Scenario

The scarcity of health resources continues to negatively affect communities across the country. Deciding how to allocate scarce resources creates significant ethical challenges for local policymakers and other stakeholders within the community.

You represent a local non-profit community health organization in Chicago. Your organization is compiling data to conduct a needs assessment in order to determine the feasibility of a new community-based mobile health clinic. You have been asked to review the most recent strategic plan for the city of Chicago.

The mobile clinic would offer free preventive care, urgent care, and chronic disease management services to vulnerable citizens of Chicago, who may not otherwise have the financial resources to access quality healthcare services. Your executive summary will be used in the development of a needs assessment for the project.

Your targeted population is an urban, low income community disenfranchised by current health reform policies, high unemployment, a shortage of primary care physicians, and divisive partisan attitudes regarding entitlement programs. The goal of the community-based clinic is to work collaboratively with local health facilities to reduce costs, improve access, and to enhance the quality of care for underserved communities.

Instructions

Review the community health needs assessment linked here

that was conducted by the Health Impact Collaborative of Cook County. Pages 37 – 49 of the report highlight challenges facing the city with respect to costs, access, and quality of care issues.

Write an executive summary addressing the following questions:

What are some of socio-economic factors that affect access to care based on the findings in the report?

What are the critical focus areas identified in the report?

Based on the report’s content, how might the use of a mobile health clinic address the critical focus areas?

What are some of the potential barriers to success for a mobile health clinic?

APA formatting for the reference list, and proper grammar, punctuation, and form are required. 

1) Minimum 1 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________ 

See PPT Ch07

The nurse is completing a cardiovascular assessment on a patient diagnosed with orthostatic hypotension. 

1. Identify what can result in a false high or false low blood pressure reading.

Based on specific medical conditions, the nurse may assess variations in vital signs. 

2. Discuss medical conditions that are associated with variations in a person’s vital signs.

In an essay of 1500 to 2000 words, using at least 2 APA style cited references, write an essay in APA style on:

1. A 10th grader is brought to you by a teacher. She whispers in your ear to please look at the forearms of the girl because she suspects cutting. What is cutting? Examine the different reasons for cutting. Who in the school could you collaborate with to help the adolescent? Would you call her parents? Her pediatrician? After you have taken care of the situation, the teacher comes back “wanting the scoop”. What do you tell the teacher? Support your answers with legal reasons for or against your answer.
2. You are a middle school nurse. One of the popular jocks on the basketball team committed suicide over the weekend. It is now Monday morning.  Review the mental health considerations of this issue. Synthesize the information and explain what you would do about the mental health issue, what may follow, and the crisis at school.
3. You are part of a committee to prepare a disaster plan for your elementary school. Review your textbook, synthesize the information, and report what your role would be. Of chief concern are your children with chronic illnesses.

 PLEASE  FOLLOW THE REQUIREMENT STEP BY STEP

Requirements:

This paper should clearly and comprehensively discuss a chronic health disease. 

Week 6 Paper:  Cystic Fibrosis 

The data should reflect the United States.  My state is Maryland, My county is Howard, My city is laurel 

The paper should be organized into the following sections:

1. Introduction (Identification of the problem) with a clear presentation of the problem as well as the significance and a scholarly overview of the paper’s content. No heading is used for the Introduction per APA current edition. 
2. Background and Significance of the disease, to include: Definition, description, signs and symptoms, and current incidence and/or prevalence statistics by state with a comparison to national statistics pertaining to the disease.  Create a table of incidence and prevalence rates by your geographic county/city or state with a comparison to national statistics. Use the APA text for formatting guidelines (tables).  This is a table that you create using relevant data, it should not be a table from another source using copy/paste.
3. Surveillance and Reporting: Current surveillance methods and mandated reporting processes as related to the chronic health condition chosen should be specific.
4. Epidemiological Analysis:  Conduct a descriptive epidemiology analysis of the health condition. Be sure to include all of the 5 W’s:  What, Who, Where, When, Why.  Use details associated with all of the W’s, such as the “Who” which should include an analysis of the determinants of health.  Include costs (both financial and social) associated with the disease or problem.
5. Screening and Guidelines:  Review how the disease is diagnosed and current national standards (guidelines).  Pick one screening test (review Week 2 Discussion Board) and review its sensitivity, specificity, predictive value, and cost. 
6. Plan:  Integrating evidence, provide a plan of how a nurse practitioner will address this chronic health condition after graduation.  Provide three specific interventions that are based on the evidence and include how you will measure outcomes (how will you know that the interventions have utility, are useful?)  Note:  Consider primary, secondary, and tertiary interventions as well as the integration of health policy advocacy efforts.  All interventions should be based on evidence – connected to a resource such as a scholarly piece of research. 
7. Summary/Conclusion: Conclude in a clear manner with a brief overview of the keys points from each section of the paper utilizing integration of resources. 
8. The paper should be formatted and organized into the following sections which focus on the chosen chronic health condition.
9. Adhere to all paper preparation guidelines (see below).

TEXTBOOK:  Curley, L. A., & Vitale, A. P. (2016). Epidemiological Methods and Measurements in Population-Based Nursing Practice: Part II. In Population-Based Nursing, Concepts and Competencies for Advanced Practice (2nd ed. 

Preparing the Paper:

1. Page length: 10 pages, excluding title page and references.  
2. APA format current edition
3. Include scholarly in-text references throughout and a reference list.
4. Include at least one table that the student creates to present information. Please refer to the “Requirements” or rubric for further details.  APA formatting required.  
5. Length: Papers not adhering to the page length may be subject to either (but not both) of the following at the discretion of the course faculty: 1.  Your paper may be returned to you for editing to meet the length guidelines, or, 2. Your faculty may deduct up to five (5) points from the final grade. 

Learning Resources

Required Readings

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
Standard 10 “Quality of Practice” (pages 73-74)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

“Schizophrenia Spectrum and Other Psychotic Disorders”

Giles, L. L., & Martini, D. R. (2016). Challenges and promises of pediatric psychopharmacology. Academic Pediatrics, 16(6), 508-518. doi:10.1016/j.acap.2016.03.011

Hargrave, T. M., & Arthur, M. E. (2015). Teaching child psychiatric assessment skills: Using pediatric mental health screening tools. International Journal of Psychiatry in Medicine, 50(1), 60-72.

McClellan, J., & Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with schizophrenia. Journal of the American Academy of Child & Adolescent Psychiatry, 52(9), 976–990. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00112-3/pdf

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 31, “Child Psychiatry” (pp. 1268–1283)

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

Note: All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

To Prepare for this Assignment:

• Review the Learning Resources concerning early-onset schizophrenia.

The Assignment (2 pages):

• Compare at least two evidence-based treatment plans for adults diagnosed with schizophrenia with evidence-based treatment plans for children and adolescents diagnosed with schizophrenia.

• Explain the legal and ethical issues involved with forcing children diagnosed with schizophrenia to take medication for the disorder and how a PMHNP may address those issues.  

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and at least three references less than five years old.

1) Explain the role of the community health nurse in partnership with community stakeholders for population health promotion. 

2)Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.) as part of a community assessment and why these resources are important in population health promotion.

QUESTION 1 Describe the nurse’s role and responsibility as a health educator. What strategies, besides the use of learning styles, can a nurse educator consider when developing tailored individual care plans, or for educational programs in health promotion? When should behavioral objectives be utilized in a care plan or health promotion?                                                                                                                                                     QUESTION 2 A. Describe a health promotion model used to initiate behavioral changes. B.How does this model help in teaching behavioral changes? C. What are some of the barriers that affect a patient’s ability to learn? D. How does a patient’s readiness to learn, or readiness to change, affect learning outcomes?

Why did you choose nursing as your major? 

Be at least 300 words

All guidelines are in the file below

Part 1: Progress Note

Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):

• Treatment modality used and efficacy of approach 
• Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals)
• Modification(s) of the treatment plan that were made based on progress/lack of progress
• Clinical impressions regarding diagnosis and/or symptoms
• Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)
• Safety issues 
• Clinical emergencies/actions taken 
• Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)
• Treatment compliance/lack of compliance
• Clinical consultations
• Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)
• Therapist’s recommendations, including whether the client agreed to the recommendations
• Referrals made/reasons for making referrals 
• Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
• Issues related to consent and/or informed consent for treatment 
• Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
• Information reflecting the therapist’s exercise of clinical judgment

Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from the Week 3 Practicum Assignment.

• The privileged note should include items that you would not typically include in a note as part of the clinical record. 
• Explain why the items you included in the privileged note would not be included in the client’s progress note.
• Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.

1- Discussion question: Discuss the characteristics and requirements that research tools should have on quantitative research to give validity to the study. Give some examples 

2-APA style

3- 3 paragraphs of 3 sentences each

4- 2 references not older than 2015