Nola Pender Assignment

Choose one health-promoting behavior in which you personally could but don’t engage. Identify factors, as defined in the health promotion model, which contribute to your decision not to participate. Include immediate competing alternatives.

2. Analyze factors that contribute to your participation in a health-promoting activity and place each factor under the appropriate label from the health promotion model.

3. Consider your own philosophy of health and prepare your description of wellness. Is absence of disease more prominent than positive, active statements of health?

4. Anticipate the health-promoting behaviors important at various stages of development across the life span. What health promotion topics do you include in your practice?

Professional Capstone and Practicum Reflective Journal. BY12/4

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy
  10. Leadership and economic models
  11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

AttachmentsRunning head and page header in APA 6th edition-1.pdf
References in APA format using Microsoft Word.pdf
Examples of Citations and References from OWL Purdue APA.pdf
APA-6th-Edition-Template-without-Abstract-1.docx
APA-6th-Edition-Template-with-Abstract (2).docx
Example of References format.pdf

community health nursing

 

Assignment:

Your submission should be a minimum of 2000 words (maximum 2500 words) in length and should completely answer the proposed questions/items as listed under “Overview”. You should have a minimum of three (3) references. APA formatting is required and all responses should be combined into a single document for submission

Overview

In this module, you will complete a full assessment of your own community. 

Defining the Community

Your community can be any geographically defined county, city, or town. Clearly delineate the following dimensions before starting the process of community assessment:

  • Describe the population that is being assessed?
  • What is/are the race(s) of this population within the community?
  • Are there boundaries of this group? If so, what are they?
  • Does this community exist within a certain city or county?
  • Are there general characteristics that separate this group from others?
  • Education levels, birth/death rates, age of deaths, insured/uninsured?
  • Where is this group located geographically…? Urban/rural?
  • Why is a community assessment being performed? What purpose will it serve?
  • How will information for the community assessment be collected?

Assessment

After the community has been defined, the next phase is assessment. The following items describe several resources and methods that can be used to gather and generate data. These items serve as a starting point for data collection. This is not an all-inclusive list of resources and methods that may be used when a community assessment is conducted.

The time frame for completion of the assessment may influence which methods are used. Nonetheless, these items should be reviewed to determine what information will be useful to collect about the community that is being assessed. It is not necessary to use all of these resources and methods; however, use of a variety of methods is helpful when one is exploring the needs of a community.

Data Gathering (collecting information that already exists)

Demographics of the Community

  • When demographic data are collected, it is useful to collect data from a variety of levels so comparisons can be made.
  • If the population that is being assessed is located within a specific setting, it may be best to contact that agency to retrieve specific information about that population.
  • The following resources provide a broad overview of the demographics of a city, county, or state:
  • State and County Quick Facts—Easy access to facts about people, business, and geography, based on U.S. Census data: https://www.census.gov/quickfacts/fact/table/US/PST045219
  • Obtain information about a specific city or county on these useful websites: www.epodunk.com and www.city-data.com

Information from Government Agencies

  • Healthy People 2020—this resource is published by the U.S. Department of Health and Human Services. It identifies health improvement goals and objectives for the country to be reached by the year 2020: http://www.healthypeople.gov/
  • National Center for Health Statistics—this agency is part of the Centers for Disease Control and Prevention; this website provides statistical information about the health of Americans: https://www.cdc.gov/nchs/index.htm
  • National Vital Statistics System: http://www.cdc.gov/nchs/nvss.htm
  • Centers for Disease Control and Prevention (CDC)—The CDC website contains a large amount of information related to the health of the American population. The search engine within this website can be used to find relevant information: http://www.cdc.gov
  • Federal agencies with statistical programs: http://www.fedstats.gov/agencies
  • Every state in the United States has its own specific health improvement plan and goals that are based on the Healthy People 2020 document. This information may be available on the state health department website.
  • State and local health departments provide information related to vital statistics for the community.

Other Data Sources

  • America’s Health Rankings—this website provides information about various health indicators for each state: https://www.americashealthrankings.org/
  • Other relevant data sources may be found by conducting an Internet search related to the topic that is being examined through the community assessment.

After data are collected from various sources, it is important to review the information and to identify assets and areas for improvement in the community by comparing local data (if available) versus state and national data. This will facilitate organization of the information that has already been obtained and will provide direction for the next step of the process.

Data Generation (data are developed that do not already exist):

Windshield Surveys

With the use of public transportation or by driving a vehicle around the community, one can observe common characteristics of the community.

Examples of key observations to make when one is assessing the community through a windshield survey include the following:

  • Age of the homes in the community
  • Location of parks and other recreational areas
  • Amount of space between homes and businesses
  • Neighborhood hangouts
  • Transportation in the community
  • Quality and safety of streets and sidewalks
  • Stores and other businesses
  • People out in the community
  • Cleanliness of the community
  • Billboards or other media displays
  • Places of worship
  • Healthcare facilities

Participant Observation

Spend time observing the population that is being assessed. Through observation of interactions among group members, much can be learned about the community, including the following:

  • Developmental level of the population
  • Effectiveness of peer-to-peer interactions
  • Respect for peers and others
  • Safety in the environment
  • Economic status

Informant Interviews

Informants could be people who are familiar with and interact with the population on a regular basis.

Examples of questions that may be asked of key informants include the following:

  • Strengths/assets of the community
  • Areas of improvement for the community
  • Concerns of community members
  • Access to health care
  • Emergency plans for natural or man-made disasters

Focus Groups

Focus groups (usually small groups of 6-12 people) can be helpful when one is gathering information about specific areas of concern within the population. Use of a focus group involves open dialogue about the population, whereas an interview or survey yields only individual responses.

  • Focus groups may be effective for assessing the following:
  • Satisfaction with services provided
  • Community resources used
  • Transportation issues within the community
  • Safety within the community
  • General concerns of members of the population

Surveys

Surveys may be used to collect data from the community. Selecting a sample of the target population may prove helpful in the collection of data that are easier to analyze. It is important to ensure that the sample is representative of the target population.

A survey should be developed that takes into consideration the developmental level of the group that is being assessed. Questions should be written at the appropriate developmental level, so they are answered in a way that makes the data useful. Surveys might include closed-ended (yes/no), multiple choice (several responses to choose from), Likert scale (Strongly Agree/Agree/Neutral/Disagree/Strongly Disagree), or open-ended (“why”/“how”) questions.

Topics that may be addressed in a survey include the following:

  • Demographic information
  • Status of employment  
  • Safety within community
  • Safety in environment
  • Personal safety (seatbelts, helmets, etc.)
  • Stressors/stress management patterns
  • Risky behaviors
  • Support systems
  • Volunteer/community activities
  • Rest patterns
  • Nutrition     
  • Dental hygiene
  • Health promotion activities

Ethica and Legal Aspects of Nursing Practice DQ 10 student reply Jenny Tase

 

Less than 10 % similarity

References APA

This is another student post to which i have to react adding some extra information related this post. 

short answers.

 

   Health care in the US has been a significant contention source, especially after the passing of the Affordable Care Act. The new health legislation was a significant move for the US towards providing universal, affordable care to its citizens. However, some associated issues have plagued the healthcare system, causing the need for healthcare reforms. According to Doyle et al. (2017), people agree that the healthcare system wastes the country’s GDP as much as 5%. The main reason why there is a need for healthcare reforms is that healthcare costs have skyrocketed. For instance, an average family consisting of four family members increased their average costs by little over 7%. US healthcare is in dire need of improvement. The US is among the most developed countries in healthcare, but its healthcare spending is at an all-time high, with poor patient outcomes. The third reason for healthcare reforms is to curb the economic ramifications of healthcare fraud. The US loses between just over 50 billion to nearly 200 billion every year to fraud. The government could direct the money to offset the cost of Medicare.

2-     The Benefits

According to the Centers for Medicare and Medicaid Services (2016), there are ten crucial benefits. They include ambulatory patient services, hospitalization, mental health, substance abuse disorders, habilitative and rehabilitative devices and services, preventive and wellness services, and chronic disease management. The other five are emergency services, maternity, and newborn care, prescription drugs, laboratory services, and finally, pediatric services, which also include vision and oral care.

3- The Successes of ACA

For instance, ACA has allowed young people to remain under the coverageof their parents’ medical plans until they reach 26. In the past, insurancecompanies disallowed coverage once the children attained the age of 19. Byallowing cover for children, it increased the rates of young people withinsurance coverage. ACA also insured the preexisting conditions of thepopulations. In the past, insurance companies denied coverage to people withpreexisting conditions. These conditions also include injuries and medical illnessesthat people have before the commencement of their health plans. It alsoprovided cheap and affordable insurance premiums, providing insurance to alarge number of American citizens. The law also required employers who had morethan 50 employees to cater to their workforce’s health insurance, ensuring thatemployees had access to medical cover. Failure to comply with this resulted inemployers paying a fine.

4-The Failures of ACA

Unfortunately, the law has also had some failures in the course of its existence. For instance, the healthcare costs have continued to rise despite claims made by proponents. Another failure is that since its inception, the law had massive public opposition. Polls taken after its enactment showed this, and proponents claimed that it would rise in popularity over time. That has not been the case, with many people wanting the law repealed. The law was especially unkind to businesses with large numbers of employees as they had to cater to the health insurance requirements of their employees. Businesses had to drop many of their employees to a part-time status not to face the wrong side of the law. Another failure is that the government runs the program. Many conservatists believe that market-based solutions to healthcare are better than the government. Their thoughts are that providers are likely to offer better services when consumers make choices at a much lower cost.

References

Centers for Medicare and Medicaid Services. (2016). Information on essential health benefits (EHB)

benchmark plans. The Center for Consumer Information & Insurance Oversight. //www. cms.

gov/cciio/resources/dataresources/ehb. html (Accessed Nov 22, 2016).

Doyle Jr, J. J., Graves, J. A., & Gruber, J. (2017). Uncovering waste in US healthcare: Evidence from

ambulance referral patterns. Journal of health economics, 54, 25-39.

Edited by JENNY TASE on Oct 6, 2020, 10:38:30 PM 

Gastrointestinal Discussion APN week 3

 

Apply information from the Aquifer Case Study to answer the following discussion questions:

  • Discuss the Mr. Rodriquez’s history that would be pertinent to his gastrointestinal problem. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.
  • Describe the physical exam and diagnostic tools to be used for Mr. Rodriguez. Are there any additional you would have liked to be included that were not? 
  • Please list 3 differential diagnoses for Mr. Rodriguez and explain why you chose them.  What was your final diagnosis and how did you make the determination?
  • What plan of care will Mr. Rodriquez be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?

Addictive Disorders

 

Assignment: Assessing Clients With Addictive Disorders

Addictive disorders can be particularly  challenging for clients. Not only do these disorders typically interfere  with a client’s ability to function in daily life, but they also often  manifest as negative and sometimes criminal behaviors. Sometime clients  with addictive disorders also suffer from other mental health issues,  creating even greater struggles for them to overcome. In your role, you  have the opportunity to help clients address their addictions and  improve outcomes for both the clients and their families. For this  Assignment, as you examine the Levy Family video in this week’s Learning Resources, consider how you might assess and treat clients presenting with addiction.

Learning Objectives

Students will:
  • Assess clients presenting with addictive disorders
  • Analyze therapeutic approaches for treating clients with addictive disorders
  • Evaluate outcomes for clients with addictive disorders

To prepare:

  • Review this week’s Learning Resources and consider the insights they provide.
  • Review the Levy Family video Episodes 1 through 5.

 

The Assignment

In a 2- to 3-page paper, address the following:

  • After watching Episode 1, describe:
    • What is Mr. Levy’s perception of the problem?
    • What is Mrs. Levy’s perception of the problem?
    • What can be some of the implications of the problem on the family as a whole?
  • After watching Episode 2, describe:
    • What did you think of Mr. Levy’s social worker’s ideas? 
    • What were your thoughts of her supervisor’s questions about her suggested therapies and his advice to Mr. Levy’s supervisor?
  • After watching Episode 3, discuss the following:
    • What were your thoughts about the way Mr. Levy’s therapist responded to what Mr. Levy had to say?
    • What were your impressions of how the therapist worked with Mr. Levy? What did you think about the therapy session as a whole? 
    • Informed by your knowledge of pathophysiology, explain the  physiology of deep breathing (a common technique that we use in helping  clients to manage anxiety). Explain how changing breathing mechanics can  alter blood chemistry.
    • Describe the therapeutic approach his therapist selected. Would  you use exposure therapy with Mr. Levy? Why or why not? What evidence  exists to support the use of exposure therapy (or the therapeutic  approach you would consider if you disagree with exposure therapy)?
  • In Episode 4, Mr. Levy tells a very difficult story about Kurt, his platoon officer. 
    • Discuss how you would have responded to this revelation. 
    • Describe how this information would inform your therapeutic approach. What would you say/do next?
  • In Episode 5, Mr. Levy’s therapist is having issues with his story. 
    • Imagine that you were providing supervision to this therapist, how would you respond to her concerns?
  • Support your approach with evidence-based literature.

Note: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. 

Ethical and Legal Aspects of Nursing Practice Research Paper Assignment # 2

 

Assignment #2 – Research paper

*********** INDIVIDUAL ASSIGNMENT***********

Circumcision…Is it an issue? Explore the human and ethical issues surrounding circumcision. Is this a medical right or a human rights issue? Why are people so against it…why are some so for it? What is the role of the nurse in relation to an ethical dilemma involving circumcision?

Requirements:

Word Count—Minimum 1500-1800 words

References—Minimum 3 peer-reviewed references, the oldest being no more than 5 years old.

*********APA FORMAT IS REQUIRED **************

Building the Profession of Nursing

Building the Profession of Nursing

Write a 1000-1500 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  • Explore the history of nursing and choose two events/topics from history related to nursing (ie education, practices, important people, etc.) and explain each one in detail and why they are important to the nursing profession.
  • Research two professional nursing organizations and discuss the following for each organization chosen:
    • The name of the organization and why this organization is important to nursing
    • What resources they provide to members
    • Cost of membership and how many members are part of the organization
    • Current issues the organization is working on
    • Finally, after researching this question answer in detail: Why are Professional Organizations in general important to nursing as a profession?