Applying the principles from the Nursing Leadership and Health Policy learning modules students will explore the role of the Registered Nurse Leader in policy advocacy.

Topic: Opiate

List and describe any non-legislative strategies that were used or plan to be used to support the initiative.

Describe where this policy challenge is in the legislative process and its implications for the future.

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

Thank you.  

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of policies to address that issue.

To Prepare:

• Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
• Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.

 Write an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.  

Hello, please I need help answering this questions for my assignment. Two files are attached below that include the questions and instructions.

Please see the attachment 

MN 577 Midterm Alternative Assignment 

Sandra Smith is a 21 year old female G0P0 who presents to your office with complaints of 3 days of dysuria and vaginal discharge, she admits to recent, unprotected vaginal intercourse with a new male partner.

1. What do you need to include in your focused physical assessment of Sandra?

2. What diagnostic tests would you order?

3. List 3 differential diagnosis for this case study.

4. What are the potential sequele of unprotected sex? 

5. If this is an STI, what would be the course of action as a provider for the patient’s partner?

6. If you perform a wet mount, what could the results indicate?

7. What are other considerations that are needed in caring for a women’s health patient in the Primary care setting?

8. Explain your non-pharmacological management of this patient.

9. List pharmacological management of this patient. 

10. What would you need to include in your patient/family teaching?

Choose a nursing theory and research an article that includes a nursing theory and its utilization in nursing practice or nursing research. Write a two paragraph summary of the article highlighting the application of the selected nursing theory to nursing practice and reaserach.

Article should be current, peer reviewed and within a five year span.

-Use APA format for your references and citations

Module 1 – Case

INTRODUCTION TO COMMUNITY HEALTH

Assignment Overview

Understanding conceptually a community is critical to understanding this course. After reading the appropriate articles and websites listed on the Background page you should have a good understanding of what is a community and some of the differences between community health and public health.

Case Assignment

In responding to the questions below, I want you to immerse yourself into this course and try to think “out of the box.” Research points or questions you may not understand running key words through Google or another search engine. Remember, we don’t require examinations at TUI University but we do want you to demonstrate through the written word that you understand the key concepts presented in the course.

Please briefly answer the following questions:

1. Which factor do you believe most affects the health of the community? Generally, these factors are classified as physical factors, social and cultural factors, community organization, and individual behavior. Please justify your response.
2. Define community, community health and public health. Discuss the domains of personal and community health within the context of the community.
3. Discuss and explain community health practices and what are their relationship to promoting a healthy community.
4. Explain health disparity and their causes? Identify the problems related to health disparity.
5. Discuss and explain a particular Social Determinant of Health that you consider to be the most important that can be improved by changing or modifying public policy as described by Richard Wilkinson and Michael Marmot in the WHO (2008) “Closing the gap in a generation” article.

Please submit your Case Assignment by the end of Module 1. Please refer to the Trident calendar for exact due dates. Please contact me at any time should you have any questions.

Assignment Expectations

1. You are expected to consult the scholarly literature in preparing your paper; you are also expected to incorporate relevant background readings.
2. Your paper should be written in your own words. This will enable your instructor to assess your level of understanding.
3. In order to earn full credit, you must clearly show that you have read ALL required Background materials.
4. Be sure to cite your references in the text of all papers and on the reference list at the end. For examples, look at the way the references are listed in the modules and on the Background reading list. Remember, any statement that you make that is not common knowledge or that originates from your synthesis or interpretation of materials you have read must have a citation associated with it. For guidelines on in-text citations, visit the following website: https://owl.english.purdue.edu/owl/resource/560/02/
5. Proofread your paper to be sure grammar and punctuation are correct and that each part of the assignment has been addressed clearly and completely.
6. Your assignment will not be graded until you have submitted an Originality Report with a Similarity Index (SI) score <15% (excluding direct quotes, quoted assignment instructions, and references). Papers not meeting this requirement by the end of the session will receive a score of 0 (grade of F). Papers with a lower SI score may be returned for revisions. For example, if one paragraph accounting for only 10% of a paper is cut and pasted, the paper could be returned for revision, despite the low SI score. Please use the report and your SI score as a guide to improve the originality of your work.

Length: This Case Assignment should be 3-5 pages (double-spaced) in length and should include 4-5 peer reviewed references, not counting the title and references page.

Note: Wikipedia is not an acceptable source of information.

Instructions

In this assignment, you will be required to use the Heart Rate Dataset to complete the following:

• Identify the variables in the dataset
• Classify each variable as qualitative or quantitative discrete or quantitative continuous
• Specify the possible values of each variable
• Give a brief written description of what each variable tells us about the data provided.

Steps

1. Open the Heart Rate Dataset in Excel
2. There are 3 columns of data. Each column represents a different variable.  What are the 3 variables represented in the dataset?
3. Identify each of the 3 variables as qualitative, quantitative discrete, or quantitative continuous
4. Identify the possible values of each of the 3 variables in this dataset.
5. Briefly describe what information each of the 3 variables tells us about the data

Additional Instructions:

Your assignment should be typed into a Word or other word processing document, formatted in APA style. The assignments must include

Assignment #1 

Do two trifold client teaching flyers – one on Schizophrenia and one on Bipolar I (mania) 

Flyer should have a section providing key info on the disease. 

Signs symptoms of the disease expected findings for each condition.

Risk factor for each disease. Bipolar I pg 73 of the attached textbook. And schizophrenia pg. 77. 

Medication used for each condition. 

What can you teach your client regarding disease management? 

Tips on medication management for each condition this is in the textbook.

Nursing considerations and actions for each condition – this is in the textbook.

The information should be presented in short bullets points. 

Assignment #2 800 words. 

Watch the You tube Video – “Schizophrenia Simulation, Are Schizophrenia Simulations Accurate?” 

Described what you have learned regarding Schizophrenia?

What signs symptoms and expecting finding are seen in this condition? 

Is the information presented council with the information presented in the textbook and other resource? 

How has this video increased your perception and learning experience? provide examples and details. 

Use at least 4 references in your response. 

Assignment #3 

Find one scholarly article on nursing interventions related to either Schizophrenia – then write a 2-page summary of the article and submit a copy of the article. The original article must be submitted. 

work must be in APA format. 

1. Directly respond to at least one classmate in a way that extends meaningful discussions, adds new information, and/or offers alternative perspectives.

Importance of Social, Biological, and Genetic Determinants

I do not think that social determinants are necessarily more important than the biological and genetic determinants of health for health educators to understand.  The biological makeup of a person is important, a person may have been born with ‘HIV, sickle-cell anemia, hemophilia, cystic fibrosis, BRCA1 or BRCA2 gene (risk of breast and ovarian cancer),’ (Healthy People 2020, 2020).  Knowing these underlying conditions about a person will significantly affect their future.  Genetic conditions that they are born with could greatly influence what conditions they must be raised in, the level of care they will require, what support they will need, and much more.  Although understanding genetic determinants is important, understanding social determinants are equally important to a person’s welfare.  Social determinants help us understand hose affected by them because they allow us to grasp a clearer understanding of why someone behaves a certain way if it is outside the scope of a social norm.  A person who does not have access to adequate education, health care, community support, or is exposed to criminal activity and violence may be steered down a path of self-destruction because the environment they grew up in does not support healthy behavior (Healthy People 2020, 2020). 

Influence of Health Education

There are many opportunities for health educators to influence education to improve the living situations of the people that are most affected by social determinants.  Establishing community programs is critical in regards to those exposed to violent situations because it presents an opportunity to socialize with people that one, wants to help them succeed and two, socialize with peers that also have the desire for a better future.  A mentorship program will allow for one-on-one interactions with affected people to encourage them to continue on the right path to a bright future.  Outreach programs to at-risk youth and teens will initiate the connection between those at-risk and those that want to ensure those teens will make for positively influential citizens.  Teaching youth about job opportunities and how to function in the workforce is another way to create an environment that encourages them to be productive members of society.  Health education needs to encourage different avenues to deter negative social determinants to create environments where all people can be successful. 

Conclusion

Social, biological, and genetic determinants are equally important for health educators to understand because each component holds value in determining the future of a child.  Biological and genetic determinants are important for the medical aspect of their future whereas social determinants can influence how a person may act.  Health education should get more involved in creating programs that help at-risk youth and ensuring that they have all opportunities to be successful in their future. 

Very Respectfully,

Victoria Williams