Steroid misusers

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Rolling is a practice seen in some steroid misusers of steadily increasing their dose to a high point in the middle of their training regimen.

True or False

Strategies for correcting winged scapula versus protracted scapulae

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Briefly outline your strategies for correcting winged scapula versus protracted scapulae including which dysfunction should be addressed first (the bulleted form is acceptable).

Vaccination Care Plan

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Vaccination Care Plan for the Islote de Juana Díaz neighborhood community
according to nanda nic and noc
fill in the fields of the sections (Assessment, Justification, Execution and Evaluation

You were assigned to work in the Islote neighborhood of Juana Díaz. In assessing the community, one of the main problems is that most community members are not vaccinated against German measles, smallpox, diphtheria, and polio. Most of its members have very little schooling and report that they do not have much information about the benefits of vaccines.

In addition, they have limited access to Health Services due to geographical distance. Develop a care plan for this community.

A community Education curriculum

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Develop your teaching project into a community education curriculum.  such as TB, hepatitis, and STDs, and chronic illnesses, such as diabetes.

  • Determine which variables should be included in your curriculum to address the identified public health conditions.
  • Determine which resources and materials you will need for teaching the curriculum.
  • Determine which communication method and health promotion technique should be used to deliver your curriculum.

 

Step 2:

Develop and prepare the curriculum, and identify all elements you would use.

  • Develop all materials needed to properly educate the identified agency population regarding the identified public health or communicable disease issue.
  • Develop a method for assessment of the success of the educational curriculum with the identified population.

 

Step 3:

do a  summary of the educational curriculum.

Factors that affect the worsening of chronic diseases

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elaborate on the various factors that affect the worsening of chronic diseases and elaborate on how evidence-based interventions can be properly be disseminated via health education to reduce the impact of the chronic disease (ex. diabetes, high blood pressure, obesity, heart disease etc.) that you choose to focus for this discussion thread.

 Levels of provision of health services

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 Levels of provision of health services.  Read, study, and analyze the following study material:

Edelman, C. (2022). Health promotion throughout the life span (10th ed.). Elsevier.
Available in the ClinicalKey Student Nursing database of the Virtual Library.
o Chapter 1: Health Defined: Health Promotion, Protection, and Prevention (Section: Levels of prevention)

College of Nursing Professionals in Puerto Rico. (2018). Nursing practice standards in Puerto Rico.

B. Make a concept map in which you will:
1. Classify each of the levels of service provision (primary, secondary and tertiary)
2. Describe how each of the health levels works
3. Examine a standard for each level of nursing care

II. Problems in the levels of provision of services (Value: 26 points)

A. List one (1) health problem at each of the service delivery levels and discuss an appropriate solution for each that can be applied nationally and globally.

Level: Health problem: Solution at national and global level:

Level Health problem Solution at national and global level:

B. Reflects, according to the literature, about the importance of providing effective nursing care that complies with national and global health policies.

III. The role of the nursing professional (Value: 40 points)

A. Read, study, and analyze the following study material:

Potter, P.A., Stockert, P.A., Perry, A.G., Hall, A.M., & Ostendorf, W. (2017). Fundamentals of Nursing (9th ed.). Elsevier.
Available in the ClinicalKey Student Nursing database of the Virtual Library.
o Chapter 6: Health and Wellness (Section: Levels of Preventive Care)

 

B. Hypothetical situation:

As a community nurse, you have been assigned to carry out two (2) health clinics in different communities:
• Vega Baja, Puerto Rico
• Port au Prince, Haiti

1. Briefly describe your role as a nursing professional in each of these communities.
2. List several prevention activities that you would carry out in both communities.
3. Identifies some physical, social, cultural and religious needs of each of the communities to be able to exercise the role of nursing as an advocate for the patient, the family and the community.

 

 

 

 

 

 

 

Vega Baja, Puerto Rico Port-au-Prince, Haiti
nursing role
prevention activities
Physical, social, cultural and religious needs

4. Briefly explains the role of the nursing professional in the immunization process at the national and global levels.

 

Health Science

Communication in different health care organizations

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What are the biggest challenges with communication in different health care organizations? Consider a range of different organizations: large hospital systems, small rural hospitals, community clinics, pharmacy chains, and so on.

Financial balance

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In an unrestricted economy the totals amount ol / 01 amount requested by purchasers and amount provided by dealers might arrive at a financial balance after some time in response to cost changes; practically speaking, different issues might forestall harmony, and any balance came to mthe ay

Local anesthesia

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Local anesthesia. Lidocaine is the prototype. How does it work?
What is it used for?
What are the major adverse effects—remember, it is usually injected into the skin around the area for stitches, etc, but will eventually enter the bloodstream, so how can it affect the body once it moves to the bloodstream?
Why and when would epinephrine be added to the use of lidocaine?

What are the concerns about the effects of epinephrine when it enters the bloodstream?
Topical lidocaine—patient teaching.  Just a general reminder—topical is meant to stay “topical” (versus transdermal, which is applied to the skin to intentionally enter the body)

What teaching should be done about using topical lidocaine to reduce systemic effects?

Lidocaine is also often applied in the mouth for dental work and to the throat topically for invasive procedures like endoscopy and bronchoscopy…If part of the mouth is numb or the back of the throat is numb, what are the safety concerns?

Local anesthetics are what are used in spinal and epidural anesthesia.  Review concerns for patients receiving the medications via this route.

Work in Billing and Reimbursement

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As much as you are enjoying your job as a Medical Office Assistant, you have plans to move on and work in Billing and Reimbursement. You have helped your coworker, Carol, who is a biller and coder and thought it was a lot like having to try and solve a puzzle.

You are excited that Carol is willing to show you what the job entails and she has trusted you with a few tasks.

During your conversation with Carol, she stated, “No matter what, you need to appeal every denial that we get from the insurance company. Look at it this way, if the doctor doesn’t get paid, you don’t get paid.”

In addition, Carol has instructed you on how to handle the next set of tasks. She states, “It doesn’t matter which report you run first. Just so you get it done. We’ll worry about the details later.”

When you question Carol about these instructions, she let you know that she didn’t care what you had been taught in school, this is how things are done at this clinic.

 

  1. As a Medical Office Assistant, how will you handle this situation? What reactions might you expect from Carol and how will you handle them?
  2. How should you handle tasks given to you that might be out of your scope of training?
  3. If you would like to expand your skills and training, what would you do? What steps would you take?