Most historians’ accounts of America’s early history indicate the presence of territorial wars between European settlers and Native Americans over Native American lands from Christopher Columbus’s arrival. However, one fundamental aspect of these wars was largely neglected in these historic times. Diseases have played a significant role in the Europeans’ conquest of Native American empires in America. Many Native Americans had such a solid grounding of their territory that the Europeans would have had difficulty conquering these territories. Yet, diseases had an impeccable win against both sides of the war. Crosby suggests that in accord to Pedro Pizarro’s writing, the Spaniards would not have conquered the Huascar and Atahualpa lands if the war had not broken from the two kingdoms: “Had the land not been divided between Huascar and Atahualpa, we would not have been able to enter or win the land unless we could gather a thousand Spaniards for the task, and at that time, it was impossible to get together even five hundred Spaniards” (69). This civil war followed the death of Huayna Capac from smallpox, leaving the region under confusion for the succession of power. For this reason, the European conquest of the Americas is largely attributed to diseases that ravaged the people of the region.

The complexity of diseases at the time of European conquest of Native American lands may be attributed to its being left out in American history. Most of history only accounts for………………….

………….However, the Spanish colony has used the same Malaria parasite against their enemies, making it a war weapon to them as well (McNeill 4). As the mosquitoes and the disease transmitted by them wrought indiscriminate havoc,” Spanish fighters and engineers relied on the disease to protect their colonies from intruders, “Spanish forces would retreat by stages, slowing the assault, to let the disease climate work its havoc on the attackers” (McNeill 156). This evidence indicates the role of malaria parasites in the Native wars between Europeans over land and wealth.

Chronic Health Paper: Anal Cancer in the LGBTQIA population

Purpose

The purpose of this assignment is:

1. Integrate knowledge and skills learned throughout the NR503 course
2. Direct application of course objectives utilizing epidemiological analysis of a chronic health problem, along with state and national-level data.

Requirements:

This paper should clearly and comprehensively discuss a chronic health disease.

The paper should be organized into the following sections:

1. Introduction(Identification of the problem) with a clear presentation of the problem as well as the significance and a scholarly overview of the paper’s content. No heading is used for the Introduction per APA current edition.
2. Background and Significance of the disease, to include:  Definition, description, signs, and symptoms.  Incidence and prevalence of statistics by state with a comparison to national statistics pertaining to the disease.  If after a search of the library and scholarly databases, you are unable to find statistics for your home state, or other states, consider this a gap in the data and state as much in the body of the paper. For instance, you may state something like, “After an exhausting search of the scholarly databases, this writer is unable to locate incidence and/or prevalence data for the state of ….  This indicates a gap in surveillance that will be included in the “Plan” section of this paper.
3. Surveillance and Reporting: Current surveillance methods and mandated reporting processes as related to the chronic health condition chosen should be specific.
4. Epidemiological Analysis:  Conduct a descriptive epidemiology analysis of the health condition. Be sure to include all of the 5 W’s:  What, Who, Where, When, Why.  Use details associated with all of the W’s, such as the “Who” which should include an analysis of the determinants of health.  Include costs (both financial and social) associated with the disease or problem.
5. Screening and Guidelines:  Review how the disease is diagnosed and current national standards (guidelines).  Pick one screening test (review Week 2 Discussion Board) and review its sensitivity, specificity, predictive value, and cost.
6. Plan:  Integrating evidence, provide a plan of how a nurse practitioner will address this chronic health condition after graduation.  Provide three specific interventions that are based on the evidence and include how you will measure outcomes (how will you know that the interventions have utility, are useful?)  Note:  Consider primary, secondary, and tertiary interventions as well as the integration of health policy advocacy efforts.  All interventions should be based on evidence – connected to a resource such as a scholarly piece of research.
7. Summary/Conclusion: Conclude in a clear manner with a brief overview of the keys points from each section of the paper utilizing the integration of resources.
8. The paper should be formatted and organized into the following sections which focus on the chosen chronic health condition.

As the nurse executive of a healthcare organization, it was reported to you that one of your nurses may be chemically impaired (legal/regulatory issue) and has allegedly been taking drugs from the unit. This nurse also had two recent medication errors in the past week. Discuss the steps you would take to validate this allegation and how you would proceed after the allegation was confirmed to be true.

1. Clearly introduce your legal/regulatory issue in the introduction paragraph; including a sentence that states the purpose of your paper.

2. Clearly articulate the steps you would take as the nurse leader to investigate the allegation of this legal/regulatory issue as stated above and how to proceed when the allegation is confirmed to be true.

3. Investigate/research and discuss if your state board of nursing offers some type of recovery program for chemically-impaired nurses (a strategy). If they do not offer a program in your state, discuss a proposed recovery program for chemically-impaired nurses that you would like to have implemented for your state.

4. Clearly articulate your specific strategies to improve costs and improve the quality of healthcare at your organization related to the legal/regulatory issue stated above. How do your strategies relate to the Person-Centred Nursing Leadership Framework by McCormack and McCance (2017); specifically the contextual domain?

5. Include of a minimum of three sources of scholarly, empirical evidence that supports your strategies to improve costs and quality of healthcare.

6. Provide concluding statements that should summarize your overall assignment content.

Analyze financial models of reimbursement and their effects on patients and health care providers.

Directions

For this Assignment, you will distinguish between Medicare and Medicaid. Your paper must include the following topics:

Provide a brief history of both Medicare and Medicaid.
Define the populations that they are intended to serve.
Determine whether your state has expanded Medicaid.
Articulate the reasons that states choose not to participate in Medicaid expansion.
Analyze your role in your specialized area of nursing practice when interfacing with Medicare and/or Medicaid recipients.

Discussion Question:
Defining patient acuity has been a challenge related to staffing. As the Chief Nursing Officer (CNO), would you measure patient acuity? Explain your rationale. Please share how would you measure it? Be specific. Additionally, how would patient acuity affect staffing ratios? Please share your rationale.