Practical, Purposeful, Wholistic Leadership

Read at least five empirical articles in your general dissertation field.

In the “Literature Review Resources” document, provide the following for each source:

The APA formatted citation.
A brief annotation of the key points of the source.
An indication of whether the source has been added to (Y) or excluded from (N) your RefWorks list.

Please find 5 empirical articles related to the topic I listed above and complete the attached document for the assignment.

I have paid for more pages, just in case you need more space.

Guidelines for Caring for Populations Milestone 1:Community Windshield Survey

1.  Download the NR443 Community Windshield Survey form from Doc Sharing. You will type your name and answers directly onto this Word document. Your form does not need to follow APA formatting; however, you are expected to use a professional writing style with complete sentences, accurate grammar, and correct spelling. If references are used, they must be cited in the text and the complete reference should be included in the reference box in APA format. References are optional.
2.  Watch Caring for Populations project overview and Milestone 1 tutorial by clicking this link. This tutorial is also available on Course Project page under Course Home as well as Week 2 Assignments page.
3.  Save the file by clicking Save as and adding your last name to the file name; for example, NR443 Windshield Survey Form_Smith.
4.  Length: The completed form should be three to four pages in length (not including any optional references). 
Caring for Populations.docx

Below are the requirements needed for successful completion of the Windshield Survey Form.
1.  Introduction to the Community:Identify the community you will be using for this assignment with the city and state and provide a brief one paragraph description of the community. Your community should be the area where you live or the area surrounding your work setting. The community must include a residential area and be broad enough to answer the survey questions. You do not need demographic data.
2.  Windshield Survey: Assess your community by doing a windshield survey. Information about the components of a windshield survey is located in your textbook, Nies & McEwen (2015) on page 98 (Box 6-2). Drive through the area and report your observations by describing each of the following six areas using a majority of the questions from each category of Box 6-2 as your guide (one to two in depth paragraphs for each category). Be sure to include what you observed related to each of these categories, and also include any significant items that are missing in your community because this may be equally important in identifying a community health problem.
a.  Community vitality
b.  Indicators of social and economic conditions
c.  Health resources
d.  Environmental conditions related to health
e.  Social functioning
f.  Attitude toward healthcare
Note: It is helpful to conduct this assessment at least two different times: during the day or evening, on a weekday and/or on the weekend. If possible, plan on asking someone to drive during your survey so that you can take notes.
3.  Conclusion: Provide a summary of your findings. Describe significant community health problems based on your observations. The information gathered during the windshield survey should assist you to identify community health problems that will be further assessed in the next assignment.
4.  References: The purpose of this assignment is to document your observations of your community. Outside sources are not required. However, if sources are used, these sources must be cited within the form (Author, year) and listed in the reference section in APA format (see APA category in Course Resources for help with formatting).

BOX 6-2 QUESTIONS TO GUIDE COMMUNITY OBSERVATIONS DURING A WINDSHIELD SURVEY

1. Community vitality:

• Are people visible in the community? What are they doing?
• Who are the people living in the neighborhood? What is their age range? What is the predominant age (e.g., elderly, preschoolers, young mothers, or school-aged children)?
• What ethnicity or race is most common?
• What is the general appearance of those you observed? Do they appear healthy? Do you notice any people with obvious disabilities, such as those using walkers or wheelchairs, or those with mental or emotional disabilities? Where do they live?
• Do you notice residents who are well nourished or malnourished, thin or obese, vigorous or frail, unkempt or scantily dressed, or well dressed and clean?
• Do you notice tourists or visitors to the community?
• Do you observe any people who appear to be under the influence of drugs or alcohol?
• Do you see any pregnant women? Do you see women with strollers and young children?

2. Indicators of social and economic conditions:

• What is the general condition of the homes you observe? Are these single-family homes or multifamily structures? Is there any evidence of dilapidated housing or of areas undergoing urban renewal? Is there public housing? What is its condition?
• What forms of transportation do people seem to be using? Is there public transit? Are there adequate bus stops with benches and shade? Is transportation to health care resources available?
• Are there any indicators of the kinds of work available to residents? Are there job opportunities nearby, such as factories, small businesses, or military installations? Are there unemployed people visible, such as homeless people?
• Do you see men congregating in groups on the street? What do they look like, and what are they doing?
• Is this a rural area? Are there farms or agricultural businesses?
• Do you note any seasonal workers, such as migrant or day laborers?
• Do you see any women hanging out along the streets? What are they doing?
• Do you observe any children or adolescents out of school during the daytime?
• Do you observe any interest in political campaigns or issues, such as campaign signs?
• Do you see any evidence of health education on billboards, advertisements, signs, radio stations, or television stations? Do these methods seem appropriate for the people you observed?
• What kinds of schools and day care centers are available?

3. Health resources:

• Do you notice any hospitals? What kind are they? Where are they located?
• Are there any clinics? Whom do they serve? Are there any family planning services?
• Are there doctors’ and dentists’ offices? Are they specialists or generalists?
• Do you notice any nursing homes, rehabilitation centers, mental health clinics, alcohol or drug treatment centers, homeless or abused shelters, wellness clinics, health department facilities, urgent care centers, mobile health vehicles, blood donation centers, or pharmacies?
• Are these resources appropriate and sufficient to address the kinds of problems that exist in this community?

4. Environmental conditions related to health:

• Do you see evidence of anything that might make you suspicious of ground, water, or air pollutants?
• What is the sanitary condition of the housing? Is housing overcrowded, dirty, or in need of repair? Are windows screened?
• What is the condition of the roads? Are potholes present? Are drainage systems in place? Are there low water crossings, and do they have warning signals? Are there adequate traffic lights, signs, sidewalks, and curbs? Are railroad crossings fitted with warnings and barriers? Are streets and parking lots well lit? Is this a heavily trafficked area, or are roads rural? Are there curves or features that make the roads hazardous?
• Is there handicapped access to buildings, sidewalks, and streets?
• Do you observe recreational facilities and playgrounds? Are they being used? Is there a YMCA/YWCA or community center? Are there any day care facilities or preschools?
• Are children playing in the streets, alleys, yards, or parks?
• Do you see any restaurants?
• Is food sold on the streets? Are people eating in public areas? Are there trash receptacles and places for people to sit? Are public restrooms available?
• What evidence of any nuisances such as ants, flies, mosquitoes, or rodents do you observe? Are there stray animals wandering in the neighborhood?

5. Social functioning:

• Do you observe any families in the neighborhoods? Can you observe their structure or functioning? Who is caring for the children? What kind of supervision do they have? Is more than one generation present?
• Are there any identifiable subgroups related to one another either socially or geographically?
• What evidence of a sense of neighborliness can you observe?
• What evidence of community cohesiveness can you observe? Are there any group efforts in the neighborhood to improve the living conditions or the neighborhood? Is there a neighborhood watch? Do community groups post signs for neighborhood meetings?
• How many and what type of churches, synagogues, and other places of worship are there?
• Can you observe anything that would make you suspicious of social problems, such as gang activity, juvenile delinquency, drug or alcohol abuse, and adolescent pregnancy?

6. Attitude toward health and health care:

• Do you observe any evidence of folk medicine practice, such as a botanical or herbal medicine shop? Are there any alternative medicine practitioners?
• Do you observe that health resources are well utilized or underutilized?
• Is there evidence of preventive or wellness care?
• Do you observe any efforts to improve the neighborhood’s health? Planned health fairs? Do you see advertisements for health-related events, clinics, or lectures?

 

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Micronutrients necessary for metabolism

 

Chapter 8 – Micronutrients necessary for metabolism

1. (5 ) You have just returned from the Farmers Market.  How will you store and prepare your foods to  maintain micronutrient value.  You purchased a bag of leafy greens,  red and yellow peppers, and fresh green beans. You also bought a glass bottle of organic milk from the local dairy farmer. Outline strategies to minimize loss of micronutrients.

2. (5 ) If you were going on a trip and could only take 6 food items with you, which ones would you choose to make sure you met your B Vitamin needs?

  • To answer this…Identify which B vitamins are supplied by each of the 6 foods…there will be overlaps. (There are 8 of them and the book outlines food sources of each.)
  • Do you think you currently meet all of your Vit. B requirements? Explain.

Chapter 9 Water and Electrolytes

1. (3) Most of us do not meet our Adequate Intake (AI) levels for potassium (4.7 gms for adults) and we exceed them for sodium (1.5 gms for adults).  The Dietary Guidelines recommend not exceeding 2.3 gms (2300 mgs) of sodium.

  • What foods should people limit to keep sodium intake under the AI for sodium?
  • List a variety of foods with serving sizes that would help people meet the 4.7 gm AI for potassium.
    • Provide a variety of foods with serving sizes that would get close to the AI of 4.7 gms or 4700 mgs., i.e, it is unrealistic to meet potassium needs by eating 6 bananas a day…refer to your text, p. 366, and link to this very comprehensive list of potassium levels in foods (Links to an external site.).

2.   (3) Who is most vulnerable to becoming dehydrated and under what circumstances?

  • Describe the most effective rehydration strategies when dehydrated.

3.  (4) Read this scenario and answer the following questions to explore how blood pressure is related to sodium and potassium intake.
An overweight, sedentary, male in his 50s has just returned from the doctor where he was told to lower his blood pressure because he has hypertension.  He eats out often at fast food places and relies on convenience foods for home meals. He does not engage in regular physical activity as he owns his own computer store and works at least 50 hours a week. He asks you for ideas to help him decrease his blood pressure. 

  • What would his blood pressure have been for this diagnosis (Refer to p. 371- 372)?
  • What are his risk factors for hypertension?
  • Outline some practical guidelines for change that would help him manage his blood pressure better. (Hint: You should include the DASH diet and you will need to explain this eating pattern. Refer to p. 372 – 373)

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Write: “AGAINST” THE DIAGNOSIS OF PEDIATRIC BIPOLAR: see file.

Write: “AGAINST” THE DIAGNOSIS OF PEDIATRIC BIPOLAR: see file.

 

Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. While some have anecdotally argued that it is not possible for children to develop bipolar disorder (as normal features of childhood confound the diagnosis), other sources argue that pediatric bipolar disorder is a fact.

In this Discussion, you engage in a debate as to whether pediatric bipolar disorder is possible to diagnose.

Learning Objectives

Students will:

· Evaluate diagnosis of pediatric bipolar depression disorder

· Analyze consequences to diagnosing/failing to diagnose pediatric bipolar depression disorder

To Prepare for the Discussion:

· The instructor will assign you a position for or against the issue of diagnosing pediatric bipolar depression disorder.

· Review the Learning Resources concerning the controversy over the diagnosis of pediatric bipolar depression disorder.

Write: “AGAINST” THE DIAGNOSIS OF PEDIATRIC BIPOLAR:

· Write “for” or “against” in the subject line of your Discussion post.

· Based on the position you were assigned, justify whether or not pediatric bipolar depression disorder should be diagnosed.

Support your position with evidence and examples.

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