How to improve the public health 

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How to improve the public health

Public Health” is a major concern of health decision-makers. In view of this statement, how can you, as a health administrator, invest some of the approaches and topics to improve the public health of the population?
• Determinants of health( each need some policy to improve
• https://www.who.int/news-room/q-a-detail/determinants-of-health
• https://www.euro.who.int/en/health-topics/Health-systems/public-health-services/news/news/2021/6/balancing-health-and-personal-data-protection-operational-and-policy-considerations
• Disease prevention and control
• Health supervision
• Maternal and children care
• Health education
• Health policy

Somatosensory Function, Pain, Headache & Temperature Regulation

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Somatosensory Function, Pain, Headache, and Temperature Regulation
CASE STUDY:
Ramandeep is an active 23-year-old. She works as a part-time nurse during the day and is studying for a postgraduate certificate in the evening. Ramandeep started to wear a bite plate at night after she began to experience jaw pain and headaches.
Sometimes the pain radiated to her ear, and she would apply a hot water bottle to it to ease the discomfort. It was not until her husband mentioned to her that he heard her grinding her teeth at night while she was sleeping. She knew then that her headaches might be from the temporomandibular joint syndrome, and she went to her dentist to confirm her thoughts.
In addition to the bite plate, the dentist also recommended she should continue with the application of heat, use NSAIDs when needed, and incorporate regular relaxation exercises throughout her stressful days.
QUESTIONS:
What effect does heat have on nociceptors so that it makes a good nonpharmacologic treatment for pain?
Heat and cold treatment are both hypothesized to have an effect on the release of endogenous opioids. What are these chemicals, and why are they hypothesized to be beneficial in the body?
Using your knowledge of physiology, how do NSAID analgesics function in the management of pain?

 Hemophilia

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Hemophilia
An 8-month infant is brought into the office due to a swollen right knee and excessive bruising. The parents have noticed bruising about a month ago but thought the bruising was due to the attempts to crawl. They became concerned when the baby woke up with a swollen knee.

The infant up to date on all immunizations has not had any medical problems since birth and has met all developmental milestones.

  • FH: negative for any history of bleeding disorders or other major genetic diseases.
  • PE: within normal limits except for obvious bruising on the extremities and right knee. Knee is swollen but no warmth is appreciated. Range of motion of knee limited due to the swelling.
  • DIAGNOSIS: hemophilia

 

 

Question:
What is the pathophysiology of Hemophilia

Sickle Cell Disease (SCD)

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Sickle Cell Disease (SCD)
A 15-year-old male with known sickle cell disease (SCD) present to the ER in a sickle cell crisis. The patient is crying with pain and states this is the third acute episode he has had in the last 10-months. Both parents are present and appear very anxious and teary-eyed. A diagnosis of acute sickle cell crisis was made.

Question:
Explain the pathophysiology of the acute SCD crisis. Why is pain the predominant feature of acute crises?

Discuss the genetic basis for SCD

Acute Lymphoblastic Leukemia

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Scenario: Acute Lymphoblastic Leukemia (ALL)
An 11-year-old boy is brought to the clinic by his parents who state that the boy has not been eating and is listless. The mother also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes.

The mother states the child has had intermittent fevers that respond to acetaminophen.
Maternal history negative for pre, intra, or post-partum problems.
PMH: Negative. Easily reached developmental milestones.
PE: reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern.
LABS: CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl.
DIAGNOSIS: acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his parents.
CONFIRMED DX: acute lymphoblastic leukemia (ALL) was made after extensive testing.

Question:
Explain what ALL is?

Why does ARF occur in some patients with ALL?

Bacteriological Revolution

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Bacteriological Revolution
Major discovery of germs, and what was our understanding of them at the time.
Germ mutation/Germ Theory
How has the knowledge of germs impacted/helped society today?
Find mind-blowing facts to get my audience’s attention throughout the presentation

Hypothetical health promotion plan

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Develop a hypothetical health promotion plan, 3-4 pages in length, addressing a specific health concern for an individual or a group living in the community that you identified from the topic list provided.

Bullying.
Teen Pregnancy.
LGBTQIA Health.
Sudden Infant Death (SID).
Immunization.
Tobacco use (include all: vaping, e-cigarettes, hookah, chewing tobacco, and smoking) cessation.

U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (n.d.). Healthy People 2030. https://health.gov/healthypeople

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Analyze health risks and health care needs among distinct populations.
Analyze a community health concern that is the focus of a health promotion plan.
Competency 2: Propose health promotion strategies to improve the health of populations.
Explain why a health concern is important for health promotion within a specific population.
Establish agreed-upon health goals in collaboration with participants.
Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

Interprofessional Collaboration with a patient

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Interprofessional Collaboration with a patient

Students will ask an interprofessional colleague to jointly interview a patient who is a current patient in a healthcare facility.  The interview will serve to obtain a medical, family, and social history. Ideally, the student and the other participant will interview the patient together.

The student and the other participant must arrange a time to discuss the case and share their assessments of the patient’s problem list with each other. The information collected is then used to create a collaborative problem list that illustrates the similarities and differences that the two healthcare providers identify in the patients’ care needs.

The student’s problem list must be constructed from the viewpoint of an RN using official nursing diagnoses to address the patient’s needs. Any type of healthcare provider is appropriate to collaborate with on this assignment, provided their profession has the scope and responsibility to assess a patient and establish a problem list.

The paper will include the following components:

  • An overview of the experience including the setting, the interprofessional colleague collaborated with and a brief explanation of their role, training, world view and scope of practice.
  • A summary explanation of the patient’s case that highlights the pertinent history supporting problems identified. Respecting HIPAA no patient identifiers may be used in this paper.
  • A detailed problem list will be provided. One problem list from the RN point of view with RN diagnoses, and the other problem list from the other healthcare provider. This will be displayed in a side-by-side table. The student will then analyze and describe the similarities and differences noted between the problem lists of the RN and that of their collaborating partner.
  • The student will then demonstrate insight into how the differences found in the problem list is reflective of the RN lens, vs. the other healthcare provider lens.
  • The student will provide a reflection on the experience of participating in this activity. Consider experience, power, cultural interactions between the collaborating partners, and how that may or may not have influenced the experience. The student will describe what they learned from working with his/her colleague, what they were able to teach their partner about the RN role, the benefits or challenges of interprofessional collaboration, and how this experience might influence the student’s future nurse practitioner practice.
  • The student will include a discussion of how this interprofessional activity experience addresses the IPEC competencies of interprofessional education as provided above. This discussion will include one citation source that addresses a research study with outcomes relating to interprofessional collaboration.

COVID-19 and Health Disparities Op-Ed

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COVID-19 and Health Disparities Op-Ed

Write 500-750 word opinion editorial about COVID-19 and health disparities. Based on what you’ve learned in this course and research that you conduct on your own, draft an Op-Ed that discusses why there are racial and ethnic, spatial, or social disparities with respect to COVID-19 in the United States. Present your opinion, support your opinion by fact, and close with discussing potential solutions to eliminating these disparities, and the underlying reasons for the disparities. Feel free to take your argument in any direction (spatial issues, social determinants of health, racism as a public health issue, etc).

Case Study Multiple Sclerosis

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Case Study Multiple Sclerosis
Joe is a 50-year-old man with multiple sclerosis (MS). He is married with a 14-year-old son. Both Joe and his wife, Ann are blue-collar workers with high school education. Joe lives with his family in a rented, ranch-style home but with 10 stairs to the basement, where Joe likes to play his electric guitar on Saturday nights. They cannot afford to move.

Joe works for an auto parts store full-time, making less than $25,000 per year and he stands most of the time to assist customers. He sits occasionally for some computer work. Joe’s hobbies include anything to do with rock and roll, eating out, and watching television. On the weekdays, he usually gets up at 5:30 am and returns home at 7 pm. He drives 1 hour to work each way. He is exhausted when he arrives home.

Joe participates in no structured exercise or activity during the week and occasionally will do some light yard work or household chores. Ann works two jobs in order to pay the bills She is overweight and is often under tremendous pressure to “keep things going” in the home. She has a tendency to take over many tasks in and around the house because she is “afraid Joe might fall.”

Over the past 5 years, Joe has developed lower extremity weakness and requires a cane much of the time to walk. He has difficulty ascending and descending stairs while carrying anything over 10 pounds. About twice a year,
Joe experiences an exacerbation of symptoms and is bedbound for a week at a time. He states that he often gets depressed about his situation, not feeling like a “man” and unable to do many things with his son.

 

I just need these questions answered completely using the guidelines it provides (using OT journals with one of them being an international OT publication);

  • Identify and describe any imbalances of daily occupations currently for both Joe and Ann.
  • Consider what some signs and symptoms of MS that Joe and his family may not be aware of.
  • Develop and describe educational sessions for Joe and his wife to promote healthy living and to maximize occupational participation. Include health literacy principles