2023 Heritage Assessment Tool Instructions 1 Interview an older member of your family 2 Use the Heritage

2023 Nursing Heritage assessment tool part 2

Heritage Assessment Tool Instructions 1 Interview an older member of your family 2 Use the Heritage 2023

Heritage Assessment Tool

Instructions:

1  Interview an older member of your family

2  Use the Heritage Assessment Tool found in Appendix E, page 376 of your textbook as a starting point for your interview.

3  Summarize what practices your family member used to maintain, protect and restore health. (Include one example)

4  Your paper should be:

•                     One (1) page

•                     Typed according to APA style for margins, formating and spacing standards 

▪                                       See NUR3045 – Library (located on left-side on menu) for tutorial Using APA Style

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2023 Environmental and Genetic Factors That Influence Health In Le Roy New York in 2011 a mysterious

2023 Nursing Environmental and Genetic Factors That Influence Health

Environmental and Genetic Factors That Influence Health In Le Roy New York in 2011 a mysterious 2023

  

Environmental and Genetic Factors That Influence Health

In Le Roy, New York, in 2011, a mysterious medical condition emerged: Several teenage girls suddenly began to exhibit symptoms similar to those of Tourette’s Syndrome, including involuntary twitches, movements, and sounds. Soon after, the number of individuals experiencing comparable symptoms increased. As media attention toward the situation grew, questions and concerns intensified about the origin of this condition. Did an environmental exposure trigger this? Was it the result of an infectious disease? If so, why were some people in the region affected and not others? In other words, could genetic factors play a role in this?

This week, you have been exploring a number of environmental and genetic factors that influence population health. Understanding how environmental and genetic factors influence populations will support your work as an advanced practice nurse. Therefore, for this Discussion, you will investigate the relationship between an environmental agent or genetic factor and a population health problem. You will also give attention to health disparities that may arise within a population because of environment or genetics.

To prepare:

  • Review      the Learning Resources and select one environmental agent or one genetic      factor and an associated population health problem. For example, you might      consider lead paint and its effect on children, air pollution and its      effect on individuals with asthma, genetic associations of various      cancers, etc.
  • Conduct      additional research using the Walden Library and credible websites,      reviewing the literature on your selected health problem and the relevant      environmental agent or genetic factor.
  • Explore      health data resources and determine morbidity, mortality, incidence,      prevalence, exposures, and costs to society as they relate to your chosen      environmental agent or genetic factor.
  • How      might your chosen environmental or genetic factor result in health      disparities in populations?

By tomorrow 03/272018 3pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”

Post a cohesive scholarly response that addresses the following:

1) Identify the environmental agent or genetic factor that you selected and the population health problem with which it is associated.

2) Evaluate the significance of the health risk resulting from your selected environmental agent or genetic factor, discussing such aspects as morbidity, mortality, incidence, prevalence, exposures, and costs to society. Support your response with references and data.

3) How might the environmental or genetic factor you identified result in health disparities in populations?

Required Readings

Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.

Chapter 13, “Epidemiologic Aspects of Work and the Environment”

Chapter 14, “Molecular and Genetic Epidemiology”

Chapter 13 examines the impact of the environment on human health in populations as determined through the use of epidemiologic methods. In Chapter 14, the authors address molecular and genetic epidemiology, rapidly growing areas of this field.

Hill, A. B. (1965). The environment and disease: Association or causation? Proceedings of the Royal Society of Medicine, 58(5), 295–300. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1898525/pdf/procrsmed00196-0010.pdf

In this landmark contribution, Sir Austin Bradford Hill delineated a series of criteria for evaluating whether an observed association between an exposure and an outcome should be considered causal.

Hines, A. B. (2011). Asthma: A health disparity among African American children: The impact and implications for pediatric nurses. Journal of Pediatric Nursing, 26(1), 25–33.

In this article, the author examines asthma, the most common chronic illness among children, and notes that this health issue is particularly relevant for pediatric nurses. The author addresses the significant health disparity for African-American children and their families.

Quansah, R., & Jaakkola, J. J. (2010). Occupational exposures and adverse pregnancy outcomes among nurses: A systematic review and meta-analysis. Journal of Women’s Health, 19(10), 1851–1862.

Synthesizing epidemiological evidence, the authors of this article examine the association between occupational exposures and adverse pregnancy outcomes for those working in the nursing profession.

Vieira, V. M., Hart, J. E., Webster, T. F., Weinberg, J., Puett, R., Laden, F., Costenbader, K. H., & Karlson, E. W. (2010). Association between residences in U.S. northern latitudes and rheumatoid arthritis: A spatial analysis of the Nurses’ Health Study. Environmental Health Perspectives, 118(7), 957–961.

The authors of this article utilize spatial analysis to visualize geographic variation in rheumatoid arthritis risk—a method, they note, that is particularly useful for generating hypotheses for further investigation and supporting existing hypotheses.

Required Media

Laureate Education (Producer). (2012). Epidemiology and population health: Epidemiologic applications: Environmental and genetic factors [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 7 minutes.

In this week’s program, the presenters discuss the influence of environmental and genetic factors on population health.

Optional Resources

Rothman, K. J., & Greenland, S. (2005). Causation and causal inference in epidemiology. American Journal of Public Health, 95(Suppl. 1), S144–S150.

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2023 need response to this discussion 2 pages APA format and 3 references 1 from walden university library please say that

2023 Nursing to suraya only

need response to this discussion 2 pages APA format and 3 references 1 from walden university library please say that 2023


need response to this discussion 2 pages APA format and 3 references 1 from walden university library please say that you retrived it from the library I will pay 10 dollars.  are you interested I think I already sent this to you

Transforming Nursing and Healthcare Through Information Technology 

Workflow is very important in any institution and in order to have workflow be smooth, it must be understood and respected by all coworkers throughout the organization. “Workflow is the sequence of physical and mental tasks performed by various people within and between work environments. It can occur at several levels (one person, between people, across organizations) and can occur sequentially or simultaneously” according to the U.S. Department of Health and Human Services (DHHS) (n.d.b., para. 1). In order for an organization to flow properly with optimal patient outcomes, an organization must understand and abide by the organizations protocols and policies while having a consistent work day ahead of them.

            When analyzing a workflow process that is in need for improvement, it is necessary to conduct benchmarking. According to DHHS (n.d.b.), “Benchmarking is a process of evaluating metrics or best practices from other organizations (either related or unrelated to your own) and then applying them to your organization” (para. 1). By evaluating the effectiveness of other organizations workflows, I can better understand the appropriate systems needed in our organization. I use flowsheets on a daily basis in the ICU when admitting patients with DKA, Septic Shock or Stroke. These flowsheets outline the steps to take in managing the care of these illnesses. It is very concise and easy to follow which facilitates efficient, time managed patient care. To increase the workflow on other units I will meet with the managers of the floors and provide copies of these flowsheets to create a better workflow throughout the rest of the hospital. According to DHHS (n.d.b.), “flowcharts provide meaningful visualization of the workflows and convey the anticipated sequence of activities and tasks that will occur postimplementation, identify who will most perform what activities and tasks, and no longer include unnecessary or non-value-added activities and tasks” (para. 1). By using a health IT application, our institution can assess adherence to practice standards and assess which provider practices needs to be improved on (DHHS, n.d.b., para. 4). By having an electronic medical record, patient care becomes more effective and efficient.

“Introducing an EHR creates operational efficiencies by offering nontraditional, patient-centered ways of providing care” according to Chen, Garrido & Chock (2009, para. 1). The hospital in this study examined the efficiency of implementing a EHR system on ambulatory care from the initation of the system in 2004 to 2007. During this study, there was a 26.2% decrease in office visit rates, 25.3% decrease in primary care setting visits, and 21.5% decrease in specialty care areas (Chen, Garrido & Chock, 2009, para. 6). Scheduled telephone visits increased eight-fold and secure messaging increased to six-fold. This illustrates that incorporating a EHR system increased efficiency of care by decreasing patients need for hospital visits. Patients started to use the telephone system as a way of communicating with their doctors to manage their care better. This in return saves time and optimizes patient goal outcomes while improving workflow.

The information learned in the research article can be used at my current employment to increase workflow. In the ICU the healthcare team does not incorporate telephone updates with patients. Rather than telling patients to follow up in the office with their primary care provider, this article illustrated how phone interviews can improve patient self-care management. Also, I think it would be beneficial if our ICU team sent over a treatment review of care that took place in the hospital. If secured email was used to communicate patient care goals and treatment to primary care providers, more efficient and time critical care would be a result. It important to include competent workflow into the organization to provide the best care possible. According to DHHS (n.d.b.), “Research assessing health IT implementations demonstrates that delays in patient care, billing, and communication are likely to occur if workflow is not taken into account. This is generally due to the fact that clinical and practice management requirements are overlooked or oversimplified” (p. 1). Increased workflow creates more efficient patient care and time saved.

References

Chen C, Garrido T, Chock D, et al. (2009). The Kaiser Permanente electronic health record: transforming and

streamlining modalities of care.

U.S. Department of Health & Human Services. (n.d.b.). Workflow assessment for health IT toolkit. Retrieved

from https://healthit.ahrq.gov/health-it-tools-and-resources.

 

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2023 You will be writing a 1 000 word Reaction Paper in this course using the

2023 Nursing what is epigenetics?

You will be writing a 1 000 word Reaction Paper in this course using the 2023

 

You will be writing a 1,000 word Reaction Paper in this course using the instructions and links found below. You will be completing the following tasks and gathering the following information for your paper:

  1. Watch the epigenetics videos using the 3 links below:

https://www.youtube.com/watch?v=Udlz7CMLuLQ

https://youtu.be/M4boKud1MRk

https://youtu.be/gfDIkwoAbPk

Begin your paper by defining epigenetics in your own words and discussing your reaction to the videos.

  1. Interview your family members and complete the Family History-Dr. Oz.pdf.  Find out which disease(s) you are most at risk for.
  2. Research and locate one article on epigenetics and whatever disease you are most at risk for (select a study on research conducted on humans) from a reputable academic source:

Reputable Sources:

  • journal articles
  • government publications based on research

Do not use:

  • magazines of any sort, whether they are on paper or online
  • Websites of any type, including epigenetics websites
  • Wikipedia

How to Perform Your Research

  • Use the College Library in person or online (log in with your new MDC ID number (the one that is all numbers). Your password is the last four digits of that same MDC ID unless you have changed it.

Read the epigenetics article you find. Continue your paper with a discussion of the epigenetics article. Be sure to paraphrase (put things in your own words) and be sure to cite the author(s) of the article you find using APA style (see the section below on using APA style). Aim for about a page for this part of your paper.

  1. Discuss the concept of epigenesis in light of your family history and the article you read. Aim for one page for this section of your paper.
  2. Complete the Living to 100 Questionnaires. Integrate your findings on the questionnaire into your discussion. Aim for another page.
  3. Discuss how you can improve your health and longevity in light of your findings in this questionnaire, your understanding of epigenetics, and your knowledge of your family history. This should be your final page.

You can go over or under a page for any of the sections of the paper as long as your total paper is 1,000 words not counting the references.

General Rules for an “A” Paper (check your paper against this list)

◻    1,000 words

◻    Original work; plagiarism score of less than 10% (90% original work)

◻    Double-spaced, 12-point font, 1-inch margins

◻    Covers all 6 tasks

◻    Spellchecked

◻    College-level grammar

◻    Cite your article APA style (author & year within body of paper; full reference at end)

◻    No abstract, no cover

◻    Place your name and reference number on the first page. Use page numbers.

Submit the paper by the deadline in the Schedule and also in the Calendar. The box will open at the beginning of the semester so that you have time to submit your paper, review the originality report, and resubmit your paper if necessary until you have a plagiarism score of under 10%. Be sure to use the Turnitin Grammar Checker to ensure that your paper is well written and ensure that you have spellchecked everything. If you resubmit your paper, note that it takes 24 hours for your new score to show up in the Turnitin Drop Box.

Submission to Turnitin Drop Box

The Turnitin Drop Box is in Blackboard. You do NOT have to go to Turnitin to submit your paper. Turnitin is a plagiarism checking software. It checks to see if your work is original. I have set the Turnitin Drop Box so you can submit your paper as many times as you want until the due date. That will allow you to check your plagiarism score and see where your work is not original. You can then rephrase that section and put it into your own words. The expectation in this course is that your paper scores no more than 10% in plagiarism (90% original work). You will be able to resubmit your paper as many times as you need to in order to get it right until the Due Date. You will NOT be able to resubmit after the Due Date. Note that it takes 24 hours to see your new plagiarism score after resubmission. No more than 2 or 3 quotes in the entire paper, please.

Avoiding Plagiarism

You must be careful not to copy someone else’s ideas and not to copy and paste ideas from the sources you find. Copying and pasting from someone else’s work is considered plagiarism. You may use other people’s ideas, but you have to put them in your own words and reference the source. Putting things in your own words is called “paraphrasing.” And you must put the reference right after the idea. Needless to say, submitting plagiarized papers, including those copied from one of the Web sites that have “free” papers or even papers you can buy, will result in a penalty. That penalty in this course is that your grade will be reduced by the percentage of plagiarism over 10%. In other words, the less plagiarism, the higher your score; the more plagiarism, the lower your score. The paper is worth 10% of your grade in this course. Don’t risk it!

APA Style and References

One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research, locate, and use one reputable source from the literature on the topic of epigenetics/epigenesis. The “literature” is composed of studies that have been conducted in a scholarly way to support ideas. Scholarly sources can be found in journals or in some Web sites, especially those that come from .edu domains (.edu is short for “educational” Web sites) or .gov domains (.gov are government sites). The College Libraries have dozens of good journals you can use. You will be using the College Library for this paper. You may do the research in person or use the Web to access our library. See your librarian for more information on finding credible sources.

In APA style, you cite a source in two places: within the body of the paper where you use the idea or words of the author of the paper; and again in the Reference List at the end of the paper. For example, you might say, “According to Researcher A (2011)…epigenetics is…” What you must do is supply the researcher’s name within a sentence or at the end of a sentence in parenthesis (Smith, 2011). Then you give the full information for locating the study in the Reference List. That’s what Reference Lists are for: they allow the person reading your paper to look up your source if they want to. So remember, citing references APA style, requires two things: 1) that you cite the reference within the body of the paper, and 2) that you list the full reference at the end in the Reference List.

APA Tutorial

There are multiple tutorials and other training sources on APA style at the APA Web site. You do NOT have to buy the APA Manual to do this paper.

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