Evolving local and global community health concerns
Evolving local and global community health concerns The public health nurse must be aware of global health trends and their potential impact on the health of the US population. This is especially true of new and emerging communicable diseases. As the world population grows, a global trend toward urbanization occurs; people live closer together and migrate to urban areas for employment. With increasingly dense living arrangements, the health of the general population is increasingly threatened by environmental factors and disease.The ease of transportation facilitates the potential spread of disease. Lifestyles, health and cultural beliefs, infrastructure, economics, and politics affect existing illnesses and societys commitment to prevention. Disease patterns vary throughout the world; therefore primary causes of mortality differ in developed and developing countries. Additionally, factors such as economic stability, technological advances, and the age attained by populations affects the patterns of health and disease. This assignment is 10 points, or 10% of your final grade. Directions 1. Pick a low-income, and high-income country (NOT THE UNITED STATES). What are the three leading causes of morbidity and mortality (death and illness) in each country? 2. What are the infant mortality rates and life expectancy for each country? What factors contribute to the difference? 3. Select one emerging infectious/communicable disease identified in the foreign country and integrating an upstream approach, apply the 3 levels of prevention to develop a plan to prevent the spread of this disease to your community. (review upstream approach in your text C. 3). For a custom paper on the above topic, place your order now! What We Offer: On-time delivery guarantee PhD-level writers Automatic plagiarism check 100% money-back guarantee 100% Privacy and Confidentiality High Quality custom-written papers
1. Why it seems breast cancer or ovarian cancer among BRCA2
1. Why it seems breast cancer or ovarian cancer among BRCA2 mutation carriers start earlier each generation. Propose possible reasons. 1 PAGE 2. Genetic screening of adults. How 65 years old man lived until now without showing any sign of problem for possible disorder caused by this gene? Lets start from 1) type of mutation(s), 2) is it inherited?, and 3) possible reason for him to stay healthy before. 1 PAGE 3. State at least 3 items you as a nurse need to careful for handling situations involved genetic testing. 4. Why do cancer cells grow uncontrolled manner? (QUESTION 3 AND 4 ) 1 PAGE PLEASE USE HUMAN GENETICS AND GENOMICS 4TH EDITION TEXT BOOK BY BRUCE R. KORF & MIRA B. IRONS AND ANY OTHER TEXT BOOK OR RESOURCES THAT IS NOT MORE THAN 5YEARS. GeneReview at genereview. Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Aventura Medical Discharge Lounge Process
Please create a brochure that three folds regarding patients when they get admitted in Aventura hospital they will go to the discharge lounge to finalize their discharge. This is to get the patients prepared that they will be sent to the discharge lounge for final discharge. Explain the process will start from the time the physician enter the order. the discharge nurses will start the paper work and go over the discharge plans and medications with them during that time. Please explain the lounge is downstairs in the main lobby where they can wait for their love ones to pick them up. Please use the logo online of the hospital, the name is Aventura medical center in Aventura Florida. on the cover page just have the logo and a nice picture that relates to the brochure Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Identify a health issue
Identify a health issue reported in the print media (during this trimester) that is of interest to you this will serve as the subject of your assignment. You will need to include a copy of the article at the end of your paper so the marker can review your selection. You can only submit ONE (1) document so the article needs to be included as part of your paper. Read the report edited by Wilkinson and Marmot, Social determinants of health: The solid facts (2003), which can be accessed at The authors identify ten (10) social determinants of health. In reality, several social determinants discussed in this report tend to impact on people at any one time. Demonstrate your understanding of this important document by explaining how any two (2) of the social determinants discussed in the report influence the health issue and the associated health outcomes mentioned in your media selection. To demonstrate further self-directed reading, your assignment must also draw on at least one (1) additional journal article that is relevant to your selected health issue and social determinants of health. Note your paper must be properly referenced using the Harvard or APA reference styles. Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
EVIDENCE-BASED PRACTICE
Evidence-based practice is the integration of clinical expertise, patient values, and the best research evidence to facilitate clinical decision making. There is increasing recognition that practice change should be guided by models or frameworks. The DNP is in the ideal position to evaluate the need for change and propose interventions or solutions based on evidence. There are seven commonly used models for facilitating change to EBP. For this discussion: 1.Choose two of the models to compare: Iowa Model of Evidence-Based Practice. The Model for Evidence-based Practice Change. The Clinical Scholar Model. John Hopkins Nursing Evidence-Based Practice Model. Stetler Model of Research Utilization. The Advancing Research and Clinical Practice Through Close Collaboration (ARCC) Model. The Promoting Action on Research Implementation in Health Services (PARIHS) Framework. 2.Compare the two selected models of EBP in terms of: Components. Simplicity or complexity. Ease of use by staff nurses. Applicability to use in systems. Applicability to use with individual patients. Strengths and limitations of the models. 3.Consider these questions in your comparison: Are there specific situations in which one model or the other is most appropriate? Which model would be most appropriate in the work setting in which you practice? Why? While the concept of EBP has strong proponents, it also has its detractors. Consider one of the positions below in relationship to your model and setting: EBP ignores patient or community input. EBP stifles creative problem solving and clinical judgment. EBP emphasizes quantitative research and randomized controlled trial (RCT). EBP disregards clinical expertise. EBP supports generalizing results to populations not studied. EBP is simply another term for research utilization. Consider the position carefully and argue that position effectively and convincingly in your post (even if you do not personally hold that opinion). Your initial post should demonstrate clarity of thought and precision in writing. Support your discussion with at least one reference other than the required reading. Compete the following: References: In your Melnyk and Fineout-Overholt text, Evidence-Based Practice in Nursing and Health Care: A Guide to Best Practice: Read Chapter 1, Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry. Read Chapter 13, Models to Guide Implementation of Evidence-Based Practice. Remember that you can access these readings on iGuide or by opening your downloaded VitalSource Bookshelf application. To learn about the ACE Star Model of Knowledge Transformation, read Heye and Stevenss 2009 article, Using New Resources to Teach Evidence-Based Practice from Journal of Nursing Education volume 48, issue 6, pages 334339. For general information about EBP: Read the 2007 article, Sigma Theta Tau International Position Statement on Evidence-Based Practice February 2007 Summary from Worldviews on Evidence-Based Nursing, volume 5, issue 2, pages 5759. To learn about the Iowa Model of Evidence-Based Practice, read the Titler et al. 2001 article, The Iowa Model of Evidence-Based Practice to Promote Quality Care from Critical Care Nursing Clinics of North America, volume 13, issue 4, pages 497509. Use the Internet to: Select and review at least one tutorial from the list of Web sites in box 14.2 of Chapter 14, Tutorials on Evidence-Based Practice, in your Evidence-Based Practice in Nursing and Health Care text. Explore the following Web sites: Agency for Healthcare Research and Quality (AHQR). Centre for Evidence-Based Medicine Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Thesis Construction
Please read these assignment instructions before writing your paper, and re-read them often during and after the writing process to make sure that you are fulfilling all of the instructions. Overview The following assignment is an exercise designed to help you write your Final Paper. In this exercise, you will do the following: Identify a topic of interest from the list, and narrow it down to a particular, concrete ethical problem or question. My topic of interest is below, Note: To the right of the topics, you will find the weeks in which these topics are directly addressed. Please go to those weeks and begin using the required and recommended resources in those weeks to gather information for your papers. However, bear in mind that many of these topics will also overlap with material from other weeks, so you will want to be thinking about how that other material might bear on your chosen topic. TOPIC:Responsibility to the Environment (Week 4) What does it mean to respect the environment in the way we as individuals live our lives. What kinds of behaviors would that involve? What kinds of behaviors would that exclude? Do we as individuals have moral obligations toward the environment when our own behavior has very little direct effect on the overall state of things? (Consider the products we buy and use, the cars we drive, the energy we consume, etc.) How should we weigh human needs and/or desires against environmental impact? Does a government have an obligation to care for its natural resources as well as its human citizens? How should the answer to this question affect political policy? REQUIRED RESOURCES:Required Text Understanding Philosophy Chapter 6: Traditional Theories of Ethics Read the following sections: The Environment Ethics of Extinction Articles Hill, T. (1983). Ideals of human excellence and preserving natural environments. Journal of Environmental Ethics, 5(3), 211-24. Retrieved from https://www.shodor.org/ncssm/elc/content/attachments/EnvironmentalEthics-Hill.pdf This article discusses the problem of environmental preservation by considering the various kinds of virtues and vices exhibited in different sorts of attitudes and behaviors toward the environment. He argues that this presents a more satisfying approach than thinking in terms of either utilitarian or deontological principles. Recommended Resources on Environmental Ethics: Articles Hursthouse, R. (2007). Environmental virtue ethics. In R. L. Walker & P. J. Ivanhoe (Eds.), Working Virtue: Virtue Ethics and Contemporary Moral Problems Working Virtue: Virtue Ethics and Contemporary Moral Problems. Oxford: Oxford University Press. Retrieved from the ebrary database. An explanation and defense of a virtue ethics approach to environmental concerns, including a critique of Thomas Hills alternative approach Leopold, A. (1948). The land ethic. In A Sand County Almanac. Retrieved from http://home.btconnect.com/tipiglen/landethic.html A classic of modern environmentalism, Leopold proposes that just as human societies have expanded the notion of the moral community over time to include other races and cultures, women and children, etc., we are at a point where we must recognize the land and environment as more than just raw material for our own use Multimedia Mercola. (2012, August 1). Dr. Mercola and Joel Alatin discuss water and manure at polyface farm [Video file]. Retrieved from http://www.youtube.com/watch?v=3gBwCQspdwo In this video, Joel Salatin and Dr. Joseph Mercola examine the relationship between irrigation and fertilization on a farm and the virtues of the farmer as he or she tries to create a healthy farm. Transcript Mercola. (2012, August 1). Dr. Mercola discusses pigs with Joel Salatin at polyface farm [Video file]. Retrieved from http://www.youtube.com/watch?v=JjBtZxlkEDw Joel Salatin discusses ethical treatment of pigs and the relationship that exists between pigs, land, soil, and biodiversity in an ecosystem. He also examines the responsibility of the virtuous farmer in relation to allowing these relationships to exist in harmony with one another. Transcript Moyer, B. (Interviewer), & Berry, W. (Interviewee). (2013). Wendell Berry on his hopes for humanity [Video file]. Retrieved from http://billmoyers.com/segment/wendell-berry-on-his-hopes-for-humanity/ In this interview, Bill Moyer interviews the great agrarian writer and poet Wendell Berry. Berrys expresses ideas that relate to the virtues of a life lived well, one in which the human regains its place in nature and finds peace and hope. USDA NRCS ENT SC. (2012, September 20). Under cover farmers feature length [Video file]. Retrieved from http://www.youtube.com/watch?v=nWXCLVCJWTU This short film follows farmers as they begin using cover crops in their planting. Cover crops are offseason crops that farmers plant that they then later plant through when they plant their cash crops. This video demonstrates new methods of farming that enhance production through diversification and conservation of the soil. As it relates to virtue, farmers appear to be learning how to work their lands to enhance the health of the soil and this in turn leads to higher levels of flourishing in relation to production as well as overall farm health. Websites Center for Environmental Philosophy (http://www.cep.unt.edu/) Erratic Impact. (2000). Ecofeminism. Retrieved from http://www.erraticimpact.com/~ecofeminism/ International Association for Environmental Philosophy (http://environmentalphilosophy.org/) The University of North Texas. (2014). The philosophy of food project. Retrieved from http://www.food.unt.edu/ Additional Instructions: Provide an introduction in which you briefly explain the topic and the particular question on which you will focus your paper. Explain three ethically significant issues pertaining to this question that would need to be considered when addressing it. Use the Thesis Generator in the Ashford Writing Center to construct a thesis statement that articulates your position on the topic as you have defined it. (https://awc.ashford.edu/writing-tools-thesis-generator.html) Instructions The exercise must be at least 400 words in length (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Be sure to including a title page and reference page as necessary. Your exercise must be organized to address each of the five parts below. Number each part accordingly. Part One: Thesis Statement Use the Thesis Generator in the Ashford Writing Center to construct a thesis statement that articulates your position on the question as you have defined it. This will likely be the last thing you do in this exercise, but your thesis should be placed at the top of the first page after the title page. Your thesis should clearly state your position and provide a concise statement of the primary reason(s) drawn from the three issues you raise in Part Two. For example, having identified three important issues that need to be considered, you may find that two of them support your view, and while one may present a challenge to it, that challenge can be overcome. Part Two: Provide a Brief Introduction to the Topic Your introduction must make clear to the reader exactly what ethical problem or question you are addressing within this topic, and what you consider to be the boundaries of the question. For example, a paper on criminal punishment might consider whether capital punishment should be used as punishment for certain types of crime, or it might consider the broader question of whether the criminal justice system should favor retribution over rehabilitation. If you were writing on this topic, you would need to specify which of these (or some other) specific question you intend to discuss. (Note: You may not write on criminal punishment, this is just an example. More examples are given in the Notes and Advice section.) You should aim to focus your question as narrowly as possible. The final sentence of this paragraph should provide a brief summary of the three ethically significant issues pertaining to this question that you intend to address. Parts Three, Four, and Five: Explain Three Ethically Significant Issues Pertaining to This Question An ethically significant issue is a feature of the topic and circumstances that must be taken into account when reasoning about the question. For example, if you were writing on criminal punishment and focusing on the question of whether drug users should be imprisoned, ethically significant issues might include the monetary costs, the social costs, the impact on the person, the effect on the drug trade, and so on. And each of these, in turn, would have sub-issues, negative and positive sides, etc. Your task is to be as specific as you can in explaining the ethically significant issue. See the Instructor Guidance for further information. The first sentence of each paragraph must be a topic sentence that clearly states what issue you will be considering. The remainder of the paragraph should address the relevance and import of the ethically significant feature of the situation. Each paragraph should be focused on a distinct issue. Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Difference between policy modification and policy change
Questions: 1).Outline or diagram how an idea becomes a law. 2).Differentiate the three types of law (legal policy) that originate from our federalist structure. 3).What is the essential difference between policy modification and policy change? 4).Compare (identify/discuss similarities) and contrast (identify/discuss differences) Health Policy and Public Health Policy. Provide an example of each. 5).Describe the Problem-Centered Public Policymaking Process Model. 6).Licensure and certification provide special privileges and accountabilities. Discuss how they differ from each other and what impact they have on the Nurse Practitioner role. 7).Continuing education (CEUs) are required for nursing license renewal. What change in the requirements of CE categories would you recommend and why? 8).Select a Policy Institute. Review the mission, strategic plan, services and activities provided by the policy institute. Discuss how these relate to the role of the Nurse Practitioner. 9).List the 8 Institute of medicine (IOM) Recommendations on the Future of Nursing, then select one of the IOM recommendations on the future of nursing and discuss your opinion on its impact on your role as a future advanced practice nurse. 10).List the American Association of Nurse Practitioners Federal Policy Priorities, then select and discuss two priorities that you are most passionate about http://www.aanp.org/legislation-regulation/federal-legislation/issue-briefs
Human resource functions
Read and answer all attached questions . Example of questions : Question 1 What is a hypothesis? Question 2 There are many different areas that make up human resources including: performance management, work, health & safety, industrial relations, training, recruitment and succession planning. Choose two of these areas and produce a hypothesis for each. Question 6 Your manager has asked you to put together some information on the rates and trends concerned with employee retention. What information sources would you identify? Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Critical Thinking Analysis
Scroll down to see the Penn-Mart memo Analyze the business document below (scroll down), applying all steps of the critical thinking model described in Asking the Right Questions by Browne and Keeley (2012) 10th edition. In a short paper (7 double spaced pages) the steps of the critical thinking model to assess the arguments made in the critical thinking assignment document. There will be 10 or 11 steps, depending upon the edition of your book. You must include all of the steps. Although not necessary for a passing grade, answers to some of the questions may be enhanced by doing additional research. Remember that your task here is to evaluate the authors argument as objectively as possible, not to give your own opinions on the issue. Be sure to use the analytical framework from the book, not your own thoughts on the issue. Prepare your paper in the format your instructor requires and post it in Assignments. The citations and the reference list in the paper should be formatted in accordance with the APA guidelines. Submit your write-up to Turnitin, correct all issues of proper citation and ensure that the write-up is in your own words before posting in your Assignments. After all corrections are made, based on the Turnitin report, only then should you post in your Assignment Folder by the specified due date. Be sure to allow enough time for you to make corrections based on the Turnitin Report before submitting this assignment. This paper is due by 11:59 PM on the last day of the week. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ PENN-MART Recommendation for Revision of Penn-Marts Health Care Strategy Memorandum to the Board of Directors from Salvador Monella, SVP, Human Resources January 6, 2014 1. Purpose This memorandum is to update you on our efforts to review and revise Penn-Marts healthcare benefits strategy. Last fall the board asked my office to examine what Penn-Mart could do to control the spiraling costs of employee healthcare benefits. In response to the boards concerns about unfavorable cost trends, I recently led a team in evaluating Penn-Marts approach to benefits, and developing a plan to revise the Penn-Mart healthcare strategy. We are prepared to share with you a brief, high level overview of our considerations and our final recommendations. In short, we recommend that Penn-Mart institute a wellness initiative consisting of a mandatory health screening program for all employees enrolled in the company-sponsored health plans. 1. Findings Our internal research has showed that wages and benefits make up roughly 40 percent of our annual budget. Growth in benefits costs is unacceptable and is driven by fundamental and persistent root causes such as an aging workforce with increasing average tenure. Benefits costs could consume as much as 15 percent of our total profits in 2015. Employee surveys demonstrate that employees are overall highly satisfied with their benefits. The least healthy, least productive employees are more satisfied with their benefits than other segments and are interested in longer careers with Penn-Mart. It is not fair to the young and fit, to allow those who are not to be a drag on earnings. Our research indicates employees overall are highly opposed to traditional cost-control measures such as higher deductibles for health insurance. Data from our underwriters indicates that individuals who voluntarily neglect their health account for the greatest impact on the growth in benefits costs. This group includes smokers, those who do not exercise, and those who defer preventative care. Therefore we should require preventative care of everyone at Penn-Mart. The best way to do this is through a mandatory wellness program. Penn-Mart has for ten years offered wellness programs on a voluntary basis. Data from our group health underwriters indicates that participation in these voluntary programs peaked at 5% of total FTEs in 2006.[1] It is time to get everyone involved. 1. Recommendations Our recommendations are expected to have significant positive impact on the health care cost curve for Penn-Mart. Our team recommends: That every current benefits-enrolled employee be required to complete biometric health screening no later than December 31, 2014 at a company-contracted third party medical facility. o Biometric screening includes: finger stick blood tests for cholesterol and glucose; weight, height, and waist measurement; and a blood pressure reading. That every current benefits-enrolled employee be required to complete an online health profile. o Such profile will collect additional information to provide a more complete picture of employee health (e.g. whether employee smokes, conducts appropriate physical self-examinations). o Certify that the employee has had an annual physical examination. That the new initiative be given a friendly name such as Get Well to promote employee acceptance of the program. That employees who do not comply with the terms of Get Well be given the options of o Pay a $1,000 annual health surcharge; or o Decline employer-sponsored health coverage for the following calendar year; o Resignation; or o Termination. 1. Discussion The objective of the Get Well program is to make employees more aware of their own health status and to help them identify issues that they could mitigate on their own to become more fit. The Get Well initiative completely aligns with other current public health and fitness initiatives such as Mayor Bloombergs ban on large soft drinks and the First Ladys Lets Move campaign. There have been numerous research studies on obesity published in scholarly journals such as the Journal of the American Medical Associationand the New England Journal of Medicine. We firmly believe that many Penn-Mart employees want to get fit and that the Get Well initiative will provide the necessary incentives for them to take charge of their own wellness. Giving a blood sample and filling out a survey form is not intrusive or burdensome these are two things that people do routinely. Those who might oppose Get Well are either unfit, or they have something to hide in their medical history. To quote the famous Charles Darwin, survival of the fittest is a natural part of evolution. Get Well will make all Penn-Mart employees feel better about themselves. These recommendations have been thoroughly researched and represent state-of-the-art in our field. We are confident in your concurrence. ________________________________________ [1] 2006 was the year of Penn-Marts participation in the local Corporate Challenge road race in which some managers chose to consider participation in the race as a minor part of the annual employee performance review process; this initiative was scrapped due to a frivolous legal challenge by those who are not runners.
Compliance Memo for organization
This is a memo that needs to be in a letter form. no more than 3 pages. Instructions: Final paper: you are the Corporate Responsibility Officer at Shady Palms Medical Center, a non-profit health system in the Bronx. You organization is composed of a small (50 bed) hospital, a large nursing home (365 beds), and a home agency (serving 312 Medicare/Medicaid clients). Your immediate boss, Margaret Johnson, the CEO, asked you to organize the first annual Compliance Day, Spotlight on Ethics and Compliance. Mrs Johnson is requesting that you prepare at least one employee activity for each of the compliance elements for that day. She is making a large auditorium and the employee cafeteria available to you. The CEO is very clear that her goals for the Compliance Day are: (1) increase visibility of the Code of Conduct; (2) encourage internal reporting of ethical issues; and (3) raise awareness of compliance hotline as a tool for reporting potential ethics violations. The CEO believes that the Shady Palms employees, vendors, and agents do not necessarily understand the organizations compliance program and she is putting you on notice. Final submission: You are expected to prepare an official memo to the CEO outlining planned activities for the Compliance Day. Describe your goals and each activity in detail including target audience and objectives or what you are trying to accomplish. additional info on memo assignment: The Final pulls together most what we covered in the course. Remember that the CEO is ready to fire the CRO and this is the last time the CRO has an opportunity to turn this around so you need to make sure you miss nothing that is essential to compliance programs. I am looking for a well-written paper with correct spelling and grammar. Solid references. Presentation of both facts and your interpretation of the facts as well as your ideas/thoughts. The format is a memo to the CEO. This means the entire document has to be focused and brief. Not long! Two to three pages tops. Most of the CEOs will not read lengthly explanations, they just want to see two things: (1) your credibility and (2) the bottom line. The format is what makes this Final difficult. It is easier to spend 8 pages writing about a topic. It is much more difficult to cover everything you need in a couple of pages so you do not have a lot of space for error here. Describe activities but be to the point, not lengthly.
Evolving local and global community health concerns
Evolving local and global community health concerns
Evolving local and global community health concerns The public health nurse must be aware of global health trends and their potential impact on the health of the US population. This is especially true of new and emerging communicable diseases. As the world population grows, a global trend toward urbanization occurs; people live closer together and migrate to urban areas for employment. With increasingly dense living arrangements, the health of the general population is increasingly threatened by environmental factors and disease.The ease of transportation facilitates the potential spread of disease. Lifestyles, health and cultural beliefs, infrastructure, economics, and politics affect existing illnesses and societys commitment to prevention. Disease patterns vary throughout the world; therefore primary causes of mortality differ in developed and developing countries. Additionally, factors such as economic stability, technological advances, and the age attained by populations affects the patterns of health and disease. This assignment is 10 points, or 10% of your final grade. Directions 1. Pick a low-income, and high-income country (NOT THE UNITED STATES). What are the three leading causes of morbidity and mortality (death and illness) in each country? 2. What are the infant mortality rates and life expectancy for each country? What factors contribute to the difference? 3. Select one emerging infectious/communicable disease identified in the foreign country and integrating an upstream approach, apply the 3 levels of prevention to develop a plan to prevent the spread of this disease to your community. (review upstream approach in your text C. 3). For a custom paper on the above topic, place your order now! What We Offer: On-time delivery guarantee PhD-level writers Automatic plagiarism check 100% money-back guarantee 100% Privacy and Confidentiality High Quality custom-written papers
1. Why it seems breast cancer or ovarian cancer among BRCA2
1. Why it seems breast cancer or ovarian cancer among BRCA2 mutation carriers start earlier each generation. Propose possible reasons. 1 PAGE 2. Genetic screening of adults. How 65 years old man lived until now without showing any sign of problem for possible disorder caused by this gene? Lets start from 1) type of mutation(s), 2) is it inherited?, and 3) possible reason for him to stay healthy before. 1 PAGE 3. State at least 3 items you as a nurse need to careful for handling situations involved genetic testing. 4. Why do cancer cells grow uncontrolled manner? (QUESTION 3 AND 4 ) 1 PAGE PLEASE USE HUMAN GENETICS AND GENOMICS 4TH EDITION TEXT BOOK BY BRUCE R. KORF & MIRA B. IRONS AND ANY OTHER TEXT BOOK OR RESOURCES THAT IS NOT MORE THAN 5YEARS. GeneReview at genereview. Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Aventura Medical Discharge Lounge Process
Please create a brochure that three folds regarding patients when they get admitted in Aventura hospital they will go to the discharge lounge to finalize their discharge. This is to get the patients prepared that they will be sent to the discharge lounge for final discharge. Explain the process will start from the time the physician enter the order. the discharge nurses will start the paper work and go over the discharge plans and medications with them during that time. Please explain the lounge is downstairs in the main lobby where they can wait for their love ones to pick them up. Please use the logo online of the hospital, the name is Aventura medical center in Aventura Florida. on the cover page just have the logo and a nice picture that relates to the brochure Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Identify a health issue
Identify a health issue reported in the print media (during this trimester) that is of interest to you this will serve as the subject of your assignment. You will need to include a copy of the article at the end of your paper so the marker can review your selection. You can only submit ONE (1) document so the article needs to be included as part of your paper. Read the report edited by Wilkinson and Marmot, Social determinants of health: The solid facts (2003), which can be accessed at The authors identify ten (10) social determinants of health. In reality, several social determinants discussed in this report tend to impact on people at any one time. Demonstrate your understanding of this important document by explaining how any two (2) of the social determinants discussed in the report influence the health issue and the associated health outcomes mentioned in your media selection. To demonstrate further self-directed reading, your assignment must also draw on at least one (1) additional journal article that is relevant to your selected health issue and social determinants of health. Note your paper must be properly referenced using the Harvard or APA reference styles. Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
EVIDENCE-BASED PRACTICE
Evidence-based practice is the integration of clinical expertise, patient values, and the best research evidence to facilitate clinical decision making. There is increasing recognition that practice change should be guided by models or frameworks. The DNP is in the ideal position to evaluate the need for change and propose interventions or solutions based on evidence. There are seven commonly used models for facilitating change to EBP. For this discussion: 1.Choose two of the models to compare: Iowa Model of Evidence-Based Practice. The Model for Evidence-based Practice Change. The Clinical Scholar Model. John Hopkins Nursing Evidence-Based Practice Model. Stetler Model of Research Utilization. The Advancing Research and Clinical Practice Through Close Collaboration (ARCC) Model. The Promoting Action on Research Implementation in Health Services (PARIHS) Framework. 2.Compare the two selected models of EBP in terms of: Components. Simplicity or complexity. Ease of use by staff nurses. Applicability to use in systems. Applicability to use with individual patients. Strengths and limitations of the models. 3.Consider these questions in your comparison: Are there specific situations in which one model or the other is most appropriate? Which model would be most appropriate in the work setting in which you practice? Why? While the concept of EBP has strong proponents, it also has its detractors. Consider one of the positions below in relationship to your model and setting: EBP ignores patient or community input. EBP stifles creative problem solving and clinical judgment. EBP emphasizes quantitative research and randomized controlled trial (RCT). EBP disregards clinical expertise. EBP supports generalizing results to populations not studied. EBP is simply another term for research utilization. Consider the position carefully and argue that position effectively and convincingly in your post (even if you do not personally hold that opinion). Your initial post should demonstrate clarity of thought and precision in writing. Support your discussion with at least one reference other than the required reading. Compete the following: References: In your Melnyk and Fineout-Overholt text, Evidence-Based Practice in Nursing and Health Care: A Guide to Best Practice: Read Chapter 1, Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry. Read Chapter 13, Models to Guide Implementation of Evidence-Based Practice. Remember that you can access these readings on iGuide or by opening your downloaded VitalSource Bookshelf application. To learn about the ACE Star Model of Knowledge Transformation, read Heye and Stevenss 2009 article, Using New Resources to Teach Evidence-Based Practice from Journal of Nursing Education volume 48, issue 6, pages 334339. For general information about EBP: Read the 2007 article, Sigma Theta Tau International Position Statement on Evidence-Based Practice February 2007 Summary from Worldviews on Evidence-Based Nursing, volume 5, issue 2, pages 5759. To learn about the Iowa Model of Evidence-Based Practice, read the Titler et al. 2001 article, The Iowa Model of Evidence-Based Practice to Promote Quality Care from Critical Care Nursing Clinics of North America, volume 13, issue 4, pages 497509. Use the Internet to: Select and review at least one tutorial from the list of Web sites in box 14.2 of Chapter 14, Tutorials on Evidence-Based Practice, in your Evidence-Based Practice in Nursing and Health Care text. Explore the following Web sites: Agency for Healthcare Research and Quality (AHQR). Centre for Evidence-Based Medicine Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Thesis Construction
Please read these assignment instructions before writing your paper, and re-read them often during and after the writing process to make sure that you are fulfilling all of the instructions. Overview The following assignment is an exercise designed to help you write your Final Paper. In this exercise, you will do the following: Identify a topic of interest from the list, and narrow it down to a particular, concrete ethical problem or question. My topic of interest is below, Note: To the right of the topics, you will find the weeks in which these topics are directly addressed. Please go to those weeks and begin using the required and recommended resources in those weeks to gather information for your papers. However, bear in mind that many of these topics will also overlap with material from other weeks, so you will want to be thinking about how that other material might bear on your chosen topic. TOPIC:Responsibility to the Environment (Week 4) What does it mean to respect the environment in the way we as individuals live our lives. What kinds of behaviors would that involve? What kinds of behaviors would that exclude? Do we as individuals have moral obligations toward the environment when our own behavior has very little direct effect on the overall state of things? (Consider the products we buy and use, the cars we drive, the energy we consume, etc.) How should we weigh human needs and/or desires against environmental impact? Does a government have an obligation to care for its natural resources as well as its human citizens? How should the answer to this question affect political policy? REQUIRED RESOURCES:Required Text Understanding Philosophy Chapter 6: Traditional Theories of Ethics Read the following sections: The Environment Ethics of Extinction Articles Hill, T. (1983). Ideals of human excellence and preserving natural environments. Journal of Environmental Ethics, 5(3), 211-24. Retrieved from https://www.shodor.org/ncssm/elc/content/attachments/EnvironmentalEthics-Hill.pdf This article discusses the problem of environmental preservation by considering the various kinds of virtues and vices exhibited in different sorts of attitudes and behaviors toward the environment. He argues that this presents a more satisfying approach than thinking in terms of either utilitarian or deontological principles. Recommended Resources on Environmental Ethics: Articles Hursthouse, R. (2007). Environmental virtue ethics. In R. L. Walker & P. J. Ivanhoe (Eds.), Working Virtue: Virtue Ethics and Contemporary Moral Problems Working Virtue: Virtue Ethics and Contemporary Moral Problems. Oxford: Oxford University Press. Retrieved from the ebrary database. An explanation and defense of a virtue ethics approach to environmental concerns, including a critique of Thomas Hills alternative approach Leopold, A. (1948). The land ethic. In A Sand County Almanac. Retrieved from http://home.btconnect.com/tipiglen/landethic.html A classic of modern environmentalism, Leopold proposes that just as human societies have expanded the notion of the moral community over time to include other races and cultures, women and children, etc., we are at a point where we must recognize the land and environment as more than just raw material for our own use Multimedia Mercola. (2012, August 1). Dr. Mercola and Joel Alatin discuss water and manure at polyface farm [Video file]. Retrieved from http://www.youtube.com/watch?v=3gBwCQspdwo In this video, Joel Salatin and Dr. Joseph Mercola examine the relationship between irrigation and fertilization on a farm and the virtues of the farmer as he or she tries to create a healthy farm. Transcript Mercola. (2012, August 1). Dr. Mercola discusses pigs with Joel Salatin at polyface farm [Video file]. Retrieved from http://www.youtube.com/watch?v=JjBtZxlkEDw Joel Salatin discusses ethical treatment of pigs and the relationship that exists between pigs, land, soil, and biodiversity in an ecosystem. He also examines the responsibility of the virtuous farmer in relation to allowing these relationships to exist in harmony with one another. Transcript Moyer, B. (Interviewer), & Berry, W. (Interviewee). (2013). Wendell Berry on his hopes for humanity [Video file]. Retrieved from http://billmoyers.com/segment/wendell-berry-on-his-hopes-for-humanity/ In this interview, Bill Moyer interviews the great agrarian writer and poet Wendell Berry. Berrys expresses ideas that relate to the virtues of a life lived well, one in which the human regains its place in nature and finds peace and hope. USDA NRCS ENT SC. (2012, September 20). Under cover farmers feature length [Video file]. Retrieved from http://www.youtube.com/watch?v=nWXCLVCJWTU This short film follows farmers as they begin using cover crops in their planting. Cover crops are offseason crops that farmers plant that they then later plant through when they plant their cash crops. This video demonstrates new methods of farming that enhance production through diversification and conservation of the soil. As it relates to virtue, farmers appear to be learning how to work their lands to enhance the health of the soil and this in turn leads to higher levels of flourishing in relation to production as well as overall farm health. Websites Center for Environmental Philosophy (http://www.cep.unt.edu/) Erratic Impact. (2000). Ecofeminism. Retrieved from http://www.erraticimpact.com/~ecofeminism/ International Association for Environmental Philosophy (http://environmentalphilosophy.org/) The University of North Texas. (2014). The philosophy of food project. Retrieved from http://www.food.unt.edu/ Additional Instructions: Provide an introduction in which you briefly explain the topic and the particular question on which you will focus your paper. Explain three ethically significant issues pertaining to this question that would need to be considered when addressing it. Use the Thesis Generator in the Ashford Writing Center to construct a thesis statement that articulates your position on the topic as you have defined it. (https://awc.ashford.edu/writing-tools-thesis-generator.html) Instructions The exercise must be at least 400 words in length (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Be sure to including a title page and reference page as necessary. Your exercise must be organized to address each of the five parts below. Number each part accordingly. Part One: Thesis Statement Use the Thesis Generator in the Ashford Writing Center to construct a thesis statement that articulates your position on the question as you have defined it. This will likely be the last thing you do in this exercise, but your thesis should be placed at the top of the first page after the title page. Your thesis should clearly state your position and provide a concise statement of the primary reason(s) drawn from the three issues you raise in Part Two. For example, having identified three important issues that need to be considered, you may find that two of them support your view, and while one may present a challenge to it, that challenge can be overcome. Part Two: Provide a Brief Introduction to the Topic Your introduction must make clear to the reader exactly what ethical problem or question you are addressing within this topic, and what you consider to be the boundaries of the question. For example, a paper on criminal punishment might consider whether capital punishment should be used as punishment for certain types of crime, or it might consider the broader question of whether the criminal justice system should favor retribution over rehabilitation. If you were writing on this topic, you would need to specify which of these (or some other) specific question you intend to discuss. (Note: You may not write on criminal punishment, this is just an example. More examples are given in the Notes and Advice section.) You should aim to focus your question as narrowly as possible. The final sentence of this paragraph should provide a brief summary of the three ethically significant issues pertaining to this question that you intend to address. Parts Three, Four, and Five: Explain Three Ethically Significant Issues Pertaining to This Question An ethically significant issue is a feature of the topic and circumstances that must be taken into account when reasoning about the question. For example, if you were writing on criminal punishment and focusing on the question of whether drug users should be imprisoned, ethically significant issues might include the monetary costs, the social costs, the impact on the person, the effect on the drug trade, and so on. And each of these, in turn, would have sub-issues, negative and positive sides, etc. Your task is to be as specific as you can in explaining the ethically significant issue. See the Instructor Guidance for further information. The first sentence of each paragraph must be a topic sentence that clearly states what issue you will be considering. The remainder of the paragraph should address the relevance and import of the ethically significant feature of the situation. Each paragraph should be focused on a distinct issue. Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Difference between policy modification and policy change
Questions: 1).Outline or diagram how an idea becomes a law. 2).Differentiate the three types of law (legal policy) that originate from our federalist structure. 3).What is the essential difference between policy modification and policy change? 4).Compare (identify/discuss similarities) and contrast (identify/discuss differences) Health Policy and Public Health Policy. Provide an example of each. 5).Describe the Problem-Centered Public Policymaking Process Model. 6).Licensure and certification provide special privileges and accountabilities. Discuss how they differ from each other and what impact they have on the Nurse Practitioner role. 7).Continuing education (CEUs) are required for nursing license renewal. What change in the requirements of CE categories would you recommend and why? 8).Select a Policy Institute. Review the mission, strategic plan, services and activities provided by the policy institute. Discuss how these relate to the role of the Nurse Practitioner. 9).List the 8 Institute of medicine (IOM) Recommendations on the Future of Nursing, then select one of the IOM recommendations on the future of nursing and discuss your opinion on its impact on your role as a future advanced practice nurse. 10).List the American Association of Nurse Practitioners Federal Policy Priorities, then select and discuss two priorities that you are most passionate about http://www.aanp.org/legislation-regulation/federal-legislation/issue-briefs
Human resource functions
Read and answer all attached questions . Example of questions : Question 1 What is a hypothesis? Question 2 There are many different areas that make up human resources including: performance management, work, health & safety, industrial relations, training, recruitment and succession planning. Choose two of these areas and produce a hypothesis for each. Question 6 Your manager has asked you to put together some information on the rates and trends concerned with employee retention. What information sources would you identify? Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Critical Thinking Analysis
Scroll down to see the Penn-Mart memo Analyze the business document below (scroll down), applying all steps of the critical thinking model described in Asking the Right Questions by Browne and Keeley (2012) 10th edition. In a short paper (7 double spaced pages) the steps of the critical thinking model to assess the arguments made in the critical thinking assignment document. There will be 10 or 11 steps, depending upon the edition of your book. You must include all of the steps. Although not necessary for a passing grade, answers to some of the questions may be enhanced by doing additional research. Remember that your task here is to evaluate the authors argument as objectively as possible, not to give your own opinions on the issue. Be sure to use the analytical framework from the book, not your own thoughts on the issue. Prepare your paper in the format your instructor requires and post it in Assignments. The citations and the reference list in the paper should be formatted in accordance with the APA guidelines. Submit your write-up to Turnitin, correct all issues of proper citation and ensure that the write-up is in your own words before posting in your Assignments. After all corrections are made, based on the Turnitin report, only then should you post in your Assignment Folder by the specified due date. Be sure to allow enough time for you to make corrections based on the Turnitin Report before submitting this assignment. This paper is due by 11:59 PM on the last day of the week. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ PENN-MART Recommendation for Revision of Penn-Marts Health Care Strategy Memorandum to the Board of Directors from Salvador Monella, SVP, Human Resources January 6, 2014 1. Purpose This memorandum is to update you on our efforts to review and revise Penn-Marts healthcare benefits strategy. Last fall the board asked my office to examine what Penn-Mart could do to control the spiraling costs of employee healthcare benefits. In response to the boards concerns about unfavorable cost trends, I recently led a team in evaluating Penn-Marts approach to benefits, and developing a plan to revise the Penn-Mart healthcare strategy. We are prepared to share with you a brief, high level overview of our considerations and our final recommendations. In short, we recommend that Penn-Mart institute a wellness initiative consisting of a mandatory health screening program for all employees enrolled in the company-sponsored health plans. 1. Findings Our internal research has showed that wages and benefits make up roughly 40 percent of our annual budget. Growth in benefits costs is unacceptable and is driven by fundamental and persistent root causes such as an aging workforce with increasing average tenure. Benefits costs could consume as much as 15 percent of our total profits in 2015. Employee surveys demonstrate that employees are overall highly satisfied with their benefits. The least healthy, least productive employees are more satisfied with their benefits than other segments and are interested in longer careers with Penn-Mart. It is not fair to the young and fit, to allow those who are not to be a drag on earnings. Our research indicates employees overall are highly opposed to traditional cost-control measures such as higher deductibles for health insurance. Data from our underwriters indicates that individuals who voluntarily neglect their health account for the greatest impact on the growth in benefits costs. This group includes smokers, those who do not exercise, and those who defer preventative care. Therefore we should require preventative care of everyone at Penn-Mart. The best way to do this is through a mandatory wellness program. Penn-Mart has for ten years offered wellness programs on a voluntary basis. Data from our group health underwriters indicates that participation in these voluntary programs peaked at 5% of total FTEs in 2006.[1] It is time to get everyone involved. 1. Recommendations Our recommendations are expected to have significant positive impact on the health care cost curve for Penn-Mart. Our team recommends: That every current benefits-enrolled employee be required to complete biometric health screening no later than December 31, 2014 at a company-contracted third party medical facility. o Biometric screening includes: finger stick blood tests for cholesterol and glucose; weight, height, and waist measurement; and a blood pressure reading. That every current benefits-enrolled employee be required to complete an online health profile. o Such profile will collect additional information to provide a more complete picture of employee health (e.g. whether employee smokes, conducts appropriate physical self-examinations). o Certify that the employee has had an annual physical examination. That the new initiative be given a friendly name such as Get Well to promote employee acceptance of the program. That employees who do not comply with the terms of Get Well be given the options of o Pay a $1,000 annual health surcharge; or o Decline employer-sponsored health coverage for the following calendar year; o Resignation; or o Termination. 1. Discussion The objective of the Get Well program is to make employees more aware of their own health status and to help them identify issues that they could mitigate on their own to become more fit. The Get Well initiative completely aligns with other current public health and fitness initiatives such as Mayor Bloombergs ban on large soft drinks and the First Ladys Lets Move campaign. There have been numerous research studies on obesity published in scholarly journals such as the Journal of the American Medical Associationand the New England Journal of Medicine. We firmly believe that many Penn-Mart employees want to get fit and that the Get Well initiative will provide the necessary incentives for them to take charge of their own wellness. Giving a blood sample and filling out a survey form is not intrusive or burdensome these are two things that people do routinely. Those who might oppose Get Well are either unfit, or they have something to hide in their medical history. To quote the famous Charles Darwin, survival of the fittest is a natural part of evolution. Get Well will make all Penn-Mart employees feel better about themselves. These recommendations have been thoroughly researched and represent state-of-the-art in our field. We are confident in your concurrence. ________________________________________ [1] 2006 was the year of Penn-Marts participation in the local Corporate Challenge road race in which some managers chose to consider participation in the race as a minor part of the annual employee performance review process; this initiative was scrapped due to a frivolous legal challenge by those who are not runners.
Compliance Memo for organization
This is a memo that needs to be in a letter form. no more than 3 pages. Instructions: Final paper: you are the Corporate Responsibility Officer at Shady Palms Medical Center, a non-profit health system in the Bronx. You organization is composed of a small (50 bed) hospital, a large nursing home (365 beds), and a home agency (serving 312 Medicare/Medicaid clients). Your immediate boss, Margaret Johnson, the CEO, asked you to organize the first annual Compliance Day, Spotlight on Ethics and Compliance. Mrs Johnson is requesting that you prepare at least one employee activity for each of the compliance elements for that day. She is making a large auditorium and the employee cafeteria available to you. The CEO is very clear that her goals for the Compliance Day are: (1) increase visibility of the Code of Conduct; (2) encourage internal reporting of ethical issues; and (3) raise awareness of compliance hotline as a tool for reporting potential ethics violations. The CEO believes that the Shady Palms employees, vendors, and agents do not necessarily understand the organizations compliance program and she is putting you on notice. Final submission: You are expected to prepare an official memo to the CEO outlining planned activities for the Compliance Day. Describe your goals and each activity in detail including target audience and objectives or what you are trying to accomplish. additional info on memo assignment: The Final pulls together most what we covered in the course. Remember that the CEO is ready to fire the CRO and this is the last time the CRO has an opportunity to turn this around so you need to make sure you miss nothing that is essential to compliance programs. I am looking for a well-written paper with correct spelling and grammar. Solid references. Presentation of both facts and your interpretation of the facts as well as your ideas/thoughts. The format is a memo to the CEO. This means the entire document has to be focused and brief. Not long! Two to three pages tops. Most of the CEOs will not read lengthly explanations, they just want to see two things: (1) your credibility and (2) the bottom line. The format is what makes this Final difficult. It is easier to spend 8 pages writing about a topic. It is much more difficult to cover everything you need in a couple of pages so you do not have a lot of space for error here. Describe activities but be to the point, not lengthly.
Evolving local and global community health concerns
. Evolving local and global community health concerns
Evolving local and global community health concerns
Evolving local and global community health concerns The public health nurse must be aware of global health trends and their potential impact on the health of the US population. This is especially true of new and emerging communicable diseases. As the world population grows, a global trend toward urbanization occurs; people live closer together and migrate to urban areas for employment. With increasingly dense living arrangements, the health of the general population is increasingly threatened by environmental factors and disease.The ease of transportation facilitates the potential spread of disease. Lifestyles, health and cultural beliefs, infrastructure, economics, and politics affect existing illnesses and societys commitment to prevention. Disease patterns vary throughout the world; therefore primary causes of mortality differ in developed and developing countries. Additionally, factors such as economic stability, technological advances, and the age attained by populations affects the patterns of health and disease. This assignment is 10 points, or 10% of your final grade. Directions 1. Pick a low-income, and high-income country (NOT THE UNITED STATES). What are the three leading causes of morbidity and mortality (death and illness) in each country? 2. What are the infant mortality rates and life expectancy for each country? What factors contribute to the difference? 3. Select one emerging infectious/communicable disease identified in the foreign country and integrating an upstream approach, apply the 3 levels of prevention to develop a plan to prevent the spread of this disease to your community. (review upstream approach in your text C. 3). For a custom paper on the above topic, place your order now! What We Offer: On-time delivery guarantee PhD-level writers Automatic plagiarism check 100% money-back guarantee 100% Privacy and Confidentiality High Quality custom-written papers
1. Why it seems breast cancer or ovarian cancer among BRCA2
1. Why it seems breast cancer or ovarian cancer among BRCA2 mutation carriers start earlier each generation. Propose possible reasons. 1 PAGE 2. Genetic screening of adults. How 65 years old man lived until now without showing any sign of problem for possible disorder caused by this gene? Lets start from 1) type of mutation(s), 2) is it inherited?, and 3) possible reason for him to stay healthy before. 1 PAGE 3. State at least 3 items you as a nurse need to careful for handling situations involved genetic testing. 4. Why do cancer cells grow uncontrolled manner? (QUESTION 3 AND 4 ) 1 PAGE PLEASE USE HUMAN GENETICS AND GENOMICS 4TH EDITION TEXT BOOK BY BRUCE R. KORF & MIRA B. IRONS AND ANY OTHER TEXT BOOK OR RESOURCES THAT IS NOT MORE THAN 5YEARS. GeneReview at genereview. Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Aventura Medical Discharge Lounge Process
Please create a brochure that three folds regarding patients when they get admitted in Aventura hospital they will go to the discharge lounge to finalize their discharge. This is to get the patients prepared that they will be sent to the discharge lounge for final discharge. Explain the process will start from the time the physician enter the order. the discharge nurses will start the paper work and go over the discharge plans and medications with them during that time. Please explain the lounge is downstairs in the main lobby where they can wait for their love ones to pick them up. Please use the logo online of the hospital, the name is Aventura medical center in Aventura Florida. on the cover page just have the logo and a nice picture that relates to the brochure Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Identify a health issue
Identify a health issue reported in the print media (during this trimester) that is of interest to you this will serve as the subject of your assignment. You will need to include a copy of the article at the end of your paper so the marker can review your selection. You can only submit ONE (1) document so the article needs to be included as part of your paper. Read the report edited by Wilkinson and Marmot, Social determinants of health: The solid facts (2003), which can be accessed at The authors identify ten (10) social determinants of health. In reality, several social determinants discussed in this report tend to impact on people at any one time. Demonstrate your understanding of this important document by explaining how any two (2) of the social determinants discussed in the report influence the health issue and the associated health outcomes mentioned in your media selection. To demonstrate further self-directed reading, your assignment must also draw on at least one (1) additional journal article that is relevant to your selected health issue and social determinants of health. Note your paper must be properly referenced using the Harvard or APA reference styles. Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
EVIDENCE-BASED PRACTICE
Evidence-based practice is the integration of clinical expertise, patient values, and the best research evidence to facilitate clinical decision making. There is increasing recognition that practice change should be guided by models or frameworks. The DNP is in the ideal position to evaluate the need for change and propose interventions or solutions based on evidence. There are seven commonly used models for facilitating change to EBP. For this discussion: 1.Choose two of the models to compare: Iowa Model of Evidence-Based Practice. The Model for Evidence-based Practice Change. The Clinical Scholar Model. John Hopkins Nursing Evidence-Based Practice Model. Stetler Model of Research Utilization. The Advancing Research and Clinical Practice Through Close Collaboration (ARCC) Model. The Promoting Action on Research Implementation in Health Services (PARIHS) Framework. 2.Compare the two selected models of EBP in terms of: Components. Simplicity or complexity. Ease of use by staff nurses. Applicability to use in systems. Applicability to use with individual patients. Strengths and limitations of the models. 3.Consider these questions in your comparison: Are there specific situations in which one model or the other is most appropriate? Which model would be most appropriate in the work setting in which you practice? Why? While the concept of EBP has strong proponents, it also has its detractors. Consider one of the positions below in relationship to your model and setting: EBP ignores patient or community input. EBP stifles creative problem solving and clinical judgment. EBP emphasizes quantitative research and randomized controlled trial (RCT). EBP disregards clinical expertise. EBP supports generalizing results to populations not studied. EBP is simply another term for research utilization. Consider the position carefully and argue that position effectively and convincingly in your post (even if you do not personally hold that opinion). Your initial post should demonstrate clarity of thought and precision in writing. Support your discussion with at least one reference other than the required reading. Compete the following: References: In your Melnyk and Fineout-Overholt text, Evidence-Based Practice in Nursing and Health Care: A Guide to Best Practice: Read Chapter 1, Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry. Read Chapter 13, Models to Guide Implementation of Evidence-Based Practice. Remember that you can access these readings on iGuide or by opening your downloaded VitalSource Bookshelf application. To learn about the ACE Star Model of Knowledge Transformation, read Heye and Stevenss 2009 article, Using New Resources to Teach Evidence-Based Practice from Journal of Nursing Education volume 48, issue 6, pages 334339. For general information about EBP: Read the 2007 article, Sigma Theta Tau International Position Statement on Evidence-Based Practice February 2007 Summary from Worldviews on Evidence-Based Nursing, volume 5, issue 2, pages 5759. To learn about the Iowa Model of Evidence-Based Practice, read the Titler et al. 2001 article, The Iowa Model of Evidence-Based Practice to Promote Quality Care from Critical Care Nursing Clinics of North America, volume 13, issue 4, pages 497509. Use the Internet to: Select and review at least one tutorial from the list of Web sites in box 14.2 of Chapter 14, Tutorials on Evidence-Based Practice, in your Evidence-Based Practice in Nursing and Health Care text. Explore the following Web sites: Agency for Healthcare Research and Quality (AHQR). Centre for Evidence-Based Medicine Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Thesis Construction
Please read these assignment instructions before writing your paper, and re-read them often during and after the writing process to make sure that you are fulfilling all of the instructions. Overview The following assignment is an exercise designed to help you write your Final Paper. In this exercise, you will do the following: Identify a topic of interest from the list, and narrow it down to a particular, concrete ethical problem or question. My topic of interest is below, Note: To the right of the topics, you will find the weeks in which these topics are directly addressed. Please go to those weeks and begin using the required and recommended resources in those weeks to gather information for your papers. However, bear in mind that many of these topics will also overlap with material from other weeks, so you will want to be thinking about how that other material might bear on your chosen topic. TOPIC:Responsibility to the Environment (Week 4) What does it mean to respect the environment in the way we as individuals live our lives. What kinds of behaviors would that involve? What kinds of behaviors would that exclude? Do we as individuals have moral obligations toward the environment when our own behavior has very little direct effect on the overall state of things? (Consider the products we buy and use, the cars we drive, the energy we consume, etc.) How should we weigh human needs and/or desires against environmental impact? Does a government have an obligation to care for its natural resources as well as its human citizens? How should the answer to this question affect political policy? REQUIRED RESOURCES:Required Text Understanding Philosophy Chapter 6: Traditional Theories of Ethics Read the following sections: The Environment Ethics of Extinction Articles Hill, T. (1983). Ideals of human excellence and preserving natural environments. Journal of Environmental Ethics, 5(3), 211-24. Retrieved from https://www.shodor.org/ncssm/elc/content/attachments/EnvironmentalEthics-Hill.pdf This article discusses the problem of environmental preservation by considering the various kinds of virtues and vices exhibited in different sorts of attitudes and behaviors toward the environment. He argues that this presents a more satisfying approach than thinking in terms of either utilitarian or deontological principles. Recommended Resources on Environmental Ethics: Articles Hursthouse, R. (2007). Environmental virtue ethics. In R. L. Walker & P. J. Ivanhoe (Eds.), Working Virtue: Virtue Ethics and Contemporary Moral Problems Working Virtue: Virtue Ethics and Contemporary Moral Problems. Oxford: Oxford University Press. Retrieved from the ebrary database. An explanation and defense of a virtue ethics approach to environmental concerns, including a critique of Thomas Hills alternative approach Leopold, A. (1948). The land ethic. In A Sand County Almanac. Retrieved from http://home.btconnect.com/tipiglen/landethic.html A classic of modern environmentalism, Leopold proposes that just as human societies have expanded the notion of the moral community over time to include other races and cultures, women and children, etc., we are at a point where we must recognize the land and environment as more than just raw material for our own use Multimedia Mercola. (2012, August 1). Dr. Mercola and Joel Alatin discuss water and manure at polyface farm [Video file]. Retrieved from http://www.youtube.com/watch?v=3gBwCQspdwo In this video, Joel Salatin and Dr. Joseph Mercola examine the relationship between irrigation and fertilization on a farm and the virtues of the farmer as he or she tries to create a healthy farm. Transcript Mercola. (2012, August 1). Dr. Mercola discusses pigs with Joel Salatin at polyface farm [Video file]. Retrieved from http://www.youtube.com/watch?v=JjBtZxlkEDw Joel Salatin discusses ethical treatment of pigs and the relationship that exists between pigs, land, soil, and biodiversity in an ecosystem. He also examines the responsibility of the virtuous farmer in relation to allowing these relationships to exist in harmony with one another. Transcript Moyer, B. (Interviewer), & Berry, W. (Interviewee). (2013). Wendell Berry on his hopes for humanity [Video file]. Retrieved from http://billmoyers.com/segment/wendell-berry-on-his-hopes-for-humanity/ In this interview, Bill Moyer interviews the great agrarian writer and poet Wendell Berry. Berrys expresses ideas that relate to the virtues of a life lived well, one in which the human regains its place in nature and finds peace and hope. USDA NRCS ENT SC. (2012, September 20). Under cover farmers feature length [Video file]. Retrieved from http://www.youtube.com/watch?v=nWXCLVCJWTU This short film follows farmers as they begin using cover crops in their planting. Cover crops are offseason crops that farmers plant that they then later plant through when they plant their cash crops. This video demonstrates new methods of farming that enhance production through diversification and conservation of the soil. As it relates to virtue, farmers appear to be learning how to work their lands to enhance the health of the soil and this in turn leads to higher levels of flourishing in relation to production as well as overall farm health. Websites Center for Environmental Philosophy (http://www.cep.unt.edu/) Erratic Impact. (2000). Ecofeminism. Retrieved from http://www.erraticimpact.com/~ecofeminism/ International Association for Environmental Philosophy (http://environmentalphilosophy.org/) The University of North Texas. (2014). The philosophy of food project. Retrieved from http://www.food.unt.edu/ Additional Instructions: Provide an introduction in which you briefly explain the topic and the particular question on which you will focus your paper. Explain three ethically significant issues pertaining to this question that would need to be considered when addressing it. Use the Thesis Generator in the Ashford Writing Center to construct a thesis statement that articulates your position on the topic as you have defined it. (https://awc.ashford.edu/writing-tools-thesis-generator.html) Instructions The exercise must be at least 400 words in length (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Be sure to including a title page and reference page as necessary. Your exercise must be organized to address each of the five parts below. Number each part accordingly. Part One: Thesis Statement Use the Thesis Generator in the Ashford Writing Center to construct a thesis statement that articulates your position on the question as you have defined it. This will likely be the last thing you do in this exercise, but your thesis should be placed at the top of the first page after the title page. Your thesis should clearly state your position and provide a concise statement of the primary reason(s) drawn from the three issues you raise in Part Two. For example, having identified three important issues that need to be considered, you may find that two of them support your view, and while one may present a challenge to it, that challenge can be overcome. Part Two: Provide a Brief Introduction to the Topic Your introduction must make clear to the reader exactly what ethical problem or question you are addressing within this topic, and what you consider to be the boundaries of the question. For example, a paper on criminal punishment might consider whether capital punishment should be used as punishment for certain types of crime, or it might consider the broader question of whether the criminal justice system should favor retribution over rehabilitation. If you were writing on this topic, you would need to specify which of these (or some other) specific question you intend to discuss. (Note: You may not write on criminal punishment, this is just an example. More examples are given in the Notes and Advice section.) You should aim to focus your question as narrowly as possible. The final sentence of this paragraph should provide a brief summary of the three ethically significant issues pertaining to this question that you intend to address. Parts Three, Four, and Five: Explain Three Ethically Significant Issues Pertaining to This Question An ethically significant issue is a feature of the topic and circumstances that must be taken into account when reasoning about the question. For example, if you were writing on criminal punishment and focusing on the question of whether drug users should be imprisoned, ethically significant issues might include the monetary costs, the social costs, the impact on the person, the effect on the drug trade, and so on. And each of these, in turn, would have sub-issues, negative and positive sides, etc. Your task is to be as specific as you can in explaining the ethically significant issue. See the Instructor Guidance for further information. The first sentence of each paragraph must be a topic sentence that clearly states what issue you will be considering. The remainder of the paragraph should address the relevance and import of the ethically significant feature of the situation. Each paragraph should be focused on a distinct issue. Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Difference between policy modification and policy change
Questions: 1).Outline or diagram how an idea becomes a law. 2).Differentiate the three types of law (legal policy) that originate from our federalist structure. 3).What is the essential difference between policy modification and policy change? 4).Compare (identify/discuss similarities) and contrast (identify/discuss differences) Health Policy and Public Health Policy. Provide an example of each. 5).Describe the Problem-Centered Public Policymaking Process Model. 6).Licensure and certification provide special privileges and accountabilities. Discuss how they differ from each other and what impact they have on the Nurse Practitioner role. 7).Continuing education (CEUs) are required for nursing license renewal. What change in the requirements of CE categories would you recommend and why? 8).Select a Policy Institute. Review the mission, strategic plan, services and activities provided by the policy institute. Discuss how these relate to the role of the Nurse Practitioner. 9).List the 8 Institute of medicine (IOM) Recommendations on the Future of Nursing, then select one of the IOM recommendations on the future of nursing and discuss your opinion on its impact on your role as a future advanced practice nurse. 10).List the American Association of Nurse Practitioners Federal Policy Priorities, then select and discuss two priorities that you are most passionate about http://www.aanp.org/legislation-regulation/federal-legislation/issue-briefs
Human resource functions
Read and answer all attached questions . Example of questions : Question 1 What is a hypothesis? Question 2 There are many different areas that make up human resources including: performance management, work, health & safety, industrial relations, training, recruitment and succession planning. Choose two of these areas and produce a hypothesis for each. Question 6 Your manager has asked you to put together some information on the rates and trends concerned with employee retention. What information sources would you identify? Do you want your assignment written by the best essay experts? Then look no further, Order Now and enjoy an amazing discount!!
Critical Thinking Analysis
Scroll down to see the Penn-Mart memo Analyze the business document below (scroll down), applying all steps of the critical thinking model described in Asking the Right Questions by Browne and Keeley (2012) 10th edition. In a short paper (7 double spaced pages) the steps of the critical thinking model to assess the arguments made in the critical thinking assignment document. There will be 10 or 11 steps, depending upon the edition of your book. You must include all of the steps. Although not necessary for a passing grade, answers to some of the questions may be enhanced by doing additional research. Remember that your task here is to evaluate the authors argument as objectively as possible, not to give your own opinions on the issue. Be sure to use the analytical framework from the book, not your own thoughts on the issue. Prepare your paper in the format your instructor requires and post it in Assignments. The citations and the reference list in the paper should be formatted in accordance with the APA guidelines. Submit your write-up to Turnitin, correct all issues of proper citation and ensure that the write-up is in your own words before posting in your Assignments. After all corrections are made, based on the Turnitin report, only then should you post in your Assignment Folder by the specified due date. Be sure to allow enough time for you to make corrections based on the Turnitin Report before submitting this assignment. This paper is due by 11:59 PM on the last day of the week. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ PENN-MART Recommendation for Revision of Penn-Marts Health Care Strategy Memorandum to the Board of Directors from Salvador Monella, SVP, Human Resources January 6, 2014 1. Purpose This memorandum is to update you on our efforts to review and revise Penn-Marts healthcare benefits strategy. Last fall the board asked my office to examine what Penn-Mart could do to control the spiraling costs of employee healthcare benefits. In response to the boards concerns about unfavorable cost trends, I recently led a team in evaluating Penn-Marts approach to benefits, and developing a plan to revise the Penn-Mart healthcare strategy. We are prepared to share with you a brief, high level overview of our considerations and our final recommendations. In short, we recommend that Penn-Mart institute a wellness initiative consisting of a mandatory health screening program for all employees enrolled in the company-sponsored health plans. 1. Findings Our internal research has showed that wages and benefits make up roughly 40 percent of our annual budget. Growth in benefits costs is unacceptable and is driven by fundamental and persistent root causes such as an aging workforce with increasing average tenure. Benefits costs could consume as much as 15 percent of our total profits in 2015. Employee surveys demonstrate that employees are overall highly satisfied with their benefits. The least healthy, least productive employees are more satisfied with their benefits than other segments and are interested in longer careers with Penn-Mart. It is not fair to the young and fit, to allow those who are not to be a drag on earnings. Our research indicates employees overall are highly opposed to traditional cost-control measures such as higher deductibles for health insurance. Data from our underwriters indicates that individuals who voluntarily neglect their health account for the greatest impact on the growth in benefits costs. This group includes smokers, those who do not exercise, and those who defer preventative care. Therefore we should require preventative care of everyone at Penn-Mart. The best way to do this is through a mandatory wellness program. Penn-Mart has for ten years offered wellness programs on a voluntary basis. Data from our group health underwriters indicates that participation in these voluntary programs peaked at 5% of total FTEs in 2006.[1] It is time to get everyone involved. 1. Recommendations Our recommendations are expected to have significant positive impact on the health care cost curve for Penn-Mart. Our team recommends: That every current benefits-enrolled employee be required to complete biometric health screening no later than December 31, 2014 at a company-contracted third party medical facility. o Biometric screening includes: finger stick blood tests for cholesterol and glucose; weight, height, and waist measurement; and a blood pressure reading. That every current benefits-enrolled employee be required to complete an online health profile. o Such profile will collect additional information to provide a more complete picture of employee health (e.g. whether employee smokes, conducts appropriate physical self-examinations). o Certify that the employee has had an annual physical examination. That the new initiative be given a friendly name such as Get Well to promote employee acceptance of the program. That employees who do not comply with the terms of Get Well be given the options of o Pay a $1,000 annual health surcharge; or o Decline employer-sponsored health coverage for the following calendar year; o Resignation; or o Termination. 1. Discussion The objective of the Get Well program is to make employees more aware of their own health status and to help them identify issues that they could mitigate on their own to become more fit. The Get Well initiative completely aligns with other current public health and fitness initiatives such as Mayor Bloombergs ban on large soft drinks and the First Ladys Lets Move campaign. There have been numerous research studies on obesity published in scholarly journals such as the Journal of the American Medical Associationand the New England Journal of Medicine. We firmly believe that many Penn-Mart employees want to get fit and that the Get Well initiative will provide the necessary incentives for them to take charge of their own wellness. Giving a blood sample and filling out a survey form is not intrusive or burdensome these are two things that people do routinely. Those who might oppose Get Well are either unfit, or they have something to hide in their medical history. To quote the famous Charles Darwin, survival of the fittest is a natural part of evolution. Get Well will make all Penn-Mart employees feel better about themselves. These recommendations have been thoroughly researched and represent state-of-the-art in our field. We are confident in your concurrence. ________________________________________ [1] 2006 was the year of Penn-Marts participation in the local Corporate Challenge road race in which some managers chose to consider participation in the race as a minor part of the annual employee performance review process; this initiative was scrapped due to a frivolous legal challenge by those who are not runners.
Compliance Memo for organization
This is a memo that needs to be in a letter form. no more than 3 pages. Instructions: Final paper: you are the Corporate Responsibility Officer at Shady Palms Medical Center, a non-profit health system in the Bronx. You organization is composed of a small (50 bed) hospital, a large nursing home (365 beds), and a home agency (serving 312 Medicare/Medicaid clients). Your immediate boss, Margaret Johnson, the CEO, asked you to organize the first annual Compliance Day, Spotlight on Ethics and Compliance. Mrs Johnson is requesting that you prepare at least one employee activity for each of the compliance elements for that day. She is making a large auditorium and the employee cafeteria available to you. The CEO is very clear that her goals for the Compliance Day are: (1) increase visibility of the Code of Conduct; (2) encourage internal reporting of ethical issues; and (3) raise awareness of compliance hotline as a tool for reporting potential ethics violations. The CEO believes that the Shady Palms employees, vendors, and agents do not necessarily understand the organizations compliance program and she is putting you on notice. Final submission: You are expected to prepare an official memo to the CEO outlining planned activities for the Compliance Day. Describe your goals and each activity in detail including target audience and objectives or what you are trying to accomplish. additional info on memo assignment: The Final pulls together most what we covered in the course. Remember that the CEO is ready to fire the CRO and this is the last time the CRO has an opportunity to turn this around so you need to make sure you miss nothing that is essential to compliance programs. I am looking for a well-written paper with correct spelling and grammar. Solid references. Presentation of both facts and your interpretation of the facts as well as your ideas/thoughts. The format is a memo to the CEO. This means the entire document has to be focused and brief. Not long! Two to three pages tops. Most of the CEOs will not read lengthly explanations, they just want to see two things: (1) your credibility and (2) the bottom line. The format is what makes this Final difficult. It is easier to spend 8 pages writing about a topic. It is much more difficult to cover everything you need in a couple of pages so you do not have a lot of space for error here. Describe activities but be to the point, not lengthly.




