List the levels of measurement for each of your chosen variables and explain why understanding levels of measurement is important in quantitative research.

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Quantitative research

Using the variables you chose in Week 1, write a 250- to 300-word response to the following:

  • List the levels of measurement for each of your chosen variables and explain why understanding levels of measurement is important in quantitative research.

Include your own experience as well as 2 citations that align with or contradict your comments as sourced from peer-reviewed academic journals, industry publications, books, and/or other sources. Cite your sources according to APA guidelines. If you found information that contradicts your experience, explain why you agree or disagree with the information.

 

Write an essay describing if and how the Covid-19 pandemic has affected your preparation for applying to medical school.

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Effect of Covid-19 pandemic

Write an essay describing if and how the Covid-19 pandemic has affected your preparation for applying to medical school.

What type of company it is? What are its most popular products and how it compares to other companies?

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Stryker Medical Device Company

o Things to talk about in the slides
▪ Beginning of the company (start date, how it started, etc.)
▪ What type of company it is (public, private, etc.) and what that entails for (essentially what are the company values and how do they go about business)
▪ What are its most popular products and how it compares to other companies
▪ What are the sales and how do they compare to other companies.
▪ What marketing strategies (slogans and such) do they have and how does it compare to other marketing strategies (could be the same or completely different)
▪ Do they have medical education or online seminars (community involvement)
▪ Overall are they helping surgeons like Arthrex aims to do

Write a personal statement as to why you want to attend medical school, which is to become a medical examiner and help people in their lives.

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Personal Statement

Write a personal statement as to why you want to attend medical school, which is to become a medical examiner and help people in their lives.

How would this treatment change if the patient was a pregnant female? Specifically, what category in pregnancy is these medications? How would you approach these medications or alternative medications in this case scenario with a pregnant patient?

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HPI:

Sherrie Masterson is a 24-year-old female with a history of hypothyroidism, with a 3-month history of persistent vomiting, followed by the gastroenterology service; she is thought to have gastritis based on a recent upper endoscopy report. She continued to have vomiting and weight loss, so she presented to the emergency department and was found to be hypotensive, tachycardic, and cachectic. Her serum labs demonstrated hyponatremia, normal potassium levels, and a random cortisol level that was very low. Thyroid-stimulating hormone was normal. CBC was unremarkable, UA was normal, and a negative pregnancy test. Serum glucose, liver function tests, and renal function were normal. You are the AGACNP who diagnoses her with Addison’s disease and admits her to the hospital for further workup and treatment.

1Medical History

  • Hypothyroid
  • Gastritis

2Social History

  • Smokes 2-3 cigarettes socially on weekends
  • No recreational drug use
  • ETOH-none
  • Single, no children
  • Employed as hairdresser

3Medications

  • Protonix 40mg po daily
  • Levothyroxine 100 mcg po daily

4Allergies

  • None

Exam

  • Vitals:
    • Pulse 104
    • Resp 18
    • BP 96/50
    • SpO2 98%
    • Temp 37 °C (98.6 °F)
    • 65kg
    • 5’6”
  • Constitutional: Alert, no acute distress. Thin.
  • HEENT: Head is normocephalic and atraumatic. Eyes without icterus or injection. Mucous membranes pink and dry. Neck is supple, nontender without adenopathy. No JVD. No meningismus.
  • Resp: Lungs clear to auscultation bilaterally without wheezes, rales, or rhonchi. No increased work of breathing.
  • Cardiovasc: S1S2 without murmur, rub, or gallop. Regular rate and regular rhythm. Pedal pulses 2+ and equal. No edema.
  • Abd/GI: Soft, non-tender, nondistended. No masses.
  • Skin: Pink, warm, dry. No rashes or bruising.
  • Ext: Movement all extremities without limitation.
  • Back: Normal inspection. Nontender.
  • Psych: Affect normal. Appropriate attention, cooperation.
  • Neuro: Alert and oriented x 4. No focal motor or sensory deficits.

Week 10 Case Study Assignment 1: Endocrine Decision Making

Clinical Decision-Making Questions

  1. You would like to order a medication to replace cortisol in this patient. What medication would you order? Write out the order including the pharmaceutical agent, dose, route, and duration. Why have you selected this medication in this situation? Justify your selection over alternatives. What classof medication are you choosing and why? Explain why this medication and route was chosen over other options. Include the pharmacodynamic action of the medication you have chosen in comparison to the other options you mentioned. Include either a research article or evidence- based guideline that supports your decision-making and selection process. Give rationale and reference your information.
  2. You would like to order a medication to replace aldosterone in this patient. What medication(s)would you order? Write out the order including the pharmaceutical agent, dose, route, and duration. Why have you selected this medication in this situation? Justify your selection over alternatives. What class of medication are you choosing and why? Explain why this medication and route was chosen over other options. Include the pharmacodynamic action of the medication you have chosen in comparison to the other options you mentioned. Include either a research article or evidence-based guideline that supports your decision-making and selection process. Give rationale and reference your information.
  3. What are the potential side effects and/or adverse drug reactions and how should they be managed? Are there any reasons/indications that you would not give these medications? What would you expect that your patient might experience, and what are your worst-case scenarios? If these occur, what would you do?
  4. What are potential drug interactions for this patient and what would your management be if you were concerned about a drug interaction? (Note: This answer may be none.) Don’t just copy and paste drug interactions into this area. What is applicable for this patient?
  5. What is the cost of these medications? What reference was used to obtain this cost information?How does it compare to other options available for this patient? Is it your best option based on cost and effectiveness and indication for this patient?
  6. How would you monitor the efficacy of these medications? Specifically, when would you expect these medications to work? Are there lab tests or other information that you would need to gather to see if these medications are efficacious? How do you know these medications are efficacious?
  7. What are alternative treatment plans should this option fail? Specifically, address what medication, how, and when you would use it.
  8. How would this treatment change if the patient was a pregnant female? Specifically, what category in pregnancy is these medications? How would you approach these medications or alternative medications in this case scenario with a pregnant patient?

 

  1. How would this treatment change if the patient was an 85-year-old male?
  2. Include an APA reference sheet with at least three references, including one evidence-based Internet resource (a URL), and at least one evidence-based research article.

 

 

 

Discuss specific patient education based on the prescribed therapy. List one or two adverse reactions for the selected agent that would cause you to change therapy. What would be the choice for second-line therapy?

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Laura is a 55-year-old white female who presents to her family physician’s office for a yearly routine physical. Her husband passed away five months ago after a two-year battle with lung cancer. She has three children, two of whom are still in college. Her daughter accompanies her to the doctor’s office and says she is concerned about her mother’s recent behavior. She explains that her mother has been “sleeping all the time” and has lost 25 lb in the past two months without being on a diet.

When the doctor examines Laura, she explains that she has become increasingly fatigued and complains of a lack of energy. She no longer has any desire to participate in her lifelong hobbies of painting and photography because of frequent feelings of sadness. In the office today, Laura’s blood pressure is 138/88 mm Hg.

Laura’s medical history is significant for hypothyroidism, hypercholesterolemia, and recently diagnosed hypertension.

Medications

  • levothyroxine 0.075 mg daily
  • simvastatin 20 mg daily
  • hydrochlorothiazide 25 mg daily
  • lisinopril 10 mg daily
  • multivitamins 1 tab daily
  • aspirin 81 mg daily

Diagnosis

Major Depression

Case study questions

  1. List specific goals for treatment for Laura.
  2. What drug therapy would you prescribe? Why?
  3. What are the parameters for monitoring success of the therapy?
  4. Discuss specific patient education based on the prescribed therapy.
  5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
  6. What would be the choice for second-line therapy? Provide rationale for your answer.
  7. What over-the-counter and/or alternative medications would be appropriate for Laura? Why?
  8. What lifestyle changes would you recommend to Laura? Why?
  9. Describe one or two drug–drug or drug–food interaction for the selected agent.
  10. What labs would you order and why?
  11. When would you have the patient return to your office?

 

 

Critique on the relationship between Vit D and pancreatic cancer. – Whose conclusion do you more align with it? What policy would you recommend based on which model? Why?-discuss the evidence provided in the papers.

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Critique on the relationship between Vit D and pancreatic cancer

Critique on the relationship between Vit D and pancreatic cancer (compare Stolzenberg-Solomon vs. Wolpin et al.) – Whose conclusion do you more align with it? What policy would you recommend based on which model? Why?-discuss the evidence provided in the papers.

Provide details of the pilot study if a pilot study has been performed. Describe the activities that have been carried out. Describe which stakeholders were involved in the implementation and describe their roles.

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Class Project: A Health Program Plan

Students enrolled in PHC 274 in fall 2022 will be divided into groups (5-7 students per group). The first section will be designed to gain general information about the intervention program. The second section will be designed to assess the student’s ability to plan an intervention program. The group has 8 points to cover under the main intervention characteristics section. The third section will be designed to assess the group’s ability to provide basic information about the implementation and evaluation process. The three- sections written intervention plan must be completed and submitted to the instructor no later than 11:59 PM on (November 12, 2022).

General program information

  1. Name of the program.
  2. Country and region (if applicable) where the program is based.
  3. Time period (start and end dates).
  4. Funding sources.
  5. Give a short description of the program (maximum of about 250 words).

Main intervention characteristics

  1. Describe the overall aim(s) of the intervention.
  2. List the SMART objectives of the intervention.
  3. Describe the target group(s) of the intervention

✓ Indicate the demographic and socioeconomic factors of the target population that have been measured. E.g. age, gender, income/socioeconomic status, education, occupation…etc.

  1. Literature review: basing the intervention on current scientific knowledge and/or theoretical models and/or previous experience from other projects?
  1. Describe the needs assessment that has been carried out.
  2. Describe the environmental factors (i.e. factors beyond individual control) that the intervention addresses, if any.
  1. Does the intervention have a special focus on vulnerable groups (socioeconomically disadvantaged people, ethnic minorities, children, elderly people, etc.)? if yes, specify the vulnerable groups.
  1. Describe the involvement of stakeholders in the planning phase of the intervention and specify the stakeholders, including and not limited to: if the target group(s) was/were involved in setting the objectives and designing the intervention.

Implementation, Monitoring, and Evaluation

  1. Provide details of the pilot study if a pilot study has been performed.
  2. Describe the activities that have been carried out.
  3. Describe which stakeholders were involved in the implementation and describe their roles.
  4. Describe how the process/impact/outcome of the intervention was measured.
  5. To what extent have the objectives indicated earlier been achieved?
  6. Conclusion and recommendations.

 

Write an essay discussing the classification of myeloid neoplasm.

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Myeloid neoplasm

Write an essay discussing the classification of myeloid neoplasm.

Describe social determinants of health that impact the health disparity of the at-risk aggregate. Determine the health status of the at-risk aggregate by interpreting demographic, epidemiological, and statistical data.

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Disparities Report – Midterm Examination

Objectives:

Use the concepts of aggregate at risk and health disparities for assessing needs and planning care.
Describe social determinants of health that impact the health disparity of the at-risk aggregate.
Determine the health status of the at-risk aggregate by interpreting demographic, epidemiological, and statistical data.
Analyze current data concerning the at-risk aggregate (Healthy People 2030).
Formulate three prioritized outcomes with intervention strategies at each level of prevention (primary, secondary, tertiary) for the at-risk aggregate.

Assignment

Rector, C. (Course Point platform).(Listen to podcasts, review chapters, view videos, answer questions)

Chapter: 5: Transcultural Nursing in the Community

Healthy People

https://health.gov/healthypeople

Florida Department of Health

https://www.floridahealth.gov/Links to an external site.

County Health Rankings: How healthy is your CountyLinks to an external site.

CDC Sortable StatsLinks to an external site. (an interactive site focusing on 31 Behavioral Risk Factors for a state/region/nation)

 

Select an at-risk aggregate (Module 3) and develop a power point presentation that addresses the following areas:

Provide demographic and epidemiological data for the at-risk aggregate
Specify if you are focusing on Prevention or Management of the health disparity (e.g., prevention of diabetes in Latino teens between the ages 13-18 attending Seminole County Schools; versus management of diabetes in Latino teens between the age of 13- 18 attending Seminole County Schools)
Introduce the aggregate and the associated disparity. Include demographics, epidemiological and statistical data. Pictures and graphics add to the presentation. Be sure to cite the sources of these materials and be aware of copyright issues!!

Delineate social determinants of health to your county
Any key legislation at state or national level.
Include Healthy People 2030 objectives and supporting statistics related to the at-risk aggregate.
Select one problem, need or risk of this aggregate.
Develop the plan of care (intervention strategies) that addresses each level of prevention (primary, secondary, tertiary). Remember that you are writing the plan in the role of the public health nurse.
Consider development stages of your target population. (e.g., teaching a group of 1st grades about preventing obesity will be quite different from teaching a group of 5th graders versus students in junior high; or a group of elderly individuals at the senior center).