Case Study:  Severely underweight 12-year-old Hispanic girl with underweight parents who has been bullied in school just recently

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For this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.

To Prepare

• Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.
• By Day 1 of this week, you will be assigned to one of the following Assignment options by your Instructor: Adult Assessment Tools or Diagnostic Tests (option 1), or Child Health Case (Option 2). Note: Please see the “Course Announcements” section of the classroom for your assignments from your Instructor.
• Search the Walden Library and credible sources for resources explaining the tool or test you were assigned. What is its purpose, how is it conducted, and what information does it gather?
• Also, as you search the Walden library and credible sources, consider what the literature discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool.
• If you are assigned Assignment Option 2 (Child), consider what health issues and risks may be relevant to the child in the health example.
  • Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
  • Consider how you could encourage parents or caregivers to be proactive toward the child’s health.

The Assignment

Assignment (3–4 pages, not including title and reference pages):

Assignment Option 2: Child Health Case:
Include the following:

• An explanation of the health issues and risks that are relevant to the child you were assigned.
• Describe additional information you would need in order to further assess his or her weight-related health.
• Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
• Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.
• Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

Please pay attention to the case study

5 references not less than 5years

zero plagiarism

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You as the advanced practice nurse are working in a community health center. Your next patient is Mrs. Richards,  a 39 year-old Caucasian female, presenting to the clinic with a history of Hypothyroidism, Depression, and recent history of Substance Abuse (Heroine Use). During the initial interview, it is revealed that her husband and two children were killed in a traffic accident 8 months ago and she reports using illicit drugs since their death. 

Based on your knowledge of the Health Promotion Model, make a chart and/or diagram that outlines all components of the theory and how the theory can be applied to this case study to formulate a plan of care for this patient. Also, list one scholarly, practice-based resource (article and/or clinical guideline) that supports the application of the Health Promotion Model in clinical practice.

 http://www.nursing-theory.org/theories-and-models/pender-health-promotion-model.php   

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Instructions

This assignment gives you an opportunity to consider the facts of a case potentially involving claims of negligence. You will have the opportunity to analyze the possible claims, as well as the potential defenses to any claim presented by the plaintiff. The facts of the case are described below.

Following an automobile accident, a 46-year-old man was brought to the hospital emergency department by an ambulance. The patient seemed to be alert, was able to answer questions, and claimed to be suffering from a great deal of pain. The physician administered 15 milligrams of morphine intravenously. The patient needed blood but refused a transfusion. After being observed in the emergency department for several hours, the patient was placed on a medical-surgical unit for observation. The following morning, he was unresponsive, and he was eventually pronounced dead. It was later discovered that he had a long history of drug and alcohol abuse. The night of the accident, he had injected heroin and drank several shots of tequila and multiple cans of beer. He had not disclosed any of this to the doctors or nurses treating him. Several years later, his estate sued the physician, claiming medical malpractice.

Analyze the possible outcomes of the lawsuit under one of the following scenarios:

• If death was the result of overdose
• If death was the result of failure to administer blood
• If death was the result of subdural hematoma

In your short paper, analyze the potential success of a claim for negligence under one of the three possible scenarios. Include a detailed discussion of each element of the negligence claim and why that element is met or not met. Discuss the possible defenses that could be reasonably asserted by the doctor to each claim, and why that defense might apply. Lastly, include a paragraph describing which, if any, claim you believe might be the most successful against the doctor and why.

Please use link site as reference. 

https://www.ama-assn.org/practice-management/hipaa/hipaa-violations-enforcement

Rubric post below please follow rubric!

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Case Study, Chapter 21, Health Care Reform:  The Dismantling of the Affordable Care Act

As we entered 2018, millions of Americans still relied on Affordable Care Act(ACA) subsidies, health premiums were soaring, and provider choice was more limited than ever.There was, however, momentum for reform. Health care was identified as the country’s leading priority for Democrats (54%) and the second highest priority for Republicans (42%) at the close of 2017.  A group of registered nurses debate the issue of health care reform

.

1.  The nurses debate whether the country feels that health care reform is really necessary.  Discuss reasons why reform is needed and what that reform should address.

2.  What were the 10 essential benefits guaranteed by insurance plans in the ACA Health Care Marketplace?  

3.  What are the successes of the ACA?

4.  What are the failures of the ACA?

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What you need to do 

In preparation for your meeting with John, you are to develop a discharge and self- management plan for discussion with him. Your plan should consider: 

• The recommended follow up regimen after curative treatment for colorectal cancer, having critically reviewed the available evidence.
   
• Signs and symptoms associated with colorectal cancer recurrence.
   
• Strategies to prevent survivorship issues that John may experience across all domains of health (including physical, psychological, social and spiritual health) after treatment for colorectal cancer and.
   

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