To Prepare:

• Reflect on strategies that you can pursue in developing portfolios or portfolio elements that focus on academic achievements.
• Review one or more samples from your own research of resources focused on portfolio development.

BY DAY 3

Post an explanation of at least two strategies for including academic activities and accomplishments into your professional development goals. Then, explain how those goals may align with the University’s emphasis on social change. Be specific and provide examples.

A little about me: I am a behavioral health nurse with 6 years of experience, currently completing my masters in psychiatry nursing 

Discussion Social Factors (Graded)

Discussion

Purpose

The purpose of this discussion is for learners to identify community data that impacts social factors of health.

Preparing the Assignment

· Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:

· Demonstrate understanding of concepts for the week

· Integrate outside scholarly sources when required

· Engage in meaningful dialogue with classmates and/or instructor

· Express opinions clearly and logically, in a professional manner

· Use the rubric on this page as you compose your answers.

· Best Practices include:

· Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.

· Enter the discussion often during the week to read and learn from posts.

· Select different classmates for your reply each week.

Discussion Question

There are many factors that make people healthy or ill.  This week we will focus on the social factors and determinants that impact health.

It is time to get out into your community!

· Go online to the U.S. Census Bureau at 

https://www.census.gov/quickfacts/ Links to an external site.
(*note, you will be using this website in the Week 2 assignment, so you can get started on collecting all the required data if desired)

· Input your local zip code, city, or county. Try to get as specific data as possible (city, township, county).

· Next, identify the:

· Total population

· Median income

· Percentage or number of persons living in poverty

· Go to your local grocery store, use a flyer, or app. Include the stores name, city, and state. Identify cost for the following items (please note whether items are organic):

· 1 gallon of milk

· 1 loaf of bread

· 1 bag of apples (include price per pound)

· 1 bag of carrots

· 1 large container of yogurt

· 1 2-liter of soda

· 1 bag of chips

· 1 package of cookies

· Utilizing the data collected, discuss social factors that might impact what groceries are purchased. Try to be as specific to your community as possible (location, availability, poverty levels, etc.).

· Discuss how a community health nurse (CHN) could use one of the 17 intervention categories from the Public Health Intervention Wheel to address areas of food security (Nies & McEwen, 2019).

· In your responses to classmates, include comparisons and contrasting information.

Your discussion post should look like:

· Paragraph one: Utilizing the data collected, discuss a social factor that might impact what groceries are purchased. Try to be as specific to your community as possible (location, availability, poverty levels, etc.)

· Paragraph two: Utilizing the data collected, discuss 
another social factor that might impact what groceries are purchased. Try to be as specific to your community as possible (location, availability, poverty levels, etc.)

· Paragraph three: Discuss how a community health nurse (CHN) could use one of the 17 intervention categories from the Public Health Intervention Wheel to address areas of food security

· Resources: Where did you find your data?

EBOOK used: Community/Public Health Nursing
https://bookshelf.vitalsource.com/reader/books/9780323528948/epubcfi/6/2%5B%3Bvnd.vst.idref%3Dhtml-cover-page%5D!/4/2/4%4050:79

OR

Email:
[email protected]

PWD: Bryanthierry@09

[removed]

For this assignment, you will write an introduction for postoperative pain control assignment as previously assigned. 

***PLEASE SEE ATTACHED FOR INSTRUCTIONS***

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 7th edition APA format. 

Neuro Case Study

You are consulted to visit a 72 year old male client who had a stroke last year which left both his upper and lower right sided extremities weakened. He is obese and has a history of smoking for 57 years. His history also includes being diagnosed with type 2 diabetic, high blood pressure, coronary artery disease, polycythemia, and atrial fibrillation. His father died of an MI at age 53. Both of his parents had type 2 diabetes. His mother dies of cancer. His paternal grandfather had 2 strokes, 0neyear apart, dying two weeks after the second stroke.

1. What types of extremity paralysis ( weaknesses) can occur in strokes and how do they differ? What type of weakness does this patient exhibit?

2. The lesion that caused the motor function problem in this patient is located on which side of the brain? Why does it occur in this manner?

3. Given the history of this patient, what type of stroke did this patient have,

ischemic, or hemorrhagic? Please provide your rationale.

4. What is the relationship between atrial fibrillation, and the stroke

5. What other risk factors are identified for this patient and what is the relationship of these to a stroke?

6. Your patient’s wife tells you “My husband’s grandfather had a stroke and could not talk, but he could talk> My husband can not walk, but can talk. I do not understand Why?” The APN would address this issue in what manner? What information is shared?

7. The patient’s wife adds, the doctor said to call him if he suffered a TIA. I thought TIA’s go away. Why is this important and how will I know it is happening? The APN addresses this situation in what manner. What information will be shared?

8. How do adult strokes differ from pediatric strokes?