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social determinates of health

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

  1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
  2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
  3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
  4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.

New AttemptTitleAttached DocumentsCitation ReportSimilarity IndexFinal Submission Click ‘New Attempt’ to start assignment or attach documents

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polypharmacy

NRS-410V Module 3 Case Study 2

 

Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.

 

Question

 

Considering Mr. Ps condition and circumstance, write an essay of 500-750 words that includes the following:

 

·         Describe your approach to care.

 

·         Recommend a treatment plan.

 

·         Describe a method for providing both the patient and family with education and explain your rationale.

 

 

·         Provide a teaching plan (avoid using terminology that the patient and family may not understand).

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change

It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

To Prepare:

  • Review the Resources and identify one change that you believe is called for in your organization/workplace.
    • This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
  • Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute PowerPoint presentation):

Change Implementation and Management Plan

Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your presentation should be 5–6 minutes in length and should include a video with you as presenter.

Your Change Implementation and Management Plan should include the following:

  • An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
  • A description of the change being proposed
  • Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
  • Details about the type and scope of the proposed change
  • Identification of the stakeholders impacted by the change
  • Identification of a change management team (by title/role)
  • A plan for communicating the change you propose
  • A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

By Day 2 of Week 11

Submit your Change Implementation and Management Plan with audio and video.

Rubric:

Create a 5- or 6-slide narrated PowerPoint with video that presents a comprehensive plan to implement changes you propose. Your Change Implementation and Management Plan should include the following:

·  An executive summary of the issues that are currently affecting your organization/workplace (this can include the work you completed in your Workplace Environment Assessment).
·   A description of the changes being proposed.
·   Justifications for the changes, including why addressing them will have a positive impact on your organization/workplace.

Details about the type and scope of the proposed changes.
·   Identification of the stakeholders impacted by the changes.
·   Identification of a change management team (by title/role).
·   A plan for communicating the changes you propose.
·   A description of risk mitigation plans you would recommend to address the risks anticipated by the changes you propose.

Include an audio/video presentation that is 5–6 minutes in length with you as a presenter.

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation

This is from the previous work we did , we can address this issue , or what you think.

Work Environment Assessment- this is my discussion

Using the Clark Healthy Workplace Inventory (Clark, 2015) my workplace ranks 90, or very healthy.  Why it ranks as healthy or civil is that between units of the hospital there is great communication between units, to the extent that is a need on one unit as far as staffing, another unit will offer to help, this is the norm, and not the exception for our hospital. We also feel supported by management during times of crisis, I work in two distinct areas where things can escalate very quickly, both in inpatient psych, and Children pavilion for adolescent psych patients. We know we will always get backup from other building staff and security if things get escalated where there is danger to patients or staff.

Success in an organization comes from hardworking people who have a strong mission and vision with great strategies in place. This depends greatly on the leadership, management, and the team. To put things in perspective, the introduction of the workplace health status would give a broader picture. To be discussed below is a brief description of the results of the Work Environment Assessment at Chicago Lakeshore Hospital and based on the results, the explanation of how civil is this place with the reasons behind the claim. Also, this discussion includes a description of a situation where incivility in the workplace has happened and how was it addressed.

Workplace health is the status of the workplace concerning the workers, how civil is the place, and the overall environment safety for the employees. Lack of civility at the workplace contributes to poor employees’ job satisfaction, lack of courtesy and respect among peers, and it leads to poor patient outcomes (Tips to Improve Civility in the Workplace, 2017). Incivility at workplaces has the potential to emotional and physical distress to the workers and that can cause poor quality care and patient outcomes (Armstrong, 2017). To assess the civility of the workplaces, researchers have discovered tools to help assess the workplaces and the Work Environment Assessment is one of the tools.

Using the Work Environment Assessment tool to assess Chicago Lakeshore Hospital revealed 90 which is a moderately healthy place. This means, in this organization, people live by the shared mission and vision, there is trust and respect among the workers, and communication at all levels is clear (Clark Healthy Workplace Inventory – americannursetoday.com. [n.d.]). The result assures the presence of teamwork and high levels of employees’ satisfaction. The workload is distributed equal and the organization offers competitive salaries. Based on my hospital workplace assessment results, the majority of the employees would recommend the place as a good place to work and overall there are high levels of employee satisfaction, therefore better outcomes (Clark Healthy Workplace Inventory – americannursetoday.com. [n.d.]).

Incivility incident at the workplace

Courtesy and respect are not only meant for people of a certain rank within the organizations. These basic values and others are for everyone. Clark (2017), emphasizes all nurses have the obligation to foster healthy workplaces with an atmosphere of dignity, professionalism, and respect. Unfortunately, studies reveal incivility at workplaces, bullying, and lack of mutual respect (Armstrong, 2017). Incivility at the workplace has been linked to poor performance which impacts patient safety and the quality of patient outcomes (Armstrong, 2017). Marshall and Broome (2017) state that “workplace violence, incivility, and bullying are barriers to developing safe environments for providers and can occur in any setting” (p.261). The American Nurses Association (ANA; n.d.) defines incivility as “one or more rude, discourteous, or disrespectful actions that may or may not have a negative intent behind them” (para.2).  This brings back the memory of my former workplace. Doctors were very much valued and respected, but the nurses did not receive the same respect from the doctors. At times, nurses were hesitant to call the doctors for notification of patient condition change simply because of the fear of the expected response. There was no mutual respect. I am not sure how did this problem resolve after leaving the place but a few years down, the hospital was sold out to another company.

Conclusion

Civility at the workplace is not only important for the workers’ feelings it also influences overall performance, productivity, and patient outcomes. The consequences of incivility at workplaces “can result in life-threatening mistakes, preventable complications, and harm or even death of a patient” (Clark, 2017). It is with that intensity that the workplace health assessment should be one of our priorities. Despite the individual differences, we must find a way to improve civility at our workplaces. The first step towards improvement is to assess the current status and the Work Environment Assessment is a great tool.

References

Armstrong, N. E. (2017). A Quality Improvement Project Measuring the Effect of an Evidence-

Based Civility Training Program on Nursing Workplace Incivility in a Rural Hospital Using Quantitative Methods. Online Journal of Rural Nursing & Health Care17(1), 100–137. https://doi-org.ezp.waldenulibrary.org/10.14574/ojrnhc.v17i1.438

Clark, C. M. (2017). An Evidence-Based Approach to Integrate Civility, Professionalism, and

Ethical Practice Into Nursing Curricula. NURSE EDUCATOR42(3), 120–126. https://doi-org.ezp.waldenulibrary.org/10.1097/NNE.0000000000000331

Clark Healthy Workplace Inventory – americannursetoday.com. (n.d.). Retrieved from

https://americannursetoday.com/wp-content/uploads/2015/11/Clark-Healthy-Workplace-Inventory.pdf.

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New Tork, NY: Springer.

Tips to Improve Civility in the Workplace. (2017). AACN Bold Voices, (1), 18. Retrieved from

https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=edsovi&AN=edsovi.01436852.201701000.00025&site=eds-live&scope=sit

References:

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

  • Chapter 8, “Practice Model Design, Implementation, and Evaluation” (pp. 195–246)

https://medcom.uiowa.edu/annsblog/wp-content/uploads/2012/10/JONA-FINAL-Cullen-2012.pdf

https://wdhb.org.nz/contented/clientfiles/whanganui-district-health-board/files/rttc_leading-change-by-j-kotter-harvard-business-review.pdf

http://www.ijhpm.com/article_3183_5015382bcf9183a74ef7e79b0a941f65.pdf

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community activism

I need a response for these 2 peers

Peer 1

Societal justice and critical reflection are the fundamental concepts underlying community activism. The former refers to the unbiased distribution of resources for a prolific and fulfilling lifestyle (Reichlin et al., 2019). For instance, through campaigns and demonstrations, nurses, practitioners and the general community would be able to advocate the cause of providing adequate medical amenities.

Critical reflection boosts one’s understanding of the resident community’s issues (such as inadequate staffing) as well as those of others across the globe. Through this approach, the management and staff members would be able to devise long-term resolutions that ensure adequate staffing in the present and future (Reichlin et al., 2019). For example, pursuing suitable programs at academic institutions can steer students in the direction of the healthcare industry.

Paying attention and keeping up with the trends in the tobacco industry is vital. This effort helps the advanced practice nurses to engage in community activism for preventing the negative health impacts associated with Big Tobacco in their respective societies (Salmond & Echevarria, 2017). As a result, the nurses would be in a position to enlighten the community members on addictiveness and diseases (such as lung cancer) associated with the increased consumption of tobacco products.

Organizing programs to campaign against smoking is an essential stratagem that would aid nurses in educating the public on why tobacco control policy measures such as higher taxes are needed to ensure reduced consumption. With this tactic, nurses could participate in community activism to curb any further ill effects arising from the use of Big Tobacco (Salmond & Echevarria, 2017). Moreover, holding seminars that counsel smokers and non-smokers, especially the youth, to remain vigilant against industry-instigated efforts would be essential in discouraging the consumption of tobacco products.

Peer 2

Through schooling, training, and knowledge learned along the way, Advanced Registered Nurse Practitioners (ARNPs) are equipped with the necessary skillset and tools to assist members of the community have improvement in their health outcomes. As key players in patient, ARNPs play a vital role in community activism to bridge the gap in healthcare disparities across different population groups and to improve the community. Maryland & Gonzalez (2012) asserts that the vast “amount of interactions that nurses have with patients leads to them personally witnessing the positives and negatives of the current healthcare system and consequently enable them to identify the needs of their patients by the care or the lack of it they receive.” Due to their first-hand interaction, nurses can advocate for their patients and their families and convey their experiences to the public and policymakers to bring about change in current health care policies (Maryland & Gonzalez, 2012).

According to Messias (2019), community activism entails the key concepts of “community, social justice, raising consciousness, critical reflection, praxis, and empowerment of members of the community.” With each key concept comes certain actions on the part of the activist and subsequent delineations of certain orders of events. Nurse Practitioners can embody all the characteristics of community activism Messias asserts to promote the overall health status of the community. According to Messias (2019), community activism starts with an understanding of the community, in which individuals must realize that they are part of a larger group and share common interests in order to catalyze change. Praxis entails the process of ideas and theories being made and actualized, which consequently brings about unification—or division—of members of the community. Praxis affects the practices and customs of members of the community and affect the interaction of these individuals. With social justice, the way individuals perceive justice and what is right or wrong, affects the justice system and what behaviors are viewed as deviant in the community.

Raising consciousness and empowerment of members of the community are vital to altering the status quo hopefully for the better but negative impacts can ensue. Teaching members of the community that they have rights can empower them to develop or defend them against lawmakers. Shining light on certain issues, such as through protest and petition with local or federal elected officials can bring about necessary changes in the management of certain disease plaguing the community (Mason, Gardner, Outlaw, & O’Grady, 2016). Empowerment is the ultimate goal (Mason et al., 2016) as by doing so individuals in the community will do what is necessary to improve their health on a holistic level.

Maryland & Gonzalez (2012) argues that nurses can make significant influence in community activism on a multilevel approach. Maryland & Gonzalez (2012) asserts that school nurses can attend school board meetings to voice their personal viewpoint of the ramifications of inadequate staffing to monitor the health of school children. They are only equipped with the knowledge to voice this opinion because of their personal experience with performing their duties of providing basic healthcare to their patients (in this case, school children). My daughter is a third grader at a local elementary school. In a school of more than 800 students, there is only one nurse. Imagine how difficult it is to provide care to these students during the cold and flu season or any ordinary day for that matter. This stresses the importance of community activism by nurses and advanced practice nurses. The level of care they provide to their patient population is affected by factors in the community so who is best to make the issues known and advocate for and against them but nurses? Nurses, through their inimitable experience with their patients, can bring to the forefront issues that affect their patient and the community. Policymakers should hold the voice of nurses in high-esteem prior to making any changes that will affect individuals of a community.

From a community activism approach, ARNPS can mitigate further negative health impacts from Big Tobacco by bringing social awareness and consciousness to the issue. Letting members of the community become aware or reminded of the ramifications of smoking cigarettes or consuming other tobacco products will greatly decrease the number of individuals in the community that smoke or will smoke. Health fairs broadcasting posters of individuals with lung cancer or tracheostomies from cigarette smoking or oral cancers from chewing tobacco are one of the ways that ARNPS can use community activism to help manage the negative impact of Big Tobacco. On each healthcare visits, ARNPs need to assess if their patients smoke and make them aware of the ramifications in addition to offer smoking cessation counseling and education. Empowerment is necessary to help individuals in the community to stop because many of them have been smoking since childhood. Smoking is also a way that many of these individuals cope and manage stress. Offering them alternative coping measures is crucial to getting them to stop smoking. Educating the community of the long-term risk of smoking, the consumption, and second-hand smoking, is vital to deterring the use of tobacco and promoting the overall health of the community. Mason et al. (2016) states that tobacco usage and exposure is the foremost cause of preventable death in the nation. This statement alone will serve to remind individuals of the negative consequences of smoking and will lead to many of them quitting.

To conclude, advanced practice nurses play a rather significant role in patient advocacy to improve the health outcomes of their patients. Nurses can employ various teaching methodologies to assist their patients improve their overall health. Tackling issues at the community level can help nurses being awareness to issues that directly and indirectly affect patients. Bringing awareness to certain issues, such as the negative influence of Big Tobacco on the overall health of individuals in a community, are one of the many ways that ARNPS can help ameliorate the health status of the community. The ARNP can collaborate with other members of the interdisciplinary team and elected officials to maximize the impact of decreasing negative health issues in the community.

Response posts must be minimum 100 words each. Word document, double space. APA (6th)

This the original work if you needed

Describe the key concepts underlying community activism and give examples of how each of these concepts applies to a specific context. Examine how advanced practice nurses can engage in community activism to limit further negative health impacts from Big Tobacco in their respective health communities.

Attached below is an additional resource, an article, that details various ways by which nursing professionals can engage in community activism.

Patient Advocacy and in the Community and Legislative Arena: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Advocacy-in-Community-and-Legislative-Arena.html?css=print

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professional associations in nursing

Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to your specialty area (RN), or a specialty area in which you are interested (Midwifery). In a 750-1,000 word paper, provide a detailed overview the organization and its advantages for members. Include the following:

  1. Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member.
  2. Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses.
  3. Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area.
  4.  Discuss opportunities for continuing education and professional development.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

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Advocate for Health Care Policy

First Steps on Becoming a Grassroots Lobbyist/Advocate for Health Care Policy

This assignment has two parts, numbered below. Write each question as a new topic area, then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.

Tasks:

  1. Imagine that you are going to make a visit to your representative in Congress. Develop a one-page document that supports your position on the AHCA that you would leave with your representative or his or her aide when you make your visit. This one-pager, also called a “leave behind,” should state your position clearly in bullet points and give your reasons why your position is preferred. This “leave behind” should have 1 inch margins and utilize 14-point font throughout. If you were making this visit in person, you would present your “leave behind” to the person with whom you speak during your visit. Include a second page that describes your rationale for the position in your “leave behind” page supported by at least two journal articles.
  2. Write a two-page brief to describe the scenario surrounding your legislative visit. Understanding the political affiliation of your representative, include answers to the following:
    • Was your member in support or in opposition to the AHCA?
    • State three points that you would cover in support or opposition to your representative’s position.
    • How does your nursing experience influence the advocacy position that you take on the AHCA?

Submission Details:

  • Submit your response in a 4-page Microsoft Word documen

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existing at-risk population

  1. Identify an existing at-risk population. Using aggregated statistics, include identified criteria and data that substantiates why this population is at risk.
  2. Using analyzed population data, identify a health risk within this population that nursing science can impact. Describe the specific variables. Provide SPSS data that correlates population to the identified health risk.
  3. Identify potential obstacles that may hinder the implementation of the prevention and health promotion activities.
  4. Identify stakeholders, individuals, and agencies with whom you may need to collaborate.

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essential discipline

Discussion Question:

Consider what was happening in nursing in the late 1970’s and early 1980’s with the change from diploma programs to an associate degree program. Martha Rogers believed that nursing is a separate and essential discipline and a unique field of study. She worked hard to establish nursing in higher education. Explain the importance of this shift and how it impacted nursing as a profession.

Your initial posting should be at least 400 word

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People of Korean Heritage.

People of Korean Heritage.

People of Mexican Heritage.

Read chapter 20 and 21 of the class textbook and review the attached Power Point presentations.  Once done; answer the following questions:

1.  Give an overview of the development of the Korean and Mexican people as culture.

2.  Discuss the health care beliefs of both heritages and how they influence the delivery of nursing care.

3.  Do you think is there any similarity in these two culture healthcare beliefs and the beliefs in United States?  If yes or not please explain your response.

As stated in the syllabus please present your assignment in an APA format, word document attached to the forum in the discussion tab of the blackboard title “week 10 discussion questions”.  Your assignment must contained a minimum of 2 evidence based references besides the class textbook and two replies sustained with the proper references must be posted to any of your peers assignments.  Assignment will be graded according to the instructions given.

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Criteria for Content

Criteria for Content

Reflect on the issue of incivility. Think of an experience in which you were directly involved or witnessed incivility in the workplace. Analyze scholarly literature related to the issue of incivility and strategies for cultivating healthful environments.

1.       In a four- to six-page written paper, address the following.

a.       Define and explain the issue of incivility. Use scholarly nursing literature.

b.       Discuss the importance of this issue to nursing. Address the impact of incivility on individuals, microsystem work environments, and the profession of nursing. In this section, use at least three (3) different scholarly nursing literature in-text citations with matching references.

c.       Provide a scenario (real or fictitious) of incivility in a practice setting. What was the impact on the individuals involved? How was the work environment affected?

d.       Describe three strategies for creating a healthful environment. Use scholarly nursing literature to support each strategy.

e.       Identify your selected specialty track (education, executive, family nurse practitioner, healthcare policy, or nursing informatics). Provide two examples of strategies you will implement in your master’s-prepared advanced practice role to cultivate a healthful work environment.

 

f.        Provide a conclusion. Include a summary on the issue of incivility, strategies to create healthful environments, specialty track, and how you will contribute to cultivating healthful environments in your future professional practice. Include a self-reflection.

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