PUBLIC HEALTH NUTRITION
Task: This assignment is not exactly either an essay or a case study.  The best way to address it is to answer each question separately.  The first part is a small essay on breastfeeding inequities, but using the HEAT questions to guide it. The next parts are sort of case studies in that you refer to actual settings/ initiatives in NZ, but answer them as the question asks and use the HEAT templates (I will upload a file about it).  You can use the actual template or you can just refer to the sections in it- either ways is OK.
Assignment: (the underlining words have more detailed in a separate file)
The National Strategic Plan of Action for Breastfeeding 2008-2012 sets out a framework to support the establishment of a breastfeeding culture in New Zealand. The Plan is underpinned by the Ottawa Charter and sets out desired objectives and outcomes for support at family/whanau, community, regional and national levels.
1.    Using the Health Equity Assessment Tool (HEAT) identify and discuss what inequalities exist in relation to targets for full and exclusive breastfeeding. Use the HEAT tool (steps 1-3) to guide your answer. ( I will upload a file about HEAT tool)
2.    In a setting of your choice, describe and critique policies and practices that may create, maintain, increase or decrease inequalities associated with breastfeeding.
(focus on one setting) Read about settings in the first section of the study notes ( I will upload it in another word file). You may want to choose a setting that was mentioned in section 1, but not necessary
3.    In this same setting propose additional interventions that will:
a.    Reduce inequalities.  Distribute the cause of inequalities across the four levels of the intervention framework. Use the Heat tool, template for step 4, to discuss possible ways to intervene to reduce these inequalities.
b.    Address needs of Maori by considering the Treaty of Waitangi and Maori models of health (I will upload it).
4.    Choose one breastfeeding promotion intervention currently active in this setting (an actual activity that is taking place in NZ, in the setting you chose for the previous questions.  It could be a national activity or it could be something in one location, e.g. you could find out what is happening in your local community).
a.    Briefly describe the intervention
b.    Use Heat tool steps 6-8 to evaluate the activity.  Refer to any data available.
c.    Based on the evaluation suggest ways it could better help reduce inequalities (step 9).
d.    Describe how the intervention could actually be evaluated (step 10).
This assignment is both practical application and an academic exercise.  The main focus is in the application of the HEAT tool and exploring inequality.  As an academic exercise you will need to refer to the literature to support your statements, for example, if you suggest a specific type of workforce policy promotes breastfeeding cite evidence to support this. Length 7- 10 (max) pages.
Requirements:
•    Identification and discussion of inequalities related to breastfeeding target.
•    Critique policies and policies impact on inequalities; show understanding of a settings-based approach to health promotion (focus on one setting).
•    Propose interventions to address inequalities (Possible intervention in that setting. Multiple foci/ strategies.
•    Existing breastfeeding promotion activity in NZ
–    Describe breastfeeding intervention (use Logic Model)
–    Review and evaluate using HEAT (Evaluation of intervention using HEAT (steps 6-10))
?    Use exiting data, literature on effective ways to promote breastfeeding, brain storm (based on your knowledge), identify who /how you would consult and /or other data you would collect.
?    References & presentation
Explanations:
?    when the assignment refers to the ‘steps’ of HEAT this means the ‘questions’
?    ‘Setting’ is a public health term, although you understand the word in English you should read about it in the first section of the study notes (I will upload it). For the assignment please clearly state the setting you are referring to
?    ‘policies and practices’ in the setting refers to national policies related to breastfeeding as well as other policies or practices that might be relevant
?    An ‘intervention currently active in your setting’ could cover a wide range of possibilities. If it’s a very large intervention with a lot of activities/aspects you may want to focus in depth on some part(s) of it– that is OK, just clearly define what activity (ies) you are referring to.
?    HEAT template- you can use the actual template or just use the headings. Note, if you use the template you still need to reference/support with evidence your statements.  So for example if you state that increased parental leave will support breastfeeding you need a reference to support that.

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Question Description

Read the following case study.

You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had coronary artery bypass graft surgery four days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks. Staff members, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia.

Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. His secretions were thick, and you observed that the nurse was instilling saline into the patient’s endotracheal tube as she was suctioning him. The patient turned red and began coughing, and it was obvious he was in distress.

You asked the nurse why she was instilling saline into his endotracheal tube. She replied that this was being done to loosen the secretions. You told her this was no longer an acceptable practice. She stated that she many years of critical care experience and she didn’t care what anyone said, that the only way you could loosen the patient’s secretions would be to instill saline. She also said that would be the last time she would do something for one of your patients while you were at lunch.

Determine a plan of care for the patient using the nursing process.

Define each step of the nursing process and align each step to critical thinking and clinical decision-making processes.

Format your care plan as a concept map using visual presentation software, such as bubbl.us from the College of Education Technology Resource Library

1. Click Web Tools.
2. Click Collaboration & Productivity.

Format your alignment of the nursing process with the critical thinking process and clinical decision-making process in a document, table, or other visual representation approved by your instructor.

Click the Assignment Files tab to submit your assignment.

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Please respond to this discussion and student respond, this two part question.

Employees’ Development Please respond to the following:

• Assess the benefits of two types of development activities that would affect employee performance within a management training program in any company.

Second part is Catherine post.

Employees’ Development” Please respond to the following:

1. Assess the benefits of two types of development activities that would affect employee performance within a management training program.
   1. According to the course material in chapter 10 page 420, executive/management education programs at universities provide knowledge and skills of a general nature. These programs cover the range of management issues form traditional MBA functional areas to the development of strategic visioning skills. Other sources of management development activities include training vendors, consultants, and professional associations.
   2. The principal advantages of extremely based programs are as follows:
   3. The expose managers to the current thinking and theory in management.
   4. They remove organizational constraints in exploring new approaches.
   5. They allow interchange of ideas among managers from different organizational backgrounds.
   6. They cost less per person than internally developed programs.
2. From the scenario, determine two effects of employee development.
   1. The benefits of the two types of development activities that would affect employee performance within a management training program are as follows:
   2. Job Rotation
   3. Helps employee development by perhaps providing an alternative career path.
   4. Gives employees diverse skills, and increases their flexibility within the organization.
   5. Higher productivity, greater creativity, and an energized work force are all possible outcomes.
   6. Team Building
   7. Improves group effectiveness
   8. Improve decision making
   9. Improves interaction with others.
   10. The two effects of employee development from the scenario are increased productivity and employee retention.

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Estimate the following quantities without using a calculator. Then find a more precise result, using a calculator if necessary. Discuss whether the approximation technique worked.

a. 200,000×100

b. 5.2 million ×2.6 thousand

c. 4×10^9÷(1.7 x 10^6)

The approximate value of 200,000×100 is

(Use scientific notation. Use the multiplication symbol in the math palette as needed.)

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