Reply

In order to reflect on and analyze how the relationship between health and behavior affects the social determinants of health, I would like to share the analysis based on the latter. Accredited institutions and organizations such as the WHO, consider or identify the social determinants of health in the context where human beings are born, in the life spaces where they develop, as well as in the workplace and in the social system of interactions where the person makes his life Now, the way they do their life, the behavioral actions they carry out, are the ones that in one way or another will affect the health of the human being. Many times we talk about behavior and we do not associate it with health and that is where we must gain in general culture and assimilate that this influences from the moment we obtain, for example, the information from a medical diagnosis. In this sense, people react differently and adopt dissimilar ways to their treatment, they are not always the appropriate behaviors or postures, an issue that directly affects their health and is also associated with the human resources available to deal with the disease health process (Soriano & Jiménez, 2023).

The balance that is achieved between the physical state of health and psychosocial well-being, the best state of health refers to the person. There are behaviors that contribute positively to health, there we find an adequate and balanced diet, the practice of physical activity, avoiding by all means the consumption of toxic substances, the rest that the body requires during sleep hours, avoiding self-medication, among others. However, maintaining this balance based on health, and even more so when suffering from already established diseases, requires an environment that encourages this behavior, as well as people who accompany the transit through life in a healthy way, so that the interaction with the people of the closest and social environment contribute to the positive and not to negative behaviors for health. We are biopsychosocial beings and from there we react and develop (Cereceda, 2022).

    That is why nursing within its metaparadigms contains the dialectical relationships between its main concepts (person, environment, health and nurse). In those relationships that occur from theory and practice in nursing, there is integration between patients and nurses for their transformation in the care process to achieve their necessary transformations for their healing and social integration. These relationships between health and disease are currently focused on a paradigmatic vision of holistic care for health care, where the human being must be seen as a whole, not as the simple care of its parts. A human being who, by reacting negatively, influences his health, if he does not take care of his body or attacks it with toxins, in the same way his behavior brings consequences for his health and for those around him.

MSN 5550 CASE STUDY

 Read the following case study and answer the reflective questions.  Please provide evidence-based rationales for your answers.  APA, 7th ed. must be followed.  

Please check for  plagiarism and AI(artificial intelligence).The work must be in your own words.The last case study my score was too low due to high percent in AI.

Attached you can find the case study.

WK 11 journal entry

Please see attachment for directions

Case study week 10 MSN 5550

 Read the following case study and answer the reflective questions.  Please provide evidence-based rationales for your answers.  APA, 7th ed. must be followed.  

Please check for plagiarism and AI(artificial intelligence)

Attached you can find the case study.

intervention plan design to improve the quality of outcomes for your target population and setting. related to combating or preventing veterans homelessness

Develop a 4-6 page holistic intervention plan design to improve the quality of outcomes for your target population and setting.TOPIC: combating and preventing veterans homelessness

ntroduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Your application of the PICOT approach to developing your problem statement and the research that you conducted and synthesized in your literature review are the foundation and framework that you will need to successfully build your intervention plan. This plan will lay out specific components of the intervention you are planning to address the need you have identified for the target population and setting. You will justify your approach to the intervention plan by integrating appropriate theoretical foundations. You will also analyze and address the needs of stakeholders, requirements of regulatory bodies, and ethical and legal considerations. It is important to have a sound intervention plan design in place before trying to work on the details of implementation and evaluation.

Preparations

  • Read Guiding Questions: Intervention Plan Design [DOC]. This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.
  • As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    • What theoretical nursing models, strategies from other disciplines, and health care technologies could help support or justify your approach to the intervention plan?
    • What evidence from the literature or best practice supports the intervention plan components you identified?
    • What, if any, potential is there for technology to help in the development or implementation of the intervention plan components?
    • What is the impact of stakeholders, health care policy, or regulations?
    • Are there any ethical or legal considerations related to the development or implementation of the intervention plan components that need to be kept in mind? If so, what are they?

Instructions

Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.

You intervention plan design will be the second section of your final project submission. The goal for this is to design a holistic plan that should be able to improve the quality of outcomes for your target population and setting. Provide enough detail so that the faculty member assessing your intervention plan design will be able to provide substantive feedback that you will be able to incorporate into the other project components in this course, as well as into the final draft of your project.

At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and Guiding Questions: Intervention Plan Design document (linked above) to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement and the setting and context for this intervention plan.

Reminder: these instructions are an outline. Your heading for this this section should be Intervention Plan Components and not Part 1: Intervention Plan Components.

Part 1: Intervention Plan Components
  • Define the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need.
  • Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components.
Part 2: Theoretical Foundations
  • Evaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan.
  • Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices.
Part 3: Stakeholders, Policy, and Regulations
  • Analyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan.
Part 4: Ethical and Legal Implications
  • Analyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan.
Address Generally Throughout
  • Communicate intervention plan in a professional way that helps the audience to understand the proposed intervention.

Cardiovascular

Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. 

A 70 year old black American female who has the following
preexisting conditions;

Hypertension (HTN): longterm

Heart failure (CHF) : 2 months

Coronary artery disease (CAD) : longterm

Myocardial infarction (MI) : five years ago

Ejection (EF) of 55% : 2 months ago

Socioeconomic data:

Widow, Lives alone, independent ADL’s, Nonsmoker, Nondrinker

Pharmacologic data:

Aspirin (acetylsalicylic acid, ASA)

Clopidogrel bisulfate (Plavix)

Lisinopril (Prinivil, Zestril)

Carvedilol (Coreg)

Furosemide (Lasix)

Potassium chloride (KCL)

Client Profile:

70 year old woman originally from Alabama. She lives alone and is able to manage herself independently. She is active in her community and church. Diagnosed with heart failure 2 months age and is followed up at home with a visiting nurse every other week for to assist is managing her heart failure symptoms. She is being referred to the nurse practitioner for follow up of changes in her symptoms.

Assessment:

At the office the following subjective and objective data was supplied:

“I noticed my legs were getting a bit bigger and they are achy, too.”

She has gained 10 pounds over the last 5 days.

She gets short of breath when ambulating from one room to the other (approximately 20 feet) and must sit down to catch her breath.

Her oxygen saturation is 95% on room air. Bibasilar crackles are heard when auscultating her lung sounds.

She denies any chest, arm, or jaw pain or nausea.

She denies any back pain, stomach pain, confusion, dizziness, or a feeling faint.

She admits only to feeling a little more tired than usual.

Eats Southern Cooking when at home.

Vital signs :

T= 97.6 F (36.4C), BP 140/70, P 93, R 22.

Labs ordered:

complete blood count (CBC), basic metabolic panel (BMP), brain natriuretic peptide (B-type natriuretic peptide assay or BNP), troponin, creatine kinase (CPK), creatine kinase-MB (CKMB), and albumin. The APN also prescribes oral (PO) Furosemide and arranges an outpatient electrocardiogram (ECG, EKG), chest X-ray, and echocardiogram.

Questions

1. Which assessment findings during this visit are consistent with heart failure?

2. Why did the APN ask about back pain, stomach pain, confusion, dizziness or a feeling that she might faint?

3. Explain what the following terms indicate and include the normal values: cardiac output, stroke volume, afterload, preload, ejection fraction and central venous pressure. Is an ejection fraction of 55% significant. Provide rationale.

5. Discuss the body’s compensatory mechanisms during hear failure. Include an explanation of the Frank-Starling law in your discussion.

6. Heart failure can be classified as left or right ventricular failure, systolic versus diastolic, according to the New York Heart Association (NYHA) and using the ACC/AHA (American Heart Association) guidelines. Explain these four classification systems and the signs and symptoms that characterize each. Which Classification fits this patient?

7. Provide a rationale for why each of the following medications have been prescribed: Aspirin, Clopidogrel bisulfate (Plavix), Lisinopril(Prinivil/Zestril) , and Carvedilol (Coreg).

8. What information will each of the following tests provide: CBC, BMP, BNP, Troponin, CPK, CKMB, and albumin, EKG, CXR, and Echocardiogram

health care statistics.

Primary Task Response: write words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

You are a health care administrator (HCA) for a community hospital named Choice Hospital. As the HCA, you are working with new staff who will assist you with data collection and analysis for tracking and benchmarking performance in several key areas of the facility. As you work with the new staff, you will help them understand the meaning of health statistics and  the external resources available for locating health care statistics by completing the following:

  • Define health care statistics
  • Explain the purpose of collecting and reviewing healthcare statistics
  • Identify 2 organizations that use health care statistics at the local, state, and national levels (e.g., CMS hospital system)   
  • Identify 2 sources that are available to obtain healthcare statistics

discussion wk 2

 Based on your clinical practice area and location. What are some of the greatest cultural issues and trends that are frequently encountered? How do we as professional nurses rise to these challenges? Provide examples of cultural recognition and potential health-related issues while implementing evidence-based standards of care. 

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

 If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided? 

case study

MSN 5550 Health Promotion: Prevention of Disease
Case Study Module 10

Instructions: Read the following case study and answer the reflective questions. Please provide
evidence-based rationales for your answers. APA, 7th ed. must be followed.

Deadline: Due by Saturday at 23:59 p.m.

CASE STUDY: Preschool Child: Ricky

Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father,
who both work full-time, and his infant sister. Their extended family lives in a different state
more than 100 miles away. Both parents are of average height and in good health. Ricky’s
mother mentions that Ricky often expresses frustration, particularly in regard to food. Conflict
over food occurs every day. Mealtime is a battle to get him to eat, unless his mother feeds him.
Ricky’s baby sister seems to tolerate all baby foods but requires her mother to spoon-feed.
Ricky’s mother is quite frustrated and concerned that he will become malnourished.

Reflective Questions

1. What additional assessment information would you collect?

2. What questions would you ask, and how would you further explore this issue with the
mother?

3. In what ways does the distance of the extended family influence this family’s approach

to health promotion?

4. What factors would you consider to determine whether malnourishment is a factor in
this family?