Category: Health & Medical

There are many clashing views in Food and Nutrition. One of them is the issue of high fructose corn syrup (HCFS). Joseph Mercola strongly considers HFCS more deadly than sugar due to the ways that the body converts fructose to fat. He accuses the Corn Refiners Association of trying to convince us that their HFCS is equal to table sugar. The Corn Refiners Association claims that HFCS has no adverse health effect and it is the same as sucrose and honey. They also emphasize the benefits that HFCS provides to food.
Important Dates: 1970s High Fructose corn syrup use in the United States began. 1980s HFCS is used in all non-diet soft drinks in the United States. Please review and research the two thoughts and include your opinion in the discussion post. Things to think about are: effects to health, links to diabetes, fructose from fruit, is there a link between the introduction of HFCS and the rise of obesity in the past 30 years? Does HFCS affect the feeling of fullness? You do not need to respond to each of these just include your thoughts!
Please view a clip from “Saturday Night Live” mocking the clashing views. It is located at “Saturday Night Live Corn Syrup Commercial”. Be sure to view the entire clip and include your thoughts in the post!
If you were unable to view the clip please copy and paste this link into your browser. https://www.nbc.com/saturday-night-live/video/corn-syrup-commercial/n13086

For this assignment, identify an area of focus in community health within your own community.
Using Gordon’s Functional Health Patterns framework, assess the health risks in your community.
In your community assessment paper, include the following:
Identify resources in your community that would enable you to complete a community assessment and submit a summary of your findings (1–2 paragraphs).
Refer to Table 8-3: Examples of Community Strengths and Concerns, and assess the strengths and concerns of your community (2–3 paragraphs).
Identify potential barriers to implementing community health plans in your community and brainstorm ways of addressing these barriers (2–3 paragraphs).
Your paper should be 2–3 pages in length, not including the cover and reference pages. Use APA throughout.
You must include 2–3 sources that are APA cited and referenced in your paper. (Sources may include community resources such as flyers, brochures, interviews, news stories, and local research data from credible sources.)
COMMUNITY – LOS ANGELES
CDC Document attached for reference if needed

Subject: Health & Medical You will perform a history of an abdominal problem – irritable bowel syndrome (IBS). Perform an assessment of the gastrointestinal system. You will document your subjective and objective findings, identify actual or potential risks, and submit this in a Word document to the drop box provided.
Remember to be objective when you document; do not make judgments. For example, if the person has a palpably enlarged liver, do not write “the liver is enlarged probably because they drink too much.” Avoid stating that something is normal but instead state WHY you think it is normal. For example, if you think that the abdomen looks “normal” – which is subjective – then document that the “abdomen is flat, skin color consistent with rest of body, no lesions, scars, bulges, or pulsations noted.”
In acquiring subjective data of an abdominal/gastrointestinal examination, remember to ask about:
normal bowel patterns and if there are any changes in the bowel movement. normal bowel movement varies among individuals and knowing what’s normal will help the nurse identify if there is a problem
normal diet. is the patient vegetarian, vegan, etc. what does she normally eat? did he change it?
other symptoms such as nausea, vomiting, flatus
any unexplained changes in weight. any significant weight loss may delay wound healing if the patient is scheduled for surgery
In acquiring objective data, follow the steps below:
Inspection. Inspect the shape of the abdomen. Is it flat, round or globular. Look for any lesions, scarring and ask the patient what is normal for him to help differentiate what is not normal.
Auscultation. It is important to do auscultation before any manual examination is done to the patient. This is as to avoid any movement which may alter the result of the auscultation. Listen for bowel sounds and determine if it’s normal.
Percussion. Percuss and determine if the abdomen is tympanitic. Also determine if the liver size is normal by percussing to the liver edge and determining the size.
Palpation. Look for rigidity or guarding. Also look for masses, if warranted.
Save your assignment as a Microsoft Word document.

Behavioral Treatment
Discuss the need to improve the health care system by including behavioral and nutrition programs as a part of the treatment plan for certain diagnoses. In the context of the opioid and behavioral health crisis in the United States, how might incorporating behavioral health treatment into the patient’s treatment plan reduce the severity of the crisis? What challenges would you foresee in incorporating behavioral health treatment as a way of addressing the opioid crisis?
Include two academic references in your post. Use the current APA style and formatting appropriate to the type of reference you provide.
Response GuidelinesRead the posts of all the learners. As noted in the Faculty Expectations Message discussion response guidelines, comment on the posts of what other learners identified. Include an alternative viewpoint of your own.
Use the current APA style and formatting appropriate to the type of any references you provide.
Learning ComponentsThis activity will help you achieve the following learning components:
Identify the key elements of effective public health interventions.
Research effective interventions for a public health issue.
Identify common barriers to success for public health interventions.
ResourcesDiscussion Participation Scoring Guide.
APA Module.

create a handout to educate employees on how health insurance impacts preventative care.
include the following information:
Covered preventative measures;
Frequency of preventative care allowed;
How utilization changes based on health insurance coverage;
The impact of preventative care on the individual, organization. and nation; and
Figures, examples, and statistics supporting your findings.
the assignment should meet the following structural requirements.
Two-page handout, not including the cover sheet and reference page.
Include headings titled “Covered Preventative Care” and “Utilization”.
Be sure to include an informational paragraph under each heading and a citation to the resource utilized.
Formatted according to APA .
Provide support for your statements with in-text citations five scholarly articles

In this part of the course, you will prepare a pro forma income statement for a new or revised product or service you recommend for East Chestnut
Regional Health System. Review Case Study: East Chestnut Regional Health System. Pro Forma Income Statement for East Chestnut Regional Health:
Please complete the following prior to preparing the pro forma income statement and budget. You will need the following information in order to
prepare it. Consumer Demographics page links https://data.census.gov/
https://www.usa.gov/statistics
https://www.bls.gov/bls/blswage.htm All the worksheets have been attached
More instructions are attached to the rubric

1) Watch this video https://vimeo.com/207120142
3) Create a graphic/drawing (by hand or digitally) that visually explains the topic & sequence of events in the video. You may hand draw or create in a digital program (Photoshop, PowerPoint, etc.)
4) Upload a copy of your infographic depiction of the concepts presented in the video

For the 2nd post (at least 250 words), find an article (must be from a scholarly source – do not use popular sources such as magazine/commercial websites) that relates to another student’s post. Use the article information to add something new (at least 3 unique points) to the discussion. Do not use direct quotes. Make sure to include an APA formatted reference at the end of the 2nd post. RESPOND TO THIS
The four Lead up principles that I read in the book were all quite interesting to read and learn more about. Lead-up number 4, which is “Do More Than Manage – Lead!” is something I constantly see in the show Grey’s Anatomy. Throughout the seasons we see five interns growing and learning how to lead within the show. More specifically, we see Richard Webber go from being a great chief, being a bad chief, and losing his position to then regaining his chief status. I recently rewatched an episode of a shooting that happens when Dr. Webber was not the chief at that point. He had lost his chief role from alcoholism and needed to go to rehab. While the hospital and its staff have been recovering from the incident, Dr. Webber stepped up again and starts to manage his hospital in a very different way as something tragic has happened, and now has to work around the PTSD from that event. We also see Dr. Webber start to lead and let the residents start stepping up in an attending role as one of the residents had to do surgery by herself with a gun to her head trying to save her attendings life from a bullet wound. This is a point from Leap-Up 4 of “Leaders Push Boundaries” as Dr. Webber wants them to find a better way for his staff to work in their new environment settings with PTSD. We also see Dr. Webber making improvements by adding cameras and security systems so that the incident that happens does not happen again and keeps his hospital staff/patients/visitors safe. Also around that same time period, Dr. Webber starts to invest power in others, which is another point from Lead-up 4, where he sets out a competition for the attendings and gives the prize of 1 million dollars to the attending that has newer ideas to better their department and to create newer medicine and show that they can overcome anything and come back even stronger than before.
Make sure to use some points from this I enjoyed reading the second principle about how motives matter and lifting the load. This particular part of the book reminds me of my father, Kevin. My dad owns a business and usually works Monday through Friday. However, occasionally, I will call him on Saturdays to find out he is at work. I asked him why he works on Saturdays when that is his off day once, and his response was, “If I expect my employees to work hard, love their job, and respect me, I also have to work hard, love my job, and respect that they need help; even on the days I want to be at home.” That is something that has motivated me to work hard and go the extra mile in the things that I do. Another reason this reminded me of my father is growing up, I felt like I constantly had to please my dad. Either through academics, sports, being active in church, etc. I remember being terrified to tell my dad that I was moving halfway across the country for a job that I loved because he would think it was dumb. When I told him, he responded, ” if that is what you love, you need to do it.” Afterward, I told him how nervous I was to talk to him about moving, and his response was, “if your motivation is to please me, you will never be able to enjoy the things you do.” Don’t get me wrong, I still struggle with people pleasing and doing the right thing for the wrong reason, but with the help of my father, I can take on more responsibility to help others, with a motivation that is to be a better leader instead of to people please

Academic Success and Professional Development Plan Part 2: Strategies to Promote Academic Integrity and Professional Ethics
Nurse-scholars have a significant obligation to their community as well. Their work must have academic and professional integrity. Their efforts are designed to add to the body of knowledge, advance the profession, and ultimately help in the care of patients. Work that lacks integrity is subject to erode quickly or worse.
Fortunately, there are strategies and tools that can help ensure integrity in academic and professional work. This Assignment asks you to consider these tools and how you might apply them to your own work.
In this Assignment you will continue developing your Academic Success and Professional Development Plan by appending the original document you began in the previous assignment.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To Prepare:
Reflect on the strategies presented in the Resources for this Week in support of academic style, integrity, and scholarly ethics.
Reflect on the connection between academic and professional integrity.
The Assignment:
Part 2, Section 1: Writing Sample: The Connection Between Academic and Professional Integrity
Using the Academic and Professional Success Development Template you began in Week 1, write a 2- to 3-paragraph analysis that includes the following:
Explanation for the relationship between academic integrity and writing
Explanation for the relationship between professional practices and scholarly ethics
Cite at least two resources that support your arguments, being sure to use proper APA formatting.
Use Grammarly and Turnitin to improve the product.
Explain how Grammarly, Turnitin, and paraphrasing contributes to academic integrity.
Part 2, Section 2: Strategies for Maintaining Integrity of Work
Expand on your thoughts from Section 1 by identifying and describing strategies you intend to pursue to maintain integrity and ethics of your:
academic work as a student of the MSN program and
professional work as a nurse throughout your career. Include a review of resources and approaches you propose to use as a student and a professional.
Note: Add your work for this Assignment to the original document you began in the Week 1 Assignment, which was built from the Academic Success and Professional Development Plan Template.
BY DAY 7
Submit both Section 1 and Section 2 of Part 2.
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your publish for authenticity. To check your publish, access the Turnitin publishs from the Start Here area.
To submit your completed assignment, save your Assignment as WK2Assgn+last name+first initial.
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
Rubric
NURS_6002_Week_2_Assignment_Rubric
NURS_6002_Week_2_Assignment_Rubric
CriteriaRatingsPts
This criterion is linked to a Learning Outcome Part 2, Section 1: Using the Academic and Professional Success Development Template write a 2-3 paragraph analysis that includes the following:· Explanation for the relationship between academic integrity and writing. · Explanation for the relationship between professional practices and scholarly ethics. – Cite at least 2 resources that support your argument. · Use Grammarly and Turnitin to improve the product. Include sufficient evidence that these tools were utilized in explanation on how these tools contribute to academic integrity.
35 to >31.0 ptsExcellent
The response clearly and accurately explains the relationship between academic integrity and writing. … The response clearly and accurately explains the relationship between professional practices and scholarly ethics. … The response clearly and accurately describes how Grammarly, Turnitin, and paraphrasing contributes to academic integrity, including sufficient evidence that Grammarly and Turnitin were used to improve the responses provided.
31 to >27.0 ptsGood
The response accurately explains the relationship between academic integrity and writing. … The response accurately explains the relationship between professional practices and scholarly ethics. … The response accurately describes how Grammarly, Turnitin, and paraphrasing contributes to academic integrity, including evidence that Grammarly and Turnitin were used to improve the responses provided.
27 to >24.0 ptsFair
The response vaguely explains the relationship between academic integrity and writing. … The response vaguely explains the relationship between professional practices and scholarly ethics. … The response vaguely describes how Grammarly, Turnitin, and paraphrasing contributes to academic integrity. The response includes insufficient evidence that Grammarly and Turnitin were used to improve the responses provided.
24 to >0 ptsPoor
The response vaguely and inaccurately explains the relationship between academic integrity and writing or is missing. The response vaguely and inaccurately explains the relationship between professional practices and scholarly ethics or is missing. … The response vaguely and inaccurately describes how Grammarly, Turnitin, and paraphrasing contributes to academic integrity. The response includes insufficient or no evidence that Grammarly and Turnitin were used to improve the responses provided or the response is missing.
35 pts
This criterion is linked to a Learning Outcome Part 2, Section 2: Strategies for Maintaining Integrity of WorkIdentify and describe strategies you intend to pursue to maintain integrity and ethics of your 1) academic work while a student of the MSN program, and 2) professional work as a nurse throughout your career. Include a review of resources and approaches you propose to use as a student and a professional.
55 to >49.0 ptsExcellent
The response clearly identifies and accurately describes strategies intended to pursue to maintain integrity and ethics of academic work while in the MSN program and in professional work as a nurse. … The response clearly reviews and accurately proposes resources and approaches to use as a student and professional.
49 to >43.0 ptsGood
The response identifies and describes strategies intended to pursue to maintain integrity and ethics of academic work while in the MSN program and in professional work as a nurse. … The response reviews and proposes resources and approaches to use as a student and professional.
43 to >38.0 ptsFair
The response vaguely identifies and describes strategies intended to pursue to maintain integrity and ethics of academic work while in the MSN program and in professional work as a nurse. … The response inaccurately reviews and/or vaguely proposes resources and approaches to use as a student and professional.
38 to >0 ptsPoor
The response about integrity and ethics strategies is vague and inaccurate or is missing. … The response about resources and approaches is vague and inaccurate or is missing.
55 pts
This criterion is linked to a Learning Outcome Written Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance.
5 to >4.0 ptsExcellent
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
4 to >3.0 ptsGood
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
3 to >2.0 ptsFair
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time.
2 to >0 ptsPoor
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.
5 pts
This criterion is linked to a Learning Outcome Written Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation.
5 to >4.0 ptsExcellent
Uses correct grammar, spelling, and punctuation with no errors.
4 to >3.0 ptsGood
Contains a few (one or two) grammar, spelling, and punctuation errors.
3 to >2.0 ptsFair
Contains several (three or four) grammar, spelling, and punctuation errors.
2 to >0 ptsPoor
Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

Hello Everyone-
Following is the case study for week three. This is a bit early; you may begin when you want to begin.
Week 3: HEENT. 1
Use the following case to complete a focused SOAP note. Incorporate answers to the questions into your SOAP write up.
A mother brings in her 14-year-old son, Branch, to the Urgent Care where you are as a nurse practitioner. He has had a nosebleed. You learn that Branch and his mother live nearby the UC but they do not live near his school. He must take the train to the school and there also is a walk. Her first concern was that he had been attacked during the walk. Branch denied that and reminded them that he has no bruises. The nosebleed began during his sleep and continues this morning so that he could not go to school. The bleeding is bright and a small but steady stream from his right nostril. He has no history of nosebleeds, sinus or allergy problems and uses no nasal sprays. The mother asks how much the cost will be at the UC as she has no health insurance and just lost her Medicaid for them because she received a raise at her job. She says he needs to be seen, even if it is expensive, because they have been applying pressure by pinching it and the nosebleed won’t stop. You ask for additional information and learn that he has no significant medical history and no known allergies. He is on no medications. Branch does play sports at school, depending on the season. He does not recall any facial injuries at all. He says he just woke up with a nosebleed and it won’t stop. He tells you he is worried he will faint.
Vital signs: BP 108/70 P 88 R 18 T 97.8 oral Pulse ox 99%
You recognize that simple pressure is not going to stop the nosebleed so you know that you will have to intervene.
Prior to any type of procedure, you have the mother sign an informed consent. What are the three major areas you must discuss when doing any type of procedure?
What are the three groups of nosebleeds and which is most common?
Name 4 indications for intervention by a provider for a nosebleed.
You place Branch on the exam table at approximately 45 degrees. You drape him appropriately. You have him blow his nose gently to remove clots. You then inspect the right side to familiarize yourself with his anatomy. You then inspect the left side using a nasal speculum. How should the nasal speculum be used and why is it important to use the nasal speculum a certain way?
You note that the bleeding is coming from an area on the septum. You know that the next step is to apply a vasoconstrictive solution to the nose. What are two ways you can deliver the vasoconstrictive solution?
You note that the area that is the source of the bleeding is about 3 mm in diameter. You make the decision to use a silver nitrate stick. How long should you apply pressure with the stick? Why it is it important not to use the silver nitrate for over that time frame?
After hemostasis is obtained, what are three types of treatment methods that can be used to protect the cauterization site?
If that had not stopped the bleeding and you had to make the decision to use a nasal sponge or nasal tampon, what should the sponge/tampon be coated in and how long should it be left in place?
After putting in the nasal sponge/tampon, approximately 2 ml of ________ or _______ should be dripped onto the tip to help the sponge expand.
After placing the nasal sponge/tampon, the patient should be closely monitored for 3-5 minutes. Why is that?
How long should the patient be kept in observation status?
If a sponge/tampon is used, is it necessary to use antibiotics?
If it is necessary to pack the nose, it may be advisable to give the patient a narcotic or sedative medication (unless a contraindication exists). Why?
Name 5 complications of the above procedures.
After the procedure, you tell Branch and his mother that he can take acetaminophen for any pain/discomfort. Why is it important not to have him take ibuprofen?
What is the leading cause of nosebleeds in adolescents?
What CPT code would you use for the above procedure? What is the definition of the code?
Replies to this email will be posted as a reply to the announcement, which will be seen by everyone in the course.
To Prepare:
Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with conditions of the head, eyes, ears, nose, and throat.
Review the case study provided by your Instructor. Based on the provided patient information, think about the health history you would need to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate in order to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with HEENT conditions.
The Assignment
Use the Focused SOAP Note Template to address the following:
Subjective: What details are provided regarding the patient’s personal and medical history?
Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any morbidities or psychosocial issues.
Assessment: Explain your differential diagnoses, providing a minimum of three. List them from highest priority to lowest priority and include their CPT and ICD-10 codes for the diagnosis. What would your primary diagnosis be and why?
Plan: Explain your plan for diagnostics and primary diagnosis. What would your plan be for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.
Reflection notes: Describe your “aha!” moments from analyzing this case.