This document outlines a teaching plan for educating young adults aged 25-38 about preventing heart disease. The plan involves teaching for 1.5 hours at a group home, using a laptop, snacks, and pamphlets. The teaching will focus on the risks and prevention of heart disease, using statistics to emphasize the importance. The goals are to improve the audience's knowledge of heart disease and its prevention, as well as support the Healthy People 2020 objective of reducing coronary heart disease deaths. The teaching methods will actively engage the audience and use visual aids and discussion to communicate key messages effectively.
Running Head HEART DISEASE PLAN FOR CARE .docxwlynn1
Running Head: HEART DISEASE PLAN FOR CARE 1
Heart Disease Plan for Care
Ralph Marrero
South University
05/02/2020
Introduction
Chronic illnesses are those diseases that last for at least three months and include arthritis, cancer, cardiovascular diseases, among others. Chronic disease usually affects multiple parts of the body and only partly responds to treatment. Patients suffering from such conditions have a period where the disease temporarily goes away and then reappears (Andreadis, 2016). Chronic diseases, therefore, need well-planned care that address the patients’ needs and how they need to be addressed. The development of a treatment schedule is challenging and requires consideration of the various aspects of the disease. From healthy people, 2020 topics on chronic disease, the paper will discuss heart disease as a chronic illness and give reasons for the choice. The paper will also develop a questionnaire for patients to help prepare a plan of care and include healthy people 2020 goals for heart diseases. Nice overview!
Identification of the chronic illness listed under Health People 2020 goals.
Heart diseases refer to heart conditions that affect the flow of blood to the heart. The most common heart disease is coronary artery disease and resulted in deaths of 365,914 people in the year 2017("Heart disease and stroke | Healthy people 2020," n.d.). Plaque builds up in the blood arteries of a heart disease patient, narrowing the path of blood to the heart. In other instances, the plaque may rupture, forming a blood clot in the arteries that completely blocks the flow of blood. Insufficient flow of blood results in heart attacks and deaths that are hard to be prevented if not early predicted. The paper chooses to address this chronic illness since it is the leading cause of deaths from all ethnic groups in the United States. From statistics in the United States, in every four deaths, one results from heart disease, and approximately 647,000 Americans die from it annually("Heart disease and stroke | Healthy people 2020," n.d.). However, the cases of deaths can be managed by better treatment and preventing deterioration of heart diseases before they reach acute levels. Quality of life for patients living with these diseases can be improved by proper care if well scheduled and thereby increasing their lifespan.
Developing a questionnaire for patients
Heart diseases are determined by several medical conditions that need to be resolved. These factors that put patients under a high risk of a heart attack need to be considered in developing a plan of care. They include diabetes, obesity, high blood pressure, physical inactivity, and excessive alcohol consumption (University of Colorado Denver, n.d.).
Questionnaire related to blood pressure
1. When was the last you had your blood pressure checked
· Less than 12 months ago
· More than 12 months ago
· Never tested
.
Running Head: HEART DISEASE PLAN FOR CARE 1
Heart Disease Plan for Care
Ralph Marrero
South University
05/02/2020
Introduction
Chronic illnesses are those diseases that last for at least three months and include arthritis, cancer, cardiovascular diseases, among others. Chronic disease usually affects multiple parts of the body and only partly responds to treatment. Patients suffering from such conditions have a period where the disease temporarily goes away and then reappears (Andreadis, 2016). Chronic diseases, therefore, need well-planned care that address the patients’ needs and how they need to be addressed. The development of a treatment schedule is challenging and requires consideration of the various aspects of the disease. From healthy people, 2020 topics on chronic disease, the paper will discuss heart disease as a chronic illness and give reasons for the choice. The paper will also develop a questionnaire for patients to help prepare a plan of care and include healthy people 2020 goals for heart diseases. Nice overview!
Identification of the chronic illness listed under Health People 2020 goals.
Heart diseases refer to heart conditions that affect the flow of blood to the heart. The most common heart disease is coronary artery disease and resulted in deaths of 365,914 people in the year 2017("Heart disease and stroke | Healthy people 2020," n.d.). Plaque builds up in the blood arteries of a heart disease patient, narrowing the path of blood to the heart. In other instances, the plaque may rupture, forming a blood clot in the arteries that completely blocks the flow of blood. Insufficient flow of blood results in heart attacks and deaths that are hard to be prevented if not early predicted. The paper chooses to address this chronic illness since it is the leading cause of deaths from all ethnic groups in the United States. From statistics in the United States, in every four deaths, one results from heart disease, and approximately 647,000 Americans die from it annually("Heart disease and stroke | Healthy people 2020," n.d.). However, the cases of deaths can be managed by better treatment and preventing deterioration of heart diseases before they reach acute levels. Quality of life for patients living with these diseases can be improved by proper care if well scheduled and thereby increasing their lifespan.
Developing a questionnaire for patients
Heart diseases are determined by several medical conditions that need to be resolved. These factors that put patients under a high risk of a heart attack need to be considered in developing a plan of care. They include diabetes, obesity, high blood pressure, physical inactivity, and excessive alcohol consumption (University of Colorado Denver, n.d.).
Questionnaire related to blood pressure
1. When was the last you had your blood pressure checked
· Less than 12 months ago
· More than 12 months ago
· Never tested
.
This is the ongoing project discussion portion of this class. My pop.docxglennf2
This is the ongoing project discussion portion of this class. My population is geriatric/elderly. The problem is BP...
I will attach previous discussions because it all needs to tie in together
350 words
at least 3 references cited in the discussion.
must be last 5 years
Overview: Dr. Marcia Stanhope (2020) explained that evidence-based public health practice refers to those decisions made by using the best available evidence, data and information systems and program frameworks; engaging community stakeholders in the decision-making process; evaluating the results; and then disseminating that information to those who can use the information.
Practicum Discussion: This week, your assignment will be to incorporate all of the information you have gathered from the community—including the population itself, health data, interviews/conversations with interested community members, and your community assessment, including your Windshield Survey—as well as what you have gathered from scholarly literature to propose measureable interventions. Measureable interventions mean that the results can be measured through some data that could be collected (Stanhope, 2020). This requires thinking in terms of actions and then measuring results. An evaluation of interventions is important to see whether or not they are effective in solving a health care problem. Remember, you will need to use the data you gathered to determine whether or not a problem exists in your community and to then determine whether your interventions might be effective.
Please discuss the following points in your Practicum Discussion:
Identify one evidence-based behavior change that would promote health in your selected population.
Suggest one specific culturally sensitive, evidence-based, measureable intervention to address the health problem for your selected population.
Think in terms of measuring outcomes. What outcomes would you expect to see once the intervention(s) are in place? Be specific.
By Day 4
Post
your response to this Discussion.
Support your response with references from the professional nursing literature.
GOAL of PRACTICUM PROJECT
Overall Purpose for Practicum:
Develop a potential project to improve the health of a specific population of interest or a population at risk.
This practicum is designed to help you develop as a scholar practitioner and health leader to promote positive social change in your own community. In this practicum experience you will focus on
primary prevention
of a health problem in your community (see text for definition.) You already possess the knowledge and skills to help those who are acutely ill. This experience will help learn how to prevent a health problem in a specific population at risk at the
community and system level of care
(see text for definition). Consequently, because you are well aware of how to care for individuals you will now develop leadership and advocacy skills to improve the health of the communi.
This document proposes a "Healthy Heart Festival" event to raise awareness about heart disease in the Dallas community. It would be a partnership between Central Market grocery store and the American Heart Association. The one-day festival would include a 5k run, cooking demonstrations on healthy meals, kids activities, speakers on heart health, and optional medical checkups. The goals are to educate people about preventing and managing heart disease through diet, stress management, physical activity, and screening/monitoring risk factors. The proposed budget is $11,724 to cover venue, food, printing, programming, and prizes.
Running head CREATING A PLAN OF CARE .docxsusanschei
Running head: CREATING A PLAN OF CARE 1
CREATING A PLAN OF CARE 10
Creating a Plan of Care
South University
NSG4055 Illness & Disease Management across Life Span
Professor
Creating a Plan of Care
The chronic disease selected for the plan of care is cardiovascular disease. This disease continues to pose major challenges not only for patients and their family members but also to the nation’s health care system. The rationale for choosing cardiovascular disease is because of the high rates of mortality and the effects of the co-morbidities associated with the chronic illness. According to Santulli (2013), cardiovascular disease is the single leading cause of fatalities in the United States, accounting for approximately 600,000 deaths annually. In 2011, approximately 26.6 million Americans were living with the chronic disease. The health care costs associated with the disease account for more than $500 billion annually. There are also many disparities in prevalence of risk factors, mortality, access to treatment and treatment outcomes based on race/ethnicity, socioeconomic status, gender, age and geographic area. Hence, tackling the disease should be a major priority for the US government. The main objective of the Healthy People 2020 initiative for cardiovascular disease is “improving cardiovascular health through early detection, prevention and treatment of the risk factors for stroke and heart attack”. This report outlines a comprehensive plan of care that can help in addressing and mitigating cardiovascular disease.
Holistic Plan of Care
Creating a holistic plan of care will indeed be essential for ensuring that people with chronic conditions such as cardiovascular disease lead a healthy life. Cardiovascular disease has a significant impact on the patient and the health care system. Apart from the emotional distress, patients with this condition also face some financial burdens, social burdens and increased levels of discrimination (Earnshaw & Quinn, 2012). In the course of completing the project, I administered a questionnaire to a coworker by the initials C.K. during week 2 to find out how she deals with the condition.
The questionnaire looked into various aspects such as family history, related medical conditions, the risk factors of cardiovascular disease, lifestyle choices and the coping strategies or support received by the patient. Understanding all these aspects can help in developing a well-managed care plan (Larsen & Lubkin, 2013). The results of the questionnaire revealed that C.K. observes healthy lifestyle, has the right levels of support and adheres to the medication regimen. All these factors helped her to cope effectively with the condition. However, even though she attested to leading a healthy lifestyle, C.K. also revealed that her family faced s ...
Over the past two decades, an increased prevalence of risk factors associated with cardiovascular illnesses such as poor diet, physical inactivity, and obesity has affected young adults under 40 years living in developed countries such as the United States of America.
The document proposes a health promotion activity called "Bipolar disorder - the basics" to increase awareness and understanding of bipolar disorder (BD) and help prevent relapse. The activity would provide participants with information on what BD is, its types and symptoms, prevalence, comorbidities, stigma and effects of stigma. It would be delivered through a presentation facilitated by a trainer, followed by entry and exit surveys to measure knowledge increase and user satisfaction. The goal is to educate people, including those with BD, their families and professionals, by presenting information on BD in a clear and non-technical way while using technical terms when needed.
The document discusses two diets for treating cardiovascular disease: the DASH diet and the TLC diet. The DASH diet focuses on limiting sodium while increasing fruits, vegetables and whole grains. It aims to control hypertension and cholesterol. The TLC diet focuses on lowering LDL cholesterol and blood triglycerides to reduce heart disease risk. The document analyzes these diets based on cost, health outcomes, and compliance to recommend the best option for a medical care group to advise patients.
Running Head HEART DISEASE PLAN FOR CARE .docxwlynn1
Running Head: HEART DISEASE PLAN FOR CARE 1
Heart Disease Plan for Care
Ralph Marrero
South University
05/02/2020
Introduction
Chronic illnesses are those diseases that last for at least three months and include arthritis, cancer, cardiovascular diseases, among others. Chronic disease usually affects multiple parts of the body and only partly responds to treatment. Patients suffering from such conditions have a period where the disease temporarily goes away and then reappears (Andreadis, 2016). Chronic diseases, therefore, need well-planned care that address the patients’ needs and how they need to be addressed. The development of a treatment schedule is challenging and requires consideration of the various aspects of the disease. From healthy people, 2020 topics on chronic disease, the paper will discuss heart disease as a chronic illness and give reasons for the choice. The paper will also develop a questionnaire for patients to help prepare a plan of care and include healthy people 2020 goals for heart diseases. Nice overview!
Identification of the chronic illness listed under Health People 2020 goals.
Heart diseases refer to heart conditions that affect the flow of blood to the heart. The most common heart disease is coronary artery disease and resulted in deaths of 365,914 people in the year 2017("Heart disease and stroke | Healthy people 2020," n.d.). Plaque builds up in the blood arteries of a heart disease patient, narrowing the path of blood to the heart. In other instances, the plaque may rupture, forming a blood clot in the arteries that completely blocks the flow of blood. Insufficient flow of blood results in heart attacks and deaths that are hard to be prevented if not early predicted. The paper chooses to address this chronic illness since it is the leading cause of deaths from all ethnic groups in the United States. From statistics in the United States, in every four deaths, one results from heart disease, and approximately 647,000 Americans die from it annually("Heart disease and stroke | Healthy people 2020," n.d.). However, the cases of deaths can be managed by better treatment and preventing deterioration of heart diseases before they reach acute levels. Quality of life for patients living with these diseases can be improved by proper care if well scheduled and thereby increasing their lifespan.
Developing a questionnaire for patients
Heart diseases are determined by several medical conditions that need to be resolved. These factors that put patients under a high risk of a heart attack need to be considered in developing a plan of care. They include diabetes, obesity, high blood pressure, physical inactivity, and excessive alcohol consumption (University of Colorado Denver, n.d.).
Questionnaire related to blood pressure
1. When was the last you had your blood pressure checked
· Less than 12 months ago
· More than 12 months ago
· Never tested
.
Running Head: HEART DISEASE PLAN FOR CARE 1
Heart Disease Plan for Care
Ralph Marrero
South University
05/02/2020
Introduction
Chronic illnesses are those diseases that last for at least three months and include arthritis, cancer, cardiovascular diseases, among others. Chronic disease usually affects multiple parts of the body and only partly responds to treatment. Patients suffering from such conditions have a period where the disease temporarily goes away and then reappears (Andreadis, 2016). Chronic diseases, therefore, need well-planned care that address the patients’ needs and how they need to be addressed. The development of a treatment schedule is challenging and requires consideration of the various aspects of the disease. From healthy people, 2020 topics on chronic disease, the paper will discuss heart disease as a chronic illness and give reasons for the choice. The paper will also develop a questionnaire for patients to help prepare a plan of care and include healthy people 2020 goals for heart diseases. Nice overview!
Identification of the chronic illness listed under Health People 2020 goals.
Heart diseases refer to heart conditions that affect the flow of blood to the heart. The most common heart disease is coronary artery disease and resulted in deaths of 365,914 people in the year 2017("Heart disease and stroke | Healthy people 2020," n.d.). Plaque builds up in the blood arteries of a heart disease patient, narrowing the path of blood to the heart. In other instances, the plaque may rupture, forming a blood clot in the arteries that completely blocks the flow of blood. Insufficient flow of blood results in heart attacks and deaths that are hard to be prevented if not early predicted. The paper chooses to address this chronic illness since it is the leading cause of deaths from all ethnic groups in the United States. From statistics in the United States, in every four deaths, one results from heart disease, and approximately 647,000 Americans die from it annually("Heart disease and stroke | Healthy people 2020," n.d.). However, the cases of deaths can be managed by better treatment and preventing deterioration of heart diseases before they reach acute levels. Quality of life for patients living with these diseases can be improved by proper care if well scheduled and thereby increasing their lifespan.
Developing a questionnaire for patients
Heart diseases are determined by several medical conditions that need to be resolved. These factors that put patients under a high risk of a heart attack need to be considered in developing a plan of care. They include diabetes, obesity, high blood pressure, physical inactivity, and excessive alcohol consumption (University of Colorado Denver, n.d.).
Questionnaire related to blood pressure
1. When was the last you had your blood pressure checked
· Less than 12 months ago
· More than 12 months ago
· Never tested
.
This is the ongoing project discussion portion of this class. My pop.docxglennf2
This is the ongoing project discussion portion of this class. My population is geriatric/elderly. The problem is BP...
I will attach previous discussions because it all needs to tie in together
350 words
at least 3 references cited in the discussion.
must be last 5 years
Overview: Dr. Marcia Stanhope (2020) explained that evidence-based public health practice refers to those decisions made by using the best available evidence, data and information systems and program frameworks; engaging community stakeholders in the decision-making process; evaluating the results; and then disseminating that information to those who can use the information.
Practicum Discussion: This week, your assignment will be to incorporate all of the information you have gathered from the community—including the population itself, health data, interviews/conversations with interested community members, and your community assessment, including your Windshield Survey—as well as what you have gathered from scholarly literature to propose measureable interventions. Measureable interventions mean that the results can be measured through some data that could be collected (Stanhope, 2020). This requires thinking in terms of actions and then measuring results. An evaluation of interventions is important to see whether or not they are effective in solving a health care problem. Remember, you will need to use the data you gathered to determine whether or not a problem exists in your community and to then determine whether your interventions might be effective.
Please discuss the following points in your Practicum Discussion:
Identify one evidence-based behavior change that would promote health in your selected population.
Suggest one specific culturally sensitive, evidence-based, measureable intervention to address the health problem for your selected population.
Think in terms of measuring outcomes. What outcomes would you expect to see once the intervention(s) are in place? Be specific.
By Day 4
Post
your response to this Discussion.
Support your response with references from the professional nursing literature.
GOAL of PRACTICUM PROJECT
Overall Purpose for Practicum:
Develop a potential project to improve the health of a specific population of interest or a population at risk.
This practicum is designed to help you develop as a scholar practitioner and health leader to promote positive social change in your own community. In this practicum experience you will focus on
primary prevention
of a health problem in your community (see text for definition.) You already possess the knowledge and skills to help those who are acutely ill. This experience will help learn how to prevent a health problem in a specific population at risk at the
community and system level of care
(see text for definition). Consequently, because you are well aware of how to care for individuals you will now develop leadership and advocacy skills to improve the health of the communi.
This document proposes a "Healthy Heart Festival" event to raise awareness about heart disease in the Dallas community. It would be a partnership between Central Market grocery store and the American Heart Association. The one-day festival would include a 5k run, cooking demonstrations on healthy meals, kids activities, speakers on heart health, and optional medical checkups. The goals are to educate people about preventing and managing heart disease through diet, stress management, physical activity, and screening/monitoring risk factors. The proposed budget is $11,724 to cover venue, food, printing, programming, and prizes.
Running head CREATING A PLAN OF CARE .docxsusanschei
Running head: CREATING A PLAN OF CARE 1
CREATING A PLAN OF CARE 10
Creating a Plan of Care
South University
NSG4055 Illness & Disease Management across Life Span
Professor
Creating a Plan of Care
The chronic disease selected for the plan of care is cardiovascular disease. This disease continues to pose major challenges not only for patients and their family members but also to the nation’s health care system. The rationale for choosing cardiovascular disease is because of the high rates of mortality and the effects of the co-morbidities associated with the chronic illness. According to Santulli (2013), cardiovascular disease is the single leading cause of fatalities in the United States, accounting for approximately 600,000 deaths annually. In 2011, approximately 26.6 million Americans were living with the chronic disease. The health care costs associated with the disease account for more than $500 billion annually. There are also many disparities in prevalence of risk factors, mortality, access to treatment and treatment outcomes based on race/ethnicity, socioeconomic status, gender, age and geographic area. Hence, tackling the disease should be a major priority for the US government. The main objective of the Healthy People 2020 initiative for cardiovascular disease is “improving cardiovascular health through early detection, prevention and treatment of the risk factors for stroke and heart attack”. This report outlines a comprehensive plan of care that can help in addressing and mitigating cardiovascular disease.
Holistic Plan of Care
Creating a holistic plan of care will indeed be essential for ensuring that people with chronic conditions such as cardiovascular disease lead a healthy life. Cardiovascular disease has a significant impact on the patient and the health care system. Apart from the emotional distress, patients with this condition also face some financial burdens, social burdens and increased levels of discrimination (Earnshaw & Quinn, 2012). In the course of completing the project, I administered a questionnaire to a coworker by the initials C.K. during week 2 to find out how she deals with the condition.
The questionnaire looked into various aspects such as family history, related medical conditions, the risk factors of cardiovascular disease, lifestyle choices and the coping strategies or support received by the patient. Understanding all these aspects can help in developing a well-managed care plan (Larsen & Lubkin, 2013). The results of the questionnaire revealed that C.K. observes healthy lifestyle, has the right levels of support and adheres to the medication regimen. All these factors helped her to cope effectively with the condition. However, even though she attested to leading a healthy lifestyle, C.K. also revealed that her family faced s ...
Over the past two decades, an increased prevalence of risk factors associated with cardiovascular illnesses such as poor diet, physical inactivity, and obesity has affected young adults under 40 years living in developed countries such as the United States of America.
The document proposes a health promotion activity called "Bipolar disorder - the basics" to increase awareness and understanding of bipolar disorder (BD) and help prevent relapse. The activity would provide participants with information on what BD is, its types and symptoms, prevalence, comorbidities, stigma and effects of stigma. It would be delivered through a presentation facilitated by a trainer, followed by entry and exit surveys to measure knowledge increase and user satisfaction. The goal is to educate people, including those with BD, their families and professionals, by presenting information on BD in a clear and non-technical way while using technical terms when needed.
The document discusses two diets for treating cardiovascular disease: the DASH diet and the TLC diet. The DASH diet focuses on limiting sodium while increasing fruits, vegetables and whole grains. It aims to control hypertension and cholesterol. The TLC diet focuses on lowering LDL cholesterol and blood triglycerides to reduce heart disease risk. The document analyzes these diets based on cost, health outcomes, and compliance to recommend the best option for a medical care group to advise patients.
This document provides an overview of public health concepts for nursing students. It defines key terms like health, illness, sickness, and disease. It also outlines the core functions of public health programs according to the WHO, including leadership, research, policymaking, and health monitoring. Additionally, it discusses public health applications in healthcare systems and differentiates between health indicators and determinants. Major global public health programs and strategies are also summarized, such as vaccination initiatives and efforts to address issues like obesity and smoking.
Strategies for reducing morbidity and mortality from diabetes through healthสปสช นครสวรรค์
This document summarizes recommendations from the Task Force on Community Preventive Services regarding interventions to reduce morbidity and mortality from diabetes. It finds that disease and case management in healthcare systems are strongly recommended for people with diabetes. It also recommends diabetes self-management education in community settings like community centers for adults, and in the home for children and adolescents with type 1 diabetes. There was insufficient evidence to recommend other settings or for adults with type 2 diabetes in the home. The Task Force conducted systematic reviews of interventions focused on healthcare systems and community-based self-management education.
Hugh Griffiths: Improving health outcomes for people with long-term conditionsThe King's Fund
Dr Hugh Griffiths, Acting National Clinical Director for Mental Health, Department of Health, outlines the key themes of the government’s mental health strategy for England and looks at how outcomes for people with physical and mental health conditions can be improved.
A correlation study to determine the effect of diabetes self management on di...Kurt Naugles M.D., M.P.H.
Self-Management in this presentation refers to those activities people undertake in an effort to promote health, prevent disease, limit illness, and restore well being. Several investigators contend that self-management be made a major component of many patient health-care strategy (Glasgow, et al., 2001; Wagner, et al., 2001). Currently, nearly 125 million Americans suffer from chronic debilitating illnesses (Anderson, 2000). These national figures clearly underscore the need to develop a multidimensional approach in regards to disease management. Accordingly, measures that incorporate the patient’s perspective in managing his or her health should be explored.
Diabetes mellitus is among those conditions suspected to be highly influenced by self-management activities (Sprangers, et. al., 2000). If benefits do indeed exist, they need to be fully evidenced. The investigation presented here sought to examine the role self management plays in the health outcomes of individuals living with diabetes.
The document discusses the American Diabetes Association's Living With Type 2 Diabetes program which aims to provide newly diagnosed patients with information and support. It provides an overview of diabetes in the US, the program goals and design, communication strategies including educational booklets and online tools, expected reach of 150,000 enrollments, and evaluation methods.
The document discusses improving physical health and wellness as part of mental health recovery for those with serious mental illness. It finds high rates of preventable medical conditions and early death due to a lack of prevention and integrated care addressing both physical and mental health needs. The document recommends designating this population as high-risk, establishing coordinated mental health and physical health care as a priority nationally and in states, and requiring mental health providers to screen for and treat medical issues through integrated care models.
This document discusses congestive heart failure in African Americans. It outlines symptoms such as shortness of breath and swelling in legs. Treatments mentioned include medications like ACE inhibitors, beta blockers, and diuretics. Diet recommendations include low sodium and fluid restrictions. African Americans are at higher risk of heart disease compared to other groups. The document also covers developing a learning needs assessment and health promotion plan for patients, with goals of preventing readmission through social support and understanding their beliefs about their illness.
The document summarizes recommendations from a task force on interventions to reduce morbidity and mortality from diabetes. It finds:
1) Disease management in clinical settings is strongly recommended based on evidence it improves glycemic control and monitoring.
2) Case management is also strongly recommended based on evidence it improves glycemic control when combined with disease management.
3) Diabetes self-management education in community gathering places is recommended for adults with type 2 diabetes based on evidence of improved glycemic control.
Running Head PICOT1PICOT4Comment by Crystal Bowm.docxglendar3
Running Head: PICOT 1
PICOT 4
Comment by Crystal Bowman: Hi Yeni…..You did a good job overall with your paper. I do not see an actual PICOT question presented so it is difficult to tell what your primary focus is. Please see the comments for feedback. Thanks, Prof Bowman & Tania
PicotPICOT
GCU NRS-490Yeni Hernandez
Yeni HernandezGrand Canyon University: NRS 490 Comment by tania: Incorrect title page format.
Title
Student’s Name
Grand Canyon University: course prefix and number
Date
December 9, 2018
Picot
This paper discusses the unprecedented complexities and issues related to dementia and particularly people living with dementia (PWD) and research in the field utilizing the quantitative measures to understand the severity of the symptoms as stipulated by Pan et al. (2013) of 51 patients with vascular dementia. The primary focus of the study is based on the demographics of old or aging populations who have been outlined as people at higher risks and prevalence of vascular and dementia complexities.
Problem/Patient Population
The research analysis presents the aging population as the primary population considering that dementia affects people in their senior years. The severities of the behavioral and psychological symptoms consistent with vascular dementia are outlined based on the metrics set through quantitative measures for 51 patients in three environments, diurnal, evening and nocturnal events. Considering that dementia dimension is mainly characterized by amnesia and memory loss the conflict in concern with this population, especially with the old or aging population, is presented through the effective delivery of care to and achieveing better patient outcomes for the PWD. patients. It is critical to note that dementia reduces the functionalities of the patients, thereby increasing the risks of other issues includingsuch as becoming unfit due to lack of exercise. among other concerns.
Intervention
For this particular group of patients, the intervention is solely based on improving outcomes and maintaining a comfortable lifestyle for the outlined patients at risks (Hughes & Common, 2015). The intervention is based on a combination of two aspects:; exercise and medication. By iIntegrating a routine exercises plan to for patients with dementia, it has been shown that exercise can to improve memory loss symptoms as well as keep improving the patient fitness. It has been shown that rRegular exercise results in an improvements of brain functions in two ways; both indirect methods and direct methods. Indirectly exercise helps by stimulatinge and improvinge mood, and sleep, as well as reducinge stress and anxiety. Theseis is are common characteristics of vascular dementia in among the older populationgenerations. Directly the benefits are derived from the ability of exercise to reduce insulin resistance, decrease reducing inflammation and stimulateion of the growth factors. In the older population people with dementia, “chem.
Running Head PICOT1PICOT4Comment by Crystal Bowm.docxtodd581
Running Head: PICOT 1
PICOT 4
Comment by Crystal Bowman: Hi Yeni…..You did a good job overall with your paper. I do not see an actual PICOT question presented so it is difficult to tell what your primary focus is. Please see the comments for feedback. Thanks, Prof Bowman & Tania
PicotPICOT
GCU NRS-490Yeni Hernandez
Yeni HernandezGrand Canyon University: NRS 490 Comment by tania: Incorrect title page format.
Title
Student’s Name
Grand Canyon University: course prefix and number
Date
December 9, 2018
Picot
This paper discusses the unprecedented complexities and issues related to dementia and particularly people living with dementia (PWD) and research in the field utilizing the quantitative measures to understand the severity of the symptoms as stipulated by Pan et al. (2013) of 51 patients with vascular dementia. The primary focus of the study is based on the demographics of old or aging populations who have been outlined as people at higher risks and prevalence of vascular and dementia complexities.
Problem/Patient Population
The research analysis presents the aging population as the primary population considering that dementia affects people in their senior years. The severities of the behavioral and psychological symptoms consistent with vascular dementia are outlined based on the metrics set through quantitative measures for 51 patients in three environments, diurnal, evening and nocturnal events. Considering that dementia dimension is mainly characterized by amnesia and memory loss the conflict in concern with this population, especially with the old or aging population, is presented through the effective delivery of care to and achieveing better patient outcomes for the PWD. patients. It is critical to note that dementia reduces the functionalities of the patients, thereby increasing the risks of other issues includingsuch as becoming unfit due to lack of exercise. among other concerns.
Intervention
For this particular group of patients, the intervention is solely based on improving outcomes and maintaining a comfortable lifestyle for the outlined patients at risks (Hughes & Common, 2015). The intervention is based on a combination of two aspects:; exercise and medication. By iIntegrating a routine exercises plan to for patients with dementia, it has been shown that exercise can to improve memory loss symptoms as well as keep improving the patient fitness. It has been shown that rRegular exercise results in an improvements of brain functions in two ways; both indirect methods and direct methods. Indirectly exercise helps by stimulatinge and improvinge mood, and sleep, as well as reducinge stress and anxiety. Theseis is are common characteristics of vascular dementia in among the older populationgenerations. Directly the benefits are derived from the ability of exercise to reduce insulin resistance, decrease reducing inflammation and stimulateion of the growth factors. In the older population people with dementia, “chem.
This document introduces a handbook aimed at helping communities promote heart health and prevent stroke. It argues that past approaches focused too much on educating individuals, and that a better approach is to directly modify social and environmental factors. The handbook provides tools to identify barriers and promoters of heart health in local communities. It presents a model linking individual health goals to population goals and factors in the social environment that influence them. The handbook's methods can help communities diagnose issues and design interventions to improve cardiovascular health at both the individual and societal levels.
-
Post intervention assessment will be done after every three months to measure the
outcomes.
Arrange: -
Arrange follow up meeting and laboratory investigation after every three months.
Motivational support will be provided to participants.
Rewards will be given to participants as per their achievement.
Certificates will be provided to participants at the end of intervention.
Feedback will be taken from all stakeholders.
Sustainability plan will be prepared.
Report will be submitted to Ministry of Health/local government.
Publication of results.
Clarian health health promotion inservice november 8, 2010Julie Gahimer
This document summarizes concepts and practical applications of health promotion for physical therapists. It discusses the six dimensions of wellness, health issues in the US like obesity and smoking rates, national health goals like Healthy People 2010/2020, and the role of physical therapists in health promotion including screening, prevention, and addressing all six dimensions of wellness.
This document provides an introduction to chronic disease, including key terms and concepts. It discusses how chronic diseases require ongoing management, have a gradual onset and long-term effects on quality of life. Examples of chronic diseases include diabetes, renal disease and cardiovascular disease. The development of chronic disease is influenced by social, economic and environmental factors as well as health behaviors. Currently, chronic diseases consume 70% of health budgets and this is projected to increase. The document outlines strategies to address chronic diseases through prevention, early detection, evidence-based management and reducing associated risk factors like smoking, poor nutrition, alcohol and inactivity. It emphasizes moving from an acute, episodic care model to one focused on prevention and management.
This document provides an introduction to chronic disease, including key terms and concepts. It discusses how chronic diseases require ongoing management, have a gradual onset and long-term effects on quality of life. Examples of chronic diseases include diabetes, renal disease and cardiovascular disease. The development of chronic disease is influenced by social, economic and environmental factors as well as health behaviors. Currently, chronic diseases consume 70% of health budgets and this is projected to increase. The document outlines strategies to address chronic diseases through prevention, early detection, evidence-based management and reducing associated risk factors like smoking, poor nutrition, alcohol and inactivity. It emphasizes moving from an acute, episodic care model to one focused on prevention and management.
Healthy People 2010 aims to improve national health through two overarching goals: increasing quality and years of healthy life, and eliminating health disparities. It monitors progress through 467 objectives across 28 focus areas. Achieving its goals requires recognizing that health is determined by interactions between individual behaviors, environments, and policies targeting factors like access to healthcare. Two successful programs that exemplify this systematic approach are Action for Healthy Kids, which promotes healthy school environments, and the 100 Black Men Health Challenge, which empowers communities through lifestyle modeling and education.
Cardiovascular disease (CVD) is the leading cause of death worldwide. CVD is preventable through lifestyle changes such as increasing physical activity, eating a healthy diet, not smoking, and managing conditions like high blood pressure and cholesterol. If everyone engaged in recommended prevention activities, heart attacks could be reduced by 63% and strokes by 31% over 30 years. However, many people do not currently engage in optimal prevention. Efforts to promote prevention programs and educate the public on risk factors and lifestyle changes could help reduce CVD deaths in the United States.
NBGH study showed wellness initiatives for chronic disease management had the greatest impact on improving employee engagement. How do we contain healthcare costs and improve employee engagement? Diabetes, heart disease, cancer, mental health issues - the strain on health and cost. Motivating employees with interactive health programs to get engaged, reduce presenteeism....implementing health solutions, digging deeper.
1Obesity Florida National UniversityAlina RiveroTatianaMajor22
1
Obesity
Florida National University
Alina Rivero
Health Promotion and Role Development in Advanced Nursing Practice
Professor: Alexander Garcia Salas
January 20, 2022
Obesity
2
Good nutrition is a vital factor in leading a healthy life. However, poor nutrition may
lead to nutritional problems, such as poor growth, malnutrition, obesity, and overweight.
Obesity is a major health problem at the local, national and global levels as it is associated with
the prevalence of chronic diseases. It is a major risk factor for cardiovascular conditions, such
as stroke and heart diseases, diabetes as well as cancer. Obesity affects individuals of all ages.
It is, thus, important to develop effective health promotion strategies for addressing obesity in
communities.
Obesity is a serious health concern worldwide. According to global health statistics,
there is a rising number of people who are becoming overweight and obese (World Health
Organization (WHO), 2020). Obesity has been identified as a major risk factor for the
development of cardiovascular diseases such as hypertension and heart diseases, and one of the
leading causes of premature death. There is an estimate of 340 million adolescents and children
who are obese and overweight across the world, where it is also estimated that the number of
children and adolescents who are obese has outweighed the number of individuals who are
underweight (WHO, 2020). The main causes of the increase of obesity worldwide are
increasing urbanization as well as an increase in the dietary intake of sugary foods and fatty
meals. The health strategies towards reducing obesity worldwide include global action by
international agencies as well as promoting health education worldwide on the importance of
taking healthy meals and frequent exercises.
Obesity is also a growing health concern at the national level. According to the Centers
for Disease Control and Prevention (CDC), there is a constant rise in poor nutrition across the
country (Wang et al, 2020). Obesity, which is expressed in terms of Body Mass Index (BMI)
has had a significant and steady rise among children, adolescents, and the elderly, and
approximately, 37% of the entire population in the United States is estimated to be either obese
or overweight (Wang et al, 2020). Obesity has strongly been associated with the rising
3
prevalence of health concerns, such as diabetes, heart diseases, cancerous infections as well as
stroke as contributing risk factors in the United States. Similar to the global situation, obesity
has been associated with increased dietary intake of fatty and sugary meals. Other contributing
factors include physical environments, social health determinants, and family inheritance. The
health promotion strategies towards reducing its prevalence include providing access to
healthier foods, limiting access to junk and fast foods, promoting physical activities, a ...
The document discusses the history and goals of the Healthy People initiative in the United States, which sets national 10-year objectives to improve health and reduce preventable disease and injury. It began in 1979 and is now in its fifth edition, Healthy People 2030. The initiative aims to guide efforts to increase life expectancy and reduce health disparities so the US achieves the full health potential of its population. Healthy People 2030 focuses on issues like reducing adverse childhood experiences, improving care for those with dementia, and engaging leaders across sectors to improve overall population health.
Mill proposes his Art of Life, but he also insists that it is not ve.docxhealdkathaleen
Mill proposes his Art of Life, but he also insists that it is not very developed -- there is an immense amount of work to be done to get it in shape. We know relatively little about what will actually make our lives richly moral, useful, and beautiful. What sort of things might contribute to improving our understanding of how to enrich our lives in this way? That is, what could someone do to develop and extend the Art of Life?
DUE by wed @ 10am central time
somebody have something useful post it and i will look/buy
.
Milford Bank and Trust Company is revamping its credit management de.docxhealdkathaleen
Milford Bank and Trust Company is revamping its credit management department to more effectively manage credit analysis. As the credit manager for the bank, draft a 750-word report for the board of directors explaining the three C's of credit. Make sure to address the following:
Character
Capacity
Capital
Also, explain what the acronym CAMEL means, which is used with the third C (capital)?
.
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Strategies for reducing morbidity and mortality from diabetes through healthสปสช นครสวรรค์
This document summarizes recommendations from the Task Force on Community Preventive Services regarding interventions to reduce morbidity and mortality from diabetes. It finds that disease and case management in healthcare systems are strongly recommended for people with diabetes. It also recommends diabetes self-management education in community settings like community centers for adults, and in the home for children and adolescents with type 1 diabetes. There was insufficient evidence to recommend other settings or for adults with type 2 diabetes in the home. The Task Force conducted systematic reviews of interventions focused on healthcare systems and community-based self-management education.
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Self-Management in this presentation refers to those activities people undertake in an effort to promote health, prevent disease, limit illness, and restore well being. Several investigators contend that self-management be made a major component of many patient health-care strategy (Glasgow, et al., 2001; Wagner, et al., 2001). Currently, nearly 125 million Americans suffer from chronic debilitating illnesses (Anderson, 2000). These national figures clearly underscore the need to develop a multidimensional approach in regards to disease management. Accordingly, measures that incorporate the patient’s perspective in managing his or her health should be explored.
Diabetes mellitus is among those conditions suspected to be highly influenced by self-management activities (Sprangers, et. al., 2000). If benefits do indeed exist, they need to be fully evidenced. The investigation presented here sought to examine the role self management plays in the health outcomes of individuals living with diabetes.
The document discusses the American Diabetes Association's Living With Type 2 Diabetes program which aims to provide newly diagnosed patients with information and support. It provides an overview of diabetes in the US, the program goals and design, communication strategies including educational booklets and online tools, expected reach of 150,000 enrollments, and evaluation methods.
The document discusses improving physical health and wellness as part of mental health recovery for those with serious mental illness. It finds high rates of preventable medical conditions and early death due to a lack of prevention and integrated care addressing both physical and mental health needs. The document recommends designating this population as high-risk, establishing coordinated mental health and physical health care as a priority nationally and in states, and requiring mental health providers to screen for and treat medical issues through integrated care models.
This document discusses congestive heart failure in African Americans. It outlines symptoms such as shortness of breath and swelling in legs. Treatments mentioned include medications like ACE inhibitors, beta blockers, and diuretics. Diet recommendations include low sodium and fluid restrictions. African Americans are at higher risk of heart disease compared to other groups. The document also covers developing a learning needs assessment and health promotion plan for patients, with goals of preventing readmission through social support and understanding their beliefs about their illness.
The document summarizes recommendations from a task force on interventions to reduce morbidity and mortality from diabetes. It finds:
1) Disease management in clinical settings is strongly recommended based on evidence it improves glycemic control and monitoring.
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3) Diabetes self-management education in community gathering places is recommended for adults with type 2 diabetes based on evidence of improved glycemic control.
Running Head PICOT1PICOT4Comment by Crystal Bowm.docxglendar3
Running Head: PICOT 1
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Comment by Crystal Bowman: Hi Yeni…..You did a good job overall with your paper. I do not see an actual PICOT question presented so it is difficult to tell what your primary focus is. Please see the comments for feedback. Thanks, Prof Bowman & Tania
PicotPICOT
GCU NRS-490Yeni Hernandez
Yeni HernandezGrand Canyon University: NRS 490 Comment by tania: Incorrect title page format.
Title
Student’s Name
Grand Canyon University: course prefix and number
Date
December 9, 2018
Picot
This paper discusses the unprecedented complexities and issues related to dementia and particularly people living with dementia (PWD) and research in the field utilizing the quantitative measures to understand the severity of the symptoms as stipulated by Pan et al. (2013) of 51 patients with vascular dementia. The primary focus of the study is based on the demographics of old or aging populations who have been outlined as people at higher risks and prevalence of vascular and dementia complexities.
Problem/Patient Population
The research analysis presents the aging population as the primary population considering that dementia affects people in their senior years. The severities of the behavioral and psychological symptoms consistent with vascular dementia are outlined based on the metrics set through quantitative measures for 51 patients in three environments, diurnal, evening and nocturnal events. Considering that dementia dimension is mainly characterized by amnesia and memory loss the conflict in concern with this population, especially with the old or aging population, is presented through the effective delivery of care to and achieveing better patient outcomes for the PWD. patients. It is critical to note that dementia reduces the functionalities of the patients, thereby increasing the risks of other issues includingsuch as becoming unfit due to lack of exercise. among other concerns.
Intervention
For this particular group of patients, the intervention is solely based on improving outcomes and maintaining a comfortable lifestyle for the outlined patients at risks (Hughes & Common, 2015). The intervention is based on a combination of two aspects:; exercise and medication. By iIntegrating a routine exercises plan to for patients with dementia, it has been shown that exercise can to improve memory loss symptoms as well as keep improving the patient fitness. It has been shown that rRegular exercise results in an improvements of brain functions in two ways; both indirect methods and direct methods. Indirectly exercise helps by stimulatinge and improvinge mood, and sleep, as well as reducinge stress and anxiety. Theseis is are common characteristics of vascular dementia in among the older populationgenerations. Directly the benefits are derived from the ability of exercise to reduce insulin resistance, decrease reducing inflammation and stimulateion of the growth factors. In the older population people with dementia, “chem.
Running Head PICOT1PICOT4Comment by Crystal Bowm.docxtodd581
Running Head: PICOT 1
PICOT 4
Comment by Crystal Bowman: Hi Yeni…..You did a good job overall with your paper. I do not see an actual PICOT question presented so it is difficult to tell what your primary focus is. Please see the comments for feedback. Thanks, Prof Bowman & Tania
PicotPICOT
GCU NRS-490Yeni Hernandez
Yeni HernandezGrand Canyon University: NRS 490 Comment by tania: Incorrect title page format.
Title
Student’s Name
Grand Canyon University: course prefix and number
Date
December 9, 2018
Picot
This paper discusses the unprecedented complexities and issues related to dementia and particularly people living with dementia (PWD) and research in the field utilizing the quantitative measures to understand the severity of the symptoms as stipulated by Pan et al. (2013) of 51 patients with vascular dementia. The primary focus of the study is based on the demographics of old or aging populations who have been outlined as people at higher risks and prevalence of vascular and dementia complexities.
Problem/Patient Population
The research analysis presents the aging population as the primary population considering that dementia affects people in their senior years. The severities of the behavioral and psychological symptoms consistent with vascular dementia are outlined based on the metrics set through quantitative measures for 51 patients in three environments, diurnal, evening and nocturnal events. Considering that dementia dimension is mainly characterized by amnesia and memory loss the conflict in concern with this population, especially with the old or aging population, is presented through the effective delivery of care to and achieveing better patient outcomes for the PWD. patients. It is critical to note that dementia reduces the functionalities of the patients, thereby increasing the risks of other issues includingsuch as becoming unfit due to lack of exercise. among other concerns.
Intervention
For this particular group of patients, the intervention is solely based on improving outcomes and maintaining a comfortable lifestyle for the outlined patients at risks (Hughes & Common, 2015). The intervention is based on a combination of two aspects:; exercise and medication. By iIntegrating a routine exercises plan to for patients with dementia, it has been shown that exercise can to improve memory loss symptoms as well as keep improving the patient fitness. It has been shown that rRegular exercise results in an improvements of brain functions in two ways; both indirect methods and direct methods. Indirectly exercise helps by stimulatinge and improvinge mood, and sleep, as well as reducinge stress and anxiety. Theseis is are common characteristics of vascular dementia in among the older populationgenerations. Directly the benefits are derived from the ability of exercise to reduce insulin resistance, decrease reducing inflammation and stimulateion of the growth factors. In the older population people with dementia, “chem.
This document introduces a handbook aimed at helping communities promote heart health and prevent stroke. It argues that past approaches focused too much on educating individuals, and that a better approach is to directly modify social and environmental factors. The handbook provides tools to identify barriers and promoters of heart health in local communities. It presents a model linking individual health goals to population goals and factors in the social environment that influence them. The handbook's methods can help communities diagnose issues and design interventions to improve cardiovascular health at both the individual and societal levels.
-
Post intervention assessment will be done after every three months to measure the
outcomes.
Arrange: -
Arrange follow up meeting and laboratory investigation after every three months.
Motivational support will be provided to participants.
Rewards will be given to participants as per their achievement.
Certificates will be provided to participants at the end of intervention.
Feedback will be taken from all stakeholders.
Sustainability plan will be prepared.
Report will be submitted to Ministry of Health/local government.
Publication of results.
Clarian health health promotion inservice november 8, 2010Julie Gahimer
This document summarizes concepts and practical applications of health promotion for physical therapists. It discusses the six dimensions of wellness, health issues in the US like obesity and smoking rates, national health goals like Healthy People 2010/2020, and the role of physical therapists in health promotion including screening, prevention, and addressing all six dimensions of wellness.
This document provides an introduction to chronic disease, including key terms and concepts. It discusses how chronic diseases require ongoing management, have a gradual onset and long-term effects on quality of life. Examples of chronic diseases include diabetes, renal disease and cardiovascular disease. The development of chronic disease is influenced by social, economic and environmental factors as well as health behaviors. Currently, chronic diseases consume 70% of health budgets and this is projected to increase. The document outlines strategies to address chronic diseases through prevention, early detection, evidence-based management and reducing associated risk factors like smoking, poor nutrition, alcohol and inactivity. It emphasizes moving from an acute, episodic care model to one focused on prevention and management.
This document provides an introduction to chronic disease, including key terms and concepts. It discusses how chronic diseases require ongoing management, have a gradual onset and long-term effects on quality of life. Examples of chronic diseases include diabetes, renal disease and cardiovascular disease. The development of chronic disease is influenced by social, economic and environmental factors as well as health behaviors. Currently, chronic diseases consume 70% of health budgets and this is projected to increase. The document outlines strategies to address chronic diseases through prevention, early detection, evidence-based management and reducing associated risk factors like smoking, poor nutrition, alcohol and inactivity. It emphasizes moving from an acute, episodic care model to one focused on prevention and management.
Healthy People 2010 aims to improve national health through two overarching goals: increasing quality and years of healthy life, and eliminating health disparities. It monitors progress through 467 objectives across 28 focus areas. Achieving its goals requires recognizing that health is determined by interactions between individual behaviors, environments, and policies targeting factors like access to healthcare. Two successful programs that exemplify this systematic approach are Action for Healthy Kids, which promotes healthy school environments, and the 100 Black Men Health Challenge, which empowers communities through lifestyle modeling and education.
Cardiovascular disease (CVD) is the leading cause of death worldwide. CVD is preventable through lifestyle changes such as increasing physical activity, eating a healthy diet, not smoking, and managing conditions like high blood pressure and cholesterol. If everyone engaged in recommended prevention activities, heart attacks could be reduced by 63% and strokes by 31% over 30 years. However, many people do not currently engage in optimal prevention. Efforts to promote prevention programs and educate the public on risk factors and lifestyle changes could help reduce CVD deaths in the United States.
NBGH study showed wellness initiatives for chronic disease management had the greatest impact on improving employee engagement. How do we contain healthcare costs and improve employee engagement? Diabetes, heart disease, cancer, mental health issues - the strain on health and cost. Motivating employees with interactive health programs to get engaged, reduce presenteeism....implementing health solutions, digging deeper.
1Obesity Florida National UniversityAlina RiveroTatianaMajor22
1
Obesity
Florida National University
Alina Rivero
Health Promotion and Role Development in Advanced Nursing Practice
Professor: Alexander Garcia Salas
January 20, 2022
Obesity
2
Good nutrition is a vital factor in leading a healthy life. However, poor nutrition may
lead to nutritional problems, such as poor growth, malnutrition, obesity, and overweight.
Obesity is a major health problem at the local, national and global levels as it is associated with
the prevalence of chronic diseases. It is a major risk factor for cardiovascular conditions, such
as stroke and heart diseases, diabetes as well as cancer. Obesity affects individuals of all ages.
It is, thus, important to develop effective health promotion strategies for addressing obesity in
communities.
Obesity is a serious health concern worldwide. According to global health statistics,
there is a rising number of people who are becoming overweight and obese (World Health
Organization (WHO), 2020). Obesity has been identified as a major risk factor for the
development of cardiovascular diseases such as hypertension and heart diseases, and one of the
leading causes of premature death. There is an estimate of 340 million adolescents and children
who are obese and overweight across the world, where it is also estimated that the number of
children and adolescents who are obese has outweighed the number of individuals who are
underweight (WHO, 2020). The main causes of the increase of obesity worldwide are
increasing urbanization as well as an increase in the dietary intake of sugary foods and fatty
meals. The health strategies towards reducing obesity worldwide include global action by
international agencies as well as promoting health education worldwide on the importance of
taking healthy meals and frequent exercises.
Obesity is also a growing health concern at the national level. According to the Centers
for Disease Control and Prevention (CDC), there is a constant rise in poor nutrition across the
country (Wang et al, 2020). Obesity, which is expressed in terms of Body Mass Index (BMI)
has had a significant and steady rise among children, adolescents, and the elderly, and
approximately, 37% of the entire population in the United States is estimated to be either obese
or overweight (Wang et al, 2020). Obesity has strongly been associated with the rising
3
prevalence of health concerns, such as diabetes, heart diseases, cancerous infections as well as
stroke as contributing risk factors in the United States. Similar to the global situation, obesity
has been associated with increased dietary intake of fatty and sugary meals. Other contributing
factors include physical environments, social health determinants, and family inheritance. The
health promotion strategies towards reducing its prevalence include providing access to
healthier foods, limiting access to junk and fast foods, promoting physical activities, a ...
The document discusses the history and goals of the Healthy People initiative in the United States, which sets national 10-year objectives to improve health and reduce preventable disease and injury. It began in 1979 and is now in its fifth edition, Healthy People 2030. The initiative aims to guide efforts to increase life expectancy and reduce health disparities so the US achieves the full health potential of its population. Healthy People 2030 focuses on issues like reducing adverse childhood experiences, improving care for those with dementia, and engaging leaders across sectors to improve overall population health.
Similar to Running head Community Teaching Work Plan ProposalPrimary Pre.docx (20)
Mill proposes his Art of Life, but he also insists that it is not ve.docxhealdkathaleen
Mill proposes his Art of Life, but he also insists that it is not very developed -- there is an immense amount of work to be done to get it in shape. We know relatively little about what will actually make our lives richly moral, useful, and beautiful. What sort of things might contribute to improving our understanding of how to enrich our lives in this way? That is, what could someone do to develop and extend the Art of Life?
DUE by wed @ 10am central time
somebody have something useful post it and i will look/buy
.
Milford Bank and Trust Company is revamping its credit management de.docxhealdkathaleen
Milford Bank and Trust Company is revamping its credit management department to more effectively manage credit analysis. As the credit manager for the bank, draft a 750-word report for the board of directors explaining the three C's of credit. Make sure to address the following:
Character
Capacity
Capital
Also, explain what the acronym CAMEL means, which is used with the third C (capital)?
.
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In the 1960s, the film industry was divided between films appealing to families and those appealing to teenagers and young adults in the Baby Boomer generation. Films like musicals and war movies drove the adult market, while films about rebellion, sex, and non-conformist heroes drove the youth market. By the end of the decade, the tastes of counter-culture youth had come to dominate the screen with films about anti-war, flawed characters, and sexual issues.
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This midterm paper assignment asks students to argue either for or against the position that genetic engineering allows humans to tamper with evolution. The paper should be 2 to 3 pages, double spaced, font size 12, and formatted in APA style. Readings and assignments from the first four weeks of class will prepare students to complete this paper.
Midterm Study GuideAnswers need to be based on the files i will em.docxhealdkathaleen
Midterm Study Guide
Answers need to be based on the files i will email you
Identify
Liberation theology
Mujerista
theology
Popular religiosity
Mestizaje
James Cone
Gustavo Gutiérrez
‘adamah
‘adam
‘ish
ishsha
ex nihilio
‘ezer
Neged
tardemah
Beersheba
covenant
Moriah
‘hesed
Long Essay
Using
at least
three (3) course readings, be prepared to discuss the theological perspectives, controversies and/or issues on the following subjects:
The Book of Genesis’ two creation stories and their depictions of God, humanity, and the created world.
Hermeneutical process for interpreting biblical texts and the issues taken into consideration
Equality between man and woman, biblical and cultural perspectives.
How did sin enter the world, God’s role, humanity’s role, consequences.
.
Michelle Carroll is a coworker of yours and she overheard a conversa.docxhealdkathaleen
Michelle Carroll is a coworker of yours and she overheard a conversation at work about changes that her boss wants to make in accounting for uncollectible accounts receivable. She does not know a lot about accounting and wants to understand about what she overheard.
In an email, she asks you to explain the following:
The three different methods that can be used to account for uncollectible accounts receivable, specifically:
percentage of receivables
percentage of sales
the direct write-off methods
Reply to her email about these differences.
.
Michelle is attending college and has a part-time job. Once she fini.docxhealdkathaleen
Michelle is attending college and has a part-time job. Once she finishes college, Michelle would like to relocate to a metropolitan area. She wants to build her savings so that she will have a "nest egg" to start her off. Michelle works out her budget and decides she can afford to set aside $160 per month for savings. Her bank will pay her 12% annually on her savings account. What will Michelle's balance be in 2 years?
.
Midterm Assignment Instructions (due 31 August)
The mid-term essay will be the development of a general threat analysis of the US using the perspective of a foreign intelligence entity or service.
Foreign Intelligence Entity (FIE) Threat Analysis
The CIA's Counterintelligence Center Analysis Group (CIC/AG) identifies, monitors, and analyzes the efforts of FIEs against US persons, activities, and interests. CIC/AG analysts focus on two specific types of counterintelligence threats to US national security:
1. Transnational threats, such as the counterintelligence aspect of terrorism or the threats posed by emerging or changing technologies to the US Government, intelligence operations, and US Government information systems; and
2. Threats posed by FIEs and their activities.
Value:
This Assignment counts for 40% of your Final Course Grade for this course.
Objective:
This assignment, in accordance with undergraduate academic endeavors, provides an opportunity to evaluate assimilation of course topics, and sharpen and evaluate students' research & critical thinking skills. The assignment is driven & tested by a combination of course materials and external self-led research (depending upon essay[s] selected); analyzed and presented in essay(s) form.
Type:
This assignment consists of a research analysis paper approximately
six to eight pages in length, double-spaced
(This page count does not include a title page, abstract (optional), table of contents (optional), Reference/Bibliography page(s), or Endnotes page(s) (if used)). The source material should result primarily from self-led external research of scholarly articles. In addition, the course required reading materials may be used. The paper should have six to eight pages of content which are the written results of your research efforts.
Topic:
Develop a general threat analysis of a Foreign Intelligence Entity (FIE) of your choosing that is targeting the US. Examples include Russia's SVR, Iran's MOIS, Al Qaeda (or any of its 'subsidiaries'), North Korea's Reconnaissance Bureau, or Venezuela's Bolivarian National Intelligence Service, etc.
A FIE is any known or suspected foreign organization, person, or group (public, private, or governmental) that conducts intelligence activities to acquire U.S. information, block or impair U.S. intelligence collection, influence U.S. policy, or disrupt U.S. systems and programs. This term includes a foreign intelligence and security service [FISS] and international terrorist organizations. (JP 1-02; JP 2-01.2, CI & HUMINT in Joint Operations, 16 Mar 2011; and DoDD 5240.06, CIAR, 17 May 2011)
The components of your FIE threat analysis should include a full overview of the FIE (strength, location, organizational structures (if known), whether they operate under official cover or operate under unofficial cover--inside corporations, etc.). Detail the FIE's mission, and specific known and suspected US targets.
[Do not select the .
Milestone 2Outline of Final PaperYou will create a robust.docxhealdkathaleen
Milestone 2:
Outline of Final Paper
You will create a robust and comprehensive outline of your research paper. The outline should include:
Title of paper
Abstract
Introduction
Major points/arguments
At least three solutions
List scholarly resources to support your major points/arguments and solutions. At least six scholarly references are required.
.
MigrationThe human population has lived a rural lifestyle thro.docxhealdkathaleen
Migration
The human population has lived a rural lifestyle through most of history. The world’s population, however, is quickly becoming urbanized as people migrate to the cities. Developed nations have a higher percentage of urban residents than less developed countries. However, urbanization is occurring rapidly in many less developed countries, and it is expected that most urban growth will occur in less developed countries during the next decades.
In this Case, you are to select a country (not Nigeria and Canada) which is experiencing rural-urban migration and answer the following questions.
1. Identify the Country you have selected and briefly describe its demographics.
2. Discuss the factors that are driving rural-urban migration in your selected country? (Hint: Migration is often explained in terms of either “push factors” – conditions in the place of origin which are perceived by migrants as detrimental to their well-being or economic security, and “pull factors” – the circumstances in new places that attract individuals to move there).
3. Describe the impact of rural-urban migration in your selected country? Consider health, environmental, economic and social implications.
.
Mid-TermDismiss Mid-Term1) As you consider the challenges fa.docxhealdkathaleen
Mid-Term
Dismiss Mid-Term
1) As you consider the challenges facing Non-for Profit (NFP’s) in this economic environment: what are some of the factors that could promote sustainability for an organization?
2) How can an organization’s mission get compromised?
I’m interested in clear ideas and thoughts that are drawn from the class conversations, speakers, class excursions and readings for this assignment. The paper should be three pages and submitted on D2L
.
MicroeconomicsUse what you have learned about economic indicators .docxhealdkathaleen
Microeconomics
Use what you have learned about economic indicators to assess 10 different indicators. To add some more clarity to this, do the following:
1. Define 10 economic indicators.
2. For each, show how the US has performed, you can do this either by providing the numbers or by showing them graphically.
3. For each, in 100-150 words, give a brief interpretation of the numbers, in your opinion.
Cite the source of your data.
.
Michael Dell began building and selling computers from his dorm room.docxhealdkathaleen
Michael Dell began building and selling computers from his dorm room at age 19. He dropped out of the University of Texas when his sales hit $60 million and has never looked back. Dell is said to be the fifteenth richest man in America, and the youngest CEO to make the Fortune 500. Intensely private and notoriously shy, Dell is hailed as a corporate wonder-kid. He climbed to the top by exploiting tax loopholes, outsourcing the competition, and inventing a term called “leveraged recapitalization.”
First, review the following case study:
Michael Dell—The man behind Dell: Leading Dell into the future
Then, address the following tasks:
Analyze Dell’s philosophy as it relates to the role of change in organizational success.
Determine how Dell’s philosophy would be perceived in a low performing culture.
Identify which performing culture best suits your philosophy regarding change management and provide your rationale.
Consider the way Dell started his company; determine what market conditions made the business possible.
Discuss Dell’s approach to building his brand.
Develop a 4–6-slide presentation in PowerPoint format, utilizing at least two scholarly sources (in addition to your textbook) to complete your research, ensuring you cite references within the text and at the end in a reference list. Apply APA standards to the citation of sources. Use the following file naming convention: LastnameFirstInitial_M2_A2.ppt.
Make sure you write in a clear, concise, and organized manner; demonstrate ethical scholarship through accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation.
.
Michael is a three-year-old boy with severe seizure activity. He h.docxhealdkathaleen
Michael is a three-year-old boy with severe seizure activity. He has made friends in his inclusive preschool classroom and is usually very happy there. He has limited receptive communication skills, and when there are unexpected changes in the routine, he often reacts with disruptive or aggressive behavior. Through careful planning and the use of a picture schedule, Michael is learning to react more appropriately to schedule changes.
1.
What is meant by "limited receptive communication skills"?
2. What can be done to improve the situation for Michael?
3. What can be done to resolve disruptive behavior issues in classroom environments?
.
Michael graduates from New York University and on February 1st of th.docxhealdkathaleen
Michael graduates from New York University and on February 1st of the current year, accepts a position with a public accounting firm in Chicago. Michael is a resident of New York. In March, Michael travels to Chicago to locate a house and starts to work in June. He incurs the following expenses, none of which are reimbursed by the public accounting firm.
Item
Amount
Automobile expense en route (1,000 miles at 16.5 cents per mile - standard mileage rate)
$
165
Cost of meals en route
100
Househunting trip travel expenses
1,400
Moving van expenses
3,970
Commission on the sale of Michael's New York condominium
3,500
Points paid to acquire a mortgage on Michael's new residence in Chicago
1,000
Temporary living expenses for on week in Chicago (hotel and $100 in meals)
400
Expenses incurred in decorating the new residence
500
Total expenses
$ 11,035
Required:
a. What is Michael's moving expense deduction?
b. How are the deductible expenses classified on Michael's tax return?
c. How would your answer to Part a change if all of Michael's expenses were reimbursed by his employer and he received a check for $11,035
.
Message Using Multisim 11, please help me build a home security sys.docxhealdkathaleen
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Methodology of H&M internationalization Research purposeRe.docxhealdkathaleen
Methodology of H&M internationalization
Research purpose
Research approach
Research strategy
Case study design
Data collection method
Sample selection
Data analysis
ANALYSIS
Internalization of H&M
Choice of International markets
International entry market strategy: Brazil and China
Expansion strategy
Why do clothing retail companies enter international markets?
How do clothing retail companies select their foreign market?
How H&M choose its entry into foreign market?
How can the expansion strategies of clothing retailers companies in foreign market can be described?
Implications for management
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Mental Disability DiscussionConsider the typification of these c.docxhealdkathaleen
Mental Disability Discussion
Consider the typification of these conditions as you respond to the questions.
Compare the American mindsets about mental illness, mental retardation, and addiction.
Explain the intentions of social work to ameliorate social problems involving these conditions.
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Meningitis Analyze the assigned neurological disorder and prepar.docxhealdkathaleen
Meningitis
Analyze the assigned neurological disorder and prepare a report in a two- to three-page document.
Why is it important to determine whether a patient is suffering from viral or bacterial meningitis? Explain the cause, pathophysiology, manifestations, laboratory investigations, and treatment of bacterial meningitis.
Please follow the directions and use intext citation along with referances please.
Due Sat March 8, 2014
.
Memoir Format(chart this)Introduction (that captures the r.docxhealdkathaleen
Memoir Format
(chart this)
Introduction (that captures the reader’s attention)
Description of the complication
Evaluation of the complication
Resolution of the complication
Conclusion (A new revelation, insight, or question to ponder)
4 pages minimum
.
Communicating effectively and consistently with students can help them feel at ease during their learning experience and provide the instructor with a communication trail to track the course's progress. This workshop will take you through constructing an engaging course container to facilitate effective communication.
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptxEduSkills OECD
Iván Bornacelly, Policy Analyst at the OECD Centre for Skills, OECD, presents at the webinar 'Tackling job market gaps with a skills-first approach' on 12 June 2024
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Running head Community Teaching Work Plan ProposalPrimary Pre.docx
1. Running head: Community Teaching Work Plan Proposal
Primary Prevention of Heart Disease/Cardiovascular Disease.
Name and Credentials of Teacher
Estimated Time Teaching Will Last:
1hour 30 minutes.
Location of Teaching:
Group home
Supplies, Material, Equipment Needed:
Laptop, Snacks and drinks
Estimated Cost: $25
Community and Target Aggregate:
Young adults of 25-38 years
Topic:
Risks and Prevention of Heart Disease/Cardiovascular Disease.
Identification of Focus for Community Teaching (Topic
Selection):The topic of focus for community focus is the risks
and prevention of heart diseases.
Epidemiological Rationale for Topic (Statistics Related to
Topic):
Cardiovascular disease is one of the major causes of deaths
globally. Heart disease is a collection of diseases that affect the
heart. Under this spectrum, some diseases include blood vessel
diseases like heart defects from birth (congenital heart defects),
coronary artery disease, and heart rhythm conditions
(arrhythmia), etc. Around 600,000 people die of cardiovascular
disease in the US each year (WHO, 2017). It is considered as
the biggest cause of death for both women and men. Coronary
heart disease is the prevalent type heart disease, claiming
2. around 370,000 lives every year. Each year, around 750,000
Americans develop heart attack (Allender, Peto & Scarborough,
2017). Around 42% of those diagnosed with heart disease are
between ages 25-38. Smoking, high cholesterol, and high blood
pressure are key risk factors that increases the risk of
contracting heart disease.
In my county, Middlesex, New jersey despite an 11% decline
between 2010 (174.4/100,000) and 2014 (155.2/100,000) and a
top 25% statewide ranking, deaths due to heart disease perform
lower than the Healthy People 2020 target (108.8/100,000) by
42.6%. The 2014 Middlesex County mortality rate due to heart
disease (155.2/100,000) is 6.2% lower than Statewide
(165.4/100,000) and is similar to neighboring Union and
Monmouth Counties. Across all race/ethnicities, the Middlesex
County death rate for heart disease improves from 2010 through
2014. In 2014, the Middlesex County heart disease mortality
rate for Whites (176.2/100,000) is similar to New Jersey
(173.4/100,000). Within the County, Whites have the highest
heart disease mortality rate as compared to statewide statistics
in which Blacks (191.2/100,000) have the highest rate. Between
2009 and 2015, Middlesex County adults who are told they have
high blood pressure increased from 27.5% to 29.2% which
exceeds the Healthy People 2020 target (26.9%) for adults with
high blood pressure (Hackensack Meridian Health, 2017).
Nursing Diagnosis:
Deficient knowledge regarding heart disease related to
incomplete information as evidenced by request for
information/verbalization of concerns and misconception.
Readiness for Learning: Identify the factors that would indicate
the readiness to learn for the target aggregate. Include
emotional and experiential readiness to learn.
One of the signs that would show eagerness to learn is their
attendance. Additionally, their eagerness to learn will be seen
from how they include their feeling towards preventing this
disease and its risk factors. Their involvement in the learning
3. process will tell a lot.
Learning Theory to Be Utilized: Explain how the theory will be
applied.
Teach-back theory will be the most appropriate since it narrows
down the communication gap between the teacher and the
patients. Teaching materials will be designed in simple
languages without medical jargon. I will request the audience to
repeat what they have understood in the simplest form the can.
Goal: Healthy People 2020 (HP2020) objective(s) utilized as the
goal for the teaching. Include the appropriate objective number
and rationale for using the selected HP2020 objective (use at
least one objective from one of the 24 focus areas). If an
HP2020 objective does not support your teaching, explain how
your teaching applies to one of the two overarching HP2020
goals.
A Healthy People 2020 objectiveis to reduce CHD deaths from
129.2 deaths per 100,000 population to 103.4 deaths per
100,000 population (American’s health ranking, 2018).
My aim is to improve cardiovascular health and quality of life
through prevention, detection, and treatment of risk factors for
heart attack and stroke; early identification and treatment of
heart attacks and strokes; prevention of repeat cardiovascular
events; and reduction in deaths from cardiovascular disease by
educating the adherence of the HP2020 objectives of reducing
CHD deaths from 129.2 deaths per 100,000 population to 103.4
deaths per 100,000 population (Department of Health and
Human Services, 2014).
How Does This HP2020 Objective Relate to Alma Ata’s Health
for All Global Initiatives
The HP2020 objective is related to Alma Ata’s Healthy for All
Global Initiatives since it supports the aim of increasing life
expectancy of the people. Cardiovascular disease is a condition
that kills several people in a year. It can be difficult and
expensive to manage if not diagnosed earlier and treated.
Prevention is therefore a key aspect to consider to help reduce
the high cases of cardiovascular diseases.
4. Develop Behavioral Objectives (Including Domains), Content,
and Strategies/Methods:
Behavioral Objective
and Domain
Content
Strategies/Methods
(label and describe)
1. They would be able to distinguish the effects of
cardiovascular disease
1. If left untreated, cardiovascular disease can lead to heart
failure, heart attack, stroke, aneurysm, or sudden cardiac arrest
1. The powerPoint will describe the effects of cardiovascular
disease and other complications. Before the presentation, I will
provide the audience with snacks and fruits.
2. They will understand how to reduce the risk of contracting
cardiovascular disease
2. General view of cardiovascular diseases.
Regular exercise will help reduce the risk of cardiovascular
disease and obesity.
2. The pamphlets display the duration of exercise recommended
for individuals. Also, have the audience raise their hands to say
what they know regarding heart disease before providing an
overview of the disease
3. The audience will learn about the risk factors of
cardiovascular disease. They will learn about why some people
are at high risk than others.
5. 3. Provide an overview of some risk factors such as age, sex,
family history, smoking, poor diet, high blood pressure, obesity,
diabetes, physical inactivity, stress, poor hygiene, among others
3. The cardiovascular risk factors would be presented in a
manner that establishes what the audience already know about it
and present the information in a way that would be educative
and influential to them.
1. They will be educated on better dietary and lifestyle choices
required to maintain a healthy lifestyle
4. Smoking, controlling blood pressure, diabetes and high
cholesterol, regular exercise, maintaining healthy weight,
reducing and managing stress, and good hygiene will be a focus
of the conversation.
4. General preventive measures will be provided to help the
audience stay away from cardiovascular diseases.
Creativity: How was creativity applied in the teaching
methods/strategies?
The audience will be fully engaged through a questions and
answer method from the start of the presentation to end. We
would start by telling stories regarding their daily activities like
physical exercise, diet components, etc. This is meant to
improve the commitment and interest of the audience in the
education program. Audio-visual teaching approach will also be
used.
Planned Evaluation of Objectives (Outcome Evaluation):
Describe what you will measure for each objective and how.
1. I will ask questions at different stages of the presentation to
assess whether the audience are learning what they are been
taught regarding cardiovascular diseases.
2. I will evaluate the willingness of the audience to change their
6. lifestyle and diet to incorporate the preventive measures
relevant for this condition.
3. Closely monitor the signs and symptoms of the young adults
and identify any alarm of cardiovascular disease and offer
necessary advice and help.
4. Encourage the audience to understand the common causes of
cardiovascular disease such as high blood pressure, diabetes,
smoking, coronary artery diseases, stress, among others.
Planned Evaluation of Goal: Describe how and when you could
evaluate the overall effectiveness of your teaching plan.
The overall effectiveness of the teaching plan can be evaluated
at the end of the presentation by asking some questions to the
audience to determine the success of the teaching program.
Additionally, I will organize a visit after a period of three
months to establish whether they are taking what the learned
serious e.g. change of lifestyle, diet, among others.
Planned Evaluation of Lesson and Teacher (Process
Evaluation):
A short form of evaluation will be done by arranging the
audience in groups and providing them with points to consider
when answering the questions. The groups can be given
different topics of discussion regarding cardiovascular disease.
For instance, one group can be told discuss the causes of the
diseases while others can discuss it’s the risks, complications,
effects, and prevention measures based on the information they
have learned from the teaching. Long term evaluation will be
made based on how they respond to the teaching. I will ask
them to keep a journal of their daily physical activities,
nutrition, medication, and doctor’s visit to see if they are
making effort of preventing cardiovascular diseases.
Barriers: What are potential barriers that may arise during
teaching and how will those be handled?
7. One of the main barrier that could present itself is language
barrier. The community has a diverse population, comprising
people from different cultures and language backgrounds. Some
of them may not understand English. In this case, having
someone to translate will help the audience much better.
Additionally, busy schedule among the youths can be a barrier
because it may force some of them not to attend to the teaching,
even on weekend days.
Therapeutic Communication
4.2 Communicate therapeutically with patients.
How will you begin your presentation and capture the interest
of your audience? Describe the type of activity you will use
with your audience to exhibit active listening? Describe how
you applied active listening in tailoring your presentation to
your audience? How will you conclude your presentation? What
nonverbal communication techniques will you employ?
I will start the presentation by introducing myself and explain
why I want to talk about the topic and then thank the audience
for finding time to attend the session amid busy schedule. I will
involve the audience by asking them what they know regarding
cardiovascular diseases. As the presentation ends, I would
request one person already diagnosed with heart disease to give
his/her experience with the disease, how he manages, and even
offer advice. As the young adults listen to one another, they get
an actual picture of how to change their lifestyle and make
effort of preventing the disease.
The presentation will be an interaction process through
question-answer approach. Some non-verbal cues that will be
used include eye contact, body movement, and hand gestures to
send certain messages or explain a point, and charts and images
for clarifications.
References
World Health Organization (2017). Prevention of cardiovascular
disease. World Health Organization.
9. Group home
Supplies, Material, Equipment Needed:
Laptop, Snacks and drinks
Estimated Cost: $25
Community and Target Aggregate:
Young adults of 25-38 years
Topic:
Risks and Prevention of Heart Disease/Cardiovascular Disease.
Identification of Focus for Community Teaching (Topic
Selection):The topic of focus for community focus is the risks
and prevention of heart diseases.
Epidemiological Rationale for Topic (Statistics Related to
Topic):
Cardiovascular disease is one of the major causes of deaths
globally. Heart disease is a collection of diseases that affect the
heart. Under this spectrum, some diseases include blood vessel
diseases like heart defects from birth (congenital heart defects),
coronary artery disease, and heart rhythm conditions
(arrhythmia), etc. Around 600,000 people die of cardiovascular
disease in the US each year (WHO, 2017). It is considered as
the biggest cause of death for both women and men. Coronary
heart disease is the prevalent type heart disease, claiming
around 370,000 lives every year. Each year, around 750,000
Americans develop heart attack (Allender, Peto & Scarborough,
2017). Around 42% of those diagnosed with heart disease are
between ages 25-38. Smoking, high cholesterol, and high blood
pressure are key risk factors that increases the risk of
contracting heart disease.
In my county, Middlesex, New jersey despite an 11% decline
between 2010 (174.4/100,000) and 2014 (155.2/100,000) and a
top 25% statewide ranking, deaths due to heart disease perform
lower than the Healthy People 2020 target (108.8/100,000) by
10. 42.6%. The 2014 Middlesex County mortality rate due to heart
disease (155.2/100,000) is 6.2% lower than Statewide
(165.4/100,000) and is similar to neighboring Union and
Monmouth Counties. Across all race/ethnicities, the Middlesex
County death rate for heart disease improves from 2010 through
2014. In 2014, the Middlesex County heart disease mortality
rate for Whites (176.2/100,000) is similar to New Jersey
(173.4/100,000). Within the County, Whites have the highest
heart disease mortality rate as compared to statewide statistics
in which Blacks (191.2/100,000) have the highest rate. Between
2009 and 2015, Middlesex County adults who are told they have
high blood pressure increased from 27.5% to 29.2% which
exceeds the Healthy People 2020 target (26.9%) for adults with
high blood pressure (Hackensack Meridian Health, 2017).
Nursing Diagnosis:
Deficient knowledge regarding heart disease related to
incomplete information as evidenced by request for
information/verbalization of concerns and misconception.
Readiness for Learning: Identify the factors that would indicate
the readiness to learn for the target aggregate. Include
emotional and experiential readiness to learn.
One of the signs that would show eagerness to learn is their
attendance. Additionally, their eagerness to learn will be seen
from how they include their feeling towards preventing this
disease and its risk factors. Their involvement in the learning
process will tell a lot.
Learning Theory to Be Utilized: Explain how the theory will be
applied.
Teach-back theory will be the most appropriate since it narrows
down the communication gap between the teacher and the
patients. Teaching materials will be designed in simple
languages without medical jargon. I will request the audience to
repeat what they have understood in the simplest form the can.
Goal: Healthy People 2020 (HP2020) objective(s) utilized as the
goal for the teaching. Include the appropriate objective number
and rationale for using the selected HP2020 objective (use at
11. least one objective from one of the 24 focus areas). If an
HP2020 objective does not support your teaching, explain how
your teaching applies to one of the two overarching HP2020
goals.
A Healthy People 2020 objectiveis to reduce CHD deaths from
129.2 deaths per 100,000 population to 103.4 deaths per
100,000 population (American’s health ranking, 2018).
My aim is to improve cardiovascular health and quality of life
through prevention, detection, and treatment of risk factors for
heart attack and stroke; early identification and treatment of
heart attacks and strokes; prevention of repeat cardiovascular
events; and reduction in deaths from cardiovascular disease by
educating the adherence of the HP2020 objectives of reducing
CHD deaths from 129.2 deaths per 100,000 population to 103.4
deaths per 100,000 population (Department of Health and
Human Services, 2014).
How Does This HP2020 Objective Relate to Alma Ata’s Health
for All Global Initiatives
The HP2020 objective is related to Alma Ata’s Healthy for All
Global Initiatives since it supports the aim of increasing life
expectancy of the people. Cardiovascular disease is a condition
that kills several people in a year. It can be difficult and
expensive to manage if not diagnosed earlier and treated.
Prevention is therefore a key aspect to consider to help reduce
the high cases of cardiovascular diseases.
Develop Behavioral Objectives (Including Domains), Content,
and Strategies/Methods:
Behavioral Objective
and Domain
Content
Strategies/Methods
(label and describe)
12. 1. They would be able to distinguish the effects of
cardiovascular disease
1. If left untreated, cardiovascular disease can lead to heart
failure, heart attack, stroke, aneurysm, or sudden cardiac arrest
1. The powerPoint will describe the effects of cardiovascular
disease and other complications. Before the presentation, I will
provide the audience with snacks and fruits.
2. They will understand how to reduce the risk of contracting
cardiovascular disease
2. General view of cardiovascular diseases.
Regular exercise will help reduce the risk of cardiovascular
disease and obesity.
2. The pamphlets display the duration of exercise recommended
for individuals. Also, have the audience raise their hands to say
what they know regarding heart disease before providing an
overview of the disease
3. The audience will learn about the risk factors of
cardiovascular disease. They will learn about why some people
are at high risk than others.
3. Provide an overview of some risk factors such as age, sex,
family history, smoking, poor diet, high blood pressure, obesity,
diabetes, physical inactivity, stress, poor hygiene, among others
3. The cardiovascular risk factors would be presented in a
manner that establishes what the audience already know about it
and present the information in a way that would be educative
and influential to them.
1. They will be educated on better dietary and lifestyle choices
required to maintain a healthy lifestyle
13. 4. Smoking, controlling blood pressure, diabetes and high
cholesterol, regular exercise, maintaining healthy weight,
reducing and managing stress, and good hygiene will be a focus
of the conversation.
4. General preventive measures will be provided to help the
audience stay away from cardiovascular diseases.
Creativity: How was creativity applied in the teaching
methods/strategies?
The audience will be fully engaged through a questions and
answer method from the start of the presentation to end. We
would start by telling stories regarding their daily activities like
physical exercise, diet components, etc. This is meant to
improve the commitment and interest of the audience in the
education program. Audio-visual teaching approach will also be
used.
Planned Evaluation of Objectives (Outcome Evaluation):
Describe what you will measure for each objective and how.
1. I will ask questions at different stages of the presentation to
assess whether the audience are learning what they are been
taught regarding cardiovascular diseases.
2. I will evaluate the willingness of the audience to change their
lifestyle and diet to incorporate the preventive measures
relevant for this condition.
3. Closely monitor the signs and symptoms of the young adults
and identify any alarm of cardiovascular disease and offer
necessary advice and help.
4. Encourage the audience to understand the common causes of
cardiovascular disease such as high blood pressure, diabetes,
smoking, coronary artery diseases, stress, among others.
14. Planned Evaluation of Goal: Describe how and when you could
evaluate the overall effectiveness of your teaching plan.
The overall effectiveness of the teaching plan can be evaluated
at the end of the presentation by asking some questions to the
audience to determine the success of the teaching program.
Additionally, I will organize a visit after a period of three
months to establish whether they are taking what the learned
serious e.g. change of lifestyle, diet, among others.
Planned Evaluation of Lesson and Teacher (Process
Evaluation):
A short form of evaluation will be done by arranging the
audience in groups and providing them with points to consider
when answering the questions. The groups can be given
different topics of discussion regarding cardiovascular disease.
For instance, one group can be told discuss the causes of the
diseases while others can discuss it’s the risks, complications,
effects, and prevention measures based on the information they
have learned from the teaching. Long term evaluation will be
made based on how they respond to the teaching. I will ask
them to keep a journal of their daily physical activities,
nutrition, medication, and doctor’s visit to see if they are
making effort of preventing cardiovascular diseases.
Barriers: What are potential barriers that may arise during
teaching and how will those be handled?
One of the main barrier that could present itself is language
barrier. The community has a diverse population, comprising
people from different cultures and language backgrounds. Some
of them may not understand English. In this case, having
someone to translate will help the audience much better.
Additionally, busy schedule among the youths can be a barrier
because it may force some of them not to attend to the teaching,
even on weekend days.
Therapeutic Communication
4.2 Communicate therapeutically with patients.
How will you begin your presentation and capture the interest
15. of your audience? Describe the type of activity you will use
with your audience to exhibit active listening? Describe how
you applied active listening in tailoring your presentation to
your audience? How will you conclude your presentation? What
nonverbal communication techniques will you employ?
I will start the presentation by introducing myself and explain
why I want to talk about the topic and then thank the audience
for finding time to attend the session amid busy schedule. I will
involve the audience by asking them what they know regarding
cardiovascular diseases. As the presentation ends, I would
request one person already diagnosed with heart disease to give
his/her experience with the disease, how he manages, and even
offer advice. As the young adults listen to one another, they get
an actual picture of how to change their lifestyle and make
effort of preventing the disease.
The presentation will be an interaction process through
question-answer approach. Some non-verbal cues that will be
used include eye contact, body movement, and hand gestures to
send certain messages or explain a point, and charts and images
for clarifications.
References
World Health Organization (2017). Prevention of cardiovascular
disease. World Health Organization.
Allender S, Peto V, Scarborough P et al. (2017). Coronary heart
disease statistics 2017 edition. London: British Heart
Foundation
Department of Health and Human Services (2014). Heart disease
and stroke. Retrieved November 10, 2019, from
https://www.healthypeople.gov/2020/topics-
objectives/topic/heart-disease-and-stroke
Hackensack Meridian Health (2017). Community health needs
assessment. Retrieved from
17. Identification of Focus for Community Teaching (Topic
Selection):The topic of focus for community focus is the risks
and prevention of heart diseases.
Epidemiological Rationale for Topic (Statistics Related to
Topic):
Cardiovascular disease is one of the major causes of deaths
globally. Heart disease is a collection of diseases that affect the
heart. Under this spectrum, some diseases include blood vessel
diseases like heart defects from birth (congenital heart defects),
coronary artery disease, and heart rhythm conditions
(arrhythmia), etc. Around 600,000 people die of cardiovascular
disease in the US each year (WHO, 2017). It is considered as
the biggest cause of death for both women and men. Coronary
heart disease is the prevalent type heart disease, claiming
around 370,000 lives every year. Each year, around 750,000
Americans develop heart attack (Allender, Peto & Scarborough,
2017). Around 42% of those diagnosed with heart disease are
between ages 25-38. Smoking, high cholesterol, and high blood
pressure are key risk factors that increases the risk of
contracting heart disease.
In my county, Middlesex, New jersey despite an 11% decline
between 2010 (174.4/100,000) and 2014 (155.2/100,000) and a
top 25% statewide ranking, deaths due to heart disease perform
lower than the Healthy People 2020 target (108.8/100,000) by
42.6%. The 2014 Middlesex County mortality rate due to heart
disease (155.2/100,000) is 6.2% lower than Statewide
(165.4/100,000) and is similar to neighboring Union and
Monmouth Counties. Across all race/ethnicities, the Middlesex
County death rate for heart disease improves from 2010 through
2014. In 2014, the Middlesex County heart disease mortality
rate for Whites (176.2/100,000) is similar to New Jersey
(173.4/100,000). Within the County, Whites have the highest
heart disease mortality rate as compared to statewide statistics
in which Blacks (191.2/100,000) have the highest rate. Between
2009 and 2015, Middlesex County adults who are told they have
18. high blood pressure increased from 27.5% to 29.2% which
exceeds the Healthy People 2020 target (26.9%) for adults with
high blood pressure (Hackensack Meridian Health, 2017).
Nursing Diagnosis:
Deficient knowledge regarding heart disease related to
incomplete information as evidenced by request for
information/verbalization of concerns and misconception.
Readiness for Learning: Identify the factors that would indicate
the readiness to learn for the target aggregate. Include
emotional and experiential readiness to learn.
One of the signs that would show eagerness to learn is their
attendance. Additionally, their eagerness to learn will be seen
from how they include their feeling towards preventing this
disease and its risk factors. Their involvement in the learning
process will tell a lot.
Learning Theory to Be Utilized: Explain how the theory will be
applied.
Teach-back theory will be the most appropriate since it narrows
down the communication gap between the teacher and the
patients. Teaching materials will be designed in simple
languages without medical jargon. I will request the audience to
repeat what they have understood in the simplest form the can.
Goal: Healthy People 2020 (HP2020) objective(s) utilized as the
goal for the teaching. Include the appropriate objective number
and rationale for using the selected HP2020 objective (use at
least one objective from one of the 24 focus areas). If an
HP2020 objective does not support your teaching, explain how
your teaching applies to one of the two overarching HP2020
goals.
A Healthy People 2020 objectiveis to reduce CHD deaths from
129.2 deaths per 100,000 population to 103.4 deaths per
100,000 population (American’s health ranking, 2018).
My aim is to improve cardiovascular health and quality of life
through prevention, detection, and treatment of risk factors for
heart attack and stroke; early identification and treatment of
heart attacks and strokes; prevention of repeat cardiovascular
19. events; and reduction in deaths from cardiovascular disease by
educating the adherence of the HP2020 objectives of reducing
CHD deaths from 129.2 deaths per 100,000 population to 103.4
deaths per 100,000 population (Department of Health and
Human Services, 2014).
How Does This HP2020 Objective Relate to Alma Ata’s Health
for All Global Initiatives
The HP2020 objective is related to Alma Ata’s Healthy for All
Global Initiatives since it supports the aim of increasing life
expectancy of the people. Cardiovascular disease is a condition
that kills several people in a year. It can be difficult and
expensive to manage if not diagnosed earlier and treated.
Prevention is therefore a key aspect to consider to help reduce
the high cases of cardiovascular diseases.
Develop Behavioral Objectives (Including Domains), Content,
and Strategies/Methods:
Behavioral Objective
and Domain
Content
Strategies/Methods
(label and describe)
1. They would be able to distinguish the effects of
cardiovascular disease
1. If left untreated, cardiovascular disease can lead to heart
failure, heart attack, stroke, aneurysm, or sudden cardiac arrest
1. The powerPoint will describe the effects of cardiovascular
disease and other complications. Before the presentation, I will
provide the audience with snacks and fruits.
2. They will understand how to reduce the risk of contracting
cardiovascular disease
20. 2. General view of cardiovascular diseases.
Regular exercise will help reduce the risk of cardiovascular
disease and obesity.
2. The pamphlets display the duration of exercise recommended
for individuals. Also, have the audience raise their hands to say
what they know regarding heart disease before providing an
overview of the disease
3. The audience will learn about the risk factors of
cardiovascular disease. They will learn about why some people
are at high risk than others.
3. Provide an overview of some risk factors such as age, sex,
family history, smoking, poor diet, high blood pressure, obesity,
diabetes, physical inactivity, stress, poor hygiene, among others
3. The cardiovascular risk factors would be presented in a
manner that establishes what the audience already know about it
and present the information in a way that would be educative
and influential to them.
1. They will be educated on better dietary and lifestyle choices
required to maintain a healthy lifestyle
4. Smoking, controlling blood pressure, diabetes and high
cholesterol, regular exercise, maintaining healthy weight,
reducing and managing stress, and good hygiene will be a focus
of the conversation.
4. General preventive measures will be provided to help the
audience stay away from cardiovascular diseases.
Creativity: How was creativity applied in the teaching
methods/strategies?
The audience will be fully engaged through a questions and
21. answer method from the start of the presentation to end. We
would start by telling stories regarding their daily activities like
physical exercise, diet components, etc. This is meant to
improve the commitment and interest of the audience in the
education program. Audio-visual teaching approach will also be
used.
Planned Evaluation of Objectives (Outcome Evaluation):
Describe what you will measure for each objective and how.
1. I will ask questions at different stages of the presentation to
assess whether the audience are learning what they are been
taught regarding cardiovascular diseases.
2. I will evaluate the willingness of the audience to change their
lifestyle and diet to incorporate the preventive measures
relevant for this condition.
3. Closely monitor the signs and symptoms of the young adults
and identify any alarm of cardiovascular disease and offer
necessary advice and help.
4. Encourage the audience to understand the common causes of
cardiovascular disease such as high blood pressure, diabetes,
smoking, coronary artery diseases, stress, among others.
Planned Evaluation of Goal: Describe how and when you could
evaluate the overall effectiveness of your teaching plan.
The overall effectiveness of the teaching plan can be evaluated
at the end of the presentation by asking some questions to the
audience to determine the success of the teaching program.
Additionally, I will organize a visit after a period of three
months to establish whether they are taking what the learned
serious e.g. change of lifestyle, diet, among others.
Planned Evaluation of Lesson and Teacher (Process
Evaluation):
22. A short form of evaluation will be done by arranging the
audience in groups and providing them with points to consider
when answering the questions. The groups can be given
different topics of discussion regarding cardiovascular disease.
For instance, one group can be told discuss the causes of the
diseases while others can discuss it’s the risks, complications,
effects, and prevention measures based on the information they
have learned from the teaching. Long term evaluation will be
made based on how they respond to the teaching. I will ask
them to keep a journal of their daily physical activities,
nutrition, medication, and doctor’s visit to see if they are
making effort of preventing cardiovascular diseases.
Barriers: What are potential barriers that may arise during
teaching and how will those be handled?
One of the main barrier that could present itself is language
barrier. The community has a diverse population, comprising
people from different cultures and language backgrounds. Some
of them may not understand English. In this case, having
someone to translate will help the audience much better.
Additionally, busy schedule among the youths can be a barrier
because it may force some of them not to attend to the teaching,
even on weekend days.
Therapeutic Communication
4.2 Communicate therapeutically with patients.
How will you begin your presentation and capture the interest
of your audience? Describe the type of activity you will use
with your audience to exhibit active listening? Describe how
you applied active listening in tailoring your presentation to
your audience? How will you conclude your presentation? What
nonverbal communication techniques will you employ?
I will start the presentation by introducing myself and explain
why I want to talk about the topic and then thank the audience
for finding time to attend the session amid busy schedule. I will
involve the audience by asking them what they know regarding
cardiovascular diseases. As the presentation ends, I would
request one person already diagnosed with heart disease to give
23. his/her experience with the disease, how he manages, and even
offer advice. As the young adults listen to one another, they get
an actual picture of how to change their lifestyle and make
effort of preventing the disease.
The presentation will be an interaction process through
question-answer approach. Some non-verbal cues that will be
used include eye contact, body movement, and hand gestures to
send certain messages or explain a point, and charts and images
for clarifications.
References
World Health Organization (2017). Prevention of cardiovascular
disease. World Health Organization.
Allender S, Peto V, Scarborough P et al. (2017). Coronary heart
disease statistics 2017 edition. London: British Heart
Foundation
Department of Health and Human Services (2014). Heart disease
and stroke. Retrieved November 10, 2019, from
https://www.healthypeople.gov/2020/topics-
objectives/topic/heart-disease-and-stroke
Hackensack Meridian Health (2017). Community health needs
assessment. Retrieved from
https://www.hackensackmeridianhealth.org/wp-
content/uploads/2019/03/2017-Community-Health-Needs-
Assessment-RBMC.pdf
American’s health ranking (2018). Public health impact: heart
disease. Retrieved from https://
HYPERLINK
"https://www.americashealthrankings.org/explore/annual/measur
e/CHD/state/NJ" n _blank
www.americashealthrankings.org/explore/annual/measure/CHD/
state/NJ
25. strongly believed in traditional art practice. This belief in
artistic practice has made Newark community or city a tourist
destination especially with construction of a world class art
center of New Jersey performing art center. Moreover, the
community has spiritual resources like churches where people
commune together and also support groups. The community
members’ value health promotion measures despite practicing
some shunned medical practices like Female Genital Mutilation
(FGM). A good evidence of this is practice is clearly seen in the
way community members are eager to learn and attend medical
seminars periodically conducted in the community.
Under health management category the main challenge which
the community is struggling with is the issue of cost of medical
care (affordability) and sanitation problems due to inadequacy
of clean water. Compared to the CDC records the area stands at
63.5% water stress, moreover immunization rates are very high
especially with the development of world class hospitals in the
region.
Nutrition/metabolic assessment of Newark Community
From just observing majority of the people are malnourished
especially the young children and this could be seen from the
pale and skimpy hairs. Majority of the food stuff in the
community are brought from neighboring communities and some
from the World Food Program (WFP).
Environmental Health Concerns
The only environmental concern is the issue of waste control
which is not only creating environmental concern but also
health concerns. From just walking around the houses one could
see the level of development of social amenities in the area.
Interview Form
26. a) What is your name?
Response
I’m Doctor Joan Rose
b) What position do you hold in the public health provider in
Newark community?
Response
I am the community chief public health officer
c) What is your role as public health provider?
Response
Some of the roles of public health provider in Newark
community is to provide, protect and promote at the same time
improve the health of the people in the community. Create a
sensitization program that would educate, train and create
awareness among the local community members on any
emergent healthcare concern.
d) What are some of the experiences you have had working in
the community?
Response
One of the most important experiences which I think has been
of big impact to me is the warm and friendly reception the
community members have given especially during seminars and
workshops. It has really made everything else just work out
well.
27. e) What influence has international organization and partnership
brought to Newark community?
Response
International community and organization has played a key role
in providing financial support to promote medical research and
health care promotion measures. Especially World Bank,
European Union, and WFP.
f) What are some of the social or cultural beliefs if any that has
hindered or promoted health promotion measures?
Response
So far I haven’t come across cultural values or beliefs that is
hindering health promotion measures.
g) What are some of the activities besides medical procedures
have you incorporated to facilitate cognitive and physical
wellbeing?
Response
Advocating for regular exercise, which is designed for each and
every age group so that everyone can find an area they fit.
h) Are there any natural or human triggered disasters that needs
attention of both healthcare sector and other stakeholders in
development?
Response
Not to my knowledge.
i) What is the mortality rate in the Newark?
28. The mortality rate in the city has been greatly reduced to 9.5%
especially with more investments been put in health care sector.
j) And has it changed since you joined the city as a public
health provider?
Response
Yes it has changed significantly just like I mentioned above that
the bilateral partnership has really boasted the health sector big
time.