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  • [Solved] Assigment .Apa seven . All instructions attached.

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    **files (2)** – ## HealthPromotionProposalpart1.docx – ## FoodInsecurityandNutritionAccess1.docx **## HealthPromotionProposalpart1.docx** **Health Promotion Proposal, Part 1** **Description** Over the duration of this course, **you will submit “Health Promotion Program Proposal,”** **addressing exis…

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    Assignment Prompt & Instructions

    **files (2)**

    – ## HealthPromotionProposalpart1.docx

    – ## FoodInsecurityandNutritionAccess1.docx

    **## HealthPromotionProposalpart1.docx**

    **Health Promotion Proposal, Part 1**

    **Description**

    Over the duration of this course,
    **you will submit “Health Promotion Program Proposal,”**

    **addressing existing nursing knowledge related to health promotion and a written proposal.**

    **Topic submitted for Approval – week 2**

    **This proposal has three (3) Parts**

    In the written proposal, you will develop a health promotion program to meet the health needs of a vulnerable

    population in your potential concentration area or community. The proposal must demonstrate graduate school-level writing and critical analysis.

    **Health Proposal Part 1- due week 4**

    **Health Proposal Part 2-due week 7**

    **Health Proposal PowerPoint (Part 1& Part 2)- due week 8**

    The PowerPoint portion is your presentation of that proposal.

    For this week's assignment you will submit
    **Part One** of your proposal, this is the topic that you obtained approval week 2.

    At this point, you already developed in your discussions the core ideas of the topic contained in this assignment. You will use the same information, but it won’t be a copy-and-paste exercise. The purpose is that you enhance your ideas with the comments and outcomes of the weekly discussions and previous evaluations.

    Directions

    1. Introduction. Describe the health problem (your approved topic submitted week 2). Don't type "Introduction".  (1 paragraph at least).

    Using data and statistics, support your claim that the issue you selected is a problem.

    What specifically will you address in your proposed health promotion program?

    Be sure your proposed outcome is realistic and measurable.

    2. Describe the vulnerable population.  (1-3 paragraphs).

    What are the risk factors that make this a vulnerable population?

    Use evidence to support the risk factors you have identified.

    3. Provide a review of literature from scholarly journals (at least 2) of evidence-based interventions that address the problem. (2 paragraphs, one for each article).

    After completing a literature search related to effective interventions for your chosen health promotion activity, write a review that evaluates the strengths and weaknesses of all the sources you have found. (2-3 paragraphs).

    4. Select and present an appropriate health promotion/disease prevention theoretical or conceptual model that best serves as the guiding framework for the proposal.  (2-3 paragraphs).

    For this assignment, a conclusion paragraph is not required.

    Writing Assignment Requirements

    **Three to five pages in length MAXIMUM – do not exceed page limit- be concise (excluding title page, references, and appendices)**

    **Follow APA format**

    **Cite a minimum of 6 references**

    **Please review the rubric prior to submission.**

    Sample APA paper for your reference:

    APA 7 – Professional Sample Paper – 2020.pdf

    **REFERENCES Must have DOI Numbers for me to look them up- If I am unable to verify the references points will be deducted.**

    **Great resource to assist you:** [Reference List: Author/Authors – Purdue OWL® – Purdue University](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_author_authors.html)

    **## FoodInsecurityandNutritionAccess1.docx**

    4

    **Environmental & Community Health 4: Food Insecurity and Nutrition Access**

    Natalia Gomez

    NaFlorida National University

    Health Promotion & Role Development in Adv. Nursing Practice

    Dr. Nora Hernandez-Pupo

    March 13, 2026

    **Food Insecurity and Nutrition Access**

    **Introducing the problem**

    Food insecurity and lack of access to nutritious foods are still serious issues of public health with severe impacts on the health outcomes of populations. Food insecurity is the impossibility of people or families to have continuous access to enough, safe, and nutritious food to lead an active and healthy life. This problem is a contributing factor to many health-related issues such as malnutrition, obesity, diabetes, and cardiovascular disease. Promotional approaches towards nutrition access should be prioritized since dietary practices have a significant impact on long-term health outcomes. Food insecurity is a significant health promotion agenda, thus, since it directly impacts physical health, mental health, and health equity.

    **The global relevance of the problem, including statistics**

    Food insecurity is a major challenge to attaining optimal health and is still a significant problem for millions of people worldwide. The Food and Agriculture Organization of the United Nations reported that there were 691 million to 783 million hungry people worldwide in 2022, with the average number of about 735 million people, or about 9.2 percent of the global population, meaning that world hunger is still as high as it was before the COVID-19 (Food and Agriculture Organization of the United Nations, 2023). Poverty, conflict, climate change, and economic instability are closely related to food insecurity that alters food systems and reduces access to healthy foods. Unhealthy diets also cause the prevalence of undernutrition and obesity and result in what public health experts call the double burden of malnutrition. The studies have demonstrated that populations at risk of food insecurity have a higher risk of developing chronic diseases, including hypertension, diabetes, and heart disease, because of inadequate access to healthy foods and because of consuming low-cost and highly processed food (Odoms-Young et al., 2024). These international trends are showing the necessity of health promotion practices that will consider nutrition access and help to promote healthier food systems.

    **The national relevance of the problem using statistics**

    Food insecurity is a significant issue of interest in the United States, although the nation has an abundance of food. According to the U.S. Department of Agriculture, food insecurity was found to be 12.8% of U.S. households in 2022, which was over 17 million households, which was higher than the 10.2% in 2021 (Odoms-Young et al., 2024). Racial and ethnic minority groups, low-income households, and those with children have been greatly affected by food insecurity. Research has demonstrated that people living in food insecurity have a higher risk of becoming obese, developing type 2 diabetes, and cardiovascular diseases (Thomas et al., 2021). There is also the problem of limited access to healthy foods, commonly associated with the so-called food deserts, where the local population has limited access to affordable fruits, vegetables, and other healthy foods. Within the United States, health promotion interventions, especially those aimed at promoting food access, such as nutrition education and community gardening, food assistance, and policy-based interventions to enhance healthier food settings are becoming more common.

    **The local relevance and perspective of the problem using statistics**

    Food insecurity continues to be a major problem at the local level in Miami-Dade County, Florida. Food insecurity is also a significant problem in Miami-Dade, with poor communities and immigrants being the most vulnerable. According to a study of food insecurity in Miami-Dade County, Florida, food insecurity increased to approximately 13.7 percent of the population in 2022, and even higher levels of food insecurity among Hispanic and Latino populations, where it is noted that approximately 16.0 percent of the county population is experiencing food insecurity, indicating high levels of disparity in food security in the county (Treloar et al., 2024). Moreover, the neighborhoods in Miami-Dade have a high number of food deserts, with the residents having to drive a long way to buy healthy foods at local grocery stores that are affordable. The high cost of living, housing unpredictability, and financial inequalities are some of the factors that make access to food by most of the families in the region challenging (Ogwu et al., 2024). To overcome these challenges, local health departments and community organizations have put up programs like mobile food pantries, nutrition assistance programs, and community-based health promotion programs. Nevertheless, food insecurity remains a problem for thousands of residents, and thus, it is a priority health problem that community health promotion initiatives of Miami should focus on.

    **Conclusion**

    Overall, since food insecurity has major effects on the globe, nationally, and locally, it is imperative to come up with effective health promotion strategies to improve population health and to minimize health disparities. To tackle such a problem, there must be concerted efforts that include the public health agencies, healthcare providers, policymakers, and community entities. Health promotion can focus on healthier foods at reduced prices, better nutrition education, and tightening food support policies that will provide the disadvantaged groups with an opportunity. By implementing targeted steps at different tiers, communities will be in a position to access nutrition, reduce the chances of suffering chronic diseases, and enhance healthy living among individuals and families.

    **References**

    Food and Agriculture Organization of the United Nations. (2023). 2.1 Food security indicators – latest updates and progress towards ending hunger and ensuring food security. Retrieved from:
    [https://openknowledge.fao.org/server/api/core/bitstreams/f1ee0c49-04e7-43df-9b83-6820f4f37ca9/content/state-food-security-and-nutrition-2023/food-security-nutrition-indicators.html](https://openknowledge.fao.org/server/api/core/bitstreams/f1ee0c49-04e7-43df-9b83-6820f4f37ca9/content/state-food-security-and-nutrition-2023/food-security-nutrition-indicators.html)

    Odoms-Young, A., Brown, A. G., Agurs-Collins, T., & Glanz, K. (2024). Food insecurity, neighborhood food environment, and health disparities: state of the science, research gaps and opportunities.
    _The American journal of clinical nutrition_,
    _119_(3), 850-861.
    [https://doi.org/10.1016/j.ajcnut.2023.12.019](https://doi.org/10.1016/j.ajcnut.2023.12.019)

    Ogwu, M. C., Izah, S. C., Ntuli, N. R., & Odubo, T. C. (2024). Food security complexities in the global south. In
    _Food safety and quality in the global south_ (pp. 3-33). Singapore: Springer Nature Singapore.
    [https://doi.org/10.1007/978-981-97-2428-4_1](https://doi.org/10.1007/978-981-97-2428-4_1)

    Thomas, M. K., Lammert, L. J., & Beverly, E. A. (2021). Food insecurity and its impact on body weight, type 2 diabetes, cardiovascular disease, and mental health.
    _Current Cardiovascular Risk Reports_,
    _15_(9), 15.
    [https://doi.org/10.1007/s12170-021-00679-3](https://doi.org/10.1007/s12170-021-00679-3)

    Treloar, D., Taylor, D. E., & Bell, A. (2024). Understanding Food Insecurity and Participation in Food Assistance Programs among Hispanic/Latino Residents of Hialeah, Florida, before and during the COVID-19 Pandemic.
    _Sustainability_,
    _16_(17), 7612.
    [https://doi.org/10.3390/su16177612](https://doi.org/10.3390/su16177612)

    **## FoodInsecurityandNutritionAccess1.docx**

    4

    **Environmental & Community Health 4: Food Insecurity and Nutrition Access**

    Natalia Gomez

    NaFlorida National University

    Health Promotion & Role Development in Adv. Nursing Practice

    Dr. Nora Hernandez-Pupo

    March 13, 2026

    **Food Insecurity and Nutrition Access**

    **Introducing the problem**

    Food insecurity and lack of access to nutritious foods are still serious issues of public health with severe impacts on the health outcomes of populations. Food insecurity is the impossibility of people or families to have continuous access to enough, safe, and nutritious food to lead an active and healthy life. This problem is a contributing factor to many health-related issues such as malnutrition, obesity, diabetes, and cardiovascular disease. Promotional approaches towards nutrition access should be prioritized since dietary practices have a significant impact on long-term health outcomes. Food insecurity is a significant health promotion agenda, thus, since it directly impacts physical health, mental health, and health equity.

    **The global relevance of the problem, including statistics**

    Food insecurity is a major challenge to attaining optimal health and is still a significant problem for millions of people worldwide. The Food and Agriculture Organization of the United Nations reported that there were 691 million to 783 million hungry people worldwide in 2022, with the average number of about 735 million people, or about 9.2 percent of the global population, meaning that world hunger is still as high as it was before the COVID-19 (Food and Agriculture Organization of the United Nations, 2023). Poverty, conflict, climate change, and economic instability are closely related to food insecurity that alters food systems and reduces access to healthy foods. Unhealthy diets also cause the prevalence of undernutrition and obesity and result in what public health experts call the double burden of malnutrition. The studies have demonstrated that populations at risk of food insecurity have a higher risk of developing chronic diseases, including hypertension, diabetes, and heart disease, because of inadequate access to healthy foods and because of consuming low-cost and highly processed food (Odoms-Young et al., 2024). These international trends are showing the necessity of health promotion practices that will consider nutrition access and help to promote healthier food systems.

    **The national relevance of the problem using statistics**

    Food insecurity is a significant issue of interest in the United States, although the nation has an abundance of food. According to the U.S. Department of Agriculture, food insecurity was found to be 12.8% of U.S. households in 2022, which was over 17 million households, which was higher than the 10.2% in 2021 (Odoms-Young et al., 2024). Racial and ethnic minority groups, low-income households, and those with children have been greatly affected by food insecurity. Research has demonstrated that people living in food insecurity have a higher risk of becoming obese, developing type 2 diabetes, and cardiovascular diseases (Thomas et al., 2021). There is also the problem of limited access to healthy foods, commonly associated with the so-called food deserts, where the local population has limited access to affordable fruits, vegetables, and other healthy foods. Within the United States, health promotion interventions, especially those aimed at promoting food access, such as nutrition education and community gardening, food assistance, and policy-based interventions to enhance healthier food settings are becoming more common.

    **The local relevance and perspective of the problem using statistics**

    Food insecurity continues to be a major problem at the local level in Miami-Dade County, Florida. Food insecurity is also a significant problem in Miami-Dade, with poor communities and immigrants being the most vulnerable. According to a study of food insecurity in Miami-Dade County, Florida, food insecurity increased to approximately 13.7 percent of the population in 2022, and even higher levels of food insecurity among Hispanic and Latino populations, where it is noted that approximately 16.0 percent of the county population is experiencing food insecurity, indicating high levels of disparity in food security in the county (Treloar et al., 2024). Moreover, the neighborhoods in Miami-Dade have a high number of food deserts, with the residents having to drive a long way to buy healthy foods at local grocery stores that are affordable. The high cost of living, housing unpredictability, and financial inequalities are some of the factors that make access to food by most of the families in the region challenging (Ogwu et al., 2024). To overcome these challenges, local health departments and community organizations have put up programs like mobile food pantries, nutrition assistance programs, and community-based health promotion programs. Nevertheless, food insecurity remains a problem for thousands of residents, and thus, it is a priority health problem that community health promotion initiatives of Miami should focus on.

    **Conclusion**

    Overall, since food insecurity has major effects on the globe, nationally, and locally, it is imperative to come up with effective health promotion strategies to improve population health and to minimize health disparities. To tackle such a problem, there must be concerted efforts that include the public health agencies, healthcare providers, policymakers, and community entities. Health promotion can focus on healthier foods at reduced prices, better nutrition education, and tightening food support policies that will provide the disadvantaged groups with an opportunity. By implementing targeted steps at different tiers, communities will be in a position to access nutrition, reduce the chances of suffering chronic diseases, and enhance healthy living among individuals and families.

    **References**

    Food and Agriculture Organization of the United Nations. (2023). 2.1 Food security indicators – latest updates and progress towards ending hunger and ensuring food security. Retrieved from:
    [https://openknowledge.fao.org/server/api/core/bitstreams/f1ee0c49-04e7-43df-9b83-6820f4f37ca9/content/state-food-security-and-nutrition-2023/food-security-nutrition-indicators.html](https://openknowledge.fao.org/server/api/core/bitstreams/f1ee0c49-04e7-43df-9b83-6820f4f37ca9/content/state-food-security-and-nutrition-2023/food-security-nutrition-indicators.html)

    Odoms-Young, A., Brown, A. G., Agurs-Collins, T., & Glanz, K. (2024). Food insecurity, neighborhood food environment, and health disparities: state of the science, research gaps and opportunities.
    _The American journal of clinical nutrition_,
    _119_(3), 850-861.
    [https://doi.org/10.1016/j.ajcnut.2023.12.019](https://doi.org/10.1016/j.ajcnut.2023.12.019)

    Ogwu, M. C., Izah, S. C., Ntuli, N. R., & Odubo, T. C. (2024). Food security complexities in the global south. In
    _Food safety and quality in the global south_ (pp. 3-33). Singapore: Springer Nature Singapore.
    [https://doi.org/10.1007/978-981-97-2428-4_1](https://doi.org/10.1007/978-981-97-2428-4_1)

    Thomas, M. K., Lammert, L. J., & Beverly, E. A. (2021). Food insecurity and its impact on body weight, type 2 diabetes, cardiovascular disease, and mental health.
    _Current Cardiovascular Risk Reports_,
    _15_(9), 15.
    [https://doi.org/10.1007/s12170-021-00679-3](https://doi.org/10.1007/s12170-021-00679-3)

    Treloar, D., Taylor, D. E., & Bell, A. (2024). Understanding Food Insecurity and Participation in Food Assistance Programs among Hispanic/Latino Residents of Hialeah, Florida, before and during the COVID-19 Pandemic.
    _Sustainability_,
    _16_(17), 7612.
    [https://doi.org/10.3390/su16177612](https://doi.org/10.3390/su16177612)

    **## HealthPromotionProposalpart1.docx**

    **Health Promotion Proposal, Part 1**

    **Description**

    Over the duration of this course,
    **you will submit “Health Promotion Program Proposal,”**

    **addressing existing nursing knowledge related to health promotion and a written proposal.**

    **Topic submitted for Approval – week 2**

    **This proposal has three (3) Parts**

    In the written proposal, you will develop a health promotion program to meet the health needs of a vulnerable

    population in your potential concentration area or community. The proposal must demonstrate graduate school-level writing and critical analysis.

    **Health Proposal Part 1- due week 4**

    **Health Proposal Part 2-due week 7**

    **Health Proposal PowerPoint (Part 1& Part 2)- due week 8**

    The PowerPoint portion is your presentation of that proposal.

    For this week's assignment you will submit
    **Part One** of your proposal, this is the topic that you obtained approval week 2.

    At this point, you already developed in your discussions the core ideas of the topic contained in this assignment. You will use the same information, but it won’t be a copy-and-paste exercise. The purpose is that you enhance your ideas with the comments and outcomes of the weekly discussions and previous evaluations.

    Directions

    1. Introduction. Describe the health problem (your approved topic submitted week 2). Don't type "Introduction".  (1 paragraph at least).

    Using data and statistics, support your claim that the issue you selected is a problem.

    What specifically will you address in your proposed health promotion program?

    Be sure your proposed outcome is realistic and measurable.

    2. Describe the vulnerable population.  (1-3 paragraphs).

    What are the risk factors that make this a vulnerable population?

    Use evidence to support the risk factors you have identified.

    3. Provide a review of literature from scholarly journals (at least 2) of evidence-based interventions that address the problem. (2 paragraphs, one for each article).

    After completing a literature search related to effective interventions for your chosen health promotion activity, write a review that evaluates the strengths and weaknesses of all the sources you have found. (2-3 paragraphs).

    4. Select and present an appropriate health promotion/disease prevention theoretical or conceptual model that best serves as the guiding framework for the proposal.  (2-3 paragraphs).

    For this assignment, a conclusion paragraph is not required.

    Writing Assignment Requirements

    **Three to five pages in length MAXIMUM – do not exceed page limit- be concise (excluding title page, references, and appendices)**

    **Follow APA format**

    **Cite a minimum of 6 references**

    **Please review the rubric prior to submission.**

    Sample APA paper for your reference:

    APA 7 – Professional Sample Paper – 2020.pdf

    **REFERENCES Must have DOI Numbers for me to look them up- If I am unable to verify the references points will be deducted.**

    **Great resource to assist you:** [Reference List: Author/Authors – Purdue OWL® – Purdue University](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_author_authors.html)

    **## FoodInsecurityandNutritionAccess1.docx**

    4

    **Environmental & Community Health 4: Food Insecurity and Nutrition Access**

    Natalia Gomez

    NaFlorida National University

    Health Promotion & Role Development in Adv. Nursing Practice

    Dr. Nora Hernandez-Pupo

    March 13, 2026

    **Food Insecurity and Nutrition Access**

    **Introducing the problem**

    Food insecurity and lack of access to nutritious foods are still serious issues of public health with severe impacts on the health outcomes of populations. Food insecurity is the impossibility of people or families to have continuous access to enough, safe, and nutritious food to lead an active and healthy life. This problem is a contributing factor to many health-related issues such as malnutrition, obesity, diabetes, and cardiovascular disease. Promotional approaches towards nutrition access should be prioritized since dietary practices have a significant impact on long-term health outcomes. Food insecurity is a significant health promotion agenda, thus, since it directly impacts physical health, mental health, and health equity.

    **The global relevance of the problem, including statistics**

    Food insecurity is a major challenge to attaining optimal health and is still a significant problem for millions of people worldwide. The Food and Agriculture Organization of the United Nations reported that there were 691 million to 783 million hungry people worldwide in 2022, with the average number of about 735 million people, or about 9.2 percent of the global population, meaning that world hunger is still as high as it was before the COVID-19 (Food and Agriculture Organization of the United Nations, 2023). Poverty, conflict, climate change, and economic instability are closely related to food insecurity that alters food systems and reduces access to healthy foods. Unhealthy diets also cause the prevalence of undernutrition and obesity and result in what public health experts call the double burden of malnutrition. The studies have demonstrated that populations at risk of food insecurity have a higher risk of developing chronic diseases, including hypertension, diabetes, and heart disease, because of inadequate access to healthy foods and because of consuming low-cost and highly processed food (Odoms-Young et al., 2024). These international trends are showing the necessity of health promotion practices that will consider nutrition access and help to promote healthier food systems.

    **The national relevance of the problem using statistics**

    Food insecurity is a significant issue of interest in the United States, although the nation has an abundance of food. According to the U.S. Department of Agriculture, food insecurity was found to be 12.8% of U.S. households in 2022, which was over 17 million households, which was higher than the 10.2% in 2021 (Odoms-Young et al., 2024). Racial and ethnic minority groups, low-income households, and those with children have been greatly affected by food insecurity. Research has demonstrated that people living in food insecurity have a higher risk of becoming obese, developing type 2 diabetes, and cardiovascular diseases (Thomas et al., 2021). There is also the problem of limited access to healthy foods, commonly associated with the so-called food deserts, where the local population has limited access to affordable fruits, vegetables, and other healthy foods. Within the United States, health promotion interventions, especially those aimed at promoting food access, such as nutrition education and community gardening, food assistance, and policy-based interventions to enhance healthier food settings are becoming more common.

    **The local relevance and perspective of the problem using statistics**

    Food insecurity continues to be a major problem at the local level in Miami-Dade County, Florida. Food insecurity is also a significant problem in Miami-Dade, with poor communities and immigrants being the most vulnerable. According to a study of food insecurity in Miami-Dade County, Florida, food insecurity increased to approximately 13.7 percent of the population in 2022, and even higher levels of food insecurity among Hispanic and Latino populations, where it is noted that approximately 16.0 percent of the county population is experiencing food insecurity, indicating high levels of disparity in food security in the county (Treloar et al., 2024). Moreover, the neighborhoods in Miami-Dade have a high number of food deserts, with the residents having to drive a long way to buy healthy foods at local grocery stores that are affordable. The high cost of living, housing unpredictability, and financial inequalities are some of the factors that make access to food by most of the families in the region challenging (Ogwu et al., 2024). To overcome these challenges, local health departments and community organizations have put up programs like mobile food pantries, nutrition assistance programs, and community-based health promotion programs. Nevertheless, food insecurity remains a problem for thousands of residents, and thus, it is a priority health problem that community health promotion initiatives of Miami should focus on.

    **Conclusion**

    Overall, since food insecurity has major effects on the globe, nationally, and locally, it is imperative to come up with effective health promotion strategies to improve population health and to minimize health disparities. To tackle such a problem, there must be concerted efforts that include the public health agencies, healthcare providers, policymakers, and community entities. Health promotion can focus on healthier foods at reduced prices, better nutrition education, and tightening food support policies that will provide the disadvantaged groups with an opportunity. By implementing targeted steps at different tiers, communities will be in a position to access nutrition, reduce the chances of suffering chronic diseases, and enhance healthy living among individuals and families.

    **References**

    Food and Agriculture Organization of the United Nations. (2023). 2.1 Food security indicators – latest updates and progress towards ending hunger and ensuring food security. Retrieved from:
    [https://openknowledge.fao.org/server/api/core/bitstreams/f1ee0c49-04e7-43df-9b83-6820f4f37ca9/content/state-food-security-and-nutrition-2023/food-security-nutrition-indicators.html](https://openknowledge.fao.org/server/api/core/bitstreams/f1ee0c49-04e7-43df-9b83-6820f4f37ca9/content/state-food-security-and-nutrition-2023/food-security-nutrition-indicators.html)

    Odoms-Young, A., Brown, A. G., Agurs-Collins, T., & Glanz, K. (2024). Food insecurity, neighborhood food environment, and health disparities: state of the science, research gaps and opportunities.
    _The American journal of clinical nutrition_,
    _119_(3), 850-861.
    [https://doi.org/10.1016/j.ajcnut.2023.12.019](https://doi.org/10.1016/j.ajcnut.2023.12.019)

    Ogwu, M. C., Izah, S. C., Ntuli, N. R., & Odubo, T. C. (2024). Food security complexities in the global south. In
    _Food safety and quality in the global south_ (pp. 3-33). Singapore: Springer Nature Singapore.
    [https://doi.org/10.1007/978-981-97-2428-4_1](https://doi.org/10.1007/978-981-97-2428-4_1)

    Thomas, M. K., Lammert, L. J., & Beverly, E. A. (2021). Food insecurity and its impact on body weight, type 2 diabetes, cardiovascular disease, and mental health.
    _Current Cardiovascular Risk Reports_,
    _15_(9), 15.
    [https://doi.org/10.1007/s12170-021-00679-3](https://doi.org/10.1007/s12170-021-00679-3)

    Treloar, D., Taylor, D. E., & Bell, A. (2024). Understanding Food Insecurity and Participation in Food Assistance Programs among Hispanic/Latino Residents of Hialeah, Florida, before and during the COVID-19 Pandemic.
    _Sustainability_,
    _16_(17), 7612.
    [https://doi.org/10.3390/su16177612](https://doi.org/10.3390/su16177612)

    **## HealthPromotionProposalpart1.docx**

    **Health Promotion Proposal, Part 1**

    **Description**

    Over the duration of this course,
    **you will submit “Health Promotion Program Proposal,”**

    **addressing existing nursing knowledge related to health promotion and a written proposal.**

    **Topic submitted for Approval – week 2**

    **This proposal has three (3) Parts**

    In the written proposal, you will develop a health promotion program to meet the health needs of a vulnerable

    population in your potential concentration area or community. The proposal must demonstrate graduate school-level writing and critical analysis.

    **Health Proposal Part 1- due week 4**

    **Health Proposal Part 2-due week 7**

    **Health Proposal PowerPoint (Part 1& Part 2)- due week 8**

    The PowerPoint portion is your presentation of that proposal.

    For this week's assignment you will submit
    **Part One** of your proposal, this is the topic that you obtained approval week 2.

    At this point, you already developed in your discussions the core ideas of the topic contained in this assignment. You will use the same information, but it won’t be a copy-and-paste exercise. The purpose is that you enhance your ideas with the comments and outcomes of the weekly discussions and previous evaluations.

    Directions

    1. Introduction. Describe the health problem (your approved topic submitted week 2). Don't type "Introduction".  (1 paragraph at least).

    Using data and statistics, support your claim that the issue you selected is a problem.

    What specifically will you address in your proposed health promotion program?

    Be sure your proposed outcome is realistic and measurable.

    2. Describe the vulnerable population.  (1-3 paragraphs).

    What are the risk factors that make this a vulnerable population?

    Use evidence to support the risk factors you have identified.

    3. Provide a review of literature from scholarly journals (at least 2) of evidence-based interventions that address the problem. (2 paragraphs, one for each article).

    After completing a literature search related to effective interventions for your chosen health promotion activity, write a review that evaluates the strengths and weaknesses of all the sources you have found. (2-3 paragraphs).

    4. Select and present an appropriate health promotion/disease prevention theoretical or conceptual model that best serves as the guiding framework for the proposal.  (2-3 paragraphs).

    For this assignment, a conclusion paragraph is not required.

    Writing Assignment Requirements

    **Three to five pages in length MAXIMUM – do not exceed page limit- be concise (excluding title page, references, and appendices)**

    **Follow APA format**

    **Cite a minimum of 6 references**

    **Please review the rubric prior to submission.**

    Sample APA paper for your reference:

    APA 7 – Professional Sample Paper – 2020.pdf

    **REFERENCES Must have DOI Numbers for me to look them up- If I am unable to verify the references points will be deducted.**

    **Great resource to assist you:** [Reference List: Author/Authors – Purdue OWL® – Purdue University](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_author_authors.html)

    **## FoodInsecurityandNutritionAccess1.docx**

    4

    **Environmental & Community Health 4: Food Insecurity and Nutrition Access**

    Natalia Gomez

    NaFlorida National University

    Health Promotion & Role Development in Adv. Nursing Practice

    Dr. Nora Hernandez-Pupo

    March 13, 2026

    **Food Insecurity and Nutrition Access**

    **Introducing the problem**

    Food insecurity and lack of access to nutritious foods are still serious issues of public health with severe impacts on the health outcomes of populations. Food insecurity is the impossibility of people or families to have continuous access to enough, safe, and nutritious food to lead an active and healthy life. This problem is a contributing factor to many health-related issues such as malnutrition, obesity, diabetes, and cardiovascular disease. Promotional approaches towards nutrition access should be prioritized since dietary practices have a significant impact on long-term health outcomes. Food insecurity is a significant health promotion agenda, thus, since it directly impacts physical health, mental health, and health equity.

    **The global relevance of the problem, including statistics**

    Food insecurity is a major challenge to attaining optimal health and is still a significant problem for millions of people worldwide. The Food and Agriculture Organization of the United Nations reported that there were 691 million to 783 million hungry people worldwide in 2022, with the average number of about 735 million people, or about 9.2 percent of the global population, meaning that world hunger is still as high as it was before the COVID-19 (Food and Agriculture Organization of the United Nations, 2023). Poverty, conflict, climate change, and economic instability are closely related to food insecurity that alters food systems and reduces access to healthy foods. Unhealthy diets also cause the prevalence of undernutrition and obesity and result in what public health experts call the double burden of malnutrition. The studies have demonstrated that populations at risk of food insecurity have a higher risk of developing chronic diseases, including hypertension, diabetes, and heart disease, because of inadequate access to healthy foods and because of consuming low-cost and highly processed food (Odoms-Young et al., 2024). These international trends are showing the necessity of health promotion practices that will consider nutrition access and help to promote healthier food systems.

    **The national relevance of the problem using statistics**

    Food insecurity is a significant issue of interest in the United States, although the nation has an abundance of food. According to the U.S. Department of Agriculture, food insecurity was found to be 12.8% of U.S. households in 2022, which was over 17 million households, which was higher than the 10.2% in 2021 (Odoms-Young et al., 2024). Racial and ethnic minority groups, low-income households, and those with children have been greatly affected by food insecurity. Research has demonstrated that people living in food insecurity have a higher risk of becoming obese, developing type 2 diabetes, and cardiovascular diseases (Thomas et al., 2021). There is also the problem of limited access to healthy foods, commonly associated with the so-called food deserts, where the local population has limited access to affordable fruits, vegetables, and other healthy foods. Within the United States, health promotion interventions, especially those aimed at promoting food access, such as nutrition education and community gardening, food assistance, and policy-based interventions to enhance healthier food settings are becoming more common.

    **The local relevance and perspective of the problem using statistics**

    Food insecurity continues to be a major problem at the local level in Miami-Dade County, Florida. Food insecurity is also a significant problem in Miami-Dade, with poor communities and immigrants being the most vulnerable. According to a study of food insecurity in Miami-Dade County, Florida, food insecurity increased to approximately 13.7 percent of the population in 2022, and even higher levels of food insecurity among Hispanic and Latino populations, where it is noted that approximately 16.0 percent of the county population is experiencing food insecurity, indicating high levels of disparity in food security in the county (Treloar et al., 2024). Moreover, the neighborhoods in Miami-Dade have a high number of food deserts, with the residents having to drive a long way to buy healthy foods at local grocery stores that are affordable. The high cost of living, housing unpredictability, and financial inequalities are some of the factors that make access to food by most of the families in the region challenging (Ogwu et al., 2024). To overcome these challenges, local health departments and community organizations have put up programs like mobile food pantries, nutrition assistance programs, and community-based health promotion programs. Nevertheless, food insecurity remains a problem for thousands of residents, and thus, it is a priority health problem that community health promotion initiatives of Miami should focus on.

    **Conclusion**

    Overall, since food insecurity has major effects on the globe, nationally, and locally, it is imperative to come up with effective health promotion strategies to improve population health and to minimize health disparities. To tackle such a problem, there must be concerted efforts that include the public health agencies, healthcare providers, policymakers, and community entities. Health promotion can focus on healthier foods at reduced prices, better nutrition education, and tightening food support policies that will provide the disadvantaged groups with an opportunity. By implementing targeted steps at different tiers, communities will be in a position to access nutrition, reduce the chances of suffering chronic diseases, and enhance healthy living among individuals and families.

    **References**

    Food and Agriculture Organization of the United Nations. (2023). 2.1 Food security indicators – latest updates and progress towards ending hunger and ensuring food security. Retrieved from:
    [https://openknowledge.fao.org/server/api/core/bitstreams/f1ee0c49-04e7-43df-9b83-6820f4f37ca9/content/state-food-security-and-nutrition-2023/food-security-nutrition-indicators.html](https://openknowledge.fao.org/server/api/core/bitstreams/f1ee0c49-04e7-43df-9b83-6820f4f37ca9/content/state-food-security-and-nutrition-2023/food-security-nutrition-indicators.html)

    Odoms-Young, A., Brown, A. G., Agurs-Collins, T., & Glanz, K. (2024). Food insecurity, neighborhood food environment, and health disparities: state of the science, research gaps and opportunities.
    _The American journal of clinical nutrition_,
    _119_(3), 850-861.
    [https://doi.org/10.1016/j.ajcnut.2023.12.019](https://doi.org/10.1016/j.ajcnut.2023.12.019)

    Ogwu, M. C., Izah, S. C., Ntuli, N. R., & Odubo, T. C. (2024). Food security complexities in the global south. In
    _Food safety and quality in the global south_ (pp. 3-33). Singapore: Springer Nature Singapore.
    [https://doi.org/10.1007/978-981-97-2428-4_1](https://doi.org/10.1007/978-981-97-2428-4_1)

    Thomas, M. K., Lammert, L. J., & Beverly, E. A. (2021). Food insecurity and its impact on body weight, type 2 diabetes, cardiovascular disease, and mental health.
    _Current Cardiovascular Risk Reports_,
    _15_(9), 15.
    [https://doi.org/10.1007/s12170-021-00679-3](https://doi.org/10.1007/s12170-021-00679-3)

    Treloar, D., Taylor, D. E., & Bell, A. (2024). Understanding Food Insecurity and Participation in Food Assistance Programs among Hispanic/Latino Residents of Hialeah, Florida, before and during the COVID-19 Pandemic.
    _Sustainability_,
    _16_(17), 7612.
    [https://doi.org/10.3390/su16177612](https://doi.org/10.3390/su16177612)

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    see attachment PICK ONE SCENARIO **files (2)** – ## Week4DiscussionPartI.pdf – ## week4DS.pdf **## Week4DiscussionPartI.pdf** Week 4 Discussion Part I Table 1 Innocent versus Pathologic Murmur Table 2 Pediatric Cardiac Conditions Auscultatory Findings- Innocent versus Pathologic Murmur Innocent Murm…

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    PICK ONE SCENARIO

    **files (2)**

    – ## Week4DiscussionPartI.pdf

    – ## week4DS.pdf

    **## Week4DiscussionPartI.pdf**

    Week 4 Discussion Part I

    Table 1
    Innocent versus Pathologic Murmur

    Table 2
    Pediatric Cardiac Conditions

    Auscultatory Findings- Innocent versus Pathologic Murmur

    Innocent Murmur – list 4 and describe the
    auscultatory findings

    Pathologic Murmur – list 4 and describe
    the auscultatory findings

    Complete the table.

    Cardiac Condition Description Clinical Findings Treatment/
    Management

    Atrial Septal Defect

    Ventricular Septal
    Defect

    Tetralogy of Fallot

    Coarctation of the Aorta

    Transposition of the
    Great Arteries

    Table 3
    Differential Diagnoses for vomiting

    Table 4
    Do Not Miss GI Conditions

    Fill in the table with 5 common differential diagnoses for a chief complaint of vomiting.

    Differential Description Clinical Findings/
    Presentation

    Management

    1.

    2.

    3.

    4.

    Fill in the following

    Condition Description Clinical Features/
    Presentation

    Management

    Foreign Body Ingestion

    Appendicitis

    Intussusception

    Hirschsprung Disease

    Pyloric Stenosis

    Table 5
    Enuresis

    Table 6

    GU Anomalies

    List 4 differential diagnoses for enuresis.

    Differentials Description Clinical Findings/
    Presentation

    Management

    1.

    2.

    3.

    4.

    Complete the requested information related to Common Genitourinary Anomalies

    Brief
    Pathyphysiolog
    y

    Description Clinical
    Features

    Management

    Hypospadias

    Epispadias

    Hydrocele

    Cryptorchidis
    m
    Testicular
    Torsion

    Table 7
    Respiratory Conditions in Children

    Table 8

    Differential Diagnoses for Pediatric Cough

    Complete the information.

    Condition Causative Agents Clinical Findings Treatment/
    Management

    URI "common cold"

    Allergic rhinitis

    Rhinosinusitis

    Bronchiolitis

    RSV

    Pneumonia

    Asthma

    List the top 3 differential diagnoses for cc: “cough” in pediatric patients

    Differentials Description Clinical Findings Treatment/
    Management

    1.

    2.

    3.

    Table 9
    National Asthma Education and Prevention Program Expert Panel Report (EPR3)

    Complete the information below.

    Asthma Classification
    and Step Before
    Treatment

    Symptoms Nighttime
    Symptoms

    Lung Function

    Step 1: Intermittent

    Step 2: Mild Persistent

    Step 3: Moderate
    Persistent
    Step 4: Severe
    Persistent

    **## week4DS.pdf**

    Case Scenario 1: Keisha has come in for her annual well-child visit. Keisha enjoys
    preschool, she has been a healthy child, and she is at the 50% for height and weight. On
    exam, you note a Grade III/VI, mid-systolic murmur, heard best in the left sternal border.

    • What additional information should the APRN know about Keisha?
    • What tests should the APRN order?
    • What should the APRN specifically include in the cardiac physical examination?
    • How should the APRN approach referrals?

    Case Scenario 2: Mr. Jones has brought in his 3-year-old daughter Clara to be seen for
    vomiting and diarrhea for 2 days. He states that last night she vomited 3 times. She
    weighs 15kg. This morning she vomited her breakfast of pancakes and sausage.

    • What more does the APRN need to know about Clara’s symptoms?
    • What should the APRN look for in the physical examination?
    • What are the signs and symptoms of dehydration?
    • What are 3 differentials the APRN should consider?
    • What is the calculation for pediatric volume replacement?
    • What type of anticipatory guidance should the APRN give Clara’s father?

    Case Scenario 3: Mark is a 5-year-old male who was brought into the clinic today for a
    well-child exam. His mother reports that she is concerned that Mark wets his bed at
    night 3 to 4 times per week. She is at her wit’s end and does not know what to do.

    • What does the APRN need to know about Mark’s condition?
    • What are some of the possible causes for Mark’s condition?
    • What strategies should the APRN share with Mark’s mother to help him stay dry at

    night?

    Case Scenario 4: Lindsey is an 8-year-old female brought into the clinic today for an
    evaluation of a “bad cough” for 2 weeks. She was diagnosed with a URI a week ago. Her
    vital signs are the following: Temperature 98.6° F, HR: 80, RR: 24, BP 110/50, Pulse Ox:
    95%. She is alert and does not appear to be in distress. On exam, you note that she has
    inspiratory and expiratory wheezes and mild tracheal retractions.

    • What more does the APRN need to know about this child?
    • What treatment(s) should the APRN provide in clinic today and why?
    • What diagnostic tests should the APRN order today and why?

    • What education should the APRN provide Lindsey and her family?

    Case Scenario 5: Wendy is a 13-year-old female who comes into your clinic with a
    complain of a sore throat, pain with swallowing, fevers of 102 F, headache, and body
    aches x 3 days. She weighs 110 pounds and has NKA. On exam you note erythema on
    the tonsils and pharynx, tender cervical lymphadenopathy, and no exudates.

    • What is the standardized Brodsky tonsils grading scale?
    • What is the Centor Criteria?
    • What diagnostic studies should the APRN consider?
    • How should the APRN manage her symptoms? Be specific about treatment and

    rationale. If prescribing, include dosages, precautions, and follow-up
    • How would you manage Wendy’s treatment plan if she were allergic to penicillin? If

    prescribing, include dosages, precautions, and follow-up.
    • When can Wendy return to school?

    Case Scenario 6: Luis is a 12-year-old male who lives in a dilapidated, older apartment
    complex. He has had a chronic cough since moving into that apartment building 8 weeks
    ago. His asthma has worsened despite using his albuterol inhaler more than usual (3
    times a day or more) and steroid inhaler, complains of shortness of breath, wheezing, and
    chest tightness, and a dry cough at night and early morning hours (waking him up 2-3
    times a week). Luis has had to miss school and is too tired to play with his friends.

    • What diagnostic tests might you perform and why?
    • What is the gold standard for diagnosing asthma?
    • How would you manage his asthma symptoms?
    • What type of education should you give parents and Luis?
    • What is the proper way to use a metered dose inhaler?

    **## week4DS.pdf**

    Case Scenario 1: Keisha has come in for her annual well-child visit. Keisha enjoys
    preschool, she has been a healthy child, and she is at the 50% for height and weight. On
    exam, you note a Grade III/VI, mid-systolic murmur, heard best in the left sternal border.

    • What additional information should the APRN know about Keisha?
    • What tests should the APRN order?
    • What should the APRN specifically include in the cardiac physical examination?
    • How should the APRN approach referrals?

    Case Scenario 2: Mr. Jones has brought in his 3-year-old daughter Clara to be seen for
    vomiting and diarrhea for 2 days. He states that last night she vomited 3 times. She
    weighs 15kg. This morning she vomited her breakfast of pancakes and sausage.

    • What more does the APRN need to know about Clara’s symptoms?
    • What should the APRN look for in the physical examination?
    • What are the signs and symptoms of dehydration?
    • What are 3 differentials the APRN should consider?
    • What is the calculation for pediatric volume replacement?
    • What type of anticipatory guidance should the APRN give Clara’s father?

    Case Scenario 3: Mark is a 5-year-old male who was brought into the clinic today for a
    well-child exam. His mother reports that she is concerned that Mark wets his bed at
    night 3 to 4 times per week. She is at her wit’s end and does not know what to do.

    • What does the APRN need to know about Mark’s condition?
    • What are some of the possible causes for Mark’s condition?
    • What strategies should the APRN share with Mark’s mother to help him stay dry at

    night?

    Case Scenario 4: Lindsey is an 8-year-old female brought into the clinic today for an
    evaluation of a “bad cough” for 2 weeks. She was diagnosed with a URI a week ago. Her
    vital signs are the following: Temperature 98.6° F, HR: 80, RR: 24, BP 110/50, Pulse Ox:
    95%. She is alert and does not appear to be in distress. On exam, you note that she has
    inspiratory and expiratory wheezes and mild tracheal retractions.

    • What more does the APRN need to know about this child?
    • What treatment(s) should the APRN provide in clinic today and why?
    • What diagnostic tests should the APRN order today and why?

    • What education should the APRN provide Lindsey and her family?

    Case Scenario 5: Wendy is a 13-year-old female who comes into your clinic with a
    complain of a sore throat, pain with swallowing, fevers of 102 F, headache, and body
    aches x 3 days. She weighs 110 pounds and has NKA. On exam you note erythema on
    the tonsils and pharynx, tender cervical lymphadenopathy, and no exudates.

    • What is the standardized Brodsky tonsils grading scale?
    • What is the Centor Criteria?
    • What diagnostic studies should the APRN consider?
    • How should the APRN manage her symptoms? Be specific about treatment and

    rationale. If prescribing, include dosages, precautions, and follow-up
    • How would you manage Wendy’s treatment plan if she were allergic to penicillin? If

    prescribing, include dosages, precautions, and follow-up.
    • When can Wendy return to school?

    Case Scenario 6: Luis is a 12-year-old male who lives in a dilapidated, older apartment
    complex. He has had a chronic cough since moving into that apartment building 8 weeks
    ago. His asthma has worsened despite using his albuterol inhaler more than usual (3
    times a day or more) and steroid inhaler, complains of shortness of breath, wheezing, and
    chest tightness, and a dry cough at night and early morning hours (waking him up 2-3
    times a week). Luis has had to miss school and is too tired to play with his friends.

    • What diagnostic tests might you perform and why?
    • What is the gold standard for diagnosing asthma?
    • How would you manage his asthma symptoms?
    • What type of education should you give parents and Luis?
    • What is the proper way to use a metered dose inhaler?

    **## Week4DiscussionPartI.pdf**

    Week 4 Discussion Part I

    Table 1
    Innocent versus Pathologic Murmur

    Table 2
    Pediatric Cardiac Conditions

    Auscultatory Findings- Innocent versus Pathologic Murmur

    Innocent Murmur – list 4 and describe the
    auscultatory findings

    Pathologic Murmur – list 4 and describe
    the auscultatory findings

    Complete the table.

    Cardiac Condition Description Clinical Findings Treatment/
    Management

    Atrial Septal Defect

    Ventricular Septal
    Defect

    Tetralogy of Fallot

    Coarctation of the Aorta

    Transposition of the
    Great Arteries

    Table 3
    Differential Diagnoses for vomiting

    Table 4
    Do Not Miss GI Conditions

    Fill in the table with 5 common differential diagnoses for a chief complaint of vomiting.

    Differential Description Clinical Findings/
    Presentation

    Management

    1.

    2.

    3.

    4.

    Fill in the following

    Condition Description Clinical Features/
    Presentation

    Management

    Foreign Body Ingestion

    Appendicitis

    Intussusception

    Hirschsprung Disease

    Pyloric Stenosis

    Table 5
    Enuresis

    Table 6

    GU Anomalies

    List 4 differential diagnoses for enuresis.

    Differentials Description Clinical Findings/
    Presentation

    Management

    1.

    2.

    3.

    4.

    Complete the requested information related to Common Genitourinary Anomalies

    Brief
    Pathyphysiolog
    y

    Description Clinical
    Features

    Management

    Hypospadias

    Epispadias

    Hydrocele

    Cryptorchidis
    m
    Testicular
    Torsion

    Table 7
    Respiratory Conditions in Children

    Table 8

    Differential Diagnoses for Pediatric Cough

    Complete the information.

    Condition Causative Agents Clinical Findings Treatment/
    Management

    URI "common cold"

    Allergic rhinitis

    Rhinosinusitis

    Bronchiolitis

    RSV

    Pneumonia

    Asthma

    List the top 3 differential diagnoses for cc: “cough” in pediatric patients

    Differentials Description Clinical Findings Treatment/
    Management

    1.

    2.

    3.

    Table 9
    National Asthma Education and Prevention Program Expert Panel Report (EPR3)

    Complete the information below.

    Asthma Classification
    and Step Before
    Treatment

    Symptoms Nighttime
    Symptoms

    Lung Function

    Step 1: Intermittent

    Step 2: Mild Persistent

    Step 3: Moderate
    Persistent
    Step 4: Severe
    Persistent

    **## week4DS.pdf**

    Case Scenario 1: Keisha has come in for her annual well-child visit. Keisha enjoys
    preschool, she has been a healthy child, and she is at the 50% for height and weight. On
    exam, you note a Grade III/VI, mid-systolic murmur, heard best in the left sternal border.

    • What additional information should the APRN know about Keisha?
    • What tests should the APRN order?
    • What should the APRN specifically include in the cardiac physical examination?
    • How should the APRN approach referrals?

    Case Scenario 2: Mr. Jones has brought in his 3-year-old daughter Clara to be seen for
    vomiting and diarrhea for 2 days. He states that last night she vomited 3 times. She
    weighs 15kg. This morning she vomited her breakfast of pancakes and sausage.

    • What more does the APRN need to know about Clara’s symptoms?
    • What should the APRN look for in the physical examination?
    • What are the signs and symptoms of dehydration?
    • What are 3 differentials the APRN should consider?
    • What is the calculation for pediatric volume replacement?
    • What type of anticipatory guidance should the APRN give Clara’s father?

    Case Scenario 3: Mark is a 5-year-old male who was brought into the clinic today for a
    well-child exam. His mother reports that she is concerned that Mark wets his bed at
    night 3 to 4 times per week. She is at her wit’s end and does not know what to do.

    • What does the APRN need to know about Mark’s condition?
    • What are some of the possible causes for Mark’s condition?
    • What strategies should the APRN share with Mark’s mother to help him stay dry at

    night?

    Case Scenario 4: Lindsey is an 8-year-old female brought into the clinic today for an
    evaluation of a “bad cough” for 2 weeks. She was diagnosed with a URI a week ago. Her
    vital signs are the following: Temperature 98.6° F, HR: 80, RR: 24, BP 110/50, Pulse Ox:
    95%. She is alert and does not appear to be in distress. On exam, you note that she has
    inspiratory and expiratory wheezes and mild tracheal retractions.

    • What more does the APRN need to know about this child?
    • What treatment(s) should the APRN provide in clinic today and why?
    • What diagnostic tests should the APRN order today and why?

    • What education should the APRN provide Lindsey and her family?

    Case Scenario 5: Wendy is a 13-year-old female who comes into your clinic with a
    complain of a sore throat, pain with swallowing, fevers of 102 F, headache, and body
    aches x 3 days. She weighs 110 pounds and has NKA. On exam you note erythema on
    the tonsils and pharynx, tender cervical lymphadenopathy, and no exudates.

    • What is the standardized Brodsky tonsils grading scale?
    • What is the Centor Criteria?
    • What diagnostic studies should the APRN consider?
    • How should the APRN manage her symptoms? Be specific about treatment and

    rationale. If prescribing, include dosages, precautions, and follow-up
    • How would you manage Wendy’s treatment plan if she were allergic to penicillin? If

    prescribing, include dosages, precautions, and follow-up.
    • When can Wendy return to school?

    Case Scenario 6: Luis is a 12-year-old male who lives in a dilapidated, older apartment
    complex. He has had a chronic cough since moving into that apartment building 8 weeks
    ago. His asthma has worsened despite using his albuterol inhaler more than usual (3
    times a day or more) and steroid inhaler, complains of shortness of breath, wheezing, and
    chest tightness, and a dry cough at night and early morning hours (waking him up 2-3
    times a week). Luis has had to miss school and is too tired to play with his friends.

    • What diagnostic tests might you perform and why?
    • What is the gold standard for diagnosing asthma?
    • How would you manage his asthma symptoms?
    • What type of education should you give parents and Luis?
    • What is the proper way to use a metered dose inhaler?

    **## Week4DiscussionPartI.pdf**

    Week 4 Discussion Part I

    Table 1
    Innocent versus Pathologic Murmur

    Table 2
    Pediatric Cardiac Conditions

    Auscultatory Findings- Innocent versus Pathologic Murmur

    Innocent Murmur – list 4 and describe the
    auscultatory findings

    Pathologic Murmur – list 4 and describe
    the auscultatory findings

    Complete the table.

    Cardiac Condition Description Clinical Findings Treatment/
    Management

    Atrial Septal Defect

    Ventricular Septal
    Defect

    Tetralogy of Fallot

    Coarctation of the Aorta

    Transposition of the
    Great Arteries

    Table 3
    Differential Diagnoses for vomiting

    Table 4
    Do Not Miss GI Conditions

    Fill in the table with 5 common differential diagnoses for a chief complaint of vomiting.

    Differential Description Clinical Findings/
    Presentation

    Management

    1.

    2.

    3.

    4.

    Fill in the following

    Condition Description Clinical Features/
    Presentation

    Management

    Foreign Body Ingestion

    Appendicitis

    Intussusception

    Hirschsprung Disease

    Pyloric Stenosis

    Table 5
    Enuresis

    Table 6

    GU Anomalies

    List 4 differential diagnoses for enuresis.

    Differentials Description Clinical Findings/
    Presentation

    Management

    1.

    2.

    3.

    4.

    Complete the requested information related to Common Genitourinary Anomalies

    Brief
    Pathyphysiolog
    y

    Description Clinical
    Features

    Management

    Hypospadias

    Epispadias

    Hydrocele

    Cryptorchidis
    m
    Testicular
    Torsion

    Table 7
    Respiratory Conditions in Children

    Table 8

    Differential Diagnoses for Pediatric Cough

    Complete the information.

    Condition Causative Agents Clinical Findings Treatment/
    Management

    URI "common cold"

    Allergic rhinitis

    Rhinosinusitis

    Bronchiolitis

    RSV

    Pneumonia

    Asthma

    List the top 3 differential diagnoses for cc: “cough” in pediatric patients

    Differentials Description Clinical Findings Treatment/
    Management

    1.

    2.

    3.

    Table 9
    National Asthma Education and Prevention Program Expert Panel Report (EPR3)

    Complete the information below.

    Asthma Classification
    and Step Before
    Treatment

    Symptoms Nighttime
    Symptoms

    Lung Function

    Step 1: Intermittent

    Step 2: Mild Persistent

    Step 3: Moderate
    Persistent
    Step 4: Severe
    Persistent

    **## week4DS.pdf**

    Case Scenario 1: Keisha has come in for her annual well-child visit. Keisha enjoys
    preschool, she has been a healthy child, and she is at the 50% for height and weight. On
    exam, you note a Grade III/VI, mid-systolic murmur, heard best in the left sternal border.

    • What additional information should the APRN know about Keisha?
    • What tests should the APRN order?
    • What should the APRN specifically include in the cardiac physical examination?
    • How should the APRN approach referrals?

    Case Scenario 2: Mr. Jones has brought in his 3-year-old daughter Clara to be seen for
    vomiting and diarrhea for 2 days. He states that last night she vomited 3 times. She
    weighs 15kg. This morning she vomited her breakfast of pancakes and sausage.

    • What more does the APRN need to know about Clara’s symptoms?
    • What should the APRN look for in the physical examination?
    • What are the signs and symptoms of dehydration?
    • What are 3 differentials the APRN should consider?
    • What is the calculation for pediatric volume replacement?
    • What type of anticipatory guidance should the APRN give Clara’s father?

    Case Scenario 3: Mark is a 5-year-old male who was brought into the clinic today for a
    well-child exam. His mother reports that she is concerned that Mark wets his bed at
    night 3 to 4 times per week. She is at her wit’s end and does not know what to do.

    • What does the APRN need to know about Mark’s condition?
    • What are some of the possible causes for Mark’s condition?
    • What strategies should the APRN share with Mark’s mother to help him stay dry at

    night?

    Case Scenario 4: Lindsey is an 8-year-old female brought into the clinic today for an
    evaluation of a “bad cough” for 2 weeks. She was diagnosed with a URI a week ago. Her
    vital signs are the following: Temperature 98.6° F, HR: 80, RR: 24, BP 110/50, Pulse Ox:
    95%. She is alert and does not appear to be in distress. On exam, you note that she has
    inspiratory and expiratory wheezes and mild tracheal retractions.

    • What more does the APRN need to know about this child?
    • What treatment(s) should the APRN provide in clinic today and why?
    • What diagnostic tests should the APRN order today and why?

    • What education should the APRN provide Lindsey and her family?

    Case Scenario 5: Wendy is a 13-year-old female who comes into your clinic with a
    complain of a sore throat, pain with swallowing, fevers of 102 F, headache, and body
    aches x 3 days. She weighs 110 pounds and has NKA. On exam you note erythema on
    the tonsils and pharynx, tender cervical lymphadenopathy, and no exudates.

    • What is the standardized Brodsky tonsils grading scale?
    • What is the Centor Criteria?
    • What diagnostic studies should the APRN consider?
    • How should the APRN manage her symptoms? Be specific about treatment and

    rationale. If prescribing, include dosages, precautions, and follow-up
    • How would you manage Wendy’s treatment plan if she were allergic to penicillin? If

    prescribing, include dosages, precautions, and follow-up.
    • When can Wendy return to school?

    Case Scenario 6: Luis is a 12-year-old male who lives in a dilapidated, older apartment
    complex. He has had a chronic cough since moving into that apartment building 8 weeks
    ago. His asthma has worsened despite using his albuterol inhaler more than usual (3
    times a day or more) and steroid inhaler, complains of shortness of breath, wheezing, and
    chest tightness, and a dry cough at night and early morning hours (waking him up 2-3
    times a week). Luis has had to miss school and is too tired to play with his friends.

    • What diagnostic tests might you perform and why?
    • What is the gold standard for diagnosing asthma?
    • How would you manage his asthma symptoms?
    • What type of education should you give parents and Luis?
    • What is the proper way to use a metered dose inhaler?

  • [Solved] Response- MEASURES USED IN EPIDEMIOLOGY

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    **Respond** to **at least two** classmates on **two different days** in one or more of the following ways: – Ask a probing question, substantiated with additional background information, evidence, or research. – Share an insight from having read your classmates’ postings, synthesizing the informatio…

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    Assignment Prompt & Instructions

    **Respond** to **at least two** classmates on **two different days** in one or more of the following ways:

    – Ask a probing question, substantiated with additional background information, evidence, or research.
    – Share an insight from having read your classmates’ postings, synthesizing the information to provide new perspectives.
    – Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
    – Validate an idea with your own experience and additional research.
    – Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
    – Expand on your classmates’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    **Note:** Your responses to classmates should be substantial (250 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful response, but cannot stand alone as a response. Your responses should enrich the initial post by supporting and/or offering a fresh viewpoint, and be constructive, thereby enhancing the learning experience for all students.

    – [\
    \
    Response-MEASURESUSEDINEPIDEMIOLOGY.docx](https://www.sweetstudy.com/files/response-measuresusedinepidemiology-docx "Response-MEASURESUSEDINEPIDEMIOLOGY.docx")

  • [Solved] Read the requirements bellow and create a discussion of 400 words,. no AI use, references from 2020-20206

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Evaluate the type of health information technology used in your current work settings and discuss the pros and the cons of the software. **Participation Requirements** The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) posted by the c…

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    Assignment Prompt & Instructions

    Evaluate the type of health information technology used in your current work settings and discuss the pros and the cons of the software.

    **Participation Requirements**

    The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) posted by the course instructor by Wednesday, 11:59 p.m. Eastern Time of each week. Two scholarly sources references are required, unless stated otherwise by your professor.

    The student provides a substantive response to the discussion question or topic on Wednesday day and posts a minimum **of two additional responses** to peers on another day(s). The answers to classmates must be posted by Saturday, 11:59 pm Eastern Time. We expect each student to participate in the discussion board in a respectful manner.

    Please review the rubric before posting to ensure a maximum of points.

    Here are the categories of the new discussion rubric:

    **Initial Post** relevance to the topic of discussion, applicability, and insight. (20%)

    **Quality of Written Communication** Appropriateness of audience and words choice is specific, purposeful, dynamic, and varied. Grammar, spelling, punctuation. (20%)

    **Inclusion of DNP essentials explored in the discussion as well as the role-specific competencies as applicable.**(10%)

    **Rigor, currency,  and relevance of the scholarly references.** (Use articles that are below 5 years). (20%)

    **Peer & Professor Responses.** The number of responses, quality of response posts. (20%)

    **Timeliness of the initial post and the answers to the peers. (10%)**

  • [Solved] Assigment .Apa seven . All instructions attached.

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    **files (1)** – ## WritingAssignmentWeek4anisley.docx **## WritingAssignmentWeek4anisley.docx** Writing Assignment Week 4: Telehealth Access and Remote Monitoring in Your Community **Telehealth Access and Remote Monitoring in Your Community** _(Examine how healthcare services in_ _**your specific ZI…

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    Assignment Prompt & Instructions

    **files (1)**

    – ## WritingAssignmentWeek4anisley.docx

    **## WritingAssignmentWeek4anisley.docx**

    Writing Assignment Week 4: Telehealth Access and Remote Monitoring in Your Community

    **Telehealth Access and Remote Monitoring in Your Community** _(Examine how healthcare services in_
    _**your specific ZIP code** are providing telehealth and remote monitoring options and whether these services benefit the patient population.) 33030 Homestead_

    **Assignment Overview**

    **In this essay, you will evaluate the extent to which healthcare services in your specific geographic area (use your ZIP code for specificity- NAME YOUR actual CITY where you live) are offering telehealth and remote monitoring options. You will analyze the impact of these services on patient care and outcomes. Your submission must include at least three examples that you uncovered through research in your neighborhood.**

    **Requirements**

    **Essay Format and Length:**

    · The assignment must be written as a formal essay.

    · It must include an introduction, graduate-level discussion questions and responses, and a conclusion that synthesizes your key points.

    ·
    **The paper should be a minimum of 3 pages in length, excluding the cover page and reference list.**

    **Content Specifics:**

    ·
    **Introduction:**

    · Introduce the topic with background information on telehealth and remote monitoring.

    · Clearly state the purpose of your essay.

    · Provide your ZIP code to contextualize the geographic focus of your study.

    ·
    **Graduate-Level Questions & Analysis:**

    · Develop and answer at least two or three in-depth, graduate-level questions related to:

    · How telehealth and remote monitoring options are integrated into local healthcare services.

    · The benefits (or perceived benefits) these options offer to the patient population.

    · Potential challenges or limitations associated with these technological advances.

    · Make sure to substantiate your analysis with evidence-based practice (EBP). This should include referencing scholarly articles, government or institutional reports, and credible online sources.

    · Include at least three concrete examples from your research in your local neighborhood that illustrate how these services are implemented. Explain how each example supports your discussion.

    ·
    **Conclusion:**

    · Summarize your findings.

    · Synthesize the key points discussed in your paper.

    · Reflect on the overall impact of telehealth and remote monitoring services on patient care in your area.

    **APA Format:**

    · Your essay must strictly adhere to APA 7th Edition guidelines.

    · Ensure correct use of APA formatting for the title page, headings/levels, in-text citations, and the reference list.

    · Double-check that all references are accurately cited within your text and that your reference list is complete.

    **Evidence-Based Practice (EBP):**

    · Develop your answers and support your analysis with evidence-based research.

    · Incorporate data, statistics, and findings from peer-reviewed literature and reputable sources to lend credibility to your discussion.

    · 4 current sources must be used and are peer-review journal articles or scholarly books. Sources include both general background sources and specialized sources.  All REFERENCES must have DOI Numbers for me to look them up

    **Rubric Review:**

    · Before submission, review the assignment rubric provided by your instructor. Make sure your essay addresses all the required components and meets the expected quality criteria.

    **Submission Guidelines**

    ·
    **File Format:** Submit your assignment as a Word document or PDF via the designated course submission portal.

    ·
    **Cover Page and References:** A cover page and a separate references page are required. These pages are not included in the minimum page count.

    ·
    **Deadline:** Submit the final version of your essay by the due date specified in your course calendar.

    ·
    **Proofreading:** Check for clarity, coherence, grammar, and APA formatting before submission. A well-organized and carefully proofread paper will reflect your understanding and attention to detail.

    By following these instructions, you will create a comprehensive, well-structured, and evidence-based analysis of how telehealth and remote monitoring options are utilized within your local healthcare services. This assignment not only highlights your ability to connect academic research with real-world healthcare practices but also demonstrates your capacity for critical thinking and graduate-level writing.

    Feel free to reach out if you have any questions or need further clarification. Good luck with your research and writing!

    Remember, your analysis should be both reflective and analytical, providing a robust discussion on how telehealth solutions are impacting patient care in your own neighborhood. Use your findings to contribute meaningful insights into the ongoing evolution of healthcare services.

    **REFERENCES Must have DOI Numbers for me to look them up- If I am unable to verify the references points will be deducted.**

    **Great resource to assist you:** [Reference List: Author/Authors – Purdue OWL® – Purdue University](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_author_authors.html)

    **Submission**

    Text Editor

    _Word count: 0_

    **Details & Information**

    **## WritingAssignmentWeek4anisley.docx**

    Writing Assignment Week 4: Telehealth Access and Remote Monitoring in Your Community

    **Telehealth Access and Remote Monitoring in Your Community** _(Examine how healthcare services in_
    _**your specific ZIP code** are providing telehealth and remote monitoring options and whether these services benefit the patient population.) 33030 Homestead_

    **Assignment Overview**

    **In this essay, you will evaluate the extent to which healthcare services in your specific geographic area (use your ZIP code for specificity- NAME YOUR actual CITY where you live) are offering telehealth and remote monitoring options. You will analyze the impact of these services on patient care and outcomes. Your submission must include at least three examples that you uncovered through research in your neighborhood.**

    **Requirements**

    **Essay Format and Length:**

    · The assignment must be written as a formal essay.

    · It must include an introduction, graduate-level discussion questions and responses, and a conclusion that synthesizes your key points.

    ·
    **The paper should be a minimum of 3 pages in length, excluding the cover page and reference list.**

    **Content Specifics:**

    ·
    **Introduction:**

    · Introduce the topic with background information on telehealth and remote monitoring.

    · Clearly state the purpose of your essay.

    · Provide your ZIP code to contextualize the geographic focus of your study.

    ·
    **Graduate-Level Questions & Analysis:**

    · Develop and answer at least two or three in-depth, graduate-level questions related to:

    · How telehealth and remote monitoring options are integrated into local healthcare services.

    · The benefits (or perceived benefits) these options offer to the patient population.

    · Potential challenges or limitations associated with these technological advances.

    · Make sure to substantiate your analysis with evidence-based practice (EBP). This should include referencing scholarly articles, government or institutional reports, and credible online sources.

    · Include at least three concrete examples from your research in your local neighborhood that illustrate how these services are implemented. Explain how each example supports your discussion.

    ·
    **Conclusion:**

    · Summarize your findings.

    · Synthesize the key points discussed in your paper.

    · Reflect on the overall impact of telehealth and remote monitoring services on patient care in your area.

    **APA Format:**

    · Your essay must strictly adhere to APA 7th Edition guidelines.

    · Ensure correct use of APA formatting for the title page, headings/levels, in-text citations, and the reference list.

    · Double-check that all references are accurately cited within your text and that your reference list is complete.

    **Evidence-Based Practice (EBP):**

    · Develop your answers and support your analysis with evidence-based research.

    · Incorporate data, statistics, and findings from peer-reviewed literature and reputable sources to lend credibility to your discussion.

    · 4 current sources must be used and are peer-review journal articles or scholarly books. Sources include both general background sources and specialized sources.  All REFERENCES must have DOI Numbers for me to look them up

    **Rubric Review:**

    · Before submission, review the assignment rubric provided by your instructor. Make sure your essay addresses all the required components and meets the expected quality criteria.

    **Submission Guidelines**

    ·
    **File Format:** Submit your assignment as a Word document or PDF via the designated course submission portal.

    ·
    **Cover Page and References:** A cover page and a separate references page are required. These pages are not included in the minimum page count.

    ·
    **Deadline:** Submit the final version of your essay by the due date specified in your course calendar.

    ·
    **Proofreading:** Check for clarity, coherence, grammar, and APA formatting before submission. A well-organized and carefully proofread paper will reflect your understanding and attention to detail.

    By following these instructions, you will create a comprehensive, well-structured, and evidence-based analysis of how telehealth and remote monitoring options are utilized within your local healthcare services. This assignment not only highlights your ability to connect academic research with real-world healthcare practices but also demonstrates your capacity for critical thinking and graduate-level writing.

    Feel free to reach out if you have any questions or need further clarification. Good luck with your research and writing!

    Remember, your analysis should be both reflective and analytical, providing a robust discussion on how telehealth solutions are impacting patient care in your own neighborhood. Use your findings to contribute meaningful insights into the ongoing evolution of healthcare services.

    **REFERENCES Must have DOI Numbers for me to look them up- If I am unable to verify the references points will be deducted.**

    **Great resource to assist you:** [Reference List: Author/Authors – Purdue OWL® – Purdue University](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_author_authors.html)

    **Submission**

    Text Editor

    _Word count: 0_

    **Details & Information**

  • [Solved] Assess how epidemiology and population health drive healthcare progress

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    Assess how epidemiology and population health drive healthcare progress

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    Assignment Prompt & Instructions

    Assess how epidemiology and population health drive healthcare progress

  • [Solved] 566 week 6 Collaboration

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    Executive Solution Overview

    Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions. **Include the following sections:** **Step 1**: Identify your assigned client from the Week 6 Explore lesson. Your assignment is based on the first letter of your last…

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    Assignment Prompt & Instructions

    Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions.

    **Include the following sections:**

    **Step 1**: Identify your assigned client from the Week 6 Explore lesson. Your assignment is based on the first letter of your last name in the chart below. Review your assigned clinical application activity from the lesson. The client case link will take you to the page in the lesson where the respective case is located.  Scroll to the bottom of the page to locate the client case.

    [Nia Omari](https://chamberlain.instructure.com/courses/195312/pages/week-6-drugs-used-to-manage-anxiety-disorders "Week 6: Drugs Used to Manage Anxiety Disorders")

    **Step 2**: Assess the client’s case and the prescription writing activity for that client within the lesson.

    **Step 3**: Answer the discussion prompts below with explanation and detail, providing complete references for all citations. Refer to the lesson for client information.

    1. **Application of Course Knowledge:**Answer all questions/criteria with explanations and detail.

    1. Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking?
    2. Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why?
    3. Reflect on additional questions you have about your assigned client that may influence treatment. What else do you want to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes?

    please provide AI and Similarity report

    – [\
    \
    NiaOmari.docx](https://www.sweetstudy.com/files/niaomari-docx "NiaOmari.docx")

  • [Solved] nursing, capstone

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    I need help with a capstone question

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    Assignment Prompt & Instructions

    I need help with a capstone question