Investigate how school health is delivered within your local school system. You can look at one specific school, or an entire school district. Do the schools in your area have a school health nurse assigned? If not, how are health care needs within the school district managed? What are ways in your area schools in which health promotion and management of existing health problems are addressed?

Please reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.  

CH Discussion:

Discuss any “take-away” thoughts from the article.
This article provided information on prophylactic hysterectomy for patients who have a
history of first-degree and second-degree relative of ovarian cancer, and associated malignancies
that increased their risk of acquiring this type of cancer. According to the statistics and data
obtained from this study a prophylactic hysterectomy should not be utilized to prevent ovarian
cancer. The proper intervention instead is benign gynecologicalscreening for those who have a family history of endometrial cancer especially the Ashkenazi
Jewish ethnicity background. Although the study concluded that a prophylactic hysterectomy is
inconclusive, there are instances when the benefits outweigh the risks.
What are the ethical dilemmas to consider with prophylactic surgeries?
Ethical dilemmas are the greatest challenges the provider will face if elective
prophylactic surgery is chosen by the patient. Excellent communication between the patient and
the interdisciplinary healthcare team is important. Assessment of the patient’s learning style, and
knowledge of learning barriers is essential. Proper education of the pros and cons of prophylactic
surgery will give the patient the option of whether to proceed with the procedure or withdraw.
Physiological as well as, psychological implications are the determining factor for prophylactic
surgeries (Jain & Somalwar, 2019).  For example, women who chose to have bilateral prophylactic salpingo-oophorectomy
will experience severe vasomotor effects and require hormone replacement therapy to alleviate
the symptoms of menopause. Another dilemma the female patient will face if she is at a reproductive age, is losing the ability to become pregnant. Considerations for the proper approach to prophylactic surgeries should include a benefit versus risk (NIH, 2018).
Discuss the screenings/interventions/options/education that you would provide to a patient.
Screening for ovarian cancer is not currently recommended for the average patient. The
screening method available today is the serum is the CA 125 is a marker that is produced by the
cancer cells. The CA 125 levels will be elevated in women who have ovarian cancer. The test
results can also produce a false-positive or false negative. There is no accurate and reliable
testing available and research is still ongoing. If the patient is at high risk for ovarian cancer and
has a first degree relative with ovarian cancer, the provider must include: genetic counseling,
ultrasound exam of the ovaries for women who carry BRCA1 and BRCA2 mutations. Other
interventions include cervical screening for women ages 21 through 65 because of the potential
exposure to human papilloma virus through sexual contact and a pelvic exam to determine if
abnormalities are present (AGOC, 2018). Education must be stressed with the importance of
health maintenance screening. Factors that will increase the patient’s risk for ovarian cancer are
obesity, having children late in life, use of fertility treatment to become pregnant, and hormone
replacement therapy (American Cancer Society, 2018).
What if the patient has no health insurance? What resources could you offer to assist the
patient?
Healthcare resources depends on the patient’s employment status. Medicaid is available
to those who meet the income guidelines. If the patient does not have medical insurance, I would
refer her to the social worker. There are resources available to those who are uninsured and are unable to afford healthcare services.
(United States Department of Labor, 2018).
References
American Cancer Society. (2018) Ovarian Cancer Risk Factors. Retrieved from
https://www.cancer.org/cancer/ovarian-cancer/causes-risks-prevention/risk-factors.htmlJain, S. & Somalwar, S. (2019).  Analysis of prophylactic saplingo-oophorectomy at the time of hysterectomy for benign lesions.  Journal of Midlife Health 10(1).  doi: 10.4103/jmh.JMH_70_18
National Cancer Institute (NIH). (2018). Surgery to reduce the risk of breast cancer. Retrieved
from https://www.cancer.gov/types/breast/risk-reducing-surgery-fact-sheet#q5
The American College of Obstetricians and Gynecologists (AGOC). (2018). BRCA-1 and
BRCA-2 Mutations. Retrieved from https://www.acog.org/Patients/FAQs/BRCA1-andBRCA2-Mutations?IsMobileSet=false#ovarian 

Discussion Topic: 

Describe the difference between Qualitative and Quantitative research; discuss what type of research reveals better outcomes and why?.

• Must address the topic.
• Rationale must be provided.
• 150-word minimum/250-word maximum without the references.
• Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.
• Upload by Thursday, week #  12

Book for reference attached

 

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 1 and 2 must be different. Different writing, references and perspective, but always answering questions objectively

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page

              Part 5: minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Nursing and Aging 

Mental Health Disorders: 

Many older adults are prescribed psychotropic medications. 

1. What are the side effects of these medications and how do they impact the normal aging older adult?

2.  List and discuss two of these medications and their side effects.

Delirium and Dementia: 

3. Describe what should be included in an assessment of the older patient for common causes of delirium in older adults.

Have a great week. I enjoyed working with you. all the best going forward.

Part 2: Nursing and Aging 2

 

Mental Health Disorders: 

Many older adults are prescribed psychotropic medications. 

1. What are the side effects of these medications and how do they impact the normal aging older adult?

2.  List and discuss two of these medications and their side effects.

Delirium and Dementia: 

3. Describe what should be included in an assessment of the older patient for common causes of delirium in older adults.

Part 3: Physiology 1

 Topic : osteoporosis

1. Define the disease

2. describe the risk factors

3. pathophysiology

4. clinical manifestations

5. evaluation, 

6. prevention 

7. treatment.

Part 4: Physiology 2

 Topic: celiac disease

1. Describe the pathophysiology of celiac disease

2.  clinical manifestations

3. evaluation

4. treatment. 

4. What are the differences between non-celiac gluten sensitivity and celiac disease?

Part 5: Pharmacology 1

Topic: estrogen therapy

Hormone therapies offer many benefits and risks, but they may sometimes have side effects. 

Discuss:

1. Benefits

2. Risks

3. Side effects 

 

Part 6: Pharmacology 2

1. Discuss the current trend in the use of antibiotics for treatment of ailments such as sinusitis, bronchitis, and pharyngitis, the practice implications

2. Discuss possible health outcomes from their use.

Part 7: Financing Health care

1. What is the difference between a protocol, standard of care delivery, and policy at the practice, state, and federal level? 

2. What are the perceptions of the health care delivery system from the perspectives of:

a. patients

b. providers

c. payers

d. policy makers? 

3. Discuss at least one perception from one of the populations listed: patient, provider, payer, and policy maker.