Physical Environment

Assignment One – Subsystem: Physical Environment

Overview

Communities are composed of the core, which are the people and eight subsystems. A community assessment typically starts with a windshield survey where each of the eight community subsystems are explored. The physical environment is often the first subsystem assessed. This assignment is focused on providing guidelines to help health professional students identify characteristics in the physical environment that can impact health. Mayor Franklin Hill may be able to provide additional insight about this subsystem.

Prerequisites

Purchase Sentinel City and tour the city.

Assignment Instructions

1. Review the following resources:

a. Course textbook and/or other assigned readings

b. Meet with Mayor Hill to discuss the subsystem: physical environment

2. Enter Sentinel City® and begin the bus tour.

3. As you tour the Sentinel City, select either Casper Park District or Industrial Heights. Note the characteristics of the selected neighborhood related to the physical environment. Tour the entire city and make note of disparities and advantages of your selected community in relation to the city as a whole. You will utilize this process for each subsystem throughout the course.

4. Address each of the characteristics in the far-left column below and add two additional characteristics. Fill in the columns for each physical environment characteristic.

5. Use correct APA format when citing resources and include a reference list that support your rationales in standard APA format on a new page. Refer to the APA manual.

6. For questions, contact your Academic Coach.

.

Reference

Learning Objectives

· Assess the physical environment of a specific community

· Identify characteristics of the physical environment that can impact health

· Describe the health impact of positive and negative characteristics of a community

· Compare current literature to observations of the physical environment

AACN Public Health Essentials

This assignment addresses the following AACN Public Health Essentials:

· Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety

· Apply systems theory to PHN practice with individuals, families, and groups.

· Essential III: Essential III: Scholarship for Evidence-Based Practice

· Use epidemiologic data and the ecological perspective to identify health risks for a population.

· Essential VII: Clinical Prevention and Population Health for Optimizing Health

· Practice evidence-based public health nursing to promote the health of individuals, families, and groups.

· Essential IX: Baccalaureate Generalist Nursing Practice

· Use basic descriptive epidemiological methods when conducting a health assessment for individuals, families, and groups.

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Medical Billing And Coding

Review the following lecture:

• Coding for Medical Necessity

Introduction:

In order to properly code a bill for medical necessity, it is important to understand the electronic medical record. This record contains information about the patient’s health both before and after the treatment and has the data needed to assure a payer that the treatment was necessary.

Tasks:

• Explain the contents of the medical record.
• Describe SOAP notes—subjective, objective, assessment, and plan.
• Explain operative reports function in medical necessity coding.
• Explain National and Local coverage determinations.

Submission Details:

• Submit the report as a 5- to 10-page Microsoft Word document. Use APA standards for citations and references.
• Cite a minimum of three outside peer-reviewed sources to support your assertions and save it as SU_HCM1201_W3_Project_LastName_FirstInitial.doc. Submit the report to the Submissions Area by the due date assigned.
• Cite any sources using correct APA format on a separate page.

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What Are Social Determinants Of Health? Explain How Social Determinants Of Health Contribute To The Development Of Disease.

2 DQ 1

Social determinants of health include biological, environmental, social, and economic factors that influence the access and maintenance of health (Green, 2018). For example, those living in low socioeconomic areas may not have the resources to obtain fresh food and will oftentimes rely on fast food chains. According to a study posted by the American Journal of Preventive Medicine (2004), low-income areas had 2.5 times more fast-food chains than those living in more affluent areas. As a result of this many minorities living in low-income areas have a great risk of obesity and comorbidities such as type II diabetes and hypertension. While the study done by the American Journal of Preventive Medicine was more than five years ago the results of their study continue to be prevalent as the Center for Disease Control and Prevention (2018) states children and adolescents are more likely to be obese than their higher-income counterparts. This is an example of how social determinants of health contribute to the development of disease. The child who has grown up with a poor diet is less likely to change their diet habits as adults resulting in fatal health conditions.

Social determinants also contribute to the spread of communicable diseases due to crowding, sanitization, uncontaminated water, and access to health care (Green,2018). The infectious disease process of communicable diseases is represented by the chain model also known as the chain of infection. The chain of infection begins with the infectious organism and describes how the organism reproduces and spreads through contact, droplets, or surfaces. As the nurse taking care of an individual with a communicable disease the simplest and most effective form of breaking the chain is by proper handwashing. The nurse can also contribute to the stop of the chain by wiping down surfaces with the proper cleaning agents, placing the appropriate PPE outside of the patient’s room, and clustering care to avoid excessive time inside of the patient’s room. All of these interventions contribute to the stop of the transmission phase of the chain model.

Using 200-300 words APA format with references to support the discussion.

What are social determinants of health?  Explain how social determinants of health contribute to the development of disease.  Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain.

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Ego Integrity Presentation

Ego Integrity Presentation

Ego Integrity Presentation

Assignment Description

Ego Integrity Presentation

Imagine you are working as a charge nurse in an assisted living facility. Your unit houses twenty older adults. The residents of this unit are cognitively functional without evidence of cognitive decline. The residents are elderly and do require varying degrees of physical assistance with ADLs. Create a PowerPoint outlining strategies you can incorporate in the assisted living facility to promote ego integrity for your residents. What group and individual activities can you incorporate?

Assignment Expectations:

Length: 10-15 content slides

Structure: Include a title slide, objective slide, and reference slide in APA format. These do not count towards the minimum content slide count for this assignment. Be sure to fully explain all slides in the Speaker Notes.

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

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MCCG262 Professional Coder Practicum Documentation Presentation (Medical Billing And Coding)

MCCG262 Professional Coder Practicum

As part of your internship with South Padre Medical Center, you are working under the supervision of the coding supervisor, Marla Kauffman. The clinic’s CDI Director, George Bowman, wants to better educate the physicians on the importance of accurate and complete medical records.  Therefore, George is planning on beginning a series of education sessions every month. He has asked Marla to prepare a presentation on proper documentation.

Marla thinks that helping with this presentation would be a wonderful opportunity for you during your internship so that you can learn how to improve clinical documentation by identifying some key elements that are missing or unclear inpatient documentation. Marla’s plan for the presentation is to present some cases and examples where the coders did not have the information they needed to code. Marla has asked you to assist in preparing for this presentation by identifying any missing or unclear information from four patient records and drafting a PowerPoint presentation on your findings.

Because you are a new coder, Marla also thinks it would be helpful for you to research the importance of proper documentation and ways to ensure documentation is complete and accurate and then include information from your research findings into your PowerPoint presentation.

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Interaction Between Nurse Informaticists And Other Specialists

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

• Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty. 
• Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

Question

Post 1page of a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

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Clinical Worksheet Plan Of Care Concept Map Pharm4Fun Worksheet: 1 Per Medication ISBAR Worksheet

Patient Introduction

A 52-year-old patient has just arrived in the Emergency Department with complaints of severe abdominal pain, nausea, and vomiting over the last few days. His abdomen is distended. He has poor skin turgor and dry mucous membranes. He has not urinated since yesterday. He has felt “dizzy” and “weak” all evening. He thought it might be the flu, but decided to come in because the stomach pains were getting worse. He has signed informed consent for treatment and labs have been drawn.

his name is Stan Checketts

This are his issues

1. Fluid Volume Disturbances, Chapter 13, pp. 259-262
2.                                  Acid-Base Disturbances, Chapter 13, pp. 283-288
3.                                  Hypovolemic Shock, Chapter 14, pp. 308-310
4.                                  Bowel Obstruction, Chapter 47, pp. 1327-1329

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CASE STUDY ANALYSIS

CASE STUDY ANALYSIS

CASE STUDY ANALYSIS

CASE STUDY ANALYSIS

CASE STUDY ANALYSIS

CASE STUDY ANALYSIS

Adv. Pathophysiology 6501

Module 1 Assignment: Case Study Analysis

WEEK #2 TOPIC

Posted on: Sunday, March 1, 2020 12:00:00 AM EST

WEEK #2 –- CASE STUDY ANALYSIS

Scenario 1: A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever. Patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning and prednisone 5 mg po qam. He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats. He says he has had more fatiguethan usual and reports some chest pain associated with coughing. He admits to having occasional episodes of hemoptysis. He works as a grain inspector at a large farm cooperative. After extensive work-up, the patient was diagnosed with Invasive aspergillosis.

An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.

Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact.

An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans. In this Assignment, you examine a case study and analyze the symptoms presented. You identify a cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

The Assignment (1- to 2-page case study analysis)

Develop a 1- to 2-page case study analysis in which you:

· Explain why you think the patient presented the symptoms described.

· Identify the genes that may be associated with the development of the disease.

· Explain the process of immunosuppression and the effect it has on body systems.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, citations and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at /orders/academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.

RUBRIC

Readings

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

·  Chapter 1: Cellular Biology; Summary Review

·  Chapter 2: Altered Cellular and Tissue Biology: Environmental Agents(pp. 46-61; begin again with Manifestations of Cellular Injury pp. 83-97); Summary Review

· Chapter 3: The Cellular Environment: Fluids and Electrolytes, Acids, and Bases,

· Chapter 4: Genes and Genetic Diseases (stop at Elements of formal genetics); Summary Review

· Chapter 5: Genes, Environment-Lifestyle, and Common Diseases (stop at Genetics of common diseases); Summary Review

· Chapter 7: Innate Immunity: Inflammation and Wound Healing

· Chapter 8: Adaptive Immunity (stop at Generation of clonal diversity); Summary Review

· Chapter 9: Alterations in Immunity and Inflammation (stop at Deficiencies in immunity); Summary Review

· Chapter 10: Infection (stop at Infectious parasites and protozoans); (start at HIV); Summary Review

· Chapter 11: Stress and Disease (stop at Stress, illness & coping); Summary Review

· Chapter 12: Cancer Biology (stop at Resistance to destruction); Summary Review

· Chapter 13: Cancer Epidemiology (stop at Environmental-Lifestyle factors); Summary Review

Note: You previously read these chapters in Week 1 and you are encouraged to review once again for this week.

Justiz-Vaillant, A. A., & Zito, P. M. (2019). Immediate hypersensitivity reactions. In StatPearls. Treasure Island, FL: StatPearls Publishing. Retrieved from /orders/www.ncbi.nlm.nih.gov/books/NBK513315/

Benchmark Capstone Project

Benchmark Capstone Project

Benchmark Capstone Project

Benchmark Capstone Project

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.  Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1.Background

2.Problem statement

3.Purpose of the change proposal

4.PICOT

5.Literature search strategy employed

6.Evaluation of the literature

7.Applicable change or nursing theory utilized

8.Proposed implementation plan with outcome measures

9.Identification of potential barriers to plan implementation, and a discussion of how these could be overcome

10.Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin.

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