars, videos or support

center, you can email: NSG 6435 Week 7 Full Assignments – iHuman case titled Tommy Acker, Child Abuse

NSG 6435 Week 7

W7 Assignment 2 Latest SU

Assignment 2: SOAP Note

Each week, you are required to enter your patient encounters into eMedley.Your faculty will be

checking to ensure you are seeing the right number and mix of patients for a good learning

experience.You will also need to include a minimum of one complete SOAP note using the

Pediatric SOAP Note template.The SOAP note should be related to the content covered in this

week, and the completed note should be submitted to the Dropbox.When submitting your

note, be sure to include the reference number from eMedley.

Submission Details:

enter your patient encounters into eMedley and complete at least one SOAP note in the

template provided. NSG 6435 Week 7 Full Assignments – iHuman case titled Tommy Acker, Child Abuse.

Name your SOAP note document SU_NSG6435_W7_A2_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document. NSG 6435 Week 7 Full Assignments – iHuman case titled Tommy Acker, Child Abuse.

Cystic Fibrosis Pathophysiology

Pathophysiology – Cystic Fibrosis

DISCUSSION ONE

Find an article on a genetic disorder (use article above about Cystic Fibrosis), and

1.1. Summarize in two or three paragraphs the genetic component causing the disorder and any         multifactorial inheritance components that may contribute to the disorder.

Cystic fibrosis is a genetically inherited disease to imply that its cause has a genetic component. In fact, the disease expression is linked to the CFTR gene whereby two parents with the carrier genes will produce an offspring that inherits both carrier genes thus expressing the disease. Having one faulty gene identifies the individual as a carrier whereby the disease is not expressed. The disease is only expressed if two faulty genes are inherited, one from each parent. Population estimates postulate that 3.2% of the US population are cystic fibrosis carriers who will not express the symptoms associated with the disease (Cleveland Clinic, 2018). As such, homozygosity for the faulty CFTR gene results in cystic fibrosis expressing as a phenotype Cystic Fibrosis Pathophysiology.

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1.2. Discuss the usual age of disease onset and if the sex-specific threshold model fits the disorder.

Unlike other medical ailments that may show age- or sex-specific peculiarities, cystic fibrosis can occur at any age and occurs equally in both males and females. To be more succinct, the genes that cause the disease are not impacted by gender. This is explained by the fact that the genes causing the disease must be inherited from both the mother and father who are carriers. Still, it must be noted that gender variations exist for symptoms presentation. In fact, females who present the disease at a young age have trouble with meeting growth milestones and experience more breathing related problems when compared to their male counterparts. Additionally, the females live for four years fewer than their male counterparts. Besides that, females who begin presenting disease symptoms while under 20 years of age present 60% mortality (owing to disease complications) when compared to their male counterparts. The implication is that males with the disorder have a greater advantage when compared to females with the disorder (Acton, 2013) Cystic Fibrosis Pathophysiology.

1.3. What education could you present to high-risk patients to reduce the risk of disease onset if a multifactorial component exists.

High risk patients must understand that other than genetics, multifactorial components may exist in the environment to affect disease onset. For instance, the presence of certain ailments or a particular climate could speed up the disease onset. As such, it is important for the patient to identify all the multifactorial components that could influence disease onset then control these components to reduce the risk of disease onset. For instance, if a particular climate could speed up disease onset, then the patient should identify a climate that reduces that onset (Quinn, de Paor & Blanck, 2015).

DISCUSSION QUESTION 2

Genetic screening has become widely available to the public including prenatal screening of the fetus in utero to screening adults for genetic disorders, such as Parkinson’s disease and breast cancer.

2.1. Share your thoughts on the legal, ethical, and social implications that may be related to genetic screening.

Although genetic screening has improved the medical management of genetic disorders, it has legal, ethical and social implications. Firstly, it raises the question of how the screening information should be handled in terms of confidentiality and access. This is an important concern since this information can be used inappropriately Cystic Fibrosis Pathophysiology. For instance, insurers and employers can use the information to discriminate against persons whose genetic profile identify them as being high risk individuals. Secondly, the screening presents some social concerns, particularly when the patient is turned into a second-class citizen and victimized because of having a particular genetic anomaly. Finally, it presents an ethical concern when the test results are used to influence reproduction decisions such as getting an abortion (McCance et al., 2013).

2.2. How would you educate your patient that is considering having genetic screening?

Any patient considering genetic screening should first understand what the screening entails. It is useful when the family history identifies the patient as being at risk for an inborn condition. In this case, the patient should understand that genetic screening can act as a confirmatory test so that the patient gets to prepare for any eventualities. This is particularly true when the disease onset is dependent on multifactorial components. By conducting the test, the patient can confirm the presence of the disease and control the multifactorial components to reduce the risk of disease onset (McCance et al., 2013).

References

Acton, A. (2013). 
Cystic fibrosis: new insights for the healthcare professional
(2013 Edition). Atlanta, GA: ScholarlyEditions.

Cleveland Clinic (2018).
Cystic Fibrosis
. Retrieved from https://my.clevelandclinic.org/health/diseases/9358-cystic-fibrosis

McCance, K. L., Huether, S. E., Brashers, V. L. & Rote, N. S. (2013). 
Pathophysiology: The biologic basis for disease in adults and children
 (7
th
ed.). St. Louis, MO: Mosby Elsevier.

Quinn, G., de Paor, A. & Blanck, P. (2015).
Genetic discrimination: transatlantic perspectives on the case for a European-level legal response
. New York, NY: Routledge Cystic Fibrosis Pathophysiology

Designer Baby (Scalisi vs. NY Univ. Medical Center, p. 429)

Why was the basis of the parent’s argument that they were not bound by the written contract in the Scalisi et al. v. New York University Medical Center case?

 

The basis for the Scalisi’s (the parent’s) argument was that prior to signing the written contract with NY Univ. Medical Center, they entered into an oral contract. The Scalisi’s argued that they were not bound by the executed written contract, due to a breach of oral contract on the part of NY Univ. Medical Center. The Scalisi’s claim in the oral contract made with them, they were assured that by impregnating Mrs. Scalisi instead of a surrogate, their child would not be free of autism. This was a huge risk and concern for the Scalisi’s family because the mother (wife) has a family history of autism.

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How did the court rule and what was the reasoning for that decision.

 

In this case, the court ruled to dismiss the Scalisi’s claim of a breach of contract, the Scalisi’s failed to prove any compensatory damages that are required for a breach of contract claim. The court states further that redundant where a case sounds in medical malpractice, a breach of contract is legally terminated, unless the plaintiff can prove the defendant specifically promised to effect a cure or a definite result, the Scalisi’s did not prove that to be true. The court also reasons that they do not take into consideration any possible prior oral contracts that alters or contradicts the written agreement, per the parole evidence rule Designer baby – scalisi vs. ny univ. medical center. The parole evidence rule makes inadmissible any oral contracts or evidence made prior to a written agreement that is intended to be the complete and final version of the parties’ agreement.

 

Do you agree or disagree. Why or why not?

 

I agree with the ruling of the court. Written contracts are meant to be the finalized version of an agreement; if the Scalisi’s entered into an oral contract with NY Univ. Medical Center, they should not have signed the written contract because it didn’t state the terms of their oral contract. The Scalisi’s had options; they could have not signed the written contract as it was presented to them, they could have negotiated the terms to have the written contract amended, and if that failed they could have gone to another hospital that agreed to have their oral contract terms added to a written contract Designer baby – scalisi vs. ny univ. medical center.

 

 

Have you ever entered into an oral contract? Discuss.

 

I have not entered in any oral contract with anyone when it comes to business or family matters. Since I am the only provider for my family (my daughter and I), my goal is to make sure that I don’t write checks or oral contracts that my mouth cannot cash. My father always make sure that I am careful with budget and stay within my allowance. Designer baby – scalisi vs. ny univ. medical center.

GCU NUR 641 genetic disorder

DISCUSSION ONE

Cystic Fibrosis Article

https://my.clevelandclinic.org/health/diseases/9358-cystic-fibrosis

1.Find an article on a genetic disorder (use article above about Cystic Fibrosis), and

1.1. Summarize in two to three paragraphs the genetic component causing the disorder and any multifactorial inheritance components that may contribute to the disorder.

1.2.Discuss the usual age of disease onset and if the sex-specific threshold model fits the disorder.

1.3.What education could you present to high-risk patients to reduce the risk of disease onset if a multifactorial component exists.

References

Use the article indicated and

The Biologic Basis for Disease in Adults and Children GCU NUR 641 genetic disorder.

McCance, K. L., Huether, S. E., Brashers, V.L., and Rote, N. S. (2013). Pathophysiology: The biologic basis for disease in adults and children (7th ed.). St. Louis: Mosby Elsevier. ISBN-13: 9780323088541

Total of 3 references for each discussion question.

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DISCUSSION QUESTION 2

2. Genetic screening has become widely available to the public including prenatal screening of the fetus in utero to screening adults for genetic disorders, such as Parkinson’s disease and breast cancer. 2.1.Share your thoughts on the legal, ethical, and social implications that may be related to genetic screening.

2.2.How would you educate your patient that is considering having genetic screening?

Reference GCU NUR 641 genetic disorder

Pathophysiology: The Biologic Basis for Disease in Adults and Children

McCance, K. L., Huether, S. E., Brashers, V.L., and Rote, N. S. (2013). Pathophysiology: The biologic basis for disease in adults and children (7th ed.). St. Louis: Mosby Elsevier. ISBN-13: 9780323088541

Total of 3 references for each discussion question.

Pathophysiology –
Cystic Fibrosis

DISCUSSION ONE

Find an article on a genetic disorder (use article above about Cystic Fibrosis), and

1.1. Summarize in two or three paragraphs the genetic component causing the disorder and any multifactorial inheritance components that may contribute to the disorder.

Cystic fibrosis is a genetically inherited disease to imply that its cause has a genetic component. In fact, the disease expression is linked to the CFTR gene whereby two parents with the carrier genes will produce an offspring that inherits both carrier genes thus expressing the disease. Having one faulty gene identifies the individual as a carrier whereby the disease is not expressed. The disease is only expressed if two faulty genes are inherited, one from each parent. Population estimates postulate that 3.2% of the US population are cystic fibrosis carriers who will not express the symptoms associated with the disease (Cleveland Clinic, 2018) GCU NUR 641 genetic disorder. As such, homozygosity for the faulty CFTR gene results in cystic fibrosis expressing as a phenotype.

1.2. Discuss the usual age of disease onset and if the sex-specific threshold model fits the disorder.

Unlike other medical ailments that may show age- or sex-specific peculiarities, cystic fibrosis can occur at any age and occurs equally in both males and females. To be more succinct, the genes that cause the disease are not impacted by gender. This is explained by the fact that the genes causing the disease must be inherited from both the mother and father who are carriers. Still, it must be noted that gender variations exist for symptoms presentation GCU NUR 641 genetic disorder. In fact, females who present the disease at a young age have trouble with meeting growth milestones and experience more breathing related problems when compared to their male counterparts. Additionally, the females live for four years fewer than their male counterparts. Besides that, females who begin presenting disease symptoms while under 20 years of age present 60% mortality (owing to disease complications) when compared to their male counterparts. The implication is that males with the disorder have a greater advantage when compared to females with the disorder (Acton, 2013).

1.3. What education could you present to high-risk patients to reduce the risk of disease onset if a multifactorial component exists.

High risk patients must understand that other than genetics, multifactorial components may exist in the environment to affect disease onset. For instance, the presence of certain ailments or a particular climate could speed up the disease onset. As such, it is important for the patient to identify all the multifactorial components that could influence disease onset then control these components to reduce the risk of disease onset. For instance, if a particular climate could speed up disease onset, then the patient should identify a climate that reduces that onset (Quinn, de Paor & Blanck, 2015) GCU NUR 641 genetic disorder.

DISCUSSION QUESTION 2

Genetic screening has become widely available to the public including prenatal screening of the fetus in utero to screening adults for genetic disorders, such as Parkinson’s disease and breast cancer.

2.1. Share your thoughts on the legal, ethical, and social implications that may be related to genetic screening.

Although genetic screening has improved the medical management of genetic disorders, it has legal, ethical and social implications. Firstly, it raises the question of how the screening information should be handled in terms of confidentiality and access. This is an important concern since this information can be used inappropriately. For instance, insurers and employers can use the information to discriminate against persons whose genetic profile identify them as being high risk individuals GCU NUR 641 genetic disorder. Secondly, the screening presents some social concerns, particularly when the patient is turned into a second-class citizen and victimized because of having a particular genetic anomaly. Finally, it presents an ethical concern when the test results are used to influence reproduction decisions such as getting an abortion (McCance et al., 2013).

2.2. How would you educate your patient that is considering having genetic screening?

Any patient considering genetic screening should first understand what the screening entails. It is useful when the family history identifies the patient as being at risk for an inborn condition. In this case, the patient should understand that genetic screening can act as a confirmatory test so that the patient gets to prepare for any eventualities. This is particularly true when the disease onset is dependent on multifactorial components. By conducting the test, the patient can confirm the presence of the disease and control the multifactorial components to reduce the risk of disease onset (McCance et al., 2013).

References

Acton, A. (2013). 
Cystic fibrosis: new insights for the healthcare professional
(2013 Edition). Atlanta, GA: ScholarlyEditions.

Cleveland Clinic (2018).
Cystic Fibrosis
. Retrieved from https://my.clevelandclinic.org/health/diseases/9358-cystic-fibrosis

McCance, K. L., Huether, S. E., Brashers, V. L. & Rote, N. S. (2013). 
Pathophysiology: The biologic basis for disease in adults and children
 (7
th
ed.). St. Louis, MO: Mosby Elsevier.

Quinn, G., de Paor, A. & Blanck, P. (2015).
Genetic discrimination: transatlantic perspectives on the case for a European-level legal response
. New York, NY: Routledge GCU NUR 641 genetic disorder

NSG6435 Week 6 Quiz

Week 6 Quiz

 

Question 1

 

1 / 1 point

The provider suspects that a 7-month-old client has Pyloric Stenosis. What physical exam finding is consistent with this disorder?

A cluster-of-grape like mass on the right side on rectal examination

A grapefruit-like mass on the left side on rectal examination

A sausage-like mass in the RUQ of the abdomen

A distinct “olive” mass in the epigastrium to the right of midline

 

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Question 2

 

1 / 1 point

The provider suspects that a 7-month-old client has been diagnosed with Intussusception. What exam finding is consistent with this disorder?

A cluster-of-grape like mass on the right side on rectal examination

A grapefruit-like mass on the left side on rectal examination

A sausage-like mass in the RUQ of the abdomen

A distinct “olive” mass in the epigastrium to the right of midline

 

NSG6435 Week 6 Quiz View Feedback

 

Question 3

 

1 / 1 point

A 5-year-old client with a history of crying with bowel movements, bright red streaks of blood in the stool and withholding stools presents to the clinic. NSG6435 Week 6 Quiz On exam, the anal mucosa shows small tears with the client in the knee-to-chest position. What is the most likely diagnosis and how is it treated?

Anal fissures; treat with sitz bath and topical steroid cream

Anal fissures, treat with sitz baths and topical antibiotic ointment

Anal fissures; Tucks pads and analgesics

Anal fissures; referral to GI specialist for further evaluation

 

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Question 4

 

1 / 1 point

The guardians of a 7-month-old client newly diagnosed with gastroesophageal reflux is unsure of the proper way to care for the child. What information does the Provider share? (select all that apply

Use thickening agents in the formula

Administer the acid-suppression medications as prescribed

Place prone when sleeping

Avoid exposure of the infant to tobacco smoke

 

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Question 5

 

1 / 1 point

The parents of a 3-month-old client presents to the clinic complaining that their child appears to be losing weight. Upon examination the it is noted that the client is irritable and weight falls below the 5th percentile of children who are the same age and height NSG6435 Week 6 Quiz. The provider makes a diagnosis of Failure to Thrive (FTT). What is the most likely cause of FTT in this patient?

Congenital disorder

Acquired disorder

Structural defect

Food Aversion

 

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Question 6

 

1 / 1 point

The provider understands the most common type of enuresis in school-age children is:

Quaternary diurnal enuresis

Tertiary nocturnal encopresis

Secondary diurnal encopresis

Primary nocturnal enuresis

 

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Question 7

 

1 / 1 point

A 2-year-old client presents to the clinic with fever, dyspnea, diarrhea, vomiting, and weight loss. The parents report an increase in abdominal size. On exam, a firm, smooth abdominal mass and a left varicocele are palpated. What is the most likely diagnosis?

Neuroblastoma

Hydronephrosis

Multicystic kidney

Wilms Tumor

 

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Question 8

 

0 / 1 point

A benign, painless scrotal mass or cyst on the head of the epididymis or testicular adnexa containing sperm best describes what condition?

Hydrocele.

Varicocele

Spermatocele

Omphalocele

 

Question 9

 

0 / 1 point

A benign enlargement or dilation of testicular veins causing a painless scrotal mass of varying size that feels like a “bag of worms” best describes what condition?

Hydrocele

Varicocele

Spermatocele

Omphalocele

 

Question 10

 

1 / 1 point

The child that sits to void and urinates on the floor in front of the toilet unless he holds his penis to direct the stream most likely has what condition? NSG6435 Week 6 Quiz.

Hypospadias

Phimosis

Paraphimosis

Epispadias

 

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Research Article Critique Paper Purpose

The purpose of this assignment completed as an APA Paper is for the student to learn to examine, analyze, critique, and summarize an original research article.

Course Outcomes

Through this assignment, the student will demonstrate the ability to meet the following course outcomes:

CO1: Examine the sources of evidence that contribute to professional nursing practice.

CO2: Apply research principles to the interpretation of the content of published research studies.

CO4: Evaluate published nursing research for credibility and lab significance related to evidence-based practice.

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CO5: Recognize the role of research findings in evidence-based practice.

Due Date

You are to submit your paper by Sunday 11:59 p.m. MT at the end of Week 6.

Requirements

Through this assignment, the student will:

Critique the required article found below and in your own words, describe the research question, sample, design of study, data collection method, findings, and limitations of each. (CO 1, CO2,)

Summarize the research article and evaluate the significance to nursing. Do not just quote the author’s words. Paraphrase the information. (CO 4, CO5).

You are required to use the article below or you will earn a ”0” for the assignment. In addition, assignments that do not follow the current guidelines and use the required article will be evaluated for evidence of an academic integrity violation Research Article Critique Paper.

After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.

Guidelines to Writing the Paper

This assignment is completed as an APA paper. APA resources can be found on the Course Resources Module.

Download the required article for analysis:

Lesiuk, T. (2015). The effect of mindfulness-based music therapy on attention and mood in women receiving adjuvant chemotherapy for breast cancer: A pilot study. Oncology Nursing Forum, 42(3), 276-282.

https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000354233000010&site=eds-live&scope=site (Links to an external site.)Links to an external site.

Introduction (one paragraph): The introduction should be interesting and capture the reader’s attention.

Provide a brief description of the research article to be discussed.

Discuss the purpose of your paper. The purpose statement of the paper should relate to the research article reviewed and the implications that it has to evidence based nursing practice.

You will need to summarize and analyze the information from the article in your own words

Describe the research question for this study in a paragraph.

Describe the research in greater detail Research Article Critique Paper.

Include your observations about this question.

Discuss events or trends that could have affected this question.

You will need to summarize and analyze the information from the article in your own words

Describe the research design of this study, and in your own words discuss the design.

Discuss the research design of the study.

Discuss the strengths and weaknesses of the type of design and hypothesize why the author utilized the design as opposed to others.

You will need to summarize the information from the article in your own words

Describe the sample.

Briefly describe the sample size used for this study

Make a judgment as to whether the sample size was adequate and defend your answer.

Describe the number or participants and determine if the number of participants was adequate compared to the research question and the intent of the study.

Are these numbers adequate? Discuss gaps in that you identified.

You will need to summarize and analyze the information from the article in your own words

Describe the data collection method(s)’

Who collected the data Research Article Critique Paper?

What tools were used?

What were the ethical considerations addressed and discuss gaps you identified.

You will need to summarize and analyze the information from the article in your own words

Describe the limitations of the study.

Identify the limitations within the study

Describe how the limitations could be overcome in subsequent studies

Comment on why limitations are important to list and discuss within a study

You will need to summarize and analyze the information from the article in your own words

Describe the findings reported in the study.

Describe the findings reported in the study

Discuss whether the findings of the study answered the research question posed within the study

Discuss the credibility of the findings

If the findings do not support the research question posed within the study, what do you believe is the reason?

You will need to summarize and analyze the information from the article in your own words

Summary

Summarize important points from the body of your paper including the key components of the paper.

Include a statement about the research question and the findings.

Discuss the probability of implementation into practice. Based on these findings, is the evidence that you found on your topic strong enough to suggest a change in practice, or an idea for practice?

End with a concluding statement.

Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, ”How do I know this?” and then cite the source.

Reference Page: The Reference Page should start on a new page (insert a page break). All references should be cited within the body of the paper as (Author, year) and the full reference should be included in APA format on the reference page. A url link alone is not an adequate reference. See the APA Guidelines in Course Resources for examples of properly formatted references Research Article Critique Paper.