Place the following patients in order for which you would see first as they come in through the emergency department. Explain why you would see them in this order. A. A patient with myasthenia gravis experiencing eye droop B. A 65 year old man with a blood pressure of 140/80 C. A 30 year old type II diabetic with a BS of 250

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to "Communicable Disease Chain," "Chain of Infection," and the CDC website for assistance when completing this assignment.

Communicable Disease Selection

1. Chickenpox
2. Tuberculosis
3. Influenza
4. Mononucleosis
5. Hepatitis B
6. HIV
7. Ebola
8. Measles
9. Polio
10. Influenza

Epidemiology Paper Requirements

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

1. You are a nurse working in a labor and delivery unit in a small town near a Native American reservation. Charity, your patient, is about to give birth to her sixth child. Her family does not have health insurance. Normally she would give birth at home; however, her blood pressure is high. Her family is doing a dance to scare away the evil spirits that brought about this medical condition. She is in a lot of pain but refuses an epidural. She believes that pain is something that should be tolerated. There are also about 20 family members present to watch the birth, including all of her children. After the baby is born, she hand-expresses colostrum from her breasts and disposes of it. Additional family members arrive with all sorts of food to celebrate the birth of the baby. (Learning Objectives 5 and 6)

A. What are the cultural traits with Charity and her baby that are specific to her Native American culture?

B. How would you provide culturally sensitive nursing care to Charity and her baby?

Discuss family-centered care, including, but not limited to, the philosophy of nursing care and the major functions of the nurse.

Touch therapy could be as simple as a hand holding or as complex as acupressure or massage.

Discussion questions:

What are the concepts of touch therapy? Give examples if you have experienced touch therapy.

Find a nursing research article on touch therapy, discuss the pros and cons. Please cite with APA references.

What are accountable care organizations? What value can they provide to the healthcare industry?

1)What details would an epidemiologist need to consider to determine the source of an infection

2) What is the difference between infection and intoxication as it pertains to foodborne illness? How do the symptoms vary?

3) Infection by E. coli O157:H7 may occur with only 10 CFU/mL. Which sample(s) would be of concern if the contaminated water contained strain O157:H7?
4) What are the symptoms of an intestinal infection caused by E. coli? How do the symptoms differ from an infection caused by the strain O157:H7?
5 ) If a “boil water advisory” is issued, how should you treat the water to make it drinkable? How long should water be boiled before it is considered safe?
6)  Once the boil water advisory is over, what advice is given to make the water drinkable and to make sure your household is safe?

Summarize the law in your California regarding the medical emancipation of a minor.

Instructions

1. Read the Case Study Medicare Medical Billing found on Chapter 12, page 347 of the textbook:
   
   Ramon has received a bill for his recent visit to the doctor’s office. He is confused because he has Medicare and American Association of Retired Persons (AARP) insurance and does not believe he should owe anything. He called AARP and was told that a bill for the visit had never been received. He had been told that all claims would come directly from Medicare. He then called Medicare and asked why the claim had not been sent to AARP. Medicare stated that the physician’s office had not listed AARP as a secondary insurance carrier on the claim. Ramon realized that he had not given the office his AARP card at his visit.
   
2. Afterwards, answer the questions below:
   • How could his physician’s office have prevented this problem?
   • What is it called when Medicare forwards a claim to the secondary insurance?
   • If this claim had fallen under the Medicare deductible, would the secondary insurance pick up the change?

One of the Athletic trainers at Alfred University covered a home football game in which the starting quarterback was injured and taken off the field on a stretcher. After the game, the ATC's roommate approached to inquire about his injuries. The ATC proceeded to tell his roommate that the quarterback sustained a tear to his right ACL which would require surgical intervention and therefore put him out for the remainder of the season.  

In this situation, did a HIPAA violation occur (please explain your answer)? If so, what are the ramifications of such a breach?

Would you have handled the situation any differently? If so, how?

Susan Jackson is a 66 years old African American women who is admitted to acute rehab for continuing care of a right below the knee amputation. Mr Jackson had a surgery 2 weeks ago the wound is not healing properly. Mr Jackson has a history of type 2 diabetes mellitus, hypertension, hyperlidemia and obesity.

What are you primary concerns for this patient and what assessment and interventions would be associated with your concerns and why ?

A patient that weights 60 lbs is ordered for Gabapentin (Neurontin) 10mg/kg/day PO in three divided doses for seizures. The pharmacy provides Neurontin with a dosage strength of 250 mg/mL. How many mL will be administered for each dose? Round to the nearest hundreth of a mL. _______ mL/dose

Describe the effect of cultural diversity on the health care industry. Recognize the need for intervention plans that are holistic and culturally relevant.