School Nurse

A nine year old girl appears at the school nurse's office at least three times a week in the morning. She complains of nausea and weakness. The school nurse's assessment is negative and the girl usually recovers fully in about 20 minutes of resting. What more does the school nurse need to learn to be able to assist this girl?

Parish Nurse

A parish nurse for a church congregation has learned that the members of the congregation are requesting an ongoing blood pressure screening one-time, monthly. There will be some expense obtaining reliable blood pressure equipment and forms. As you request the needed money from the church board, you are asked how you will determine if this program is effective. What objectives and measures will you include as you start the program to measure its effectiveness every six months?

Community Health Education Programs

Acute care hospitals and health maintenance organizations are increasing the number of community health education programs they provide. What are some of the benefits of this practice as well as any concerns you may see in this approach?

Changing approach to antibiotic use

Should health care facilities be changing their approach to antibiotic use?

Creative approach to eradicating or fighting pediatric obesity

but what new approach can be brought to the commotion of fighting pediatric obesity? What are your personal recommendations with justifications that we have not really seen yet? What is the likelihood that these "better ideas" will be pursued? What are the barriers to real change? What is a critical appraisal of the situation with some "better" plans for intervention and how they might be done?