What is the research question (or questions)? This may be implicit or explicit.

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1) What is the purpose of this research?
2) What is the research question (or questions)? This may be implicit or explicit.
3) Give a complete description of the research design of this study.

4) What is the population (sample) for this study.
5) Was the sample approach adequate for the research design that was selected and explain why.
6) Describe the data collection procedure.
7) How were the data analyzed after collection?
8) Discuss the limitations found in the study.
9) Discuss the authors’ conclusions. Do you feel these conclusions are based on the data that they collected?
10) How does this advance knowledge in the field?

Write a brief summary of the patients current health problems, relevant history and specific early management provided to address the primary problem prior to arriving to your ward.

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Write a brief summary of the patients current health problems, relevant history and specific early management provided to address the primary problem prior to arriving to your ward. this should be sufficient to set the scene for the reader and should take up no more than 1 to 1.5 pages. the paper should focus upon detailed explanation of the underlying pathophysiology related to the presenting problems.

Should include an introduction that describes how the case is to be presented and organised and a conclusion that draws the key themes together. Use a minimum of 10 scholarly references to support your discussion themes ensuring that you correctly reference you work. Must clearly demonstrate the related pathophysiology in the body of your paper.

Case study
64yrs female presents with shortness of breath and worsening cough last 3/7.

Background
1) severe brittle COPD – 4 admissions this year, current smoker (not a candidate for home oxygen), speculated lung mass RLZ
2) Hypercholesterolaemia
3) Prev TIA
4) AF – not anti coagulated
5) Osteoporosis

Medications
Rosuvastation 20mg night, Metoprolol 12.5mg twice daily, Aspirin 100mg daily, Seretide 250/25 x2puffs twice daily, atrovent 500mcg x4 daily, temazepam 10mg night and paracetamol 1g 4 times/day as required

Lives with husband, away a lot. current smoker, independent with activities daily living, mobiles independently.

3/7 worsening shortness of breath, left sided chest pain and more frequent cough
shortness of breath progressive and similar to other episodes of admission
left sided chest pain, sharp since 1500hrs today, worse on inspiration and coughing, worse on pushing
cough more frequent, usually productive but unable to produce sputum
no fevers/sweats/shakes
always feeling cold
mobilisies to the mailbox, usual daily activity
eating and drinking as normal

Community Nursing Diagnosis and Plan of Care

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 Community Nursing Diagnosis and Plan of Care

1. Make a critical analysis (2 pages) between the data presented and the specific problems in Paterson.
You will need to do this prior to presenting your nursing care plan in Part IV. Four issues: Population, Education, Health Statistics, and Social Problems

2. Synthesize all the data you have presented in the previous 3 sections of the Community Assessment Project in order to identify and prioritize 2 nursing diagnoses. Please present all data in charts.

3. These 2 community diagnoses are to be prioritized and identify the rationale and criteria you used in prioritizing the list. To help you prioritize these diagnoses refer to Nies & McEwen, pg. 101. Please explore the Healthy People 2020 website, specifically MAPIt to review innovative programs.

Once you have identified the priority nursing diagnoses, you are to develop a community nursing care plan for the two priority diagnoses. (review Nies and McEwen pg.101 for format of nursing diagnosis). Diagnosis of the community should identify the health needs and strengths of this community. You need to support these conclusions with assessment data found in the body of your project. Be sure, this community nursing care plan includes:

• desired goal and outcome objective for the each priority diagnosis

• feasible plan of action that includes nursing interventions appropriate for each problem identified. Review MAP ITT for ideas

• include the community organizations you would involve in these interventions.

• Identify current programs that are out there and their effectiveness

• develop a strategy for evaluating the effectiveness of your goals and objectives. What outcome measures would you use?

Explain how the focus area relates to the individual, the family, and the community, as well as to all age groups throughout the life span.

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It is important to promote the professional role of the nurse to provide health promotion and disease preventive care. Collaborating with other health care professionals and consumer groups in the community in redesigning health care can help meet the goals for Healthy People 2020
Refer to https://www.healthypeople.gov/ to open the Healthy People 2020 home page.
Develop a PowerPoint presentation (15-20 slides) with accompanying speaker’s notes and citations on STROKE and HEART DISEASE.
IIn the presentation, address the following:
1. State the objective of the presentation.
2. State the Healthy People 2020 focus area your group has selected and the rationale for selection of the specific focus area.
3. Explain how the focus area relates to the individual, the family, and the community, as well as to all age groups throughout the life span.
4. Identify ways to enhance or optimize health in the selected focus area using evidence-based research. A minimum of three peer-reviewed articles must be utilized.
5. Address the health disparity among different segments of the population for the selected focus area.
6. Provide a brief description of at least two community resources and at least two website resources for professionals and clients.