Explain the role of the nurse in CHIP healthcare program implementation. How is the role of the nurse different between design and implementation of healthcare programs?

Jason Hornbuckle is not a happy boy. For the past 4 hours, he has complained of pain when he swallows, He is febrile (temperature 103 degrees) with tender, bilateral, cervical lymphadenopathy (enlarged lymph nodes).  has a headache, and has vomited twice. His mother decides to take the seven-year-old to his pediatrician. Upon examining Jason, the nurse finds that Jason’s pharynx, tonsils, and uvula are swollen and erythematous (red) and his tonsils are studded with white areas of exudate.

A Complete Blood Count (CBC) performed on a sample of Jason’s blood reveals that he has a leukocytosis (increased number of WBC) due to neutrophilia (increased number of neutrophils).

Jason is diagnosed as having acute bacterial pharyngitis and treated with phenoxymethyl penicillin for five days. A throat swab is taken before starting antibiotics gro s beta-hemolytic streptococci (Group A). After three days of treatment, Jason’s temperature has returned to normal and he has made an uneventful recovery.

Questions 

1. Jason’s pharynx, uvula, and tonsils are swollen and red. What are the four cardinal signs of inflammation, and how does each relate to changes in the blood vessels at a site of inflammation?

2. The exudate on Jason’s tonsils consisted primarily of neutrophils, and the cbc that was performed indicated that the number of neutrophils in his circulation was increased. What role do neutrophils play in the resolution of a bacterial infection?

3. It is noted that Jason’s cervical lymph nodes were enlarged, a condition referred to as lymphadenopathy. Describe the structure and function(s) of lymph nodes, and list the other organs and tissues that comprise the lymphatic system.

4. Describe the anatomic location and function of tonsils.

5. Explain some of the steps needed to reduce fever and fight the infection?

Identify/describe one possible way; you as a community/public health nurse could engage in activism (How a nurse could serve as a change agent) to address issues of health inequity experienced by HIV  vulnerable populations.

1. Describe one desired goal/outcome that you would like to achieve through your actions (engagement).
2. Identify one legislator or political leader within your community that you would approach regarding the issue.
3. Discuss how you would communicate your message with the representative?

Recommend at least two evaluation tools that are most appropriate for designing the Children’s Health Insurance Program healthcare program and provide a justification for why you would recommend these evaluation tools.

Stephens J. D, Yager, A. M, & Allen J. (2017). Smartphone technology and text messaging for weight loss in young adults (Links to an external site.): A randomized controlled trial. Journal of Cardiovascular Nursing, 32(1), 39-46.

1. Was the design experimental, quasi-experimental, or nonexperimental? What specific design was used? Was this a cause-probing study? Given the type of question (Therapy, Prognosis, etc.), was the most rigorous possible design used?
2. What type of comparison was called for in the research design? Was the comparison strategy effective in illuminating key relationships?
3. If the study involved an intervention, were the intervention and control conditions adequately described? Was blinding used, and if so, who was blinded? If not, is there a good rationale for failure to use blinding?
4. If the study was nonexperimental, why did the researcher opt not to intervene? If the study was cause-probing, which criteria for inferring causality were potentially compromised? Was a retrospective or prospective design used, and was such a design appropriate?
5. Was the study longitudinal or cross-sectional? Was the number and timing of data collection points appropriate?
6. What did the researcher do to control confounding participant characteristics, and were the procedures effective? What are the threats to the study’s internal validity? Did the design enable the researcher to draw causal inferences about the relationship between the independent variable and the outcome?
7. What are the major limitations of the design used? Were these limitations acknowledged by the researcher and taken into account in interpreting results? What can be said about the study’s external validity?