Category: Health Care

Use the attached Excel worksheet to produce graphs and statistics to answer the questions below.

Use the attached Excel worksheet to produce graphs and statistics to answer the questions below. Submit your report as a Word doc and include figures and tables you generate. The report should be easy to follow and interpret and should be written as an academic paper in proper APA formatting. This paper should be 8-10 pages in length (not including the title page, abstract or references. The paper should also include properly formatted tables and graphs of the data you are given (please refer to the week 7 learning material on formatting tables and graphs), as well as, the data you analyzed. 1. Look at the Excel Spreadsheet attached. There are 3 worksheets (see tabs on bottom of page – “Nurse’s Interview”, “Epi Curve”, “Retrospective Cohort Study”). The first sheet “Nurse’s Interview” has a line list of employees who work at Flinn Corporation. This sheet represents the data the nurse has collected from those employees in an interview. Do you think that an outbreak exists? Why would you recommend to further investigate? Discuss your reasoning. (Step 2: Establish outbreak) 2. Research salmonellosis using academic sources. Are the symptoms that the ill employees exhibit consistent with salmonellosis? Provide a brief summary (1-2 paragraphs) of the disease and discuss the chain of infection for this disease. Use in-text citations in proper APA format and include all sources in your reference section. (Step 3: Verify diagnosis) 3. Identify the percentage of ill employees with each symptom. For example, 1 out of 12 ill employees had blood in stool (Bs) = 8.3%. (Step 4: Working case definition) 4. Conduct descriptive epidemiology (Step 6). Describe the characteristics of the ill employees to determine trends and risk factors. a. Person – Calculate the percentage of ill employees that are male/female. Determine the mean age of the ill employees. b. Place – What percentage of ill employees ate at the cafeteria? What percentage of well employees ate at the cafeteria? c. Time – Using the data collected in the Nurse’s Interview, fill in the column “# of cases” in the “Epi Curve” worksheet. Use 0 if there are no cases. As you fill in the data, the graph will automatically generate. Choose an appropriate title for the graph. Copy and paste graph into your report. What type of epidemic curve is it ? (Hint: read https://www.cdc.gov/foodsafety/outbreaks/steps/detection.html) 5. Based on the information you have gathered, you have developed an hypothesis that there is a food being served at the cafeteria that is causing the employees to become ill. You need to further test this hypothesis by conducting a retrospective cohort study (Step 8). Use the worksheet “Retrospective Cohort Study” to calculate attack rates and risk ratios. The first food item Baked Chicken is done for you. You can also consult https://www.cdc.gov/foodsafety/outbreaks/steps/detection.html for help. Report the Risk ratio for each food item. Based on risk ratios, which is food is most likely to be the source of the illness? Explain. 6. Based on your findings, what would you recommend for prevention and control measures? Apply food safety principles from academic sources to discuss further prevention of Salmonella outbreaks in the cafeteria. (Step 11) Use in-text citations and include sources in reference section. 7. Include a properly formatted reference section in APA format that includes at least 3 academic sources (popular sources should not be used). 8. Tips for writing your paper: Include the entire table of risk ratios and attack rates as one table, make sure to include the graph of cases reported, and you can also include the tables from the Nurses interview in the attached Excel file. Attachments PBHE427 Week 7 assignment.xlsx (20.19 KB) APA 7 Student Sample Paper.pdf (645.73 KB)

Clinical Journal Nurses as Leaders in Healthcare Reform:A description of the most pressing mental health concerns in children

Clinical Journal Nurses as Leaders in Healthcare Reform: A description of the most pressing mental health concerns in children and adolescents you selected. Provide an overview of the articles you found (using appropriate APA citations) relating to these concerns and highlight any KEY FINDINGS. Explain how the PMHNP leader role could help psychiatric mental health nursing be at the forefront in transforming mental health care delivery and mental health equity. In a 6-page paper: 1• Description of mental health concern selected- 1 point 2• Overview of outside articles with Key Findings -1 point 3• What is “mental health equity?”-1 point 4• How do you apply “mental health equity” in your selected health concern -2 points 5• How can PMHNP facilitate “mental health equity” -2 points 6• Discuss how the PMHNP as nurse leader could help psychiatric mental health nursing be at the forefront in the transformation of mental health care delivery and mental health equity- 2 points • References-1 point You will have a total of 4 pages, including 1. Page 1-Cover page, 2. Page 2-5, Body of the paper, 3. Page 6 – Reference Page.

Mesolimbic and Mesocortical Pathways:According to Boyle et al.,“The mesocortical pathway involves dopaminergic neurons

Please comment on these two posts:
Post 1:
Mesolimbic and Mesocortical Pathways:

According to Boyle et al., “The mesocortical pathway involves dopaminergic neurons that project from the ventral tegmental area (VTA) to cortical regions, including the orbitofrontal cortex (OFC), ventromedial prefrontal cortex (vmPFC), medial prefrontal cortex (mPFC), and anterior cingulate cortex (ACC) (Boyle et al., 2023). However, in simpler terms, as presented in our lesson, the Mesocortical pathway projects to the cerebral cortex from the VTA for motivation, concentration, executive function, and emotions, which play a role in processing reward. With this understanding, providers can choose the correct medications that can either increase or decrease dopamine in conditions such as depression or schizophrenia.

The pathway that is most often associated with reward is the mesolimbic dopamine pathway. The VTA is the primary source of dopamine production. It uses the mesolimbic dopamine pathway to connect the nucleus accumbens, strongly associated with emotional expression, learning and reinforcement, and hedonic capacity (Travis & Daroff, 2003, p. 202). This nucleus is located in the ventral Striatum. When one experiences something rewarding or uses an addictive drug, the dopamine neurons in the VTA are activated. They are projected to the nucleus accumbens via the mesolimbic dopamine pathway, which causes dopamine to rise (Neuroscientifically Challenged, 2015). The role in pharmacology the mesolimbic pathway plays is using medications that can treat ADHD or addiction that can help with the dysregulation of dopamine.

References

Boyle, C., Bower, J., Eisenberger, N., & Irwin, M. (2023). Stress to inflammation and anhedonia: Mechanistic insights from preclinical and clinical models. Neuroscience & Biobehaviroal Reveiws, 152(105307). Retrieved March 13, 2024, from https://doi.org/Stress to inflammation and anhedonia: Mechanistic insights from preclinical and clinical models

Neuroscientifically Challenged. (2015, February 15). 2-Minute Neuroscience: Reward System [Video]. Youtube.

Travis, A., & Daroff, R. (2003). Mood Disorders, Biology (M. Aminoff, Ed.). Academic Press. https://doi.org/10.1016/B0-12-226870-9/01184-9
Post 2:
What is the difference between pharmacokinetics and pharmacodynamics? How does this influence how you might prescribe a medication?

Pharmacokinetics is how a medication is absorbed, distributed, metabolized, and excreted. In other words, it is what the body does to a drug after it is administered, and it leaves the body. Pharmacodynamics is how a drug exerts itself within the systems of the body or what effects (including side effects) the medication causes. Each influences how drugs are prescribed.

Some medications circumvent the more common routes of administration to avoid the first-pass effect. Delivering medication directly to where you want it, as with a local anesthetic, not only increases the amount of bioavailable drugs but also allows for anesthesia without general sedation. It is also well known that certain compounds can aid in the absorption of another drug. For example, they take vitamin C with an iron supplement or vitamin D with calcium. A slow, steady absorption could be the best way to deliver a drug into circulation. In addition, an intramuscular injection can also erase questions of patient compliance. The two reasons above are what make long-acting injectables viable.

Distribution matters tremendously in psychiatry and neurology because medications will likely have to cross the blood-brain barrier at some point. In obstetrics, distribution across the placental barrier is a huge variable to consider when conscientiously prescribing. Lastly, “Protein binding can also act as a reservoir as the drug is released slowly, causing a prolonged action” (Ernstmeyer K & Christman E, 2023). It can also change the tissues to which a drug is distributed.

Metabolism changes how one prescribes a drug, as drugs that are processed intensely in the kidney will be a second choice for elderly patients. Ghaemi (2019) states, “Kidney function is naturally affected by age, with a 1% decline per year in excretion capacity.” Similarly, liver function must be included in decisions about prescribing. For example, alternatives to benzodiazepines should be considered first in a patient with fatty liver disease.

It is reasonable to consider excretion in prescribing as humans, unlike many other living things, requires adequate hydration to excrete waste or drugs through urine.

Side effects from the pharmacodynamics of the medication, whether subjective or objective, play a huge role in compliance for psychiatric patients (Ghaemi, 2019).

Ernstmeyer K & Christman E. Nursing Pharmacology [Internet]. 2nd edition. Eau Claire (WI): Chippewa Valley Technical College; 2023. Chapter 1 Pharmacokinetics & Pharmacodynamics. Available from: https://www.ncbi.nlm.nih.gov/books/NBK595006/

Ghaemi, S. N. (2019). Clinical psychopharmacology: principles and practice. Oxford University Press.

I have attached a PDF of the chapter book name is Walston, Stephen L. (2014). Strategic Healthcare Management. Chicago

I have attached a PDF of the chapter book name is Walston, Stephen L. (2014). Strategic Healthcare Management. Chicago, IL: Health Administrative Press. 1st edition.

In this discussion, you will present strategies and best practices for data creation and use

Have you ever been involved in a situation in which someone’s sensitive personal health information (PHI) was or could have been revealed inappropriately? Or can you imagine the patient’s reaction in this situation?
In this discussion, you will present strategies and best practices for data creation and use, and evaluate the effectiveness of existing guidelines in protecting patient health information across the healthcare system continuum. You will also consider how government and private entities work together to keep PHI restricted, as it should be.
Frame your response to include these issues:
Compile a comprehensive list of strategies that you consider particularly impactful for both data generation and utilization. Elaborate on how these strategies serve to preserve patient privacy.
Articulate the rationale for implementing these guidelines, emphasizing their relevance both within governmental frameworks and within private sector health institutions, for the safeguarding of PHI.
Analyze the role and significance of the HIPAA privacy law in safeguarding PHI within the diverse healthcare systems.
After you have posted your initial response, react to at least two of your classmates’ initial posts. How do their chosen strategies and guidelines align with yours? Does their assessment change yours? Are there any consequences of not protecting PHI that they identified that you had not considered?

Discussion Question:
After reading about Managed Care Plans, what type of plan d

Discussion Question:
After reading about Managed Care Plans, what type of plan do you or have you had? Many employers are now offering employees a choice between a high premium lower deductible plan and a low premium higher deductible plan with a health saving account. What should you take into consideration when deciding which plan to enroll in?

Now that we developed a definition of wellness, we are turning to how wellness

Now that we developed a definition of wellness, we are turning to how wellness applies to you personally for this week’s discussion. This application could be related to your personal experiences or things you have observed of those around you.
Each discussion is meant to be a collaborative space for conversation in which to process the concepts within the course. To ensure an interesting and respectful discussion, you are encouraged to think creatively about your initial posts and build upon the points made by your peers. Discussing challenges that face our world often means investigating opinions and ideas different from your own. Remember to remain thoughtful and respectful towards your peers and instructor in your discussion post and replies. It is also important to review the module resources and read the prompts in their entirety before participating in the discussion.
Create one initial post .
For your initial post, address the following:
1. Describe an experience within your community related to one or more of the eight dimensions of wellness in which bias had an impact.
A. What did you take away from this experience, and how did it influence your understanding of wellness?
B. How does having a better understanding of bias influence your thoughts about this experience and about wellness?

This week, your term paper assignment’s second of three parts is due. In this pa

This week, your term paper assignment’s second of three parts is due. In this part, describe at two solutions to the healthcare finance problem/issue you described in Part I. Part II should be at least two double-spaced pages (excluding titles, illustrations, and references) and a maximum of three pages – for this part. For total points in Part II, incorporate all feedback/recommendations that you received from your Part I grade. Do not just merge the documents, but include a transition sentence between them. Follow all APA Guidelines. By the end of Part II, you should have added more references to the reference page. You are building your term paper in parts into one complete document. For Part II of your paper and Part III – please focus on articles/publications no older than 2018.

Action Items
The regular increase in healthcare expenditures has been attributed

Action Items
The regular increase in healthcare expenditures has been attributed, in part, to the development and utilization of new technologies. Compared to other factors that influence expenditure growth, how significant is the technology factor given the benefits technology offers in both patient care and quality and performance outcomes?
Are the costs justified given such benefits?
Conduct basic research about the issue.
Consider both current and historical information, as applicable.
Reflect on the issues. While there may be a relatively straightforward answer or approach, consider the issues from different perspectives.
Consider additional implications, impacts, etc. related to the issues.
Ebook will be the source for this (Ch5 & 12)
Reference
Shi, L., & Singh, D. A. (2021). Delivering Health Care in America: A Systems Approach (8th ed.). Jones & Bartlett Learning. https://reader2.yuzu.com/books/9781284249484

APA FORMAT IN 3RD PERSON writing
Review the conflict of interest scenario (parts

APA FORMAT IN 3RD PERSON writing
Review the conflict of interest scenario (parts 1 and 2) below. Identify the issue and indicate the regulation or best practice principle involved. How should the organization/provider respond to the issue? In addition, what should the organization/provider do to prevent future issues or mitigate any future harm/damage to the patient or the organization?
please let me know if you are not able to see the scenario scene videos.
Maximum 7 pages – not including title page, references, or appendices. APA format is required. Minimum of 4 academic and/or professional references.
Scenario # 1
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https://bellevue.mediaspace.kaltura.com/media/Conflict+of+InterestA+Scene+1/1_c24wxqi2
Conflict of Interest: Scene 1
Conflict of Interest
scenario #2
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https://bellevue.mediaspace.kaltura.com/media/Conflict+of+Interest+AScene+2/1_mrt74rjm
Conflict of Interest: Scene 2
Conflict of Interest