Assignment: Analysis of a Pertinent Healthcare Issue

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

see attachment

Incorporate topic discussion into clinical judgment and decision making within the setting

Scenario: Abuse
• Mr. CO is a 75, year old male. He was admitted to your unit with Pulmonary Fibrosis. As you are walking towards his room to administer medications you hear his son say to him in a nasty tone of voice: “Stop being so stubborn. I need you to give me access to your bank accounts. You’re going to die alone unless you start cooperating”. As you enter he room, the son leaves quickly and you notice the patient has tears in his eyes. You ask “Is everything okay?” Mr. CO shakes his head yes, but remains nonverbal and does not make eye contact. You administer his medications and leave the room.

Directions:

•What types of elder abuse did you notice in the scenario? (give examples and explain)
•What signs, (in the scenario) if any suggest that the nurse should ask some follow up questions?
•As a nurse in this scenario what is your next action?
•How can older adults protect themselves from ever becoming victims of abuse or mistreatment?

1) Minimum 13 full pages (Follow the 3 x 3 rule)

             Part 1: minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 3 pages

              Part 4: minimum 4 pages

             Part 5 : minimum 2 pages  (48 hours)

             Part 6 : minimum 2 pages  (48 hours)

Submit 1 document per part

2)¨******APA norms, please use headers

          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 and SafeAssign****************************

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 

__________________________________________________________________________________

Part 1:  Blood pressure 

1. Choose one of the following conditions ( Blood pressure) and explain it in elderly people

2. Discuss the implications and potential solutions nurses can offer to the older adult.

Part 2:  

Change proposal Issue:  Infection control and prevention in University Plaza Nursing and Rehabilitation center

Topics: cleaning and desinfection; standard precaution and cross contamination

Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan.

1. Write a word strategic plan defining how the nursing practice intervention will be implemented in the capstone project change proposal.

Part 3:  

Research the health-illness continuum and its relevance to patient care. Discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.

2. Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing.

3. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.

4. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

Part 4:  

Your patient is a 23-year-old female. She presents with coughing and wheezing which she stated started about three weeks ago. She is currently 25 weeks pregnant. Her last prenatal visit was one month ago in another state. She has an appointment with the prenatal care provider next week, however her respiratory symptoms brought her to your office today.

History – Chickenpox as a child. Asthma as a child, diagnosed at age 8 for which she used a SABA when needed. She has not had the need to use an inhaler since she was 19. She takes only her prenatal vitamin. No other acute or chronic problems. She advises you that she is up to date on all immunizations except she has not had a flu shot (it is October).

Social – Non-smoker, no drug use. She relocated to your state two weeks ago to get away from an abusive domestic situation. She has no support network in this area and has not yet found employment. She has no medical insurance.

HPA – Non-productive cough x 3 weeks. Wheezing audible from across the room. She states it is like this all day and wakes her from sleep every night. She reports that she is fatigued even in the morning. No other complaints.

PE/ROS – Pt appears disheveled but clean. Wheezing in all lung fields. T 98, P 82 regular, R 28 no stridor. FH 130 regular. The remainder of the exam is WNL.

Directions:

1. Diagnose the patient based on the above findings and provide your rationale for how you arrived at the diagnosis.

2. Develop a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.

3. Describe community resources (using your own community) currently available in your state/city  (Florida)  to support this patient.

4. Provide a communication plan that you will use to ensure the patient is an active participant in the treatment plan. Refer to therapeutic communication concepts.

3. Describe community resources (using your own community) currently available in your state/city (florida)  to support this patient. use patient-facing sources or general nursing texts. 

Part 5:  (48 hours)

L.L. is a 67-year-old male who has been diagnosed with BPH. He is having difficulty with urination. He is currently on Cozaar 100 mg for HTN and his BP is well controlled. He is taking no other medications. The doctor has recommended medication for his BPH, but he would like to try a herbal supplement before taking a prescription medication.

1. Would you recommend a herbal supplement in L.L’s case?

2. If so, what herbal supplement would he take?

3. What is the recommended dosage?

4. What are possible side effects of the herbal supplement?

5. What warnings should you give L.L. before he starts the herbal supplement.

Part 6:  (48 hours)

Virginia Henderson: Definition of Nursing

Dorothy Johnson: Behavioral Systems Model

Imogene King: Interacting Systems

Madeleine Leininger: Culture Care Diversity and Universality

 After watching one of the theorist videos, reflect about what you have learned.

Compose a paper that addresses the following:

1.Explain why you chose to watch this particular theorist’s video.

2.Describe the parts of your personal philosophy where you agree or disagree with this theorist.

3.Is there anything that surprised you in the video? If so, what surprised you?

4. Would you recommend this video to another student? If so, why would you recommend it?

1. What value did you receive from watching it?

Minimum of 250 words with at least 1 peer review reference in 7th edition apa style

• Why is skilled communication among health professionals so difficult to achieve? How will you overcome the use of ineffective communication?

 Research best practices for Discharge Process, APA formatted paper (1-2 pages body), minimum of 2 sources

Write a 3 page paper on environmental health, the environmental factors that impact health, and your role with improving/ eliminating environmental barriers to health. Use the following organization:

1. Title page: Environmental Health and Health Effects on Environmental Change
2. Introduction: One paragraph (minimum of 4 to 5 sentences).
3. Synopsis: (include all pertinent information obtained in this lesson (Lesson 2).
4. Sub-Titles:
   • Environmental Factors that Impact Health
   • My role in Improving/ Eliminating Environmental Barriers to Health (give specific examples of how you can make a difference).
5. Summary and Conclusion: (minimum of one paragraph of 4 to 5 sentences). 
6. References: Must use a minimum of 3 reference besides the textbook that is 5 years or newer (2013-2018). 

• Textbook: Chapter 9, 10, 11
• Link (Word doc): (Use this template to complete the assignment.)
• Lesson

Introduction
Instagram, Snapchat, and Facebook are undoubtedly dominating the world of online social networking, and the willingness of many users to self-disclose personal information ranging from moods to religious affiliation, relationship status, and personal contact information has led to an increase in privacy concerns. They offer convenient opportunities to stay in touch with friends, family, and coworkers, but are people using them responsibly? Some argue that there are fundamental differences between today’s digital natives, whose private and public selves are intertwined through these technologies, and older generations (Kornblum, 2007).

Even though some colleges are offering seminars on managing privacy online, we still hear stories of self-disclosure gone wrong, such as the football player from the University of Texas who was kicked off the team for posting racist comments about the president or the student who was kicked out of his private, Christian college after a picture of him dressed in drag surfaced on Facebook. However, social media experts say these cases are rare and that most students are aware of who can see what they are posting and the potential consequences (Nealy, 2009). The issue of privacy management on Facebook is affecting parent-child relationships as well. As the website “Oh Crap. My Parents Joined Facebook.” shows, the results can sometimes be embarrassing for the college student and the parent as they balance the dialectic between openness and closeness once the child has moved away.

Instructions
For this assignment, address the following:

1. How do you manage your privacy and self-disclosures online?
2. Do you think it is ethical for school officials or potential employers to make admission or hiring decisions based on what they can learn about you online? Why or why not?
3. Are you or would you be friends with a parent on Instagram, Snapchat, or Facebook? Why or why not? If you already are friends with a parent, did you change your posting habits or privacy settings once they joined? Why or why not?

Writing Requirements (APA format)

• Length: 1.5-2 pages (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (as needed)

Grading
This activity will be graded based on W7 Reflection Grading Rubric.

Course Outcomes (CO): 5, 7

Due Date: By 11:59 p.m. MT on Sunday

References

Kornblum, J. (2007). Privacy? That’s old-school: Internet generation views openness in a different way. USA Today, 1D. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=J0E220919494007&site=eds-live&scope=site

Nealy, M. J., (2009). The new rules of engagement. Diverse: Issues in Higher Education. 26(3), 13. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a2h&AN=37584844&site=eds-live&scope=site

Oh crap. My parents joined Facebook. (n.d.). https://myparentsjoinedfacebook.tumblr.com/

I need to write an APA STYLE essay it must 1000 words or 3 pages. No plagiarism 

*****I need this essay for today at 5 pm Miami, Florida Time********

• Prepare a written essay regarding the Healthcare Reform, its benefit, and its negative aspects. Analyze the current situation of healthcare services in the state of Florida.
• Use the APA style, and send it via Blackboard for evaluation. You may use at least three bibliographic references. Avoid plagiarism by submitting your work to SafeAssign.

PLEASE USE THESE ARTICLCES IT MUST BE 3 REFERENCE YOU CAN ADD IF YOU NEED TO .

#1 https://www.healthaffairs.org/doi/full/10.1377/hlthaff.12.2.7

#2  https://www.ju.edu/publicpolicy/docs/juppihealthcareconf-jimoloughlin.pdf   

#3  https://assets.aarp.org/rgcenter/health/state_hcb_09_fl.pdf

 Identify the different theories and their implications on the aging process.

1. Define aging from biologic, sociologic, and psychological theories.
2. Develop nursing interventions based on the psychosocial issues and biologic changes associated with older adulthood.
3. Discuss several nursing implications for each of the major biologic, sociologic, and psychological theories of aging.
4. Based on your experience what health promotion strategies would you recommend to facilitate successful aging?

Submission Instructions:

• The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
• The paper is to be formatted per current APA, be clear, concise and students will lose points for improper grammar, punctuation and misspelling.
• The paper is to be 3-4 pages in length, excluding the title, abstract and references page.
• Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
• Journal articles and books should be referenced according to current APA style.