Discuss the principles of holistic care and the four principles of the holistic caring process

Paper, Order, or Assignment Requirements

Project Summarization

submit a completed final project, in the form of a scholarly paper,
Discuss the principles of holistic care and the four principles of the holistic caring process
Discuss the differences in patient needs when developing a holistic plan of care
Discuss the similarities and differences between complementary and alternative medicine and western medicine
Describe the role of nutrition, exercise, humor and music therapy in complementary and alternative medicine
Discuss three main barriers to changing our current healthcare system to a more integrative system of care
Create a short summary of the case file (age, sex, diagnosis)
Complete a comprehensive, review of needs or problems discovered, and provide rationales and interventions to address the needs
Discuss implementation and evaluation of complementary and alternative modalities within the plan of care
Write a short summary in 2–3 paragraphs about the highlights of what this course added to your professional practice and the way you will practice nursing in the future

Health Care
Each student will independently conduct a research proposal. To complete this project, students will need to:

Choose a topic that focuses on how data management has been used in health
Locate peer-reviewed articles to bolster the topic
Be written in APA style
Be between 5-7 pages in length

This research project will require you to choose a topic that focuses on how data management, surveying, or statistics have been used in health or health-related fields. The field of health is very diverse. It covers topics such as mental health, nutrition, epidemiology, sexual health, and many more. When you choose a topic, please email it to me, so I can approve it, and maybe make some suggestions.

 

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Why is it easier to measure the effects of smoking on individual’s health than it is to measure the effects of anti-smoking campaigns on health?

Health Care Economics
Paper, Order, or Assignment Requirements

SECTION II. SHORT ANSWERS (10 points each) Place your cursor after the arrows → and type the requested information or your answer. Expect that the text will move to accommodate the length of your answer.
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1. Why is it easier to measure the effects of smoking on individual’s health than it is to measure the effects of anti-smoking campaigns on health? Be sure to discuss the idea of medical care as derived demand.

2. Discuss your opinion about the efficiency (or lack of thereof) of the Medicaid reimbursement mechanism for nursing home care. Do you expect the Medicaid reimbursement mechanism for nursing home care to change in the future, or to remain as is? Why?

3. Give some reasons for and against the idea that paying emergency room physicians a salary might provide an incentive for lower productivity than if they are paid by volume of services performed.

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4. Explain why patients in hospitals are generally insensitive to price, but buyers of health insurance are sensitive to price differences in health insurance policies. Be sure to include an explanation of why insurance companies are very price competitive.

5. The number of large US employers offering wellness programs to their employees has been steadily increasing over the years. Weight management, nutrition, fitness, and/or other wellness initiatives are now being offered by more than half of such employers. Use the concept of determinants of health to discuss the reasoning behind this trend. What do the employers expect to gain from this additional expense? Compare short-run versus long-run gains, private versus societal gains.

SECTION III. ESSAY QUESTIONS (15 points each)

These questions are designed to elicit broad integrative critical thinking and the application of policy and economics course concepts, principles and material. Thus, be sure to use policy and economics concepts, principles, and material from course in answering the following essay questions. For each essay, there is not one single ‘correct answer’; instead, various answers are possible depending on how well they are argued and supported. So have fun expressing your own points of view, but support your views with course material. Take some time to think first, organize your thoughts second, and write third.

Essay 1 (15 points)

The U.S. government subsidizes the private provision of health insurance through employers. Benefits paid to employees are deductible as expenses by firms. Why then do most small employers in the US not offer health insurance benefits to their employees? Why private insurers, often not willing to sell insurance contracts to small employer groups before the enactment of PPACA, may be more inclined to offer an “essential benefits package” at affordable rates through such exchanges in the near future?

________________________________________
Essay 2 (15 points)

Why does the ACA allow for a significant variety in the types of “qualified” plans that can be offered by health insurance exchanges? Wouldn’t it be less expensive for the states (in terms of administrative costs) to offer just one standard plan of essential benefits to everyone?

 

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Home Visit With Sallie Mae Fisher

Home Visit with Sallie Mae Fisher
Paper, Order, or Assignment Requirements

As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (https://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).
Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.
Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:
Essay Portion
After viewing the home visit, write an essay of 500-750-words in which you do the following:
1. Identify, prioritize, and describe at least four problems.
2. Provide substantiating evidence (assessment data) for each problem identified.
3. Identify and describe at least four medical and/or nursing interventions.
4. Discuss your rationale for the interventions identified.
Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Scripted Dialogue Portion
Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.
Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:
Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”
APA format is not required for this part of the assignment, but solid academic writing is expected.
Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”
Entire Assignment
identify and discuss at least 4 key medical and/or nursing interventions. Provide a rational for the four interventions and support with outside resources.

Sallie Mae Fisher’s Health History
and Discharge Orders

Sallie Mae Fisher Health History
Ms. Fisher is an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension. During the last 6 months, she has been hospitalized four times for exacerbation of her CHF. She was discharged home last Saturday from the hospital after a 3-day stay to treat increased dyspnea, an 8-pound weight gain, and chest pain.
Ms. Fisher is recently widowed and lives alone. She has a daughter, Thelma Jean, who lives in town but works full time and has family issues of her own. Therefore, family support is limited.
Hospital Discharge Instructions
• Mountain Top Home Health to evaluate cardio-pulmonary status, medication management, and home safety.
• Medical Equipment Company to deliver oxygen concentrator and instruct patient in use. O2 at 2 liters per nasal prongs PRN.
• Prescriptions given at discharge:
o Digoxin 0.25 mg once a day
o Lasix 80 mg twice a day
o Calan 240 mg once a day
• Order written to continue other home meds.

Sallie Mae’s Home Medication List
• Zocar 50 mg once a day
• Minipres 1 mg once a day
• Vasotec 10 mg twice a day
• Prilosec 20 mg once a day
• Furosemide 40 mg once a day
• Effexor 37.5 mg at bedtime
• Lanoxin 0.125 mg every other day
• Multivitamin once a day
• Potassium 40 mEq once a day
• Ibuprofen 400 mg q 4 hours as needed for pain
• Darvocet N 100 mg q 4 hours as needed for pain
• Nitroglycerin ointment, apply 1 inch every day

Typing Template for APA Papers: A Sample of Proper Formatting for the APA 6th Edition
This is an electronic template for papers written in APA style (American Psychological Association, 2010). The purpose of the template is to help the student set the margins and spacing. Margins are set at 1 inch for top, bottom, left, and right. The type is left-justified only—that means the left margin is straight, but the right margin is ragged. Each paragraph is indented five spaces. It is best to use the tab key to indent. The line spacing is double throughout the paper, even on the reference page. One space is used after punctuation at the end of sentences. The font style used in this template is Times New Roman and the font size is 12.
Nursing Diagnosis
The four key problems that Ms. Fisher have are the following: 1) fluid volume deficit related to several factors such [a) decreased motivation to drink fluids, b) related to the diet, and c) related to depression], 2) risk for fluid and electrolyte imbalance related to inadequate oral fluid intake and use of diuretics 3) risk for falls related to the illness, 4) risk for imbalance nutrition related to inadequate dietary intake less than body requirements.
Evidence to Support the Diagnosis
The assessment data that would support the first diagnosis of fluid volume deficit are as follows: 1) the fact that her blood pressure was only 90/56, 2) her skin turgor is coarse with the finding of tenting of the skin (normal skin when pinched for a few seconds should go immediately back to its original state), 3) her mucous membranes are dry. The second diagnosis is risk for fluid and electrolyte imbalance related to inadequate fluid intake and use of diuretics with the assessment showing hypoactive bowel sounds, low blood pressure, and her verbalization that her mind is cloudy. The third diagnosis of risk for falls related to her illness is that she almost tripped on the floor rug, her low blood pressure, and her verbalization that her mind is cloudy and she did not exhibit good balance as she was walking to the door. The fourth diagnosis is risk for imbalance nutrition related to inadequate dietary intake related to less than body requirement as evidenced by her fourteen pounds weight loss, walks slow, posture bent forward and her verbalization that she only had a can of soup for food .

The subheading above would be used if there are several sections within the topic labeled in a heading. The subheading is flush left and bolded, with each word of four letters or more capitalized.
Second Subheading
APA dictates that you should avoid having only one subsection heading and subsection within a section. In other words, use at least two subheadings under a main heading, or do not use any at all.
When you are ready to write, and after having read these instructions completely, you can delete these directions and start typing. The formatting should stay the same. However, one item that you will have to change is the page header, which is placed at the top of each page along with the page number. The words included in the page header should be reflective of the title of your paper, so that if the pages are intermixed with other papers they will be identifiable. When using Word 2003, double click on the words in the page header. This should enable you to edit the words. You should not have to edit the page numbers.
In addition to spacing, APA style includes a special way of citing resource articles. See the APA manual for specifics regarding in-text citations. The APA manual also discusses the desired tone of writing, grammar, punctuation, formatting for numbers, and a variety of other important topics. Although the APA style rules are used in this template, the purpose of the template is only to demonstrate spacing and the general parts of the paper. The student will need to refer to the APA manual for other format directions. GCU has prepared an APA Style Guide available in the Student Writing Center for additional help in correctly formatting according to APA style.
The reference list should appear at the end of a paper (see the next page). It provides the information necessary for a reader to locate and retrieve any source you cite in the body of the paper. Each source you cite in the paper must appear in your reference list; likewise, each entry in the reference list must be cited in your text. A sample reference page is included below; this page includes examples of how to format different reference types (e.g., books, journal articles, information from a website). The examples on the following page include examples taken directly from the APA manual.

 

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Summarize this intervention and the Community Health Nurse’s role in implementing this strategy.

Week 5 Case Study
Paper, Order, or Assignment Requirements

This case study provides you with an opportunity to immerse yourself in the role of a Community Health Nurse and examine primary, secondary, or tertiary prevention strategies related to two population health problems. As you work through the case, reflect on what you have learned from this course about community health nursing and apply it to this scenario.
Your role: You continue to work as a community health nurse in your local health department. At a department meeting several months ago, new epidemiological data was presented that showed a disturbing increase in alcohol abuse rates. A community wide coalition was convened to assess these problems and you volunteered to be a member of this task force. The task force has met several times and analyzed assessment data and is beginning to consider intervention options.
Task force members:
• Christina is a social worker with the health department.
• Tracey is a case worker from Child Protection Services.
• Paul is a pastor at a local church.
• Susan is the school nurse with the elementary and middle schools.
• Eric is the director of a local emergency department.
Your charge:
Visit The Community Guide website (https://www.thecommunityguide.org/) to explore interventions related to excess alcohol consumption. https://www.thecommunityguide.org/alcohol/index.html
Choose one evidence-based intervention (one that is recommended) and present this intervention to the task force.
• Summarize this intervention and the Community Health Nurse’s role in implementing this strategy.
• Describe whether it (evidence-based intervention) is considered a primary, secondary, or tertiary prevention strategy and include your rationale (see Nies & McEwen, 2015, Chapter 1, p. 7 for a review of levels of prevention).
Nies & McEwen, 2015, CHAPTER 1 PAGE 7 EXCERPT BELOW:
Leavell and Clark (1958) identified three levels of prevention commonly described in nursing practice: primary prevention, secondary prevention, and tertiary prevention.
Primary prevention relates to activities directed at preventing a problem before it occurs by altering susceptibility or reducing exposure for susceptible individuals. Primary prevention consists of two elements: general health promotion and specific protection. Health promotion efforts enhance resiliency and protective factors and target essentially well populations. Examples include promotion of good nutrition, provision of adequate shelter, and encouraging regular exercise. Specific protection efforts reduce or eliminate risk factors and include such measures as immunization and water purification (Keller et al, 2004a, McEwen and Pullis, 2009).
Secondary prevention refers to early detection and prompt intervention during the period of early disease pathogenesis. Secondary prevention is implemented after a problem has begun but before signs and symptoms appear and targets those populations that have risk factors (Keller et al, 2004a).
Mammography, blood pressure screening, scoliosis screening, and Papanicolaou smears are examples of secondary prevention.
Tertiary prevention targets populations that have experienced disease or injury and focuses on limitation of disability and rehabilitation. Aims of tertiary prevention are to keep health problems from getting worse, to reduce the effects of disease and injury, and to restore individuals to their optimal level of functioning (Keller et al, 2004b, McEwen and Pullis, 2009). Examples include teaching how to perform insulin injections and disease management to a patient with diabetes, referral of a patient with spinal cord injury for occupational and physical therapy, and leading a support group for grieving parents.
Much of community health nursing practice is directed toward preventing the progression of disease at the earliest period or phase feasible using the appropriate level(s) of prevention. For example, when applying “levels of prevention” to a client with HIV/AIDS, a nurse might perform the following interventions:
•Educate students on the practice of sexual abstinence or “safer sex” by using barrier methods (primary prevention)
•Encourage testing and counseling for clients with known exposure or who are in high-risk groups; provide referrals for follow-up for clients who test positive for HIV (secondary prevention)
•Provide education on management of HIV infection, advocacy, case management, and other interventions for those who are HIV positive (tertiary prevention) (McEwen and Pullis, 2009).
Reference

 

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What are the pharmacist’s responsibilities to a patient?

ROLE OF ALLIED PROFESSIONAL
Paper, Order, or Assignment Requirements

Patients receive care from many professions. These include x-ray technicians, laboratory technicians, physical therapists, nutritionists, and paramedics. Even though these professionals are not doctors they are still held to a higher standard because of their contact with patients. For this case assignment read the 1994 case, Hook v. McLaughlin. (https://www.leagle.com/xmlResult.aspx?xmldoc=19941156642NE2d514_11140.xml&docbase=CSLWAR2-1986-2006). It deals with the interaction between a pharmacist and patient. After reading the case, please respond to the following questions.

What are the pharmacist’s responsibilities to a patient?
Did the pharmacist uphold those responsibilities in this case?
Do you agree with the court’s findings? Justify your response.
What are the lessons to be learned from this case for employees?
What is the impact on the patient and community when an allied healthcare professional does not perform their duties properly?
Has this case lead to any changes in the way prescriptions are handled today?
Assignment Expectations
Be sure to apply critical thinking skills from your analysis of the current literature on the above topics;
Limit your paper to 3 pages (double-spaced, 10-12 point font), not including title page and list of references;
Please use at least 3-5 scholarly sources. Please be sure to properly cite all references both within the text (at the end of paraphrased paragraphs) and at the end of your paper. I will grade your paper on your ability to address the assignment criteria listed above with depth and breadth of discussion. I will also critique your writing format (i.e. proper reference citations, spacing, etc.).

 

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Analyse Moley Robotics’ current commercial feasibility and advise the team on specific issues: Which market segment would be most suitable for the launch product and why;

Innovation & Entrepreneurship
Paper, Order, or Assignment Requirements

Robotic Kitchen
The team at Moley Robotics are dedicated individuals, specializing in robotics, machine learning, and artificial intelligence. The research team consists of scientists and researchers from Stanford University and the Sant-Anna School of Advanced Studies in Italy and their industry partner Shadow Robotics (UK). Their work combined is focused on finding applications for robotics in the kitchen. Recently they demonstrated how the Moley Robotic Kitchen would work.

The Moley Robotic Kitchen consists of two complex, programmed arms and hands which has the capability to cook anything a human chef can. Motion capture technology is used, where robots learn from recordings of professional chefs at work, to generate a digital library of recipes for cooking. The actions of these chefs are translated into digital movement using bespoke algorithms.

They envision the application of this technology in homes where users can download recipes, or a set of recipes created by leading nutritionists, tailored to individuals’ health needs. In effect users will be able to select a dish and have it cooked by a virtual version of a celebrity chef in the user’s home. While they have had investor interest in this technology, initial conversations highlight concerns about the market segments to target first with this technology, given it would retail around $5500 per unit.

They have come to you for advice on entering the market and exploiting this technology. You are encouraged to suggest alternative applications of the technology, and you may want to suggest that the team considers different applications to the ones they are currently considering.

Task:
Analyse Moley Robotics’ current commercial feasibility and advise the team on specific issues:
1) Which market segment would be most suitable for the launch product and why;
2) The value innovations offered by this recommended product;
3) What factors indicate the demand for this new venture exists and will increase; and
4) How can the new venture decrease its chances of market failure? (Hint: Think about the entrepreneurial process they should follow, feasibility and/or competitive advantage)

 

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What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?

Case Scenario
Paper, Order, or Assignment Requirements

Case Scenario

Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has high blood pressure, which he tries to control with sodium restriction and sleep apnea. He current works at a catalog telephone center.

Objective Data

Height: 68 inches; Weight 134.5 kg
BP: 172/96, HR 88, RR 26
Fasting Blood Glucose: 146/mg/dL
Total Cholesterol: 250mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Critical Thinking Questions

What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?
Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: (a) Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime; (b) Ranitidine (Zantac) 300 mg PO at bedtime; and (c) Sucralfate / Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.
The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

Assess each of Mr. C.’s functional health patterns using the information given (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance).
What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.

 

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critically evaluate the media claim in the context of the scientific article that you have just summarized. What are your reflective thoughts on the subject? Does this research support the finding?

Biopsychology
Paper, Order, or Assignment Requirements

INSTRUCTIONS: •Part I (~1-2 paragraphs): The first part of the assignment requires for you to briefly introduce the claim that you are working from and to identify the potential source(s) of scientific literature that this claim is based upon. For this section, you must carefully read your media article to identify the main source of information that is being presented. you need to find that article (Web of Science is a great tool to find this) and justify WHY you think your chose article is ‘the source’ of information that was used by the media •Part II (roughly 2-3 pages, double-spaced): The second part of this essay will ask for you to briefly summarize your primary and peer-reviewed articles’– no quotations please. What we are looking for (and what you’ll be marked on) is how well you seem to understand what each article is saying; What were the researchers investigating? Were there any hypotheses/predictions (If no hypothesis/prediction is clearly stated – what in your opinion is the research question?) What was the methodology? What was found? Note: you are not expected to summarize the statistical techniques presented. However you should have a thorough understanding of the results and implications. •Part III (~1 pages, double-spaced): In this part, I want you to critically evaluate the media claim in the context of the scientific article that you have just summarized. What are your reflective thoughts on the subject? Does this research support the finding? What are the key pieces of evidence that do, or do not support it? If the evidence doesn’t support the claim, is there another experiment that might be conducted to validate this claim?… and in that same breath, has any other research been done on this area that might support the claim (or refute it?) THIS IS THE MEDIA ARTICLE: http://www.telegraph.co.uk/foodanddrink/8495528/Red-wine-and-chocolate-can-boost-your-brain-power.html ORIGINAL ARTICLE: http://ajcn.nutrition.org/content/91/6/1590.full 2 pages single spaced.

 

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are hysterectomies being used as birth control for women age 31 to 39, living in Houston, Texas (Harris County) who were on food stamps?

Are hysterectomies over diagnosed? Are hysterectomies being used as birth control for women age 31 to 39, living in Houston, Texas (Harris County) who were on food stamps?
Paper, Order, or Assignment Requirements

Research question: are hysterectomies being used as birth control for women age 31 to 39, living in Houston, Texas (Harris County) who were on food stamps?

-Identify a health related issues that cause hysterectomies.
-Discuss research efforts to use hysterectomies, as a last resource of treatment because of permanent sterilization.
-Discuss the burden on the health entitlement system in supporting women with multiple children. Include a graft showing the financial support required for a family of two, three, four, five, and six. Also, state the average size family in Houston, Texas. Harris County on food stamps.
-Include other diseases that burden. this population. ( 3 pages)

Propose a family planning program that would educate women on birth control options, women’s health, nutritional education and financial planning. (1 page)

Include recommendations for future research on related topics from the information provided. (1 page)

make one of the references used for this proposal the Houston, Texas. Harris County senses of the year 2007 or later.

 

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