Tag Archive for: nursing

quality and safety

Briefly describe each of the following sections by drawing on your clinical experiences, (e.g., skills lab, simulation, clinical rotations and/or professional practice):

  1. quality and safety
  2. evidence-based practice
  3. applied leadership
  4. community and population health

Note: A short paragraph of a few sentences will be sufficient to fill the space for now. You may include experiences from your life that influenced your decision to become a nurse (e.g. What does the experience mean? Why is the experience important? How will you integrate what you learned from that experience into your practice?).
Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

Demonstrate professional communication in the content and presentation of your submission.

Instructor Feedback

Reflecting on Your Writing: Instructor Feedback

As a scholar and part of the intellectual community, you will want to understand ways to integrate feedback to be able to join a larger conversation. A significant part of scholarly writing is revising based on your colleagues’ feedback, and now that you have a substantial amount of writing; it is time to reflect on the ways you have incorporated your Instructor’s feedback.

This week’s Learning Resources will help you examine rhetorical strategies for placing yourself in the scholarly conversation, such as using the personal pronoun, “I.” For this Discussion, you will reflect on how your voice fits into the scholarly conversation—beginning with the conversation between your Instructor and yourself. This initial Discussion is part of a continual conversation during the remainder of this course as your Instructor and yourself revise, review, and reflect on your writing.

To prepare for this Discussion:

  • Review      the Learning Resources on audience and sentence structure.
  • Reflect      on your ways you have incorporated your Instructor’s feedback and your      part in the scholarly conversation. You may even choose to consider how      you approached this specific Assignment in relation to scholarly voice and      transitions.

By Tuesday 12/26/2017, in APA format with at least one reference,

Post a 1- to 2-paragraph reflection on your use of your Instructor’s feedback throughout the past few weeks of this course and your participation in the scholarly conversation. (Note: You may choose to reflect specifically on how you will apply scholarly voice concepts in this week’s Assignment.)

Required Readings

Laureate Education. (2015). Evaluation: What is it? [Infographic]. Baltimore, MD: Author.

Walden University Writing Center. (2015i). Walden templates: General templates: APA course paper template (6th ed.). Retrieved from http://academicguides.waldenu.edu/writingcenter/templates/general

Laureate Education. (2015). [Infographic]. Point of View Analysis, Baltimore, MD: Author.

Prince, S. (2014, May 8). Breaking down the MEAL plan: Adding analysis [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2014/05/breaking-down-meal-plan-adding-analysis.html

Prince, S. (2012, August 28). You’re engaged?! [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2012/08/youre-engaged.html

Required Media

Walden University Writing Center (Producer). (2015, January 30). WriteCast: Student Q&A on flow, sentence length, and using “I” in academic writing (Episode 18) [Audio podcast]. Retrieved from https://soundcloud.com/writecast/writecast018

Note: The approximate length of this media piece is 10 minutes.

Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep018

Walden University Writing Center (Producer). (2014, February 10). WriteCast: All about audience (Episode 6) [Audio podcast]. Retrieved from https://soundcloud.com/writecast/006-all-about-audience

Note: The approximate length of this media piece is 9 minutes.

Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep006

Walden University Writing Center. (2015). APA formatting and style: Point of view [Video file]. Retrieved from http://academicguides.waldenu.edu/writingcenter/scholarlyvoice/pointofview#s-lg-box-6264281

Note: The approximate length of this media piece is 3 minutes.

Walden University Writing Center. (2015). Engaging writing: Tool 2-Sentence structure [Video file]. Retrieved from http://academicguides.waldenu.edu/writingcenter/scholarlyvoice/clarity#s-lg-box-6264315

Note: You will need to advance through the playlist to locate the correct video. The approximate length of this media piece is 3 minutes.

f health care organizations

Statistics play an important role in the management of health care organizations and in decision making and strategic planning. Collecting, analyzing, and utilizing data appropriately impacts financial management of the organization and the quality of patient care delivered. Decisions in clinical medicine are driven by evidence-based practice, as are those in health care management. A health care manager must understand and use evidence in making informed decisions that improve the operations and financial status of the organization as well as deliver quality of care accessible to those who need it and with consideration of the costs involved.
In this assignment, you will choose a utilization review statistic from the following list and review a research paper or government publication, as outlined below.
Choose a health care statistic that health care managers would use, such as one of the following:

Hospital-acquired condition (HAC)
Emergency department visits
Labor and delivery suite usage
Ambulatory surgery procedures
Hospital death rates
Cesarean-section rate
Wait time
Adverse drug events
Research your chosen statistic, and provide information from an outside source—such as a journal article, accreditation agency report, government site, and so forth—that discusses the health care statistic in a real-life setting or situation.
Write a paper of 4–6 pages, not including the title page and reference page, in APA format that discusses the following:

What was the reason for the research that was performed or for the data being collected?
What was the source of the data presented?
What types of descriptive statistics and graphical representations of data were used?
What were the research question(s) and the significant findings of the article?
How could the information presented be used to inform decisions or improvements?
Cite references using APA format, and remember to include a citation for the article that you are describing.

From Issue to Persuasion

Journal: From Issue to Persuasion (GRADED)

Now that you’ve spent some time writing down some potential issues for your project, it’s time to narrow the focus. Reviewing the Opposing Viewpoints database – that’s the link provided–>

(https://go-gale-com.ezproxy.snhu.edu/ps/browseCategory?userGroupName=nhc_main&inPS=true&prodId=OVIC&category=Health+and+Medicineand reviewing your brainstorming activity, select two potential issues that are related to your career of Nursing. Again, be sure you’re selecting and writing about two separate issues.

As you work on the journal, remember to refer to the assignment guidelines and rubric below to make sure you’re fulfilling each critical element.

Assignment Guidelines and Rubric

Overview: The journal activity in this course is private between you and the instructor. This week, you spent some time reflecting on persuasion in your everyday life, and you shared some potential topic ideas with your peers and instructor. But why is persuasion so important? Let’s think about that a little bit in this journal assignment.

Specifically, the following critical elements must be addressed:

  1. After exploring the Opposing Viewpoints Database and reviewing your brainstorming activity, identify two issues that are related to your career or degree:
    1. Write a fully developed paragraph for issue one (5–8 sentences each).
      1. Explain at least two clear arguable sides to the issue.
      2. Explain how the issue relates to your field or degree or potential field or degree.
    2. Write a fully developed paragraph for issue two (5–8 sentences each).
      1. Explain at least two clear arguable sides to the issue.
      2. Explain how the issue relates to your field or degree or potential field or degree.
  2. After exploring the arguments related to your issues, take a moment to consider the bigger picture. Then, briefly reflect (in 1 to 2 paragraphs) on the importance of persuasion for the issue you are most likely to write about. Be specific in your assignment; this information will help guide you as you work on your project in the coming weeks.
    1. Identify which side you might argue if you plan to pursue this issue in your final persuasive essay.
    2. Identify your potential audience and why your topic would be relevant to them.

Guidelines for Submission: Save your work in a Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Then, check your writing for errors.

Please use link provided above to retrieve your two separate issues and please also use reading attched called modle 1below as additional reference.

Prescribing Drugs

Ethical and Legal Implications of Prescribing Drugs

What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to thispatient?

These are some of the questions you might consider when selecting a treatment plan for a patient. As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives on a daily basis. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. In this paper, you explore ethical and legal implications of the following scenario and consider how to appropriately respond.

Scenario:

You see another nurse practitioner writing a prescription for her husband who is not a patient of the nurse practitioner. The prescription is for a narcotic. You can’t decide whether or not to report the incident.

To prepare:

· Review  the following:

·

Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

  • Chapter 1, “Issues for the Practitioner in Drug      Therapy” (pp. 3–14)
         This chapter introduces issues relating to drug therapy such as adverse      drug events and medication adherence. It also explores drug safety, the      practitioner’s role and responsibilities in prescribing, and prescription      writing.
  • Chapter 59, “The Economics of Pharmacotherapeutics”      (pp. 1009-1018)
         This chapter analyzes the costs of drug therapy to health care systems and      society and explores practice guideline compliance and current issues in      medical care.
  • Chapter 60, “Integrative Approaches to      Pharmacotherapy—A Look at Complex Cases” (pp. 1021-1036)
         This chapter examines issues in individual patient cases. It explores      concepts relating to evaluation, drug selection, patient education, and      alternative treatment options.

As well as:

Drug Enforcement Administration. (n.d.). Code of federal regulations. Retrieved August 23, 2012, from http://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm

Anderson, P., & Townsend, T. (2010). Medication errors: Don’t let them happen to you. American Nurse Today, 5(3), 23–28. Retrieved from https://americannursetoday.com/medication-errors-dont-let-them-happen-to-you/

· Consider the ethical and legal implications of the scenario for all stakeholders involved such as the prescriber, pharmacist, patient, and the patient’s family.

· Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario.

With these thoughts in mind:

Post an explanation of the ethical and legal implications of the scenario you selected on all stakeholders involved such as the prescriber, pharmacist, patient, and the patient’s family. Describe two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario.

spirituality

Write an 800-1,000 word essay on your personal worldview. Briefly discuss the various possible meanings of the term “spirituality,” and your understanding of the concepts of pluralism, scientism, and postmodernism. Primarily, address the following seven basic worldview questions:

  1. What is prime reality?
  2. What is the nature of the world around you?
  3. What is a human being?
  4. What happens to a person at death?
  5. Why is it possible to know anything at all?
  6. How do people know what is right or wrong?
  7. What is the meaning of human history?

Prepare this assignment according to the APA guidelines

growth, development, and learned behaviors

Due Date: Mar 10, 2019 23:59:59       Max Points: 80

Details:

The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

Include the following in your presentation:

  1. Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
  2. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
  3. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
  4. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
  5. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
  6. In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Environmental Factors and Health Promotion: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants
1
Unsatisfactory
0.00%2
Less than Satisfactory
76.00%3
Satisfactory
81.00%4
Good
89.00%5
Excellent
100.00%100.0 %Content 15.0 %Environmental Factor and the Potential Effect on InfantsAn environmental factor is not presented. The issue chosen is not environmental. An incomplete summary of how the environmental factor potentially affects infant health or safety is presented.A general description of how the environmental factor potentially affects infant health or safety is presented. There are inaccuracies, or more evidence is needed for support or rationale.A description of how the environmental factor potentially affects infant health or safety is presented. Some support or rationale is needed.A detailed description of how the environmental factor potentially affects infant health or safety is presented. Strong support and rationale are provided. The direct effect of the environmental factor on infant health and safety is well established. 15.0 %Health Promotion Plan for Caregivers to Address Environmental Factor and Improve Infant Health and Well-BeingA health promotion plan is not presented.An incomplete health promotion plan is presented. The plan fails to address the environmental issue; or, the plan does not include steps to improve health or safety for infants. There are major inaccuracies.A general health promotion plan is presented. The plan addresses the environmental issue and includes general steps to improve health or safety for infants. There are some inaccuracies. More information or evidence is needed for support. It is unclear if the plan is suitable for the chosen caregiver.A health promotion plan is presented. The plan addresses the environmental issue and includes steps to improve health or safety for infants. Some information or evidence is needed for support. The plan is realistic for the chosen caregiver. A well-developed health promotion plan is presented. The plan clearly addresses the environmental issue and includes specific steps to improve health or safety for infants. Sufficient information and evidence is provided for support. The plan is realistic for the chosen caregiver.10.0 %Recommendations for Accident Prevention and Safety PromotionRecommendations for safety promotion and accident prevention are not offered.Some recommendations for safety promotion and accident prevention offered are summarized. The recommendations offered are unrelated to the environmental factor; steps recommended do not support the health and safety of infants.Recommendations for safety promotion and accident prevention offered are summarized. The recommendations offered are generally related to the environmental factor. Most steps recommended support the health and safety of infants. There are some inaccuracies. More information or rationale is needed for support and clarity.Recommendations for safety promotion and accident prevention offered are proposed. The recommendations offered relate to the environmental factor and the steps outlined support the health and safety of infants. Some rationale is needed for support or clarity. In general, the recommendations are realistic and suitable for the chosen situation and caregiver.Well-developed recommendations for safety promotion and accident prevention offered are proposed. The recommendations offered clearly relate to the environmental factor. The steps outlined are well thought out and support the health and safety of infants. The recommendations are realistic and highly suitable for the chosen situation and caregiver.10.0 %Evidence-Based Examples, Interventions, and SuggestionsExamples, interventions, and suggestions are not offered. None of the scholarly resources meet the assignment criteria. Some examples, interventions, and suggestions are offered. Most of the research resources do not meet the criteria as outlined in the assignment. General examples, interventions and suggestions are offered. Some of the research resources do not meet the criteria as outlined in the assignment. Examples, interventions, and suggestions offered are evidence-based. At least three scholarly research resources are utilized, and at least two peer-reviewed and no older than 6 years old. Overall, the resources support the examples, interventions and suggestions.Examples, interventions and suggestions are evidence-based and strongly supported. Three or more scholarly research resources are utilized; at least two are peer-reviewed and no older than 6 years old. 10.0 %Community, National, and Web-Based Resources for Health PromotionResources are not included for the health promotion.Some resources are included, but overall do not meet the criteria as outlined in the assignment. The resources are not relevant to the health promotion. A description does not accompany the resources. The contact information for the resources is incomplete or inaccurate.Resources are included as part of the health promotion. Some of the resources do not meet the criteria as outlined in the assignment. A general description accompanies the resources. Some contact information for the resources is incomplete or inaccurate.Two community resources, a national resource, and a Web-based resource are included with the health promotion. Overall, the resources are relevant to the health promotion and accessible for the caregiver. A description accompanies the resources. The contact information provided for the resources is accurate.Two community resources, a national resource, and a Web-based resource are included with the health promotion. The resources are highly relevant to the health promotion and are accessible for the caregiver. A detailed description accompanies the resources. The contact information provided for the resources is complete and accurate.15.0 %Appropriateness of Health Promotion for Caregiver and SituationNo aspect of the health promotion presentation is relevant to the caregiver or associated demographicThe literacy level is not written for the level of the caregiver or target audience. The socioeconomic level, language, culture, and any other relevant characteristic of the caregiver are not always consistent with representing the caregiver or associated demographic. Major changes need to be made for the presentation to be tailored to the caregiver or associated demographic.The literacy level is generally written for the level of the caregiver or target audience. The socioeconomic level, language, culture, and any other relevant characteristics of the caregiver are generally written representing the caregiver or associated demographic. Some changes need to be made for the presentation to be tailored for the caregiver or associated demographic.The literacy level is written for the level of the caregiver or target audience. The socioeconomic level, language, culture, and any other relevant characteristics of the caregiver are tailored for the caregiver or associated demographic. There are some areas that require revision or slight changeThe literacy level is written for the level of the caregiver or target audience. The socioeconomic level, language, culture, and any other relevant characteristics of the caregiver are tailored for the caregiver or associated demographic. The presentation demonstrates insight into tailoring presentations to a specific target population.5.0 %PowerPoint and Voice Over Requirements Presentation fails to meet the criteria outlined. The presentation contains fewer than 10 slides, omits speaker notes, and does not have a reference slide. Loom is not utilized for the presentation. Presentation meets some of the criteria outlined. A minimum of 10 slides is used for the presentation. The reference slide and speaker notes are omitted or are not complete. An attempt at a Loom presentation is made.Presentation meets most of the criteria outlined. Presentation uses 10 -12 slides, but the slide arrangement does not support the intended presentation. The reference slides and speaker notes are missing information or contain inaccuracies. A Loom presentation is submitted, but the presentation is inconsistent with the PowerPoint and speaker notes.Presentation meets the criteria outlined. Presentation uses 10 -12 slides and the slide arrangement supports the intended presentation. The speaker notes are submitted and support the presentation. The reference slide is submitted. A Loom presentation is submitted and overall is consistent with the PowerPoint and speaker notes.Presentation meets the criteria outlined. Presentation uses 10 -12 slides and the slide arrangement strongly supports the intended presentation. The speaker notes submitted are well-developed and support the presentation. The reference slide is submitted. A Loom presentation is submitted and is consistent with the PowerPoint and speaker notes.5.0 %Visual AppealThere are few or no graphic elements. No variation in layout or typography is evident.Color is garish or typographic variations are overused and legibility suffers. Background interferes with readability. Understanding of concepts, ideas, and relationships is limited. In general, the visual presentation is not optimal for the audienceMinimal use of graphic elements is evident. Elements do not consistently contribute to the understanding of concepts, ideas, and relationships. There is some variation in type size, color, and layout. Some of the visual aspects are distracting for the intended audience.Thematic graphic elements are used but not always in context. Visual connections mostly contribute to the understanding of concepts, ideas, and relationships. Differences in type size and color are used well and consistently. Overall, the presentation is visually appealing and suitable for the intended audience.Appropriate and thematic graphic elements are used to make visual connections that contribute to the understanding of concepts, ideas, and relationships. Differences in type size and color are used well and consistently. The presentation has strong visual appeal and is developed with the intended audience in mind.5.0 %Aesthetic QualityDesign is cluttered. Materials detract from the content or the purpose of presentation is low quality.Design detracts from purpose. Text and visuals are too simplistic, cluttered, and busy. Little or no creativity or inventiveness is present.Design is fairly clean, with a few exceptions. Materials add to, not detract from the presentation. Materials used were quality products and easy to see or hear.Design is appropriate and integrates a variety of objects, charts, and graphs to amplify the message.Design is clean. Skillful handling of text and visuals creates a distinctive and effective presentation. Overall, effective and functional audio, text, or visuals are evident.5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, and language use)Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.The writer is clearly in command of standard, written, academic English.5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.100 %Total Weightage

qualitative and quantitative research critique

Prepare this assignment as a 1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

PICOT Statement 

Revise the PICOT statement you wrote in the Topic 1 assignment.

Research Critiques

In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

Prepare this assignment according to the APA guidelines.

USE THIS TITLE AS Appropriate: 

Tittle of page, Introduction, PICOT Statement, Literature Review (Qualitative and Quantitative Review), Background, Methodology, Results of Findings, Ethical Considerations, Proposed Evidence-Based Practice Change, Conclusions.

NO PLAGIARISM PLEASE, MINIMUM OF 3 REFERENCES

Political, Ethical, and Economical Influences

Week 2: Political, Ethical, and Economical
Influences

 on HealthAs you examined in Week 1, the disparity of available health care staffing is varied throughout the world. Often, countries with the greatest disease burden have the fewest health care professionals available to care for their populations. This week extends the premise further to analyze the influence of politics, ethics, economics, environment, and culture on the public’s health in the global arena. Through health care policy and advocacy efforts, nurses act as change agents to improve the quality of care and quality of life for poor and disenfranchised populations.

Ethics in nursing practice and health care is a vitally important issue on the global health care front. A nurse’s responsibility toward a patient or a population can be viewed as an act that supports the preservation of human rights, dignity, and social justice. Nurses can address these needs in several ways, such as through political avenues, and by educating the community on disease prevention and proven methods to safeguard good health. By communicating a population’s vulnerability to specific ailments and diseases, nurses can be found working to promote health, prevent illness, and assist in recovery from many health problems.

This week you will examine how politics and economics influence health and health care. You will also consider ethical dilemmas when promoting health for a population.

Learning Objectives

Students will:
  • Evaluate how politics and economics influence health and health care
  • Analyze political or economic system’s influence on health
  • Analyze government intervention for a health care system
  • Analyze approaches for mitigating outbreaks in relation to nursing practice*

*The Assignment related to this Learning Objective is introduced this week and submitted in Week 3.

Photo Credit: [Image Source]/[Image Source]/Getty Images


Learning Resources

Required Readings

Holtz, C. (2013). Global health care: Issues and policies (2nd ed.). Burlington, MA: Jones & Bartlett.

  • Chapter 4, “Global Perspectives of Economics and Health Care” (pp. 91–122)
  • Chapter 6, “Ethics of End-of-Life Care from a Global Perspective” (pp. 139–156)

Stanhope, M., & Lancaster, J. (2016). Public health nursing: Population-centered health care in the community (9th ed.). St. Louis, MO: Elsevier.

  • Chapter 8, “Public Health Policy” (pp. 167–187)

Public Health Nursing: Population-Centered Health Care in the Community, 9th Ed. by Stanhope, M., & Lancaster, J. Copyright 2015 by Elsevier Health Science Books. Reprinted by permission of Elsevier Health Science Books via the Copyright Clearance Center.

Levine, R. (2007). Case studies in global health: Millions saved. Sudbury, MA: Jones & Bartlett.

  • Case 9, “Improving the Health of the Poor in Mexico” (pp. 65–72)
Required Media

Laureate Education. (Producer). (2010d). Public and global health: Political, ethical, and economical influences on health [Video file]. Baltimore, MD: Author.

 

Note: The approximate length of this media piece is 11 minutes.

 

TED. (2015b). Why your doctor should care about social justice. Retrieved from https://www.ted.com/talks/mary_bassett_why_your_doctor_should_care_about_social_justice

 

Note: The approximate length of this media piece is 14 minutes.

 

Dr. Mary Bassett (Health Commissioner of New York City) discusses why physicians, nurses, and other health care professionals should not keep silent about health care disparities, based on her insights from her work in Zimbabwe.

Writing Resources and Program Success Tools

Document: AWE Checklist (4000) (Word document)

 

This checklist will help you self-assess your writing to see if it meets academic writing standards for this course.

Walden University. (n.d.). Walden templates: General templates: APA course paper template with advice (6th ed.). Retrieved May 20, 2016, from http://academicguides.waldenu.edu/ld.php?content_id=7980455

 

Dr. Mary Bassett (Health Commissioner of New York City) discusses why physicians, nurses, and other health care professionals should not keep silent about health care disparities, based on her insights from her work in Zimbabwe.


Discussion: Nurses Working to Improve the Socioeconomic Status of Impoverished Citizens Through Government Actions

The influence of poverty on health is a problem that transcends national borders. This week’s readings discussed some of the political, economic, and ethical issues that lead to health disparities in developed and developing countries. In addition, in this week’s first media presentation, Dr. Mancuso and Dr. Huijer shared insights on working within political systems to bring about positive changes in health care. Think about the importance of nurses in addressing these needs and in bringing about change.

To prepare for this Discussion:

  • Review the case study “Improving the Health of the Poor in Mexico.” Then, prepare your response to the following questions:
    • How do politics and economics influence health and health care?
    • What might the benefits be of awarding the mothers cash grants?
    • What social problems might be created by giving the mothers cash grants?
    • Do you think the resources were ethically distributed? (Think about stereotyping.)
    • What changes do you think should be made to the program, if any?
    • If the program were to be discontinued for any reason, what could you, as a nurse, say that might help to maintain funding?
    • Do you think a similar program might work in your community? Why or why not?
By Day 3

Post your response to the following prompts:

Explain how politics and economics may influence health and the health care system from your own perspective. Analyze whether the political and/or economic systems play a major role in your or your family’s access to health and explain why. Then, describe how government intervention might benefit a health care system. Be specific and provide examples.

Support your response with references from the professional nursing literature.

Note Initial Post: A 3-paragraph (at least 250–350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).

MENTAL STATUS EXAM

BACKGROUND INFORMATION

The client is a 70 year-old Hispanic American male who came to the United States when he was in high school with his father. His mother died back in Mexico when he was in school. He presents today to your office for an initial appointment for complaints of depression. The client was referred by his PCP after “routine” medical work-up to rule out an organic basis for his depression. He has no other health issues with the exception of some occasional back pain and “stiff” shoulders which he attributes to his current work as a laborer in a warehouse.

 

SUBJECTIVE

During today’s clinical interview, client reports that he always felt like an outsider as he was “teased” a lot for being “black” in high school. States that he had few friends, and basically kept to himself. He describes his home life as “good.” Stating “Dad did what he could for us, there were 8 of us.” He also reports a remarkably diminished interest in engaging in usual activities, states that he has gained 15 pounds in the last 2 months. He is also troubled with insomnia which began about 6 months ago, but have been progressively getting worse. He does report poor concentration which he reports is getting in “trouble” at work.

 

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is casually dressed. Speech is clear, but soft. He does not readily make eye contact, but when he does, it is only for a few moments. He is endorsing feelings of depression. Affect is somewhat constricted, but improves as the clinical interview progresses. He denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment and insight appear grossly intact. He is currently denying suicidal or homicidal ideation. You administer the “Montgomery- Asberg Depression Rating Scale (MADRS)” and obtained a score of 51 (indicating severe depression).

RESOURCES

§ Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382-389.

For this Discussion, you will select an interactive media piece to practice decision making when treating patients with psychological disorders ( Selected above) You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology.

To Prepare

· Review this week’s interactive media pieces and select one to focus on for this Discussion.

· Reflect on the decision steps in the interactive media pieces, and consider the potential impacts from the administration of the associated pharmacotherapeutics on the patient’s pathophysiology.

·

Post a brief explanation of the psychological disorder presented( depression) and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected ( as below) Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples.

Decision steps taken:

Decision point 1

Begin Zoloft 25mg orally daily. ( pt came back in not feeling better and c/o erectile dysfunction)

Decision point 2

Decrease dose of Zoloft ( pt still feels better but still same complain)

Decision point 3

d/c zoloft and start on paxil ( SSRIs should be first line of treatment while MOAIs last line of treatment for depression( from research, say why this decision will be best for this patient with three references)