Assignment Content Review the Healthy People 2020 Leading Health Indicators.Select one leading health indicator and research a state-level health prevention program aimed at achieving it.Locate your state's vital statistics and/or census data to compare the outcomes of the selected leading health indicator.Evaluate the state-level program's effectiveness in meeting the Healthy People 2020 goals based on your statistical and census data findings.Determine if there is evidence in your community of alignment to the Healthy People 2020 goals through local programs and funding.Explain the evidence by providing links, a description, and summary of the program(s).Format your assignment as one of the following:18- to 20-slide presentation3- to 4-minute podcast15- to 20-minute oral presentation875-word paperLegal-sized infographic2.Assignment Content Develop a graphical representation showing the indicators of morbidity and mortality for the leading health indicator you selected for this week's Public Health Program Planning assignment.List a minimum of five indicators and provide a rationale for each.Cite any gaps in programs to address the indicators.Format your assignment as one of the following:Concept/mind mapMatrixChart

Please address all topics in part 1 and 2 along with an outlineGrading Criteria0 No Pass0pointsF 1 No Pass1pointsC 2 Competence2pointsB 3 Proficiency3pointsA 4 Mastery4pointsGrading RubricFFCBA01234Did not SubmitNo PassCompetenceProficiencyMasteryNot SubmittedConfusing or incomplete description of the health determinants affecting the selected vulnerable population with incomplete detail on each determinant: social and economic environment, physical environment, individual characteristics, and behaviors.Basic description of the health determinants affecting the selected vulnerable population with minimal detail on each determinant: social and economic environment, physical environment, individual characteristics, and behaviors.Accurate description of the health determinants affecting the selected vulnerable population with detail on each determinant: social and economic environment, physical environment, individual characteristics, and behaviors.Exemplary description of the health determinants affecting the selected vulnerable population with comprehensive detail(s) on each determinant: social and economic environment, physical environment, individual characteristics, and behaviors.Not SubmittedConfusing or incomplete description about the role of the public health nurse in helping the selected vulnerable population.Basic description about the role of the public health nurse in helping the selected vulnerable population, no example provided.Accurate description about the role of the public health nurse in helping the selected vulnerable population with example.Exemplary description about the role of the public health nurse in helping the selected vulnerable population with comprehensive example(s).Not SubmittedConfusing or incomplete development of multidimensional strategies with no details on how they are used as interventions for selected vulnerable population.Basic development of two multidimensional strategies used with minimal detail on how they are used as interventions for selected vulnerable population.Accurate development of two multidimensional strategies with detail on how they are used as interventions for selected vulnerable population.Exemplary development of two multidimensional strategies with comprehensive detail(s) on how they are used as interventions for selected vulnerable population.Not SubmittedProvided confusing ideas with an attempt at professional language and attribution for credible sources with numerous APA citation, spelling, and grammar errors in the report.Attempted to provide stated ideas with professional language and attribution for credible sources with some APA citation, spelling, and grammar errors in the report.Provided stated ideas with professional language and attribution for credible sources with minimal APA citation, spelling, and grammar errors in the report.Provided stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar in the report.CompetencyDesign multidimensional strategies of care considering the health determinants of vulnerable populations.ScenarioYou are a new public health nurse working for the Department of Public Health, and you have been asked to create a report on one of the following vulnerable populations in your community: homeless population, ethnic or minority group, elderly, or pregnant woman and children in low socioeconomic areas. The report will provide your department with current information about your community as well as offer interventions for the selected vulnerable population within your community.InstructionsCreate a report on one vulnerable population in your community that:Part One – Vulnerable PopulationSelects one vulnerable population from below:Homeless populationEthnic or minority groupElderlyPregnant woman and children in low socioeconomic areasDescribes the health determinants affecting the selected vulnerable population, including:Social and economic environmentPhysical environmentIndividual characteristicsBehaviorsPart Two – Public Health Nurse & Multidimensional StrategiesDescribes the role of the public health nurse in helping the selected vulnerable population.Develops two multidimensional strategies used as interventions for selected vulnerable population.Provides stated ideas with professional language and attribution for credible sources in text citations with correct APA citation, spelling, and grammar in the report.

Chief complaint:  “ My right great toe has been hurting for about 2 months and now it’s itchy, swollen and yellow. I can’t wear closed shoes and I was fine until I started going to the gym”. HPI: E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation, and “yellow” right great toe. She noticed that the toe was moderately itching after she took a shower at the gym. She did not pay much attention. About two weeks after the itching became intense and she applied Benadryl cream with only some relief.  She continued going to the gym and noticed that the itching got worse and her toe nail started to change color. She also indicated that the toe got swollen, painful and turned completely yellow 2 weeks ago. She applied lotrimin  AF cream and it did not help relief her symptoms. She has not tried other remedies. Denies associated symptoms of fever and chills.  PMH: Diabetes Mellitus, type 2. Surgeries: None Allergies: Augmentin Medication: Metformin 500mg PO BID. Vaccination History:  Immunization is up to date and she received her flu shot this year. Social history: College graduate married and no children. She drinks 1 glass of red wine every night with dinner. She is a former smoker and quit 6 years ago. Family history:Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, HTN. ROS: Constitutional: Negative for fever. Negative for chills. Respiratory: No Shortness of breath. No Orthopnea Cardiovascular: Regular rhythm. Skin: Right great toe swollen, itchy, painful and discolored. Psychiatric: No anxiety. No depression. Physical examination: Vital Signs Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0, P 88 R 22, non-labored HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: No Crackles. Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. 1+ pitting edema ankle bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: Slow gait but steady. No Kyphosis. SKIN: Right great toe with yellow-brown discoloration in the proximal nail plate. Marked periungual inflammation. + dryness. No pus. No neuro deficit. PSYCH: Normal affect. Cooperative. Labs: Hgb 13.2, Hct 38%, K+ 4.2, Na+138, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98. Assessment: Primary Diagnosis: Proximal subungual onychomycosis Differential Diagnosis:  Irritant Contact Dermatitis, Lichen Planus, Nail Psoriasis Special Lab: Fungal culture confirms fungal infection. ___________________________________________________________________________________________ As an NP student, you need to determine the medications for onychomycosis. 1. According to the AAFP/CDC Guidelines A) what antifungal medication(s) should this patient be prescribed  B) for how long?  C ) Write her complete prescriptions using the prescription writing format in your textbook.              * Medication:              *Dosis:              *Duration:            *Note:  2.  What labs for baseline and follow up of therapy would you order for this patient? Give rationale.