Epidemiology Paper Part Three: Implementation and Evaluation The Epidemiology Paper is a practice immersion assignment designed to be completed in three sections. This is part three of the assignment. Learners are required to identify theories for implementation and evaluation of prevention and health promotion activities for an at risk population.General Guidelines:Use the following information to ensure successful completion of the assignment:This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.This assignment requires that support your position by referencing at least six to eight scholarly resources. At least three of your supporting references must be from scholarly sources other than the assigned readings.You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.Directions:This assignment comprises the third and final part of the Epidemiology Paper. Write a 2,000-2,500 word paper that provides the following:Identify a public health theory you will use to support the implementation of your prevention and health promotion activities. Provide evidence that supports the use of this theory within the program you designed.Design evidenced-based prevention and health promotion activities that can be implemented to decrease the health risk among your previously identified population.Identify the evaluation program you will use to determine the efficacy of your health promotion activities and in meeting the expected outcomes.

Assignment:Mrs. R., an 87- year- old patient, has a past history that includes coronary artery disease, a previous stroke, and advanced Alzheimer's disease. Ten days ago, Mrs. R. was hospitalized for aspiration pneumonia and has been ventilator dependent since being admitted to the intensive care unit in a small rural hospital. Family members visit daily and have repeatedly voiced their concern to the nursing staff about the continued ventilator support that Mrs. R. is receiving, most notably the fact that Mrs. R. would never have wanted such care. They also note that Mrs. R. has not recognized them in past months and that they plan to visit less in future days, but can be contacted should any change in Mrs. R.' s condition occur. Her primary physician has practiced in this community for multiple years; he is well known for his reluctance to discontinue any type of life support for any patient. When questioned, Dr. G.' s consistent response is, if this were his frail 92- year- old mother, he would prescribe the very same treatment for her. Dr. G. has now requested that the nurses talk to the family about moving Mrs. R. to a major medical center, where she can receive more advanced care, including vigorous rehabilitation and physical therapy, so that she may eventually return to a long- term nursing care facility. How might the nurses in this scenario respond to the physician's request? How would this scenario begin to cause moral distress among the nursing staff, and what are the positive actions that the nurses might begin to take to prevent moral distress?Read Exercise 4.1 (Guido, p. 44) and apply the MORAL model to resolve the dilemma.Read the case study presented at the end of Chapter 3. Examine the above scenario from the perspective of health care policy. How would you begin to evaluate the need for the policy and the possible support or lack of support for the policy from your peers, nursing management, and others who might be affected by the policy? Do the 10 questions outlined by Malone (as listed in Guido, p. 50) assist in this process? Draft a proposed policy to address the issue you have identified. What compelling right does this case address?Whose rights should take precedence?Does a child (here, a competent 14-year old) have the right to determine what will happen to him? Should he ethically have this right?How would you have decided the outcome if his disease state had not intervened? Required Textbook:Guido, G. W. (2014). Legal and ethical issues in nursing (6th ed.). Upper Saddle River, NJ: Prentice Hall. ISBN: 978-0-1333-5587-1Pozgar, G. D. (2013). Legal and ethical issues for health professionals (3rd ed.). Boston: Jones and Bartlett. ISBN: 978-1-4496-7211-9Recommended Textbooks:Smith, M. H. (2012). The legal, professional, and ethical dimensions of higher education (2nd ed.). Philadelphia: Lippincott. ISBN: 978-0826199539Grace, P. (2013). Nursing ethics and professional responsibility in advanced practice (2nd ed.). Boston: Jones and Bartlett. ISBN: 978-1449667429