While there are many regimens for the treatment of H. pylori infection, significant efforts in research and innovation have been made as well. The latest research results indicate that  the new triple therapy comprising of amoxicillin, protein pump inhibitor (PPI) and levofloxacin has recorded the highest rate of eradication of this bacterial infection (Woo and Robinson, 2015). Alternatively known as hybrid therapy, it delays the overall duration of amoxicillin treatment for about 14 days (Woo and Robinson, 2015). Essentially, the prolonged treatment accounts for a significant percentage of H. pylori eradication by this hybrid therapy as well.

   The prevalence resistance worldwide to the triple therapy has enhanced more effort on vonoprazan-based therapy, particularly in regions with a significantly limited rate of clarithromycin resistance. With the evolution of vonoprazan therapy, the treatment options and generally the eradication of helicobacter pylori problems are broadened (Chey et al, 2017). More profoundly, switching the vonoprazan as an acid blocker for H. pylori means that there is a chance for a further reassessment of the triple therapy. It equally improves the efficacy of triple therapy through a significant reduction to the resistance in clarithromycin as previously noted.      Additionally, concomitant therapy has also been introduced for the reduction of the metronidazole resistance estimated to be about 50% in Asian countries (Woo and Robinson, 2015). Concomitant therapy implies using conventional antibiotics to reduce resistance levels in triple therapy.

   Patients should be advised against consuming contaminated food, water, and other consumables. Such factors exacerbate bacterial infection on the walls of the small intestine through releasing toxins and enzymes. Furthermore, it is imperative that the patient is advised to seek proper counseling. In addition, the interventions can be employed in the control, prevention, and management of H. pylori. Supporting and emphasizing programs on patient’s compliance with drugs, specifically, pharmacists will result in an increase in the number of patients who will be taking medication. While antibiotics are recommended, patients should be watchful of the side effects and report immediately to the healthcare facilities (Woo and Robinson, 2015). Patients are also encouraged to seek for medical checkups frequently. The earlier detection and treatment for this infection will result in a better positive result, unlike the late time action.

                                                                  References

Chey, W. D., Leontiadis, G. I., Howden, C. W., & Moss, S. F. (2017). ACG clinical guideline: treatment of Helicobacter pylori infection. The American journal of gastroenterology, 112(2), 212.

Woo, T. M., & Robinson, M. V. (2015). Pharmacotherapeutics for advanced practice nurse prescribers. FA Davis.

 

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People of Chinese Heritage.

People of Guatemalan Heritage.

Read chapter 10 and 31 of the class textbook.  Read content chapter 31 in Davis plus online website.  Once done answer the following questions;

1.  Discuss the health care beliefs of the Chinese and Guatemalan people and mention if there is any similarity in their beliefs.

2.  How the beliefs of this two culture differ from the beliefs in the health care in United  States.

3.  Give an example of how the healthcare beliefs of this two cultures affect the delivery of evidence based nursing care.

As stated in the syllabus present your assignment in an APA format, word document, Arial 12 font attach to the forum in blackboard title “week 5 discussion questions”.  A minimum of 2 evidence based references not older than 5 year are required.  You must post two replies sustained with references to any of our peers.  A minimum of 500 words are required.

 

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Please read chapter 29 and 30 of the class textbook and review the attached PowerPoint presentations.  Once done answer the following questions;

1.  Discuss how Healthy People 2020 can be used to shape the care given in a school health setting.  Give at least one example.

2.  Identify common health concerns of school-age children and associated health interventions.

3.  Describe the historical perspective of occupational health nursing.

4.  Describe a multidisciplinary approach for resolution of occupational health issues.

As stated in the syllabus present your assignment in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 15 discussion questions”.  You must post two replies to any of your peers posting sustained with the proper references.  A minimum of two evidence-based references is required (excluding the class textbook).  A minimum of 700 words is required.

 

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See attached file 

 

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Continuing with the same cultural group and health issue for the Session Long Project that you began in Module 1, write a paper to address the following:

Describe the Cultural Empowerment of the group you chose. Specifically address how each of the PEN-3 model’s three factors within the dimension of cultural empowerment applies to your group, and provide examples.

Use subheadings to clearly show that you have addressed each of the three factors. Support your discussion with references from scholarly and professional references (not just your opinion).

Length:  2-3 pages, excluding the cover page and the reference list.

 

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