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Essay Instructions: Request for Dr. O!!

I have made orders in the past, which you may remember. I had Dr. O lined up to do a project and had lengthy communications about the project, and was cancelled at the last moment. I have made a new order. Of course this is last minute. It is fine if Dr. O will indeed handle this, however I need your additional supervision to make sure I don't get cancelled again at the last moment.

What I'd like you to please do, is to make sure that I get a writer familiar with Epidemiology and researching, has access to professional nursing journals and other professional journals, and is willing and able to do this paper within the week.
I will need you to email me by Monday afternoon, or call me regarding this if possible because I am stuck out in a rural setting and have very limited use of email. I must drive 20 miles, and the hours at the public library are very limited. My shifts are 12 hours, so I may have to call you back as I cannot leave my phone on while treating patients.
Thanks for you help.
Rabbit

Once I have the order number, I will email the articles/studies I have pulled.

THE ORDER:

Dear Writer,

Here is a new assignment that I'd like you to work on for me. I am hoping this explains well my needs. The information is mostly from public websites such as the CDC (Center for Disease Control), or State of Idaho Vital Statistics. You will need access to professional nursing journals to retrieve articles that should be referenced in the paper. Graphs etc. can be cut and pasted in the appropriate areas. I have attached some articles and studies that may be of use. There is much more out there, however I cannot get to them from the public computer in this rural town I am working in currently.


Epidemiology Paper 10 pages

My comments on thought for this paper are in italics.

Epidemiology is the study of factors which influence the incidence, distribution and control of disease, defects, disability and death. The prevention or control of any condition which affects large numbers of people is dependent upon study of these factors and determination of the point at which intervention will be both feasible and effective.

We will be studying adolescent suicide to gain experience in the epidemiological methods of studying a health problem, and to appreciate the role of the community health nurse in intervention.

1.The Problem: Male adolescent suicide in Idaho

I need a 10 page paper following the guidelines below:

a. an introductory paragraph including the statement of the problem. Include a researchable nursing hypothesis that can be derived from this study.

Hypothesis: Suicide prevention programs will decrease the number of suicides in male adolescents in Idaho.

b. Characteristics of the group affected (age, sex: Male, adolescents) (hanging, guns, jumping)

c.Conditions responsible for the problem, (economic, geographical, sociological, physical, environmental,, etc). This would include all of the prepathogenesis period. A diagram may be helpful in describing the conditions responsible for the problem.
depression, high risk groups such as those exposed to drugs and alcohol, violence, family history( kids more likely to commit suicide if a parent has successfully completed suicide)

d. Incidence of the problem in the community (Idaho), How many does the problem affect?)
1.Compare the incidence in the state and in the nation. CDC website, and State of Idaho, vital statistics) is a source for this info.
2.How does the problem affect the community (disruptions resulting from the problem), Problem effects: families need to know where to go for suicide prevention
3.Discuss trends in the incidence of the problem (local, state, and national) You can use graphs here. go to Idaho vital statistics, and the CDC
e. Suggest a program for intervention that would be feasible and effective, and test the hypothesis. Google this, there is lots of national programs. (where could the epidemiological triad be best interrupted?) What community facilities are available and could be used? (Churches, community building etc.)How would the community at risk be identified and included in a control program? This would include the pathogenesis period.

1.Review the differences among Primary Prevention (suicide prevention to the general population, schools, parents); Secondary Prevention (target high risk groups, kids using drugs & alcohol etc.); Tertiary (intervention after a suicide attempt).

2.State interventions under each level of prevention that would improve the status of the male adolescent suicide.
3.What are the nursing implications ? the nurse's role in relation to the program?

Suggest methods of evaluating the program. Google this ?evaluation of suicide prevention programs?

4.Conclude with a summary paragraph.

References: should include a minimum of 2-3 reseach articles, and 3 professional nursing journals, and other professional journals. Textbooks are acceptable, but not as total sources. Please indicate the research articles with an asterisk on the reference list.
Attach all literary sources/articles used in the reference list. I don't need the actual textbook if used, the reference will suffice.


Email access is 20 miles away and only during library hours, which in this small town are very limited. If you email I may not receive questions until too late. I'd like to get this completed project by June 24 if possible.

Thanks for your help. If you think this is more than you'd like to perform, please make sure it gets the attention of customer service immediately.

Rabbit

Essay Instructions: Select a population below and identify a wellness need for that population.
Refer to the Healthy People 2020 document at http://www.healthypeople.gov/hp2020/Objectives/TopicAreas.aspx and select a targeted objective based upon the population you selected.


Illustrate in a comprehensive and scholarly manner how either the McDonald (1997) Holistic wellness: Self-inventory of personal wellness using the medicine wheel conceptual model OR the Baldwin & Baldwin (1998) 4+ model of wellness: The four domains of inner self plus the outer systems conceptual model (See Ch. 13 Lundy & Janes) can be applied to assess holistic wellness based upon the need you have identified for your targeted population.

Be sure to select an ethnic/cultural perspective for your targeted population and include those perspectives in your post.


Cite your sources
APA format


Infant (ages 0-11 mos.)
Early childhood (ages 1-4)
Middle childhood (ages 5-10)
Adolescent/Young Adulthood (ages 11-21)
Adulthood (ages 21-40)
Middle Adulthood (ages 40-65)
Senior Adulthood (ages 65+)

Website to access the info in chapter 13 in Lundy and Janes http://books.google.com/books?id=fj5dInclgw0C&lpg=PA312&ots=GT7guVsqKk&dq=holistic%20wellness%20medicine%20wheel&pg=PA315#v=onepage&q=holistic%20wellness%20medicine%20wheel&f=false

Example of posting:

Targeted Objective

Mental Health and Mental Disorders (MHMD)

MHMD 2: Reduce suicide attempts by adolescents (U.S. Department of Health and Human Services [HHS], 2009, p. 225).

Model of Health Promotion and Wellness

Holistic wellness: Self-inventory of personal wellness using the Medicine Wheel.

Suicide is the third leading cause of death for adolescents in the United States (Pirruccello, 2010, p. 34). In 2007 14.5% of high school students considered attempting suicide, 11.3% made a suicide plan and 6.9% attempted suicide in the previous 12 months (Pirruccello, 2010). These alarming trends in adolescent suicide have made prevention efforts a priority of the Healthy People 2020 objectives. Using the Holistic Wellness model can help to assess the wellness of adolescents in preventing suicide attempts. Assessing physical, vocational, psychological, emotional, environmental, spiritual and intellectual wellness in adolescents can help identify risk factors and protective factors associated with adolescent suicide (Lundy & Janes, 2009).

Physical development

Indicators of wellness-adequate physical growth, regular physical activity, adequate nutrition, good health habits (Spurr, 2009).

Red flags- signs of depression, obesity, eating disorders, use of tobacco, alcohol and drugs, poor academic performance, unhealthy sleep patterns, frequent complaints of headaches or stomach aches (Schwartz, Pyle, Dowd, & Sheehan, 2010).

Psychological development

Indicators of wellness-healthy self-concept and self-esteem, belief in their capabilities, good coping-skills, quality friendships (Spurr, 2009).

Red flags-withdrawn, new friends of poor quality, suddenly quits sports or other previously enjoyed activity, recent change in family dynamics, sudden outbursts, and distorted reality (Schwartz et al., 2010).

Emotional development

Indicators of wellness-able to express one’s feelings about self and others, copes well with stressors (Lundy & Janes, 2009).

Red flags-withdrawn and unable to communicate feelings, inability to make adjustments in emotional responses during stress, negative view of self or others behaviors, feeling need for revenge, frequent crying.

Spiritual development

Indicators of wellness-sense of meaning and purpose in life, desire for joy and happiness, uses creative outlets such as music and art, feel unique, trusting, sense of right and wrong, belief in a higher power (Spurr, 2009).

Red flags-disinterest in own life or life of those close to adolescent, fatalistic attitude, change in interest in types of music, art, reading material and television programming, lack of interest in religious participation if previously active, change in belief systems or ethics (Lundy & Janes, 2009).

Social development

Indicators of wellness-supportive relationships in families, school, and peers, stable family structure, parental monitoring, healthy and safe friendships, school and community involvement (Spurr, 2009).

Red flags-recent change in family structure through divorce, death, change in income or job, poor adult supervision, increase in risk taking behaviors such as smoking, alcohol and drug use, change academic performance, engaging in sexual behaviors, inappropriate clothing, unwillingness to introduce new friends to parents, giving away personal items (Schwartz et al., 2010, Pirruccello, 2010).

Vocational development

Indicators of wellness-enjoyment of school and community activities such as clubs and sports, contribution to society through volunteerism, planning for future career, exploring career interests.

Red flags-quitting previously enjoyed activities, increased tardiness and absenteeism, changes in sleep patterns.

Intellectual development

Indicators of wellness-openness to new or non-traditional ideas, broadening of understanding of world views and issues, analyzing situations before taking action, willingness to seek help when needed (Lundy & Janes, 2009, Pirruccello, 2010).

Red flags-disinterest in learning, declining academic performance, risky behaviors, disregard for authority.

Environmental development

Indicators of wellness-feel safe at home and school, food security, healthy family structure.

Red flags-domestic violence in the home, signs of child abuse (physical, emotional, sexual), recent change in sexual behavior in adolescent, recent change in family structure, presence of guns in the home (Schwartz et al., 2010).

Adolescent suicide ethnic/cultural perspective

From 1999-2006 both male and female 10-19 year old American Indian/Alaska Native’s had the highest incidence of suicide and suicide attempts (Goldston et al., 2008). White males and females were the second highest incidence of suicide but Latinos accounted for a greater incidence of suicide attempts (Goldston et al., 2008). Male Latino, African American and Asian American/Pacific Islander’s, respectively, had the next highest incidence of suicide and White females having the lowest incidence of suicide (Goldston et al., 2008).

Acculturation, incorporation of ideals and beliefs of one culture into another, and enculturation, a process by which knowledge, behavioral expectations, attitudes, and values are acquired and shared by members of a cultural group, are challenges faced by adolescents trying to fit in but also maintain traditional cultural beliefs (Goldston et al., 2008, p. 16). Family roles, group roles, spirituality, religion, manifestations and interpretation of distress, cultural mistrust, stigma and help-seeking measures may influence adolescent suicidal behavior (Goldston et al., 2008). Healthcare professionals must familiarize themselves with the cultural influences of different ethnic populations in order to provide culturally competent care.





References

Goldston, D. B., Molock, S. D., Whitbeck, L. B., Murakami, J. L., Zayas, L. H., & Nagayama Hall, G. C. (2008, January). Cultural considerations in adolescent suicide prevention and psychosocial treatment. American Psychology, 63(1), 14-31. doi: 10.1037/0003-066X.63.1.14.

Lundy, K. S., & Janes, S. (2009). Community health nursing Caring for the public’s health (2nd ed.). Sudbury, MA: Jones and Bartlett.

Pirruccello, L. M. (2010, May). Preventing adolescent suicide: A community takes action. Journal of Psychosocial Nursing and Mental Health Services, 48(5), 34-41. doi: 10.3928/02793695-20100303-01

Schwartz, S. A., Pyle, M., Dowd, D., & Sheehan, K. (2010, February). Attitudes and beliefs of adolescents and parents regarding adolescent suicide. Pediatrics, 125(2), 221-226. doi: 10.1542/peds.2008-2248

Spurr, S. (2009). Student perceptions of adolescent wellness (Doctoral dissertation, University of Saskatchewan). Retrieved from http://library2.usask.ca/theses/available/etd-07212009-140354/unrestricted/Finaldissetationjuly25th.pdf

U.S. Department of Health and Human Services. (2009). Healthy people 2020. Retrieved from http://healthypeople.gov/2020/topicsobjectives2020/pdfs/HP2020objectives.pdf
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