Obesity in Alabama

Epidemiological IssuesWhat epidemiological issues did you find in your community? What differentiates these as epidemiological issues vs. individual issues? For example, hypertension in the African American population is an epidemiological issue, but in the Caucasian population, it is an individual issue.Justify your response based on the readings or articles from the South University Online Library.I would like this to be about obesity in Alabama

 
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How did the change of the trend to move from manual to electronic health records (EHR).affect the views of the people invovled in regards to the delivery of health care?

How did the change  of  the trend to move from manual to electronic health records (EHR).affect the views of the people invovled in regards to the delivery of health care?No more than 50 words – only just your opinion-references if you have one. Need today.

 
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Conflict handling paper

Create a 3 page Microsoft Word document that:Includes a description of nursing change theories, conflict theories, and the nurse leader as a change agent.Explain your conflict handling style and how your ability to handle conflict can either enhance or hinder effective leadership in the health care environment. Support your responses with at least 2 examples.

 
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Nursing Technology Systems

Assignment: Application: Adoption of New Technology SystemsAs a nurse, you can have a great impact on the success or failure of the adoption of EHRs. It is important for nurses to understand their role as change agents and the ways they can influence others when addressing the challenges of changing to a drastically different way of doing things.Everett Rogers, a pioneer in the field of the diffusion of innovations, identified five qualities that determine individual attitudes towards adopting new technology (2003). He theorized that individuals are concerned with:Relative advantage: The individual adopting the new innovation must see how it will be an improvement over the old way of doing things.Compatibility with existing values and practices: The adopter must understand how the new innovation aligns with current practices.Simplicity: The adopter must believe he or she can easily master the new technology; the more difficult learning the new system appears, the greater the resistance that will occur.Trialability: The adopter should have the opportunity to “play around’ with the new technology and explore its capabilities.Observable results: The adopter must have evidence that the proposed innovation has been successful in other situations.Note: You are not required to purchase Rogers’ book or pursue further information regarding his list of five qualities. The information provided here is sufficient to complete this Assignment. The full reference for Rogers’ work is provided below the due date on this page.For this Assignment, you assume the role of a nurse facilitator in a small hospital in upstate New York. You have been part of a team preparing for the implementation of a new electronic health records system. Decisions as to the program that will be used have been finalized, and you are now tasked with preparing the nurses for the new system. There has been an undercurrent of resistance expressed by nurses, and you must respond to their concerns. You have a meeting scheduled with the nurses 1 week prior to the training on the new EHR system. Consider how you can use the five qualities outlined by Rogers (2003) to assist in preparing the nurses for the upcoming implementation.To prepareReview the Learning Resources this week about successful implementations of EHRs.Consider how you would present the new EHR system to the nurses to win their approval.Reflect on the five qualities outlined by Rogers. How would addressing each of those areas improve the likelihood of successRESOURCESMcGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.Chapter 15, “The Electronic Health Record and Clinical Informatics”This chapter describes the crucial parts of an electronic health record system and explores the benefits of implementing one.Bates, D. W. (2010). Getting in step: Electronic health records and their role in care coordination. Journal of General Internal Medicine, 25(3), 174–176.Retrieved from the Walden Library databases.The author of this editorial critically analyzes current applications of electronic health records (EHRs) and their impact on cost, quality, and safety of health care delivery. The author describes a study on the use of vendor-developed EHRs in clinical practice settings, the results of which pinpointed the benefits and drawbacks of EHRs.Cresswell, K., & Sheikh, A. (2009). The NHS Care Record Service: Recommendations from the literature on successful implementation and adoption. Informatics in Primary Care, 17(3), 153–160.Retrieved from the Walden Library databases.This article defines the United Kingdom’s National Health Service’s Care Record Service (NHS CRS) as a standard electronic health record system. The article describes the challenges associated with implementing this new information technology and provides recommendations for overcoming those challenges.Fickenscher, K., & Bakerman, M. (2011). Change management in health care IT. Physician Executive, 37(2), 64–67.Retrieved from the Walden Library databases.This article offers strategies for health care leaders to successfully implement change programs in their organizations, especially with regard to the new standards for electronic health records (EHRs). The article provides insights on change management, the reasons people resist change, and the ways to establish a culture that is more open to change initiatives.Gruber, N., Darragh, J., Puccia, P. H., Kadric, D. S., & Bruce, S. (2010). Embracing change to improve performance. Long-Term Living: For the Continuing Care Professional, 59(1), 28–31.Retrieved from the Walden Library databases.This text describes the implementation of a new electronic health record system at a 105-bed hospital related-facility. The authors highlight five key elements that were deemed necessary for a successful EHR implementation.Hyrkäs, K., & Harvey, K. (2010). Leading innovation and change. Journal of Nursing Management, 18(1), 1–3.Retrieved from the Walden Library databases.According to the authors, the health care field is in need of more effective leaders who understand innovation, who appreciate diversity and change, and who can foster and implement innovation and creativity. The authors describe how nurse leaders can be instrumental in embracing and disseminating innovation throughout the health care system and provide scaffolding for subsequent articles in this issue of the journal.Mooney, B. L., & Boyle, A. M. (2011). 10 steps to successful EHR implementation. Medical Economics, 88(9), S4–6, S8–S11.Retrieved from the Walden Library databases.The authors of this article describe the incentives and requirements for electronic health records (EHRs) outlined in the Health Information Technology for Economic and Clinical Health (HITECH) Act. The authors then provide 10 steps for health care leaders and organizations to follow when implementing EHRs.Murphy, J. (2011). Leading from the future: Leadership makes a difference during electronic health record implementation. Frontiers of Health Services Management, 28(1), 25–30.Retrieved from the Walden Library databases.In this article, the author examines the causes behind the increasing complication of EHR implementations. In addition, the author explores the role of leadership in guiding successful EHR implementations.Write a 4-page paper which includes the following:Using Rogers’ (2003) theory as a foundation, outline how you would approach the meeting with the nurses. Be specific as to the types of information or activities you could provide to address each area and include how you would respond to resistance.Analyze the role of nurses as change agents in facilitating the adoption of new technology.Evaluation Criteria for Applications and Formal PapersLevels of AchievementCriteriaOutstanding PerformanceExcellent PerformanceCompetent PerformanceProficient PerformanceRoom for ImprovementQUALITY OF WORK SUBMITTED -1. The extent to which work meets the assigned criteria and work reflects graduate level critical and analytic thinking (0-30 Points)30 to 30 pointsAssignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics25 to 29 pointsAssignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics20 to 24 pointsAssignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.16 to 19 pointsAssignment meets most of the expectations. One required topic is either not addressed or inadequately addressed.0 to 15 pointsAssignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.QUALITY OF WORK SUBMITTED: Purpose of the paper is clear (0-5 Points)5 to 5 pointsA clear and comprehensive purpose statement is provided which delineates all required criteria.5 to 5 pointsA clear and comprehensive purpose statement is provided which delineates all required criteria.4 to 4 pointsPurpose of the assignment is stated, yet is brief and not descriptive.1 to 3 pointsPurpose of the assignment is vague.0 to 0 pointsNo purpose statement was provided.ASSIMILATION AND SYNTHESIS OF IDEASThe extent to which the work reflects the student’s ability to-1. Understand and interpret the assignment’s key concepts (0-10 Points)10 to 10 pointsDemonstrates the ability to critically appraise and intellectually explore key concepts.9 to 9 pointsDemonstrates the ability to critically appraise and intellectually explore key concepts.8 to 8 pointsDemonstrates a clear understanding of key concepts.5 to 7 pointsShows some degree of understanding of key concepts.0 to 4 pointsShows a lack of understanding of key concepts, deviates from topics.ASSIMILATION AND SYNTHESIS OF IDEAS 2. Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources (0-20 Points)20 to 20 pointsDemonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.15 to 19 pointsDemonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.10 to 14 pointsIntegrates specific information from 1 credible outside resource and 3 to 4 course resources to support major points and point of view.3 to 9 pointsMinimally includes and integrates specific information from 2-3 resources to support major points and point of view.0 to 2 pointsIncludes and integrates specific information from 0 to 1 resource to support major points and point of view.ASSIMILATION AND SYNTHESIS OF IDEAS 3. Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, and textbook) by comparing different points of view and highlighting similarities, differences, and connections. (0-20 Points)20 to 20 pointsSynthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.18 to 19 pointsSynthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.16 to 17 pointsSummarizes information gleaned from sources to support major points, but does not synthesize.14 to 15 pointsIdentifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped.0 to 13 pointsRarely or does not interpret, apply, and synthesize concepts, and/or strategies.WRITTEN EXPRESSION AND FORMATTING 1. Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance. (0-5 Points)5 to 5 pointsParagraphs and sentences follow writing standards.5 to 5 pointsParagraphs and sentences follow writing standards.4 to 4 pointsParagraphs and sentences follow writing standards 80% of the time.3 to 3 pointsParagraphs and sentences follow writing standards 70% of the time.0 to 2 pointsParagraphs and sentences follow writing standards < 70% of the time.WRITTEN EXPRESSION AND FORMATTING 2. English writing standards: Correct grammar, mechanics, and proper punctuation (0-5 Points)5 to 5 pointsUses correct grammar, spelling, and punctuation with no errors.5 to 5 pointsUses correct grammar, spelling, and punctuation with no errors.4 to 4 pointsContains a few (1-2) grammar, spelling, and punctuation errors.3 to 3 pointsContains several (3-4) grammar, spelling, and punctuation errors. 30 to 2 pointsContains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.WRITTEN EXPRESSION AND FORMATTING 3. The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list (0-5 Points)5 to 5 pointsUses correct APA format with no errors.5 to 5 pointsUses correct APA format with no errors.4 to 4 pointsContains a few (1-2) APA format errors.3 to 3 pointsContains several (3-4) APA format errors.0 to 2 pointsContains many (≥ 5) APA format errors.

 
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Nutrition & Hydration / Persistent Vegetative State (PVS)

Cure / care: compare and contrast.Basic care: Nutrition, hydration, shelter, human interaction.Are we morally obliged to this? Why? ExampleSwallow test, describe; when is it indicated?When is medically assisted N/H indicated?Briefly describe Enteral Nutrition (EN), including:NJ tubeNG tubePEGBriefly describe Parenteral Nutrition (PN), including:a. Total parenteral nutritionb. Partial parenteral nutritionBioethical analysis of N/H; state the basic principle and briefly describe the two exceptions.Case Study: Terry Schiavo (EXCEL FILE onModule 7: Lecture Materials & Resourcespage). Provide a bioethical analysis of her case; should we continue with the PEG or not? Why yes or why not?Read and summarize ERD paragraphs #:  32, 33, 34, 56, 57, 58.

 
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U2A1

Assignment Instructions  OverviewWhat does it take to develop interprofessional collaborative teams?Requirements  For this assignment, complete the following:•Explain from a nursing perspective what is meant by the term interprofessional collaboration. (Do not simply copy a definition from a dictionary or other resource!)•Describe the characteristics and qualities of effective interprofessional teams in terms of patient care and safety.•Describe the benefits and limitations of interprofessional teams for health care organizations, members of a team, and patients.•Identify the challenges of working in an interprofessional team.•Describe strategies to help people come together to function effectively as a collaborative team.•Explain how interprofessional teams define success. Consider how the definition might change based on the types of situations the team was formed to handle.Your completed assignment should be 3–4 pages in length, not including title page and reference page. Support your statements with references to and citations for at least 3 scholarly and professional journals in APA format.Be sure to follow APA guidelines for style and format. In addition:•Include a title page and reference page.•Use Times New Roman font, 12 point.•Double–space your paper.

 
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Chapter 13, Case 1

Chapter 13, Case 1Reggie is a 42-year-old African American male recently referred for outpatient psychotherapy by his PCP. While he is in relatively good health, he admitted to his doctor that he has been drinking alcohol excessively again over the last three months. Reggie had a problem with alcohol when he was in his twenties, but with the help of AA and his first male partner, he was able to cease drinking for the last 19 years. Reggie admits that it has not always been easy for him to abstain, but he is committed to trying again. He has attended AA meetings but has not been able to maintain complete sobriety. On average, he has one or two drinks nearly every evening. His partner, Bob, has a zero-tolerance policy for Reggie’s drinking and has moved in with a friend rather than deal with Reggie’s promises to stop. Reggie is worried that Bob may not come back. Reggie does not want to end up like his father, who drank himself to death at the age of 56. His father and mother divorced when Reggie was only 15. Reggie’s only sister had a serious addiction to benzodiazepines and spent 28 days in a rehab center. She is clean now but also abuses alcohol on occasion.Questions:Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.Summarize the clinical case.What is the DSM5 diagnosis?  Identify the rationale for your diagnosis using the DSM5 diagnostic criteria.According to the clinical guidelines, which one pharmacological treatment is most appropriate to prescribe? Include the medication name, dose, frequency and rationale for this treatment.According to the clinical guidelines, which one non-pharmacological treatment would you prescribe? (exclude psychotherapy modalities)  Include the risk and benefits of the chosen rationale for this treatment.Include an assessment of medication’s appropriateness, cost, effectiveness, safety, and potential for patient adherence.Use a local pharmacy to research the cost of the medication. Use great detail when answering questions 3-5.Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

 
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week 2 mid assignment

mid assignment week2

 
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Peer Respond Discussion 5

Hello writer please instructions attached

 
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Irish, Italian, and Puerto Rican heritage

1.  Describe the popular health care beliefs of these three culture ( Irish, Italian, and Puerto Rican )and if there is any similarity in their beliefs.2.  How the cultural health care beliefs of these three cultures influence the delivery of health care and how you as a professional  nurse can deal with them while providing nursing care.APA formatArial 12 fontA minimum of two evidence based references no older than 5 yearsA minimum 500 words are required.

 
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