Nervous system is divided into 2 parts, CNS or central nervous system and PNS, peripheral nervous system. The central nervous center controls creativity expression, emotion thought, language, sleep, memory and personality (Falkner & Green, 2018).

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Nervous system is divided into 2 parts, CNS or central nervous system and PNS, peripheral nervous system. The central nervous center controls creativity expression, emotion thought, language, sleep, memory and personality (Falkner & Green, 2018). There are diseases and illnesses that can affect the CNS and PNS. One such issue is stroke. A stroke occurs when blood flow to the brain or area of the brain is stopped by a rupture also known as hemorrhagic stroke or a thrombus or clot known as ischemic stroke. When blood flow is stopped, that area of the brain is deprived of oxygen. Once that happens brain cells start to die (Falkner & Green, 2018), This is also known as a CVA or cerebrovascular accident. Transient ischemic attack or TIA, happens when there is a temporary interruption of blood flow (Falkner & Green, 2018).The symptoms for this are a temporary weakness in either arm, leg or side of the body, loss of the ability to speak or memory loss (Falkner & Green, 2018). Every 4 minutes someone dies of a CVA, it is the leading cause of adult disability in the U.S, and up to 80% are preventable.

Signs and symptoms of stroke are: numbness or weakness in face or one side of the body, confusion and trouble speaking or understanding along with dizziness and severe headache and loss of or difficulty in vision (Falkner & Green, 2018).

Restoring function has many implications that depend on the disease or condition of the nervous system. Acute care of stroke involves stabilizing and aggressive treatment. Physical and occupational therapy is initiated along with speech therapy to restore function. Stroke recovery requires a change in the physical, social and emotional aspects of life. Patient and family may have the fear that another stroke will occur, this can place a stress on daily life. The nurse will need to educate the patient and family on signs and symptoms of stroke. There may be a need for modifying behavior and risk factors such as smoking cessation. The nurse can help by educating patient and family on medication awareness and compliance as well as diet and exercise. Community programs and case management along with social workers may need to be set up as well.

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The United States of America has experienced an increased number of immigrants over the years. For instance, Russian immigrants are one of the most growing ethnic groups in the US (Purnell, 2012). Furthermore, more than 9 million people of Polish heritage live in the United States

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You have to write an answer based on this writing, a minimum of 200 words. You need to add references and quotes, do not use the same references that appear in the writing.

The United States of America has experienced an increased number of immigrants over the years. For instance, Russian immigrants are one of the most growing ethnic groups in the US (Purnell, 2012). Furthermore, more than 9 million people of Polish heritage live in the United States. Nevertheless, people of Thai heritage living in the US are much fewer compared with the Russian and Polish people. These groups of immigrants tend to maintain their cultural heritage when they settle in the US, as highlighted in this essay.

To start with, touch and direct eye contact among family and friends is part of culture of the people of Russian and Polish heritages (Purnell, 2012). Nonetheless, some Russian and Polish people avoid direct eye contact when communicating with healthcare providers, until trust is established. Besides, people of Thai heritage also value direct eye contact when communicating with family and friends as a sign of politeness and respect. Also, respect for the elderly is highly regarded among the Russian, polish and Thai people. Furthermore, younger members of the family are obligated of taking care of their old people instead of taking them to nursing homes. For example, people of Russian heritage believe that nursing homes do not offer quality services. On the other hand, people of Polish heritage view it as horrible and disgrace to take their elderly people in nursing homes. Also, the Thai people consider it as a moral obligation for the young to take care of people who have grown too old.

Moreover, the people of Russian, Polish and Thai heritages exhibit similarities in risky behaviors, such as alcoholism, drug abuse, and smoking. These behaviors impact negatively on their health and contribute to domestic violence, particularly among the Russian people (Purnell, 2012). Cases of lifestyle related health conditions such as; cardiovascular diseases, hypertension, diabetes, high cholesterol and stroke are common among the people of these heritages. Regarding nutrition, unhealthy practices can be noted among the Russian people and Polish people, such as eating high carbohydrates, high saturated fats, and high salty foods. Nevertheless, the Thai people normally take higher legumes and vegetables, low fat and meat foods, but their foods are very spicy. Therefore, the Thai people are more nutritional conscious than Russian and Polish people.

More importantly, the people of Russian, Polish and Thai heritages have varied beliefs regarding death. For instance, the Russians prefer their loved ones to die in comfort and do not value resuscitation (Purnell, 2012). Also, the people of Russian heritage would rather have their loved ones die at home instead of health facilities. Besides, cremation of bodies is not common among the Russian people. On their part, the Polish people readily accept death as part of life process, and family and friends prefer staying by bedside of a dying kin. The Polish people also prefer their loved ones to die at home care instead of hospitals. On the other hand, people of Thai heritage follow the Buddhist funeral rites of cremation for their dead people.

In addition, people of Russian, Polish and Thai heritage have some common customs practices when dealing with health issues and diseases. For instance, these groups of immigrants are stoic and normally seek healthcare when the symptoms worsen (Purnell, 2012). Also, they believe in self-treatment until their health conditions deteriorate. Furthermore, mental illnesses are approached with stigmatization, and thus people are not free to discuss mental conditions. Additionally, people of Russian heritage and Thai heritage are reluctant to organ donation compared with the Polish people.

The health care belief among the people of Russian, Polish and Thai heritage may influence delivery of evidence-based health care. For instance, reluctance to seek medical care until symptoms worsen can be life threatening (McCann & Clark, 2011). Therefore, people should seek treatment early enough. Also, stigmatization of people suffering from mental illness may affect delivery of quality healthcare for the patients (Kohn & Levav, 2014). Thus, families may fear to seek for treatment, and thus worsen treatable mental conditions.

References

Kohn, R.S. &  Levav, C.P. (2014). Attitudes towards mental illness in the common wealth of Dominica. Pan African journal of Public Health 7 (3) 148-154

McCann, T.V., & Clarke,E. (2011). Responding to stigma: fist-time caregivers of young people with first episode of psychosis. Psychiatric Survey Journal 62:548-50.

Purnell, L. D. (2012). Transcultural Health Care: A Culturally Competent Approach (4th ed.). Philadelphia, United States: F.A. Davis Company

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TOPIC: Benchmark – Part A: Population Health Research and PICOT Statement

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TOPIC: Benchmark – Part A: Population Health Research and PICOT Statement

In this course, you will be completing a 2-part assignment in which you conduct research about a population of focus, develop a PICOT statement, and write a Literature Review. The PICOT statement and Literature Review you write in this course can be used for your evidence-based practice project in the next course so be sure to select an issue you want to continue working on in your next course.

PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting the population of focus. Additionally, the information derived from a good PICOT makes it easier to perform a literature search in order to find translational research sources that can be used to address the clinical problem.

Use a national, state or local population health care database to research indicators of disparity. Choose a mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a population of focus. Use this indicator to begin to formulate a PICOT and conduct research on the population.

Write a 800-1,000-word paper that analyzes your research and focuses on the population you have chosen. Describe the population’s demographics and health concerns, and explain how nursing science, health determinants, and epidemiologic, genomic, and genetic data may impact population health management for the selected population. Provide an overview of a potential solution for solving the health issue related to your population and the intended PICOT statement. Describe how the solution incorporates health policies and goals that support health care equity for the population of focus.

You are required to cite four to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

STUDY MATERIALS

Review Chapter 20 in Advanced Practice Nursing: Essential Knowledge for the Profession. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php

Read Chapters 2-4 in Population Health: Creating a Culture of Wellness.   URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2015/population-health_creating-a-culture-of-wellness_2e.php

Read Chapter 7 in Advanced Nursing Research: From Theory to Practice.  URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2015/advanced-nursing-research_from-theory-to-practice_2e.php   Read “Epigenetics and Understanding the Impact of Social Determinants of Health,” by Notterman and Mitchell, from Pediatric Clinics of North America (2015).   URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555996/

Explore the United States Census Bureau website. URL: https://www.census.gov/  Explore the Bureau of Labor Statistics website. URL: http://www.bls.gov/

Explore the World Health Organization (WHO) website. URL: http://who.int/en/  Explore the Centers for Disease Control and Prevention (CDC) website.  URL: http://www.cdc.gov/

Explore the websites of your state and county Departments of Health and access mortality and morbidity data. The link to the Arizona Department of Health Services website is provided, but students living in other states should access their county and state departments.    URL: http://www.azdhs.gov/

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NUR 550 Translational and Population Health Management

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Running head: BENCHMARK PART A 1

BENCHMARK PART A 2

Benchmark Part A

Your Name

NUR 550 Translational and Population Health Management

Grand Canyon University

Write out the Date

Benchmark Part A

Indent the first sentence by pressing your “TAB” key once. As you can see, the first header is not bolded and is the title of your paper as it appears on the Title Page. Your entire paper is to be double-spaced. Be sure to set your margins at 1” from the top, bottom and sides. Use only size 12 Times New Roman as your font.

In this course, you will be complete a 2-part assignment in which you conduct research about a population of focus, develop a PICOT statement, and write a Literature Review. The PICOT statement and Literature Review you write in this course can be used for your evidence-based practice project in the next course so be sure to select an issue you want to continue working on in your next course.

This paper should be 750 – 1,000 words that address the issues below. Integrate five scholarly sources into your paper. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

An in-text citation would look like the next sentence. The American Nurses Association (ANA, 2016) recommended nurses to seek opportunities to advance their knowledge. Use past tense when referring to an already published source of evidence. Avoid the use of direct quotes because they do not add any value to your paper. Instead, paraphrase the information and cite the source accordingly. You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Be sure to delete these directions prior to submitting your own paper.

Population Description

As you can see, this header is bolded. In this section you will provide a description of the population, including demographics and health concerns. You must always include the population of interest and the variable(s) or outcomes to be measured. Use this indicator to begin to formulate a PICOT and conduct research on the population.

Synthesis of Nursing Science, Determinants of Health, and Epidemiologic and Genetic Data

Be sure to include a discussion of nursing science, determinants of health, and epidemiology, genomics, and genetic data in the management of this population health issue. Include further discussion of the determinants of health: the social and economic environment, the physical environment, and the person’s individual characteristics and behaviors. These can include specifically, income, education, physical environment, social support, genetics, health service access, gender, etc.

PICOT and Potential Solution

Under this primary heading you need to include your one-sentence PICOT question. Begin this section with a lead-in sentence such as, “The following PICOT question will serve as the basis for the proposed evidence-based practice project:”.

PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting the population of focus. Additionally, the information derived from a good PICOT makes it easier to perform a literature search in order to find translational research sources that can be used to address the clinical problem. Present your one-sentence PICOT here and then discuss your potential solution to include the population and outcome. The PICOT should include the specific population. Your intervention should be an evidence-based intervention with substantial literature to support your outcome in the same setting and with the same population. Remember you are not conducting original research but taking already existing research to make a change in practice. The comparison should explain what is currently taking place in the clinical arena, which is either contributing or causing the issue you are addressing, so you will merely state compared to current practice. The outcome should be quantifiably measurable and attempt to address the practice problem in a positive manner to improve patient outcomes. This outcome will demonstrate whether your intervention solved the problem presented. Articulate the time frame of 8 weeks associated with the implementation phase of any student project that may occur. project outcomes should be feasible to impact and measure during this time frame.

Incorporate Health Policy and Goals

Include a description of how the solution incorporates health policies and goals that support health care equity for the population of focus.

Conclusion

References

Knutsson, S., & Bergbom, I. (2016). Children’s thoughts and feelings related to visiting critically ill relatives in an adult ICU: A qualitative study. Intensive and Critical Care Nursing, 32, 33-41. doi:10.1016.j.iccn.2015.07.007

White, B. L., & Zomorodi, M. (2017). Perceived and actual noise levels in critical care units. Intensive and Critical Care Nursing, 38, 18-23. doi:10.1016/j.iccn.2016.06.004

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