Discuss how this core public health function relates to one (1) intervention from the Public Health Intervention Wheel

/in /by

PLEASE SEE ATTACHED PDF FILE FOR DETAILED PAPER REQUIREMENT.
Describe one (1) of these core public health functions listed.
2. Discuss how this core public health function relates to one (1) intervention from the Public Health
Intervention Wheel in pp. 14-15 of “Nies, M. A., &
McEwen, M. (2015). Community/public health nursing: Promoting the health of populations (6th Ed.). St.
Louis, MO: Saunders/Elsevier”.
Choose one (1) of the five determinants. In your Coursework, describe the one (1) determinant and its importance.

Briefly describe the pathophysiology behind both a STEMI in your own words (in the way you would explain it to a family member) and identify how it differs from a non-STEMI.

/in /by

Case Study:
Mr Gulyas is a 49-year-old Hungarian man who presents to the emergency department with central chest pain. He has no personal history of coronary artery disease or myocardial infarction, and no known family history of artherosclerotic (deposits in the arteries) heart disease. Mr Gulyas states he has associated symtoms of nausea, diaphoresis (perspiration), and pain radiating to both shoulders and down his left arm. When asked to rate his pain, he states his pain score is 10 out of 10. When questioned about his social history, he states he smokes cigarettes (15 per day), works as a computer programmer in an office, and does very little exercise.
Mr Gulyas is pale and clammy. He is afebrile, with a blood pressure of 106/62 mm Hg, a regular pulse of 68 bpm, a respiratory rate of 18 breaths/min, and an oxygen saturation of 96% while breathing room air. An ECG reveals an acute ST elevation myocardial infarction (STEMI). His Troponin 1 result is 2.4. The plan for Mr Gulyas is to admit him to the cardiac ward for monitoring and thrombolysis/clots. Mr Gulyas is anxious and feels guilty about his lifestyle that he considers has contributed to his admission today.
1. Risk Factors and Health Promotion
What are the factors that may have contributed to Mr Gulyas’s myocardial infarction? Outline how you would approach Mr Gulyas regarding these and what health promotion information and referral you would provide to him. (approx. 500 words).
2. Activities of Living.
Consider the twelve (12) activities of living in the Roper Logan & Tierney Model of Nursing and specifically discuss which of these activities of living may be influenced or altered for Mr Gulyas during his admission/hospital stay (choose four only). These could be culturally related as Mr Gulyas is of Hungarian origin, however he does speak English. Outline how the registered nurse could assist the patient to manage them. (approx. 500 words).
3. Nursing and Care.
Outline and justify the nursing care required for Mr Gulyas with his presenting symptoms, placing this nursing care in order of clinical priority (A= airway, B= breathing, C= circulation, D= disability, E= exposure, F= fluids, G= glucose, H= Health promotion). (approx. 600 words).
4. Pathophysiology
Briefly describe the pathophysiology behind both a STEMI in your own words (in the way you would explain it to a family member) and identify how it differs from a non-STEMI. (approx. 400 words).
5. Homeostatic Mechanisms
Outline the homeostatic mechanisms that result in the following symptoms Mr Gulyas is displaying on your nursing assessment:
– radiation of pain to shoulders and left arm
– pallor
– clamminess
(approx. 500)
* Important to note – Your should incorporate current research to support your discussion – using academic references that are less than ten (10) years old – texts/ journal articles and text books etc.

Compared to a non-healthcare organization, a manager must have a special skill set for communicating with health professionals and non professionals within a health care organization. What do you believe are those particular skill sets?

/in /by

Select either Option A or Option B and indicate in your post which option you have selected.
Option A: Compared to a non-healthcare organization, a manager must have a special skill set for communicating with health professionals and non professionals within a health care organization. What do you believe are those particular skill sets? What are the ethical, financial, and legal implications for communication within a health care organization? What are the some of the primary barriers to communication between a manager and his/her staff?
Option B: Case Study: Your Word Against His
Review the details of the case “Your Word Against His” in your course text. Describe in detail any options you could pursue to set the matter straight for all parties who received the wrong information, while incurring the minimum possible public disfavor by the vice president. In addition, describe what you think went wrong this in case. Where was the communication breakdown, and how could it have been avoided?

Described the role of nursing in the process of analysis of the information needed for budget development.

/in /by

For each project, there needs to be peer reviewed journal article cited of less than 4 years old. Again there are two separate essays for this project. Please answer each question completely.
#1 **This project is based on a continuing theme of the nursing shortage in the emergency room as the patient care financial problem**
Based upon your review of the literature and interviews, create an analysis of the patient care financial problem and specify the potential budget impact. You do not need to create specific budgetary numbers, but can describe these findings in other terms, such as small or large.
Your analysis should be supported by a minimum of 3 references from peer-reviewed publications.
Create a 2 page paper (minimum 550 words) with a minimum of 3 peer reviewed journal articles of less than 4 years old based upon this information. For this project make sure to answer the following questions completely:
1. Provided a detailed analysis of the financial problem.
2. Explained the potential budget impact of the identified problem utilizing the information identified in the review of literature and interviews.
3. Described the role of nursing in the process of analysis of the information needed for budget development. Include the different perspectives of the chief nurse, the nurse manager at the unit level and the staff nurse perspectives.
 
Answer the following questions completely and support your responses with examples that:
1. Includes a description of change theories, conflict theories, and leader as a change agent.
2. Integrates how your ability to handle conflict can either enhance or hinder effective leadership in the health care environment.