Identify a type of design (e.g., randomized trial, prospective study, descriptive study, case-control study, etc). for each of the studies

Fifteen hundred adult males working for Locheed Aircraft are recruited to participate in a study of coronary heart disease. Every 3 years they are examined for new occurrences of this disease. Coronary heart disease rates are compared among groups defined by personal characteristics as they were recorded at the beginning of the study.

A random sample of middle-age sedentary females was selected from four census tracts, and each woman was examined for coronary heart disease. All those having the disease were excluded from the study. All others were randomly assigned to either an exercise group, which followed a 3-year program of systematic exercise, or a comparison group, which had no exercise program. Both groups were evaluated for coronary heart disease every 6 months and incidence of coronary heart disease compared after 3 years.                                 

what resources are required for winter Olympics in Ontario project?

The home care nurse is seeing a 68-year-old Vietnamese woman on an initial visit. The patient was discharged from the hospital with a diagnosis of congestive heart failure (CHF). The home health nurse notices that the patient’s blood pressure is elevated and that the patient has a productive cough. The patient speaks very little English. However, the patient’s daughter is present and is able to interpret. The nurse completes a full health assessment, including a review of medications, and notes that the patient was prescribed a diuretic and a beta-blocker to regulate blood pressure. The daughter shares with the nurse that her mother does not like taking medications and chooses to take herbal remedies instead. Upon assessment, the patient’s vital signs are T 37° C; P 76; R 20; and BP 160/80, and her oxygen (02) saturation is 94%. The patient’s lungs are positive for scattered rhonchi in the upper bases, but the lower bases are clear, and the rhonchi clear with cough. The patient’s heart rate is regular with no audible mummers, and there is +2 edema bilateral in the lower extremities. The patient denies having pain.

Answer the following questions:

1. What interventions should the nurse incorporate into the plan of care for this patient?

2. What steps does the nurse need to take to become culturally competent?

3. What interventions can the nurse include to provide care that reflects an acceptance of the patient’s health and illness beliefs and practices?

which resources like time, fund are required to arrange Olympic games as a health coordinator what you can do

how does Social Determinants of Health affects 1)age
2)gender
3)culture/Ethnicity
4)education
5)physical environment
6)access to health care and social services
7)risk exposure
8)socioeconomics statuts
9)housing
10)Employment and working conditions
11)social connectedness

what does pubic health mean to you as a nurse. what do you hope to gain from a training of public health 300-350 words please

The Patient Protection and Affordable Care Act of 2010 otherwise known as Obama Care has been the center of debate among the government, policymakers, politicians, and health care providers over the past decade. For much of the last 4 years, the government has tried to repeal and replace Obama Care; however, they were unsuccessful in their attempts. There are currently modifications made to the initial Act. As a middle manager in the Health Care Industry, what type of attitude is most essential during this volatile period of change? Discuss your reasons?

What is a workaround? Identify a workaround (specific to technology used in a hospital setting) that you have used or perhaps seen someone else use, and analyze why you feel this risk-taking behavior was chosen over behavior that conforms to a safety culture. What are the risks? Are there benefits? Why or why not? Discuss the current patient safety characteristics used by your current workplace or clinical site. Identify at least three aspects of your workplace or clinical environment that need to be changed with regard to patient safety (including confidentiality), and then suggest strategies for change.

Case Study Week 5 – Acute Respiratory Distress Syndrome (60 Min)

Student Name: ________________________                     Date: ________________

Your Week 5 Case Study and questions are below. The questions must be completed in Week 5 during your clinical timeframe. You are to do your own work in answering the questions, this is not a shared group project. There are consequences (see syllabus) in conducting group work without direction from faculty. Submit to clinical instructor.

Patient Profile

Z.Q., 74-year-old Hispanic man, came to the emergency department (ED) 7 days ago with shortness of breath. His wife stated that he had a history of hypertension, depression, and chronic obstructive pulmonary disease (COPD). The admission chest x-ray examination revealed dense consolidation of the left lower lobe. An arterial blood gas (ABG) at that time showed: pH 7.60, PaCO₂ 29mm/Hg, HC0₃ 32mmol/L, and PaO₂ 75mm/Hg. Z.Q. quickly deteriorated and subsequently was intubated. He has been in the intensive care unit for 3 days.

Subjective Data

• Z.Q. and wife have been married 45 years and live with a daughter and two grandchildren.
• They speak both English and Spanish.

Objective Data

Physical Examination

• Blood pressure 167/98, pulse 112, temperature 102.0°F, respirations 14, oxygen saturation 72%
• Height 5'6", weight 75 kg
• Patient localizes to endotracheal (ET) tube and is intermittently aroused, making several attempts to pull ET tube
• Orally intubated #7.5 ET tube, taped at 27 cm to lip
• Volume cycled ventilator at FIO₂ - 60%, in assist control mode of 14 breaths per minute, tidal volume 450, positive end-expiratory pressure PEEP 5 cm H₂O
• Breath sounds decreased in bases with bilateral crackles that do not clear after suctioning
• Brown-yellow secretions returned with suctioning
• Peripheral pulses weak at 1/4 with capillary refill greater than 4 seconds
• 2+ pitting edema in the bilateral lower extremities

Newly Obtained Diagnostic Study Results

• Arterial blood gas (ABG) pH 7.31, PaCO₂ 58mm/Hg, HCO₃ 28mmol/L, PaO₂ 54mm/Hg, EtCO₂ 38 mm/Hg
• Chest x-ray examination reveals diffuse white out in middle and lower lobes; endotracheal tube present with tip well above the carina; left subclavian central venous catheter is in the superior vena cava
• Computed tomography scan reveals alveolar opacities with increasing effusions in the gravity-dependent areas of the lungs

Case Study Questions:

1. You have read the patient’s profile and physical assessment data. What clinical data from this information is relevant and must be recognized as significant to you as the nurse? Student Must List at Least 7 answers

2. Blood pressure 167/98, pulse 112, temperature 102.0°F, respirations 14, oxygen saturation 72%

What are your nursing interpretations of the client’s presenting vital signs? What would be your initial assumption from your already learned knowledge – Student’s are to apply their own assumption/thinking, faculty want you to think on your own; see what you come up with. Student Must Address All Vital Signs:

• Temp =
• BP =
• Pulse á =
• RR =
• O2 Sat â =

3. What would be your initial nursing priority that will guide the plan of care for Z.Q.?

4. What would be two prioritized nursing diagnoses for Z.Q. prior to providing client care? Include all 3 parts of nursing diagnosis. Student Must List at Least 2

5. Although Z.Q. speaks both Spanish and English, what would be two cultural aspects to consider in caring for the client? Student Must List at Least 2

6. What 5 prioritized nursing interventions will be initiated by you as the nurse based on your listed initial nursing priority in question 3? Student Must List at Least 5

7. Once treatment has been initiated, what relevant clinical assessment data would you need to closely monitor in detecting a possible change in status or complications? Student Must List at Least 4

8. How would you as the nurse, evaluate the effectiveness of your nursing interventions for Z.Q.? Student Must List at Least 4

Reference(s)

____     1.   The nurse assesses the patient and realizes that patient pain is interfering with postoperative therapies. Which does the nurse determine before using medication and relaxation techniques simultaneously to reduce patient pain? (Select all that apply.)

____     2.   The nurse caring for a female patient 1 day after a thoracotomy assesses that the patient is in pain, but the patient states that she has no pain. Which does the nurse use to confirm the patient’s pain?(Select all that apply.)

____     3.   Which common adverse effect(s) is/are associated with opiate agonists? (Select all that apply.)

Questions from the Food Inc Documentary

Contrast the images of farms that most people still believe exists with the reality of the factories that prepare our food. Include details from the film for support.

What were the unintended consequences of fast food restaurants on the food quality, costs, and working conditions in the restaurants and on farms?

What does the film capture about the chicken farms and the way the chicken is produced?

What does Michael Pollan reveal are the problems with growing so much corn?

What is E. coli and how does the film show its medical and political significance?

What does the film reveal about our government's involvement in the way our food is grown and sold?

What does the film illustrate about the choices poor people make in food purchasing?

Who is Joel Salatin and in what ways does he offer hope to people who want to improve the quality of their food?

In what specific ways does the film suggest that business can offer solutions to our food problems?

Summarize the problems farmers have had with the Monsanto Corporation.

What does the film reveal about the relationship between some specific government elected and appointed officials and the problems for consumers of food?

The film concludes with the optimism that citizens and consumers of food can vote three times a day about the food that they eat. What does the film specifically recommend?

Abortion is one of the most difficult and controversial moral issues we will consider. Listen to both sides, even if it is difficult to do. Both sides have important moral insights, even if ultimately these insights are outweighed by the insights of the other side. The goal of this discussion is not to convince you to accept one position over the other, but to help you to understand both sides. As you consider this difficult issue, it is important to distinguish two questions:

Is abortion morally wrong?

Should abortion be illegal?

Choose one of the questions above and argue both sides with supporting evidence. Please write your discussion choice in the title line.

Cirrhrosis

• Brief description (what is it)
• List 3-5 causes (etiologies)
• Manifestations (assessment findings)
• Diagnostic/Laboratory findings (pertinent)
• List 3-5 potential complications
• Interventions (interprofessional & nursing managements)