EPIDEMIOLOGY AND NURSING RESEARCH

      

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.

Communicable Disease Selection

  1. Chickenpox
  2. Tuberculosis
  3. Influenza
  4. Mononucleosis
  5. Hepatitis B
  6. HIV
  7. Ebola
  8. Measles
  9. Polio
  10. Influenza

Epidemiology Paper Requirements

  1. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
  2. Describe the social determinants of health and explain how those factors contribute to the development of this disease.
  3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?
  4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.
  5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.
  6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

Module 6 Discussion #1 comment

commen on thoese 2

1- Richard Lennon    

 

After reviewing the article “First the Flood, Now the Fight” multiple times, I was unable to find clearly defined examples of horizontal or vertical integration in the article based off the definitions and examples we learned in the assigned video.  Horizontal integration is when a company or organization acquires a similar company or organization in the same industry or field.  The closest example to horizontal integration in the article occurred after the storm when FEMA oversaw and managed around 700 contractors and employees during the recovery process.  Vertical integration is when a company or organization acquires a company that operates either before or after the acquiring company or organization in the production process.  There was no clear demonstration of vertical integration that I found in this article.

 

Inter-organizational coordination after Katrina was poor and inconsistent at best.  It was stated in the article that “current and former officials at all levels blame FEMA workers’ inexperience with eligibility rules, weaknesses in U.S. disaster laws and inconsistent treatment by Congress for much of the wrangling”.  I think the biggest problem was that the destruction that Katrina caused was so geographically widespread, that FEMA had to divide their personnel and resources up amongst a much larger area then originally planned for.  Spreading their personnel out like this to cover a larger area is where I believe a lot of the problems happened, because it then forced them to have less experienced personnel operate in roles/capacities that they would otherwise not normally operate in because they were the only available resources at the time.  This could have been one of the causes for the repeated disputes amongst local governments and FEMA representatives due to the improper interpretation of rules and disaster laws by FEMA representatives.   

 

Horizontal recovery is something that I believe we in Emergency Management will revisit on many occasions.  A form of temporary horizontal integration is something that occurs during most disaster recoveries.  After a disaster, FEMA or a local emergency management agency usually takes over coordinating and leading the recovery effort.  During this time, they also take control of available rescue and recovery organizations to use in whatever way to carry out the organization’s goal and overall mission.  This is different than the corporate world where a company is taken over forever, whereas in the disaster recovery setting it is appropriate for this to occur on a temporary basis

2-Doug Harper    

Not having any formal education in Business Administration, but having an understanding of macro and micro economics to be honest I had heard of vertical and horizontal integration as it relates to business. Saying that the video presented really did a great job of “dumbing it down”, and did make it easier for me to understand. Taking the same concept and applying it to Emergency Management I tried to explain it to myself in simple terms. I came up with my definition(s) and my response below:

(1) Vertical integration: How a community interacts with the different levels of government. Basically local/municipal government officials deal with the state/province, then with the federal government. Each of the three levels of government communicates with each other. Much like in the fire service when Fire gets together with our EMS partners, and the PD we use the term “Unified Command”. The system works during an emergency as each agency sends a senior representative or the specialized staff (think of a Haz-mat call, you would want the Haz techs to be present during the meeting). We collectively determine a strategy, then devise the tactics to respond to the incident at hand. Depending on nature of the call, the lead agency is defined by the type of call. For example PD would be the lead for a bomb call, or report of possible terrorism event and use of say sarin gas. For a school bus overturned with mass casualties it may indeed be EMS, and for say a fire at a petrol facility Fire would be the lead. The take away is each agency plays a key role. Much like each level of government will have a part to play during a disaster.

To bring the above into context of the 1993 Midwest floods the level of vertical integration was great. Extreme I may say, This event was across 534 counties across 9 states and required $4.2B of direct federal aid. Also to be noted was the successful federal buyout program to remove families from rebuilding on the floodplain (this was studied in prior EMGT 6603). The States had a direct role as well as was seen as Missouri took up this program and had successful results. The Missouri State Emergency Management Agency (SEMA) played a direct role in administering the program for the residents of Missouri. This once again shows vertical integration in regards to EM. 

As for strengths and weaknesses I see the idea of “turf wars” being the largest hindrance and EM Managers must be cognative of and deal with as soon as they become aware of a dysfunctional arrangement beginning to take hold. On the other hand if an “expert” is needed, I feel confident within the vertical integration model one will be found whether from the state/province or federal government. Think of mutual aid extreme.

To strengthen and build on a best practice system, to make the response better once again I feel relationship building 101. Not during an event, but prior to a disaster the local EM Managers need to communicate, attend professional symposiums, visit, call, and provide periodic updates as to the happenings of their local community with state/provincial and federal persons who would be called upon during an event. In other words pre-planning by being able to know not just how to do something, but who will we call.

(2) Horizontal integration: How the community interacts with the additional resources available to them during the recovery phase (short term and long term). I think of groups/agencies such as The Red Cross, Salvation Army, local community groups whether informal (think convergent groups) or groups such as The Rotary Club or The Kinsmen Club (Canada), faith based groups, local BIA’s (Business Improvement Associations), local Ratepayer groups (if the entire community is completely destroyed such as from a wild fire or tornado this may not be practical) to name a few. This type of integration I think of as everyone is a “partner” and brings something to the table and are to be treated as equals.

As for horizontal integration I turn to the American Red Cross. I do so as many groups I am sure played a role but from this exert from my research shows the response was admirable: Since 1992, the American Red Cross (ARC) has recruited social workers and other mental health professionals to serve in the Disaster Mental Health (DMH) program, and the National Association of Social Workers (NASW) has partnered with them to support recruitment. In the aftermath of disasters, DMH volunteers support co-workers, survivors, and relief partners with identification of mental health needs (psychological triage), promotion of resilience and coping skills (psychological first aid, psychoeducation, public health messaging, and consultation), and targeted interventions (referrals, crisis intervention, casualty support, and advocacy) (http://www.socialworker.com/extras/social-work-month-2017/american-red-cross-expands-eligibility-for-disaster-mental-health-progra/). I found it ironic as one of our classmates in a Discussion paper talked about sending mental health care workers to a disaster scene during the PDA phase. It appears the ARC has a formal plan already in place with their DMH program. They were sent in during the 1993 floods.What an example of horizontal integration indeed.

The one issue when dealing with horizontal integration is the EM Manager must maintain oversight still. Think of having a strong IC (Incident Commander) in place. The IC makes the decisions, but goes to his/her resources and develops an effective IAP (Incident Action Plan). The resources in this case are our partners within the community (and of course the people themselves). On the opposite side of the spectrum, when you work with other community partners they feel they have a direct input into the decision making. Bring key players to the table/game and engage them, and the results will pay dividends I feel. 

To conclude EM Managers will use both concepts during recovery of vertical and horizontal integration. We need to work with locals and all the way up to federal and even international agencies. Think of having a “Rolodex” at your finger tips when needed, vs going to Google or worse the Governments “phone book” on who you are going to call. In other words pre-planning by being able to know not just how to do something, but who will we call.

1.Characterize the level of horizontal and vertical integration observed, including their effect on specific outcomes. 

 

2.Strengths and weaknesses in inter-organizational coordination should be described. 

3.What could be done to strengthen inter-organizational coordination, both vertically and horizontally, based on the information obtained from lectures and assigned readings. 

4.Summarize how vertical and horizontal integration may impact other topics discussed up to this point in the course that were not addressed in the case study provided. 

The Super Bug: A Possible Global Epidemic?

 

An emerging concern in public health is the growing number of drug-resistant infectious bacteria, also known as “super bugs” and their evolving resistance to antibiotics. Commonly used antibiotics are quickly becoming ineffective against increasing infections. Drug resistance makes it significantly harder and more expensive to treat an infection and can lead to some of the worst outcomes for the patient. Alarmingly, the number of drug-resistant infections is increasing worldwide indicating the potential for a pandemic. For example, in Britain, the number of deaths from drug-resistant infections increased from 3,757 in 2005 to 8,324 in 2008 (Boseley, 2008).

 

One of the greatest concerns with regard to drug-resistant bacteria is tuberculosis, which can cause fatal lung infections. Almost every country is reported to have cases of tuberculosis that are resistant to standard first-line drugs. Fifty-eight countries have reported at least one case that is resistant to standard first- and second-line drugs (WHO, 2010).

 

Using the Argosy University online library resources, find at least two journal articles that address the issue of super bugs and respond to the following:

 

  • Select one type of drug-resistant infectious bacteria, for example, multidrug-resistant tuberculosis bacteria or methicillin-resistant Staphylococcus aureus(MRSA). Determine the countries that have the highest concentrations of this infection. Include the country and location. State how many new cases were reported within the last five years in the U.S.
  • Identify the bacteria that caused the highest number of drug-resistant infections in the U.S. How do these numbers differ from other countries?
  • Examine how public health officials are attempting to control and potentially eliminate drug-resistant bacteria.
  • Explain your opinion on the likelihood of drug-resistant bacteria causing a pandemic and the severity of this pandemic.

 

Support your statements with scholarly references and appropriate examples.

 

Write your initial response in approximately 350 words. Apply APA standards to citation of sources.

 

By Saturday, February 23, 2013, post your response to the appropriate Discussion Area. Through Wednesday, February 27, 2013, review and comment on at least two peers’ responses. Consider the following:

 

  • Do you agree with your fellow students’ assessments?
  • How do your numbers differ from what they posted?
  • How does the evidence they presented support the reported numbers?
  • What do you think about the public health efforts in place to address this issue?
  • What do you think about their assessment for a pandemic? Use the literature to support your statements.

 

Boseley, S. (2008, August 29). Deaths from hospital bug up by 28%. The Guardian. Retrieved from
http://www.guardian.co.uk/society/2008/aug/29/mrsa.nhs

 

World Health Organization (WHO). (2010). 2010/2011 tuberculosis global facts. Retrieved from
http://www.who.int/tb/publications/2010/factsheet_tb_2010_rev21feb11.pdf

 

Grading Criteria and Rubric

 

Discussion Grading Criteria

Normal Changes in Pregnancy

 

Create a paper, power point, or Prezi presentation to demonstrate your knowledge of this week’s learning objectives. Your presentation should cover the following topic fully, and be correctly cited in APA format. Minimum 1 – 2 page paper or 10 slide presentation, not including your cover sheet/ slide and reference page/ slide.

You are approached by a neighbor and her 16 year old daughter who just found out she is pregnant. The neighbor and her daughter want to know what to expect during the pregnancy. Outline for this mother and daughter what to expect during each of the trimesters

                                                Rubric

APA format is consistently done and correct.   All information is referenced throughout the body of the presentation. A   minimum of 3 relevant resources are used, and are cited correctly. Spelling   and grammar are correct throughout the body of the presentation.

 

Discussion of the physiological changes the woman may expect during   pregnancy during each trimester. (Not fetal development)

 

Discusses the major discomforts of pregnancy   and nursing measures to   reduce the discomforts

 

Discusses what to expect at doctor visits,   how often will she go, and what might she expect at the visits.

 

Discuss how much weight gain is appropriate   during pregnancy.

 

Discuss a minimum of three local resources that the young   woman may access for additional information and assistance. What do these   resources offer? Examples include local pregnancy care centers that offer   support for low income mothers, state resources, and federal resources.

 

Discuss how the placenta functions to   deliver nutrients and remove waste products.

 

Current Event 1

 Current Event 1

students will turn in a current event with a policy synopsis attached. Students should look for domestic and international events that affect American Government. Students should use reputable sources including but not limited to:  The Guardian, Al-Jazeera, The BBC, Reuters, Associated Press, Wall Street Journal, Bloomberg News,The Financial Times, The Independent UK, The Christian Science Monitor, The New York Times, The Washington Post, or others. Students should try to avoid MSNBC, Fox News, or CNN as these websites are geared towards viewership and not investigative journalism. Other sites like Mashable, OffTheGridNews, Washington Times, Breitbart, etc should be used with extreme vetting and caution. Students will write a policy briefing on the current event.

Instructions:

1. Include the link in the current event 

2. The synopsis should be in three sections (maybe even just three paragraphs if you’re concise)

a. Abstract (two sentences: one goes over the summary, and one covers your analysis.)

b. Summary (summarize the article: include the authors, title of piece, major points and quotes)

c. Analysis (your own thoughts: use one tool of analysis)

you can use any one of these sources here :https://www.theguardian.com/us (Links to an external site.)Links to an external site.

News.  Mildly Independent (App)

(App)

http://www.bbc.com/news/world/us_and_canada (Links to an external site.)Links to an external site.

News.  Publicly financed (App)

(App)

https://www.washingtonpost.com (Links to an external site.)Links to an external site.

News.  Leading U.S. paper

(App)

www.nytimes.com/ (Links to an external site.)Links to an external site.

News.  Leading U.S. paper

(App)

www.aljazeera.com/ (Links to an external site.)Links to an external site.

News.  Leading global paper

(App)

www.csmonitor.com/ (Links to an external site.)Links to an external site.

News.  Independent

https://www.bloomberg.com/ (Links to an external site.)Links to an external site.

News. Analysis. Financial.

(App)

https://www.ft.com/world/us?mhq5j=e2 (Links to an external site.)Links to an external site.

News. Analysis. Financial.

www.reuters.com/ (Links to an external site.)Links to an external site.

News source

Twitter

https://www.ap.org/en-us/ (Links to an external site.)Links to an external site.

News source

Twitter

Comparison of Editorials

In this assignment, you will identify and explore your intuitive critical thinking strategies. It is the starting point to developing the skills to analyze information critically.

Research methods of identifying strong and weak arguments using your textbook and the Argosy University online library resources. Be sure to cover the following:

  • Identify premises and conclusions
  • Discuss whether or not an inference is warranted
  • Discuss matters of truth and consistency

For this assignment, your facilitator will assign you one of the following debates:

  • Debate 1: Should the “Ashley X” treatments have been permitted?
  • Debate 2: Is Osama Bin Laden’s death a decisive blow to Al Qaeda or an unmitigated victory against terrorism?

Each debate has two sets of articles for review. Your facilitator will assign you one of these sets.

Each set has two articles with two varying, but important, perspectives on the same subject. Be sure to read both articles in the set.

Debate 1:

These pairs of articles focus on the subject of “Ashley X,” a child with static encephalopathy who underwent radical surgical procedures to facilitate her care and, thereby, ostensibly improve her quality of life.

Set A

Set B

Debate 2

These pairs of articles focus on the subject of Osama Bin Laden’s death and the alleged implications his death are expected to have on matters of future Al Qaeda activity and international safety.

Set A

Set B

Respond to the following:

  • Identify and explain the strongest argument in each article.

Or

  • Identify and explain the weakest argument in each article.

Give reasons and examples from your research in support of your response.

Write your initial response in 1–2 paragraphs. Apply APA standards to citation of sources.

By Wednesday, May 8, 2013, post your response to the appropriate Discussion Area. Through Sunday, May 12, 2013, review and comment on at least two peers’ responses.

Grading Criteria and Rubric

Assignment 2 Grading Criteria
Maximum Points
Initial Discussion Response
16
Discussion Participation
16
Writing Craftsmanship and Ethical Scholarship
8
Total:
40
Click here to view the rubric for this assignment.

Topics in Cultural Studies unit 2 IP

 

You are a senior manager at a highly profitable equipment manufacturing organization. You and other senior leaders have decided to partner with an international company on several projects of mutual interest.

Your company is headquartered in the United States. Your new partner will be located in one of the following countries:

  • Saudi Arabia
  • China
  • Japan
  • India
  • Brazil

Pick 1 of these countries to research. Prior to sending your team to the country you selected, you will need to train your staff on certain aspects of their culture that impact business interactions. Present information on each of the following topics for your chosen international partner country, and compare and contrast to American cultural practices where necessary:

  1. Geographic and demographic information
  2. Basic business etiquette (e.g., forms of address or greeting, working hours, punctuality, distinctions between genders and age groups, gift-giving, and so on)
  3. Dress code
  4. Language(s) spoken, verbal and nonverbal communication
  5. Dining norms
  6. Religion(s) observed
  7. Holidays observed

Present this information, with appropriate pictures and graphics, in a PowerPoint presentation intended for your company staff. Generally, the main topics or bullet points should appear on the slides with supporting visuals, while the Speaker Notes area should be used to go into more depth regarding these main topics. Your presentation should consist of a minimum of 12 slides, including a title slide, an introductory slide, a conclusions slide, and a references slide. 

Use the following resources for assistance:

  • Access the template provided, or create your own slideshow following the requirements listed above.
  • Refer to the Microsoft Office Web site for assistance with PowerPoint
  • The Smarthinking resource is also available to assist you with the basics of the PowerPoint tool.

Use at least 2 sources when researching information on your chosen country. Remember to use credible, current sources to support your presentation (use the attached for conducting the TRAP test). Use APA reference and citation format for the sources that you use. Place citations on the relevant slides with one or two slides at the end for your reference list.

For assistance with your assignment, please use your text, Web resources, course resource lists, scholarly internet sources, and all course materials. 

Module 06 Course Project – Final Submission

Please develop a marketing plan for a healthcare facility that was recently cited by the OIG (Office of Inspector General), or has been investigated by a journalist (eg., newspaper article, journal). The marketing plan must include a cover page, reference page and must be completed using Microsoft PowerPoint. 

Please answer the following items in your marketing plan: minimum 8 slides 

  1. Organizational Summary – Explain why the company is in trouble
  2. Analysis of the External Environment – (Public perception, economy)
  3. Threats and Opportunities                                                           
  4. Marketing Goals and Objectives                                     
  5. The Target Market
  6. Competition – List possible competitors                                                
  7. Marketing Strategy                                                            
  8. Action Programs (Marketing tactics)                         
  9. Budgets – How much money do you think this would cost?

Module 09 Written Assignment – The Effects of Aging

  

he term growth and development refers to a dynamic process. Growth being the term for physical changes and development being the term that refers to the increase in complexity of the skills a person is able to perform. There are many factors that influence growth and development these can be divided into biological, environmental, and social factors.

Theories are used to organize growth and development that humans experience. It is important that as a health care provider you have an understanding of the appropriate expectations of physical, psychosocial, cognitive, moral and spiritual development.

Choose one of the following theorists and describe the stages of development and the nursing implications: Erickson, Piaget, Kohlberg, or Fowler.

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Scoring Rubric:

Criteria

Points

Describe what your job is as a nurse to help these individuals with their challenges. Your answers to each of the following prompts should be at least 2-3 paragraphs in length and should be contained within a single Word document.

  • Remaining independent
  • Maintaining self-esteem
  • Finding outlets for energies and interests
  • Developing a happy lifestyle with financial means
  • Continuing positive relationships with others
  • Meeting all basic human needs
  • Confronting morality

5

Total

5

Module 10 Written Assignment – Types of Hazards in Nursing

Scoring Rubric:

Criteria

150 words positive response no plagiarism with references due tomorrow at 8:00 am est

Components of a healthy community are outlined in the textbook as having “low crime rates, good schools, strong family life, robust economy, good jobs, high environmental quality (clean air, water), accessible and quality health services, adequate housing, civic involvement, nice weather, good transportation (roads, public transportation), wide variety of leisure activities, exposure to the arts, [and] reasonable taxes” (Maurer & Smith, 2013). Is the culmination of all these variables what defines a healthy community? I don’t think there is ever a perfect combination of these things in most communities. However, I do think that communities that try to achieve these things can be described as healthy or at least striving for health.  For example, a city (a general area that can define community) may not have the best roads or schools or crime rates, but if community members are working towards improving these things, they could be at least described as working towards the improvement of the health of their community. I suppose “health” in a community, as with an individual, is a spectrum and relative to the context in which it exists. We as healthcare providers aim to reach out to our communities and educated them in order to teach them to create changes in themselves and their surrounding areas. “Health promotion is the process of enabling people to improve their health, and stretches beyond individual behavior to encompass areas such as social and environmental interventions… community outreach is a catalysis that can bring these fields together” (Mucedola, 2015).

Educating our youngest community members about healthful lifestyles and learning healthy habits early on is one of the best forms of prevention of chronic diseases. “School and community based health education continue to be valuable assets to curbing the leading causes of morbidity and mortality in the United States” (Mucedola, 2015). This is why public health education and nursing has such an important place in the healthcare system. 

 

Maurer, F. A., & Smith, C. M. (2013). Chapter 15: Community assessment. In Community / public health nursing practice: Health for families and populations (5th ed.). Retrieved October 2, 2017.

Mucedola, M. S. (2015). Connecting Health Education and Health Promotion through Community Outreach to Bridge PreK-12 School Health Programs and Corresponding Communities. Virginia Journal, 36(2), 4-7.