Healthcare

You work as a prevention specialist and advocate in an agency that provides social services to adolescents (e.g., HIV testing, pregnancy testing). One of your teen clients, Nadir, a 16-year-old Arab-American male, who identifies as homosexual, has tested positive for HIV and has not discussed his HIV status or his sexual orientation with his mother and father yet. His mother discovered the receipt for his anonymous test results in his pants’ pocket and called demanding to know the results. 1. Discuss the ethical and legal issues presented in the scenario. What advice would you give to your client about the family member’s attempt to gain access to his/her personal information? How would you handle the situation with the family member? Please include specific minor consent laws in your state and cite your reference. 2. Using systems theory or other relevant theories, explain how this challenging situation could be an opportunity to build family support and a strong support system for the client. Remember that every situation presents some opportunity for growth. Please use this as one of the references this the textbook https://drive.google.com/drive/folders/0B8Wvh1DbbgNyS0ZXTWh1dkk4cDQ

The Assessment is based on a health needs assessment (HNA) for a particular population in a chosen local area. The coursework requires you to identify, examine and analyze the health needs of a particular population in relation to relevant health determinants and current healthcare service provision within a particular area (local authority) and then critique a resultant health needs assessment. Interpret and discuss the health needs and current service provision, using these as the evidence-base for drawing local area priorities and recommendations for intervention service design, planning, development, delivery, monitoring and evaluation in relation to the health needs of the respective population. Whilst you develop your work from existing HNA and public health reports, think of your work as the latest and most updated evidence-based HNA report prepared for (or required by) commissioners in the local area to commission healthcare services for the chosen population. In the Report, you should clearly underline the health needs of the chosen population and through your suggested priorities and recommendations for service provision, show how these should be met. Your priorities and recommendations should take into account that your Report is to be considered as the latest HNA for the chosen population in the chosen local area. Therefore, this should also take into consideration the challenges facing the local authority and how these can be negotiated in order to implement your HNA more effectively in the local area in relation to the chosen population. As such, the Report priorities and recommendations provide the base for a comprehensive discussion on “how to make it happen”. The Report should clearly discuss the epidemiologic context of health problems/s and the health needs of the chosen population including the current service provision and utilization by the population. This should underline and discuss clearly the health inequalities that exist and their determinants in relation to the chosen population. Think of what should be the local priorities for commissioners and other local area stakeholders with interest in the HNA in relation to the chosen population. Thus, the Report’s recommendations should show how the local area priorities can be achieved.

GnRH analogs are used to treat prostate cancer in men and breast cancer in women. The research project will be conducted by the “Meta-Analysis” technique. Meta-analysis mainly involve statistical evaluation. “REVMEN 5.3 Software” is used for conducting the meta-analysis. The link of downloading Revmen software provided by the university is: https://training.cochrane.org/online-learning/core-software-cochrane-reviews/revman/revman-5-download

Identify a health problem, need, or opportunity for growth in your current practice environment, community, or another clinical area that you feel may be improved Topics may include but are not limited to falls reduction, new policy or procedure, best practice initiative, communication protocol, new equipment/tool, development of a new process improvement strategy, hand washing, bedside rounding, prevention initiative, etc.. Additional information or details about this step Provide an overview of the issue or problem and why you feel it is important. Identify stakeholders. Briefly discuss the economic, social, and ethical concerns and implications associated with the practice change. This paper must be 3 pages long. APA format is required – including title page, introduction, conclusion, and reference page. Must include at least 2 peer-reviewed, scholarly sources. All sources for this project must be less than 5 years old.

Identify normal acid-base balance, primary respiratory disturbances, and primary metabolic disturbances as they may appear on a blood gas report Interpret acid-base balances and classify their severity. https://cehe.instructure.com/courses/132511/files/47238734/download?wrap=1 (copy and paste in the URL search box). Arterial blood gas monitoring provides valuable information about the adequacy of ventilation and/or oxygenation of the blood. It is also a valuable diagnostic tool used to evaluate respiratory or metabolic disorders, quantitate the effectiveness of therapeutic interventions, and monitor the progression or improvement of documented cardiopulmonary disease. This diagnostic tool is only useful if the results are interpreted correctly. Physicians, respiratory therapists, and other health care professionals make decisions about the care of a patient based on arterial blood gas reports; therefore, interpreting blood gases is important to appropriately treat critically ill patients. Use the guide provided below to complete your assignment. 1) When interpreting ABG’s: Look at your pH Is your pH within normal range? 7.35 – 7.45. A normal pH indicates homeostasis If your pH is below 7.35, the blood is acidotic If your pH is above 7.45, the blood is alkalotic This is will be your LAST NAME (Acidosis or Alkalosis?) 2) If your pH is acidotic or alkalotic, then determine the cause. Look at your 2 major organs……which is causing the problem? LUNGS or KIDNEYS Lungs = PaCO2 (respiratory system) Normal = 35 – 45mmHg. If the PaCO2 is less than 35, alkalotic If the PaCO2 is greater than 45, acidotic Kidneys = HCO3 (metabolic system) Normal = 22 – 26 mEq/L If the HCO3- is less than 22, acidosis If the HCO3- is greater than 26, alkalosis This will make up your FIRST NAME (respiratory or metabolic). Which organ matches your last name? Example #1 pH: 7.25 = acidosis PaCO2: 53 = acidosis Interpretation is respiratory acidosis Example #2 pH: 7.49 = alkalosis PaCO2: 30 = alkalosis Interpretation is respiratory alkalosis Example #3 pH: 7.30 = acidosis HCO3: 18 = acidosis Interpretation is metabolic acidosis Example #4 pH: 7.49 HCO3: 29 Interpretation is metabolic alkalosis 3) Look at your opposite organ. Is compensation occurring? Is it doing the opposite of your LAST NAME? Example #1 pH: 7.32 Acidosis PaCO2: 49 Acidosis HCO3: 31 Alkalosis(Basic) Interpretation is compensated respiratory acidosis. HCO3 is alkalotic or “compensating” for a primary respiratory acidotic problem. 4) Is it “partially” or fully compensated? Partially: pH will be OUT OF NORMAL RANGE Fully: pH will be WITHIN NORMAL RANGE Example #1 pH: 7.29 PaCO2: 54 HCO3: 34 Interpretation is partially compensating respiratory acidosis. ACUTE -vs- CHRONIC CONDITION Acute: pH is OUTSIDE normal range Chronic: pH is WITHIN normal range ACUTE ON CHRONIC EPISODE pH is OUTSIDE normal range PaCO2 is elevated HCO3 is elevated A patient experiencing an acute respiratory episode on top of a chronic respiratory condition. Referred to as “exacerbation of COPD” An example is a low pH, high PaCO2, and high HCO3. Prompt Provide the full interpretation (acid-base, ventilation, oxygenation status, anion gap) for each individual arterial blood gas results below. Provide the standard statements for ABG interpretations and provide a detailed explanation for your interpretation of each ABG values. Identify the system that is causing the acid-base disturbance and the one that is doing the compensating(fixing). Quantify the level of hypoxemia, when appropriate. Discuss the anion gap, when appropriate. Again, be sure to explain in sufficient detail how and why you reached the ABG conclusion you did for ‘each’ example. #1 Patient Slater pH 7.39 PaCO2 42 mmHg HCO3- 25 mEq/l BE +1 PaO2 72 mmHg SaO2 94% Interpretation:_______ #2 Patient Fulton pH 7.26 PaCO2 52 mmHg HCO3- 23 mEq/l BE – 4 PaO2 38 mmHg SaO2 76% K+ 4.5 mEq/L Cl- 105 mEq/L Interpretation:_______ #3 Patient Frey pH 6.92 PaCO2 76 mmHg HCO3- 15 mEq/l BE – 17 PaO2 55 mmHg SaO2 80% Na+ 136 mEq/L Cl- 100 mEq/L Interpretation:_______ #4 Patient Blanco pH 7.58 PaCO2 24 mmHg HCO3- 22 mEq/l BE + 8 PaO2 99 mmHg SaO2 99% Na+ 140 mEq/L Cl- 99 mEq/L Interpretation:_______ #5 Patient Lange pH 7.28 PaCO2 39 mmHg HCO3- 18 mEq/l BE – 4 PaO2 66 mmHg SaO2 91% Na+ 139 mEq/L Cl- 104 mEq/L Interpretation:_______ Requirements: Submit your responses, in at least 400 words on a Word document (excluding the prompt, title, cover page, citations/references, quotations). You will have to expand on your description of your understanding of ABG analysis to meet the 400 words. It is suggested you include those areas that are more challenging and also the significance and value of the anion gap. Grammar and spelling count. You must include at least one reference to defend and support your position.

1.Which countries are known as the Baltic nations?2. Discuss how the Baltic nations view the delivery of evidence-basedhealthcareand their beliefs related to health and disease.3. Give an overview of the Brazilian heritage, how do they see health and disease and if there is any similarity between them and the Baltic nations.You must cite at least 3 evidence-based references no older than 5 years. A minimum of 800 words must be presented excluding the first and reference page.

write a reflection paper based on the literature review. The topic should be related to a regional occupational health issue pertaining to the US-Mexico border regions. I have to provide at least 10 sources form my college which I have attached with the other files. The APA citation is already done and can be found on the “Topic Proposal Form”. That form is what I have had to fill out to turn in for my class already which is what I was wanting to write about. The topic I picked was about essential worker’s overall health dealing with the COVID-19 pandemic. My research question that I came up with is also in that document. Also attached are the requirements for my paper, which is under the “OHS-Reflection paper based on Literature Review”. In that document, it will show what I need for each page.

1. Define hypertension as a disease, management, and prevention. 2. Analyze evidence from the literature and professional sources to define and guide nursing actions related to hypertension. 3. Propose strategies to improve patient or population outcomes related to hypertension. 4. Reflect on state board nursing practice standards relevant to hypertension management. 5. Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style. References must not be older than five years. Please identify your relationship to the patient (friend and family) and how you made contact with the individual. Remember to only use the individual’s initials in your assessment to protect privacy.

Write an abstract that is 250 words or less and keywords in the abstract. The research question is: How does a representative sample of the literature advise healthcare administrators to employ patient-centered care?

What do you envision as the future of Public Health? If you could make an impact upon a single aspect of public health, what aspect would that be, and what would your strategy be? Requirements: Minimum of two full pages of text in length. Please ensure you cite your references in APA format.