In a Microsoft Word document of 4-5 pages formatted in APA style, you will discuss your interview of an older adult

Assessing and Planning Care for an Elderly Person

In order to gain an insight into the world of elder adults, it is important to understand how they view themselves and the values they hold. Additionally it is important to assess and determine his/her needs and establish appropriate interventions for this individual.

In a Microsoft Word document of 4-5 pages formatted in APA style, you will discuss your interview of an older adult. This person cannot be a patient in your clinical setting. You can use a friend, family member, or co-worker. The older adult must be age 65 years or older.
There are two parts to this assignment – the psychosocial interview component and the functional assessment.

Interview

Download the patient questionnaire. Use this format to record the person’s responses.

  • Include 2–3 questions of your own to get a complete picture of the older adult.
  • Summarize your findings.
  • Include the questionnaire with responses in the Appendix of your paper.

Assessment

After gaining permission, conduct a physical and mental functional assessment of the older adult you have chosen. Review your readings for the process of a functional assessment.

  • Use the tools discussed this week to complete a comprehensive assessment of your patient. Search the Internet for resources on these tools.
    • Tinetti Balance and Gait Evaluation
    • Katz Index of Activities of Daily Living
    • Assessment of Home Safety
    • The Barthel Index
    • Do not include a name on each tool, but do include professional or other designation, and age. Your name should also be identified on the tool.
      • Include these tools in the Appendix.
  • Based on your assessment:
    • Compare and contrast the age-related changes of the older person you interviewed and assessed with those identified in this week’s reading assignment.
    • Identify at least 4–6 preliminary issues.
    • Identify three alterations in health that you would propose and describe them.
    • Identify a minimum of three comprehensive interventions for each alteration.
    • Integrate cultural considerations in your interventions.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Please note that the title and reference pages should not be included in the total page count of your paper.

Give a brief overview of your educational background and experience in healthcare or other business

Gave a description of background all ready and one classmate need to add one more next week

Give a brief overview of your educational background and experience in healthcare or other business. Share a personal experience dealing with healthcare reimbursement and any inefficiencies with the process. How does reimbursement tie into the revenue cycle?

In response to your peers, support the points they made around what seems to be working and what needs improvements with one additional idea.

Describe Hepatitis B disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest

Need help with an essay on Epidemiology and nursing research on Hepatitis B. 2000-2500 word  APA style.

  1. Describe Hepatitis B disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
  2. Describe the social determinants of health and explain how those factors contribute to the development of this disease.
  3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?
  4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.
  5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.
  6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

How do we increase the efficiency of the healthcare system?

How do we increase the efficiency of the healthcare system?

  • How would you as a healthcare executive or policymaker increase the efficiency of the U.S. healthcare system?

To answer this question, consider that there are reasons for the current high U.S. healthcare expenditures:

  1. The USA does not regulate the price for healthcare services – using, in most cases, a free-market approach to determine prices.
  2. The demographics of the U.S. population is skewed towards the elderly and age and cost increase together.
  3. The U.S. population as a whole is a nation of people with multiple chronic diseases like HTN and DM and obesity. The consequences of several lifestyle choices contribute to the high cost of chronic care.
  4. The U.S. healthcare system does not seem to work as well as other healthcare systems in the world.
  5. How are efficiency and effectiveness related? Can you have both?

Make sure to provide credible evidence to support your ideas.

What is the role of DNA polymerase in DNA replication?

Inserting bone marrow cells into an individual who produces abnormal erythrocytes is an example of _____ therapy.

 

 

What is the role of DNA polymerase in DNA replication?

 

 

Transcription is best defined as a process by:

 

 

The purpose of a staining technique of chromosomes such as Giemsa is to:

 

 

An amniocentesis indicates a neural tube defect when there is an increase in:

 

 

An amniocentesis is recommended for pregnant women who

 

 

The most clinically useful technique for prenatal diagnosis of chromosomal abnormalities at 3 months’ gestation is:

 

 

The term for an error in which homologous chromosomes fail to separate during meiosis or mitosis is:

 

 

Which clinical manifestations would be expected for a child who has complete trisomy of the twenty-first chromosome?

 

 

What is the most common cause of Down syndrome?

 

 

What is the diagnosis of a 13-year-old female who has a karyotype that reveals an absent homologous X chromosome with only a single X chromosome present with features that include a short stature, widely spaced nipples, reduced carrying angle at the elbow, and sparse body hair?

 

 

A person with XXXY has the genetic disorder called __________ syndrome.

 

 

What is the chromosomal variation that causes Klinefelter syndrome?

 

 

What is the second most commonly recognized genetic cause of mental retardation?

 

 

What is the blood type of a person who is heterozygous, having A and B alleles as codominant?

 

 

A couple has two children with a genetic disease. What is the probability that the next child will have the same genetic disease?

 

 

 

 

People who have neurofibromatosis have a varying degree of the condition because of what genetic principle?

 

 

Which genetic disease has been linked to a mutation of the tumor-suppressor gene?

 

 

Cystic fibrosis is caused by a/an __________________ gene.

 

 

Which is an important criterion for discerning autosomal recessive inheritance?

 

 

Consanguinity refers to the mating of:

 

 

A genetically normal male is always _____________ for genes on the X chromosome.

 

 

Which of the following disorders has a mode of inheritance similar to hemophilia A?

 

 

If a boy has hemophilia A, he inherited it from:

 

 

A boy, 9 years of age, is admitted to the pediatric ward with hemophilia A. He inherited this condition through a ___________ trait.

 

 

 

 

Chapter 05: Genes, Environment-Lifestyle, and Common Diseases

 

 

 

The data reporting that sickle cell disease affects approximately 1 in 600 American blacks is an example of which concept?

 

 

The _____ risk of developing a disease is expressed as the ratio of the disease rate among the exposed population to the disease rate in an unexposed population.

 

 

Empirical risks for most multifactorial diseases are based on:

 

 

What is the cause of familial hypercholesterolemia (FH)?

 

 

Which risk factor for hypertension is influenced by genetic factors and lifestyle?

 

 

An autosomal dominant form of breast cancer accounts for ____% of all cases.

 

 

If a woman has one first-degree relative with breast cancer, her risk of developing breast cancer is _____ times what it would otherwise be.

 

 

Cancers that cluster strongly in families include:

 

 

Which genes are responsible for an autosomal dominant form of breast cancer?

 

 

The BRCA1 and BRCA2 mutations increase the risk of which cancer in women?

 

 

What is the action of angiotensin II that increases blood pressure?

 

 

The two most important risk factors for type 2 diabetes are:

 

 

A major characteristic of type 1 diabetes mellitus is that there is:

 

 

Obesity acts as an important risk factor for type 2 diabetes mellitus by:

 

 

Studies have identified several genes that play a role in the prevention of obesity by:

 

 

Studies have shown that offspring of an alcoholic parent when raised by nonalcoholic parents have _____ increased risk of developing alcoholism.

 

 

 

 

Chapter 06: Epigenetics and Disease

 

 

 

What genetic process is likely responsible for the occurrence of asthma in only one of a pair of identical twins?

 

 

Prader-Willi syndrome causes a chromosomal defect that is:

 

 

A malfunction in DNA methylation can lead to:

 

 

What are some characteristics of the embryonic development of stem cells?

 

 

When microRNA (miRNA) are methylated, their messenger RNA (mRNA) targets are over-expressed. The resulting effect on existing cancer would be:

 

 

The difference between DNA sequence mutations and epigenetic modifications is:

 

 

Which term refers to the silenced gene of a gene pair?

 

 

The shape of the face of a child diagnosed with Russell-Silver syndrome is likely to be:

 

 

Genes responsible for the maintenance of all cells are referred to as:

 

 

What is the belief regarding twins who adopt dramatically different lifestyles?

 

 

Hypomethylation and the resulting effect on oncogenes result in a/an:

 

 

When a chromosome lacking 4 Mb is inherited from the mother, the child is at risk for developing which syndrome?

 

 

What are the physical characteristics of a child diagnosed with Beckwith-Wiedemann syndrome?

 

 

What are the physical characteristics of a child diagnosed with Angelman syndrome?

Review your state (TEXAS) initiatives in support of health equity

I need this in about 120-150 words for each question with references

1) Review your state (TEXAS) initiatives in support of health equity. Has this impacted or not yet reached your clinical facility? https://www.astho.org/Health-Equity/State-Initiatives-Map/

2) If you are still having troubles nailing down a current health policy topic, think about the top 8 national practice problems. Of the known national practice problems—obesity; diabetes; heart disease; chronic obstructive pulmonary disease (or COPD); mental illness; cancer; addiction: alcohol, opioid; and patient safety regarding falls, pressure ulcers, healthcare-associated infections (HAIs), and medication errors—what is the real impact on your community?

Have you visited the Agency for Healthcare Research and Quality (AHRQ, 2018) website? There is a section on the National Healthcare Quality and Disparities Reports (NHQDR) that will allow you to search from a state level. Follow this website: https://nhqrnet.ahrq.gov/inhqrdr/National/benchmark/summary/All_Measures/All_Topics

It may lead to some startling findings and some potential areas to review within your facility to compare to potential practice problems later in the program. For instance, I searched Arizona and reviewed the snapshot of the state. Mental health and substance abuse benchmarks were shocking! We have some work to do as a state! The same with patient safety! This data could easily be linked to one of the big 8 national problems and of concern at your clinical site.

Find your state (TEXAS) and click on the state snapshot. How does your state rate according to a specific practice problem?

References:

Agency for Healthcare Research and Quality. (AHRQ, 2018). National Healthcare Quality and Disparities Reports. Retrieved from https://nhqrnet.ahrq.gov/inhqrdr/National/benchmark/summary/All_Measures/All_Topics

Describe how you spend most of your time

Description

Describe how you spend most of your time. Is this what you expected? Why or why not?
How will you rearrange these items to dedicate enough time to your schoolwork?
What changes do you want to make? What professional resources are available to help with those changes?

YOU DON’T HAVE TO LIST ANY SOURCES, NONE IS NEEDED BECAUSE IT’S FOR A DISCUSSION POST. THANK YOU.

Format:

Discuss the questions that would be important to include when interviewing a patient with this issue

Using the attached Aquifer Case Study, answer the following questions using the latest evidenced based guidelines:

• Discuss the questions that would be important to include when interviewing a patient with this issue.
• Describe the clinical findings that may be present in a patient with this issue.
• Are there any diagnostic studies that should be ordered on this patient? Why?
• List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.
• Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

Complete 2 pages

Provide references

Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda

It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.

Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.

As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.

In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.

To Prepare:

  • Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations.
  • Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
  • Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
  • Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.

The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:

  • Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.
  • Describe the administrative agenda focus related to the issue you selected.
  • Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
  • Explain how each of the presidential administrations approached the issue.

Part 2: Agenda Comparison Grid Analysis

Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:

  • Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
  • How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?
  • Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?

Part 3: Fact Sheet or Talking Points Brief

Using the information recorded on the template in Parts 1 and 2, develop a 1-page narrative that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following:

  • Summarize why this healthcare issue is important and should be included in the agenda for legislation.
  • Justify the role of the nurse in agenda setting for healthcare issues.

Research fun and unusual but accessible activities that will meet the physical activity goals of you and your peers

Assignment Description

Physical Activity Resource Guide

After having read the websites cited in the introduction and read your peers posts develop an out of the box physical activity resource guide (brochure). Imagine that your peers all live in the same general locale. Research fun and unusual but accessible activities that will meet the physical activity goals of you and your peers. Your resource guide should have a minimum of 6 different activities. Each entry should contain a description of the activity, costs, when and where, contact person, website or copy of the listing location. Feel free to include photos or graphics. You may submit your resource guide in PowerPoint, pdf, Word or Microsoft publisher format.

Remember to think out of the box-search for activities on Living Social, Groupon, Department of Recreation and Parks brochures, club and meetings sections of the newspaper, bulletin boards in your favorite neighborhood coffee shop or grocery store, etc.

Assignment Expectations:

Length: Minimum of 6 brochure pages (each activity should be given a page/slide), not including title page/slide and reference page/slide.

Structure: 6 brochure pages or slides; Include a title page/slide and reference page/slide in APA format.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word or PPT document (.doc or .docx or .pptx) or a PDF document (.pdf)

********** HERE ARE SOME LINKS FOR LOCAL ATTRACTIONS *****

https://www.planetware.com/tourist-attractions-/raleigh-us-nc-ral.htm

https://www.visitraleigh.com/things-to-do/

https://raleighnc.gov/parks-recreation-and-cultural-resources