describe the mental health disorder

A 38-year-old woman presents to the office with complaints of weight loss, fatigue, and insomnia of 3-month duration. She reports that she has been feeling gradually more tired and staying up late at night because she can’t sleep. She does not feel that she is doing as well in her occupation as a secretary and states that she has trouble remembering things.
She does not go outdoors as much as she used to and cannot recall the
last time she went out with friends or enjoyed a social gathering. She
feels tired most of the week and states she feels that she wants to go to
sleep and frequently does not want to get out of bed. She denies any
recent medication, illicit drug, or alcohol use. She feels intense guilt
regarding past failed relationships because she perceives them as faults.
She states she has never thought of suicide, but has begun to feel increasingly
worthless.
Her vital signs and general physical examination are normal, although
she becomes tearful while talking. Her mental status examination is significant
for depressed mood, psychomotor retardation, and difficulty attending
to questions. Laboratory studies reveal a normal metabolic panel, normal
complete blood count, and normal thyroid functions.
➤ What is the most likely diagnosis?
➤ What is your next step?
➤ What are important considerations and potential complications of
management?

 

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Mr. Jones, who is 74 years of age, is being discharged home after having a right knee replacement

Mr. Jones, who is 74 years of age, is being discharged home after having a right knee replacement. The discharge orders from the orthopedic surgeon include: continuous passive motion (CPM) at the current setting of 0-degrees extension worn when walking with crutches (nonweight-bearing postdischarge day 1, and may begin weight-bearing postdischarge day 2); and home nurse visits, as needed. Physical therapy should begin the day after discharge at an orthopedic center. The orders will be faxed to the center. The following medications with prescriptions attached include: Lovenox (enoxaparin) 70 mg subcutaneously once daily for 7 days, Vicodin (hydrocodone bitartrate) 10 mg every 4 hours PRN, and Colace (docusate sodium) 100 mg every day. The patient is to follow up with the orthopedic surgeon in 3 weeks. His daughter plans to stay with him for several weeks to assist him with meals and household chores, and take him to physical therapy and the orthopedic surgeon for follow-up. Mr. Jones has three other children who live in other states. He is a widower and attends a local church. 

  1. What preparations should the nurse make in advance before attaining necessary community resources and referrals before the patient is discharged?
  2. What necessary community resources and referrals will the patient need?

2. Mrs. Johnson, a 67-year-old female patient, has recently been discharged from the hospital following an admission for COPD. She has a past medical history of a colon resection related to acute diverticulitis. She developed a surgical wound infection that requires daily wet to dry wound packing and IV Zosyn. Mrs. Johnson was discharged with home oxygen. To manage her care at home, home care visits were ordered. (Learning Objective 5)

  1. What would be involved in setting up the first home care visit?
  2. Describe the nursing assessments and management that would oc
 

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changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional.

Please share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

· Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186. Retrieved from https://jamanetwork.com/journals/jama/article-abstract/1910118

· Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4788386/

· Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483

Patient Preferences and Decision Making

· Clinical Experience

· Patient Preferences and Values

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan

 

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The prevalence of illness among poor urban and rural populations increase the demand for critical care services.

Need ONE Response Per Each Discussion Total 6 Responses. Attached Are The Discussions And Rubric Please Follow Them. Posts Will Be A Minimum Of 100 Words, APA Format.One Reference Per Each Di

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Community Nursing Practice Model

T Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice . However, there is a shortage for physicians who can take up responsibilities in the community health sector. Among the efforts in place to strengthen the human resource is the growing interest to have nurses in advance practices participate inpatient care at the community health level. By applying the community, nursing practice model advanced practice nurses are better prepared to deliver care and outcomes to patients in poor communities.

The Community Nursing Practice Model

The community nursing model plays an essential role in ensuring that less privileged communities can access better healthcare by providing a framework for community nurses to focus on entire populations that have similar health concerns or characteristics. For example, a society where there are reproductive health issues, nurses applying this model in such a community will be able to know what the needs of the community are as far as reproductive health is concerned (Maclaine, 2014).

The model considers all levels of prevention, which include primary prevention whereby the advanced practice nurses promote health and protect against threats to health in the community. For example, carrying out awareness in the community on sexually transmitted diseases and distributing latex condoms in the community (Maclaine, 2014). Another level of prevention is secondary prevention, which involves the community nurses’ practitioners detecting and treating problems at the early stage of detection so that the health problem does not cause serious problems or affect others. The last level of prevention involves the community nurse practitioner preventing existing problems from getting worse.

The MSN Essential

Clinical prevention and population health are one of the MSN essential that is relevant to the community nursing practice. The underlying notion of this MSN essential is recognizing that masters prepared nurse applies and integrates a good organizational, patient-centered and culturally appropriate idea in planning to deliver and managing of clinical prevention and community care services to individuals and families (AACN, 2011). Under this essential, it is well elaborated that a master’s degree level nurse should be able to synthesize broad social determinants of health and data from epidemiology to design and deliver clinical interventions to the communities in need while using relevant strategies. 

In summary,the model has transcended values of respect, care, and wellness, which are essential in primary health care. The CNP and MSN essential provide a framework for nurses who want to practice in the community health sector and especially for advanced care nurses. The model depicts community health nursing practitioners as an essential part of an interdisciplinary team that includes physicians and nutritionist. The team approach is vital to the success of community health practice.

References

Maclaine, K. (2014). Advanced Nursing Practice in the Community. Community Health Care Nursing, 234-252. doi:10.1002/9781444316247.ch15

The American Association of Colleges of Nursing (AACN) (2011). AACN Resources to Facilitate Integration of the Essentials of Master’s Education in Nursing. Nurse Educator36(5). doi:10.1097/nne.0b013e3182297b78

Wessel, L. A. (2005). Nurse Practitioners in Community Health Settings Today. Journal of Health Care for the Poor and Underserved16(1), 1-6. doi:10.1353/hpu.2005.0019

 Eduardo Soto Quinones

                                                                                       Florida National University

                                                                                               July 17. 2019

       Nurse Practitioners are the principal group of advanced-practice nurses delivering primary care in the United States and are the initial point of patient contact in many settings and deliver care consistent with their areas of expertise and the laws that govern nursing scope of practice. Nurse practitioners deliver primary care in small and large private and public practices, and in clinics, schools, and workplaces. Often taking the lead clinical, management, teaching, researching and accountability roles in innovative primary care models. Nurse practitioners care for a wide range of patients from babies to senior citizens. They can diagnose and treat patients for many common ailments, also prescribe medications, order lab tests as well as interpret the data to treat a patient. Family nurse practitioners have a long history of engaging patients in their care, helping them to understand their illness and practical measures they can take for improvements. With the growing complexity of health care and diminishing availability of primary care physicians, many patients are seeing family nurse practitioners for their primary needs.

       I think essential IX: Master’s Level Nursing Practice, is related to community nursing practice. Nurse practitioners must be prepare to implement safe, quality care in a variety of settings and roles. Also must advocate for patients, families, caregivers, communities and members of the health care team.

References.

American Association of Colleges of Nursing.(2011). The essentials of master’s education in nursing.

US Department of Health and Human Services. Bureau of Labor Statistic.( 2016). The Registered Nurse Population.

Marie Germain Discussion: 7

COLLAPSE

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          After reading this article, I came to the realization of the role and collaboration and need of the Family Nurse Practitioner throughout the community. The NP can use the Community Nursing Practice Model to facilitate the care needed for the undeserved population within our communities. The Association of Clinicians for the Underserved (ACU) defines transdisciplinary care as a holistic approach to patient assessment and treatment through a highly collaborative team of health care professional (Wessel 2005). According to Wessel (2005), the ACU advocates for improved healthcare for under deserved populations who receive irregular health care due to existing health disparities in the healthcare system across America. The nursing practice model helps in the provision of preventive care and maintenance as well as continued patient education for people suffering from chronic illnesses such as Diabetes, Hypertension, and HIV/AIDS.

          The community health nursing model provides the network through which community health nurses work with people, supports and practice that represents the standards of community health nursing. The standards of practice revolve around values, beliefs, which empowers the community health nursing to focus on improving the health of people in the community by facilitating change in health systems or society in support of health care outcome and provision for patient in need in both rural and urban community. As a FNP, we can work throughout the community in variety of different role and settings, as a care provider, educator, advocate, manager, collaborator leader, and researcher. Nursing Practice (NP) provides adequate care to the patients by developing a close relationship with them, building their strength as well as responding to their demands holistically, mind, body and spirit.  NP are equipped the with in-depth knowledge of care and prevention. With this, nurses will be in a better position of sensitizing patient in under deserved communities on causes of certain diseases, as well as initiating education and preventive measures that are patient-centered, to improve their overall quality of health. I came to understand that empowering patients is vital in improving the outcome of patient health in under deserved communities. With empowerment, patients will be able to take good care of themselves, change their lifestyle, and alleviate acute disease exacerbations. Moreover, NP working within the community curbs regular visits to the hospital; in this instance; which is cost effective for the patients, making it more beneficial to the minority populations (Wessel, 2005).

          The MSN essential that is most significant and correlates with Community health is essential VII Interprofessional Collaboration for Improving Patient and Population Health Outcomes. It is patient-centered and integrates concepts that are culturally accepted in healthcare planning, delivering, managing, and evaluating diseases based on the evidence, prevention, care, as well as services to families, individuals, and identified communities. The MSN essential VII prepared Nurse Practitioner working within the community, to allocate the proper referral, consults, collaborate and educate individuals towards optimal health outcomes (American Association of Colleges of Nursing, 2017).

References

American Association of Colleges of Nursing. (2011). The essentials of master’s education in

           nursing. March 21, 2011.

Wessel, L. A. (2005). Nurse practitioners in community health settings today. Journal of

            health care for the poor and underserved16(1), 1-6.

Community Nursing Practice

Robert Alonso

                                                                                                             Community Nursing Practice

There are numerous fields where a registered medical attendant can practice. One area of these fields is known as Community Health Nursing. Community nursing integrate evidence-based research with the public health needs to give care dependent on science and facts. Public health medical attendants frequently hold jobs in the legislature or at freely financed facilities, yet besides work for private wellbeing offices. The Community health nursing model (CHNM) outlines the dynamic idea of public health nursing work on, grasping the present and anticipating into the future (American Nurses Association. 2013). The CHNM gives the vehicle through which public health medical attendants work with individuals and supports the training that epitomizes the principles of public health nursing. The standards of practice rotate around both the beliefs and values and the nursing process with the energies of public health nursing continually being centered on improving the health of individuals in the society and encouraging change in systems or society in help of wellbeing. Wessel contends that public wellbeing nursing practice does not happen in disengagement yet instead inside an ecological setting, for example, approaches inside their work environment and the service structure pertinent to their work (2005).

One MSN Essential that most corresponds to this discussion identified with public nursing practice is how the nurse practitioners can serve as an advocate. In their communities, medical caretakers advocate for the necessities of patients and their families by utilizing their aptitude to influence those in positions of power in regards to financial issues, just as issues in the educational and health care sectors (ANA. 2013). Medical attendants likewise, straightforwardly advocate for patients in specific cases where a need is evident.

 References

American Nurses Association,. (2013). Public health nursing: Scope and standards of practice.

Wessel, L. A. (2005). Nurse practitioners in community health settings today. Journal of health care for the poor and underserved16(1), 1-6.

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Gretell Alfonso 

Week 12 Discussion Gretell Alfonso

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While making the decision of where to take my career as a registered nurse to the next level, I was always in between Nurse Practitioner and CRNA. However,when I thought of the option of nurse practitioner I was confused and lacking the knowledge when thinking about where they are able to practice. For example, for sure I understood and knew that they can practice in a hospital or in a family primary care office but, I never really thought about any other settings therefore giving me a limited perspective as to where Nurse Practitioners could work. My decision was to go into Nurse Practitioner program because I knew that I would enjoy working at either one of these settings but mainly in a doctors office. As I go through the program I have learned that as a nurse practitioner I can work in many other settings and take on different roles, the ones I never really thought I could as well. As a nurse practitioner we have the ability to play many roles such as a primary care professional, teacher, researcher and management. After reading the article “Nurse Practitioners in Community Health Settings Today” I was able to make myself more aware of the places I can take my degree and roles to use them to the fullest potential possible. Although this article mainly focuses on the nurse practitioner working in a community setting, it explores great ideas in how to help the patients that cannot afford health insurance. As we are aware, many people in USA are experiencing health insurance issues and therefore not able to receive preventive health care or any care. As nurse practitioners we can be a part of changing that to a more positive thought. Helping the undeserved and low income people to receive care can be done just how the nurse practitioner in the article “Nurse Practitioners in Community Health Settings Today” explains how she has accomplished it such as by providing primary care to those uninsured immigrants on a community health van. Nurse practitioners are professionals who are able to provide health care to the community by using a combination of their skills and educating patients on their health due to their previous experience as a nurse. A nurse practitioner will concentrate more in the patients health care needs and assist them to achieve them while working along with an MD who will diagnose the patient and not spend as much time talking about other topics such as how can a patient afford their medication. The essential that I believe applies to the nurse practitioner role is VII-Interprofessional Collaboration for Improving Patient & Population Health Outcomes. I believe that interprofessional collaboration is exactly what we do when working with Medical doctors due to the fact that we cover the topics and go over them with the patients that the MD might not have time to talk about with them. Patients have many questions when it comes to their health and a lot of the noncompliance with their health comes through not being educated enough about their diagnoses or illness. AsNP’s we work closely with doctors to make sure our patients receive the best care possible while clarifying all the questions and concerns our patients have which will provide better health outcomes to our patients. 

References:

Adkins, C. (2003). Agenda for change: Guidance for community practitioners and community nurses: The journal of the health 

     visitors’ association. Community Practitioner, 76(10), 390-392. Retrieved from 

https://search.proquest.com/docview/213297710?accountid=158399

The Essentials of Master’s Education in Nursing. (2011). American Association of Colleges of Nursing. Retrieved July 17, 2019, 

       from https://fnu.blackboard.com/bbcswebdav/pid-948066-dt-content-rid-11761660_1/courses/19SUMF-NGR5110-DL-

       MSN1A/AACN MastersEssentials 2011.pdf.

 The Journal for Nurse Practitioners Continuing EducationCredit Application. (2014). The Journal for Nurse Practitioners, 10(1),

          11-12. doi:10.1016/j.nurpra.2013.11.013

Discussion 7: Manuel M Cabrera

COLLAPSE

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Discussion 7

Family nurse practitioners (FNPs) are provided with opportunities to work in a variety of settings, including primary care hospitals, acute care facilities, and urgent-care centers. A trained nurse has to acknowledge the differences between these settings and modify their strategies depending on the environment and the needs of the patient. Similarly, FNPs may participate in research and assume management roles (Wessel, 2005, p. 1). In other words, FNPs are expected to prioritize flexibility. Nevertheless, it is also beneficial to focus on a specific setting to gain experience and become an expert. For example, many trained professionals recognize that community nursing requires unique skills and knowledge to provide high-quality care. The Community Nursing Practice Model focuses on the connection between different dimensions of healthcare that may influence a specific nursing situation. The advantage of this model is that it highlights the need to establish organizations with wide jurisdictions to address the needs of groups and communities. Wessel (2005) believes that this approach is necessary to provide disadvantaged communities with the necessary services (p. 5). Association of Clinicians for the Underserved (ACU) is one of such organizations, and its objective is to establish an organizational structure that would help communities in need such as undocumented immigrants to gain access to healthcare services. One may argue that the 8th Essential may be linked to the practices associated with community nursing because this Essential focuses on the application of nursing concepts in the context of population health (AACN, 2011, p. 24). Low-income communities and minority groups are disproportionately affected by health disparities. One has to recognize that core healthcare challenges cannot be addressed if the needs of disadvantaged groups are not taken into account (CDC, n.d.). Thus, community nursing practice should be viewed as a core element of nursing practice because it could help to address current challenges.

References

American Association of Colleges of Nursing (AACN). (2011). The Essentials of master’s education in nursing [PDF file]. Retrieved from http://www.aacnnursing.org/portals/42/publications/mastersessentials11.pdf

Centers for Disease Control and Prevention (CDC). (n.d.). CDC community health improvement navigator. Retrieved from https://www.cdc.gov/chinav/

Wessel, L. A. (2005). Nurse practitioners in community health settings today. Journal of Health Care for the Poor and Underserved, 16(1), 1-6. doi: 10.1353/hpu.2005.0019

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Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice

This week’s discussion relates to the following Course Outcomes (COs).

· CO 3: Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice. (PO 4 and 8)

· CO 4: Evaluate the delivery of care for individuals, families, aggregates, and communities based on theories and principles of nursing and related disciplines. (PO 1)

Discussion

Review the Week 3 Case Studies by opening the links below.

Child Abuse Case Study (Links to an external site.)

Senior with Dementia Case Study (Links to an external site.)

Maternal Child/Developmental and Mental Illness Case Study (Links to an external site.)

Choose one of the three attached case studies, and reflect on the vulnerable population that the case study portrays.

· Identify which case you chose.

· Discuss several risk factors that may impact health outcomes for the vulnerable population in your case study.

· Identify one agency in your community that can assist this vulnerable group and assess this agency in terms of the 4 A’s (see the lesson). Discuss each of the A’s separately to assess accessibility, acceptability, affordability, and availability for this po

 

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Discuss the history of present illness that you would take on this patient in preparation for the clinic visit.

Comment using your own words but please provide at least one reference for each comment.

Do a half page for discussion #1 and another half page for discussion #2 for a total of one page.

Provide the comment for each discussion separate.

Discussion #1

1.Discuss the history of present illness that you would take on this patient in preparation for the clinic visit. Include questions regarding Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving Factors, Treatment, Severity (OLDCARTS).

HPI:

Ms. Susan Johnston is a 60 year old female that presented to the clinic with complaints of intermittent chest pain that has been occurring for the last 3 months on exertion. She has a history of hyperlipidemia, hypertension and a family history of Diabetes and cardiac disease. At the present time she is non-compliant with her current medication regime of lisinopril 20mg, hydrochlorothiazide 25mg and occasional aspirin. 

Ms. Johnston states that her chest pain is in the “middle of her chest” and says her pain level can be 6/10 on the pain scale at its worst. She states that the discomfort occurs when she is “active” climbing stairs and is relieved by rest. Ms. Johnston describes her pain as “burning at times and sometimes tingling” but also stated “it always goes away”. She did state that she has some shortness of breath with the occurrence.

She denies any symptoms of dizziness or passing out. Also denies any radiation of pain to the neck, jaw or arm. She has not been woken by the pain and has no nausea or vomiting during or after pain onset.

Describe the physical exam and diagnostic tools to be used for Ms. Johnston. Are there any additional you would have liked to be included that were not? 

 The physical exam to be used on Ms. Johnston includes a full head to toe assessment which showed no abnormalities besides obesity and hypertension.  An EKG was also completed which showed normal sinus rhythm. Labs were drawing including a CBC, TSH, basic metabolic panel, and a fasting lipid panel. CBC allows us to get a foundation of the hemodynamic of her system and check for signs ischemia. By drawing a TSH we can check for possible thyroid dysfunctions that may be contributing to her aliments such as her weight gain. With the lipid panel we can assess the risk to Ms. Johnston for coronary artery disease 

After receiving the Lab results back it was noted that her ASCVD score was at a 7.2% which increases her risk for a cardiac event. A chest xray was completed and Ms. Johnston was sent for stress test and a cardiac Cath procedure where a stent was placed. 

I feel that all the diagnostics and labs performed were appropriate. If we were do add anything possibly dopplers to make sure there are no other signs of lack of perfusion to the peripherals as well.  

What plan of care will Ms. Johnston be given at this visit; what is the patient education and follow-up?

During the follow up visit we would like to gauge Ms. Johnston’s compliance with her medications. Set up an appointment for 6-12 weeks to redraw the lipid panel to check for compliance (University of Michigan Medicine, 2014).We will discuss possible diet changes and safe physical activities for her to complete in order to better her health and weight.

Discussion #2

Ms. Johnston, a 60-year old patient presented with complaint of non-radiating midline chest pain, onset about 3 moths ago, intermittent in nature and lasting 2-3 minutes after the onset, described as burning with occasional tingling sensations. The patient is not endorsing any aggravating factors, associated with the complaint of this chest pain.The patient didn’t identify any specific relieving factors, stating that the chest pain is self-resolving with worst exacerbation’s pain score of 6/10.

The patient’s initial vital signs are within defined limits, with exception of blood pressure of 138/78, and 136/82 thereafter. Review of medications was performed in order to connect the findings from the physical exam to the medication efficacy. The patient endorses taking lisinopril and hydrochlorothiazide, although is still hypertensive. Family history was obtained, which helps identify the risk factors, as related to the genetic pre-disposition. Paternal family history of heart attack at age 57, which poses a risk factor when looking comprehensively at findings. Social history was obtained and the patient is a non-smoker, which decreases her associated cardiovascular risk. Also, the dietary habits were assessed with the patient shown to be obese with a BMI of 35.5 and denying following healthy diet habits. This finding created a need for associated education and dietary intervention plan. Overall, the physical assessment was within defined limits. I think that additionally, an EKG should be a standard tool of gathering data when related to any patients with complains of chest pain, arrhythmia and/or shortness of breath. In this particular case with Ms.Johnson, she also presents with multiple risk factors that just amplify the need for EKG testing.

This patient should be given a thorough education about the need for lifestyle modifications. The patient needs to follow a heart healthy diet that will help her heart function and also potentially reduce the excess weight. The patient also will need to be instructed that she may benefit from a individually tailored physical activity program and refer her to the resources available. The patient had been started on new medications, so a thorough teaching on medication regiment and medication side effects is warranted. Medication compatibility needs to be assured. The patient will benefit from a referral to cardiology for follow up, so a new evaluation later on can be conducted and see if further need for intervention is warranted. The patient needs to be given education on signs and symptoms of worsening condition, therefore prompting the patient to seek further medical care. It is important to understand that the patient will feel comfortable in received information and navigate it accordingly. Increasing healthcare literacy is paramount. Physicians must promote patient education and engagement through improvement in patients’ health literacy. Health literacy is defined as the capacity to seek, understand, and act on health information. The presumption has been that low health literacy means that physician communication is poorly understood, leading to incomplete self-health management and responsibility and incomplete health care utilization. It is the responsibility of physicians to proactively enable patients to have more accessible interactions and situations that promote health and well-being (Paterick, Patel, Tajik, & Chandrasekaran, 2017).

 

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Do you believe eye contact and personal contact should be avoided?

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

  • Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
  • Select at least one additional country to compare to the U.S. for this Assignment.
  • Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
  • Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

  • Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
  • Explain the strengths and weaknesses of each policy.
  • Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
  • Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
  • Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
  • Explain how the health policy you selected might impact the role of the nurse in each country.
  • Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.
 

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Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care.

Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a 4 page, include the following:

  1. Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it?
  2. To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals?
  3. Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

 

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Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?

 Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project? 

 

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Discuss if a benefit to risk ratio was calculated and how? Did it provide am honest estimation?

Select a healthcare related research study .
 

Identify the sample population.
 

Analyze and critique the study to identify if sampling method reflects ethical principles including consent, conditions of the participants, study approved by IRB.
 

Minimum 12 pages excluding title and reference page. 

Introduction

Paragraph one is the introduction to the paper. It should begin with something that will grab the reader’s attention and provide a citation to support your opening sentence (Norwood, 2002). Next, support that opening sentence with discussion or explanation with one or multiple sentences which will make up the body of the introductory paragraph. The last sentence of the introduction should highlight areas to be covered in the paper. APA success requires knowledge of the format and skill in concise, clear written communication.

Research Study Overview

This section is where you provide a summary of the research study being critiqued? What were the goals of the research? What health care related issue was addressed? Is it a good/feasible study to apply in clinical practice? Was a practical study, from a financial aspect? Use as many paragraphs as needed to cover the content appropriately.

Ethical Issues in Research

Use this paragraph to provide feedback/history on ethical issues on research. 

Protection of Human Rights

What are the five human rights that must be protected during research/investigation? What do they stand for? How do they relate to this research study? Were any/all of the human rights protected in the duration of the research study in question? Use as many paragraphs as needed to cover the content appropriately.

Sampling Method

 What was the sampling method used, how did the researchers choose the subjects for participation? What other sampling methods could have worked better, provided better results? Does the sampling method used reflect ethical principles, was it a fair process? Is the population in question a vulnerable population, and if so were there special considerations taken? Use as many paragraphs as needed to cover the content appropriately.

Informed Consent

What is an informed consent? In regards to this research study, was it obtained, if appropriate? If a consent was part of the study, was it obtained properly? Did the participants assent? If participants unable to consent, were they not competent, did a caregiver consent? Were participants provided full/complete detailed information or was it a short version? What components did it include? Use as many paragraphs as needed to cover the content appropriately.

Ethical Scientific Integrity

What are the credentials of the researchers? Did the researchers fabricate data, publish errors/ publish correction? Is there evidence of plagiarism? Use as many paragraphs as needed to cover the content appropriately. 

IRB

This section is where you will discuss all the information available (or lack thereof) regarding the IRB. Was the research study approved by an institutional review board? If not, why not? Was a research proposal submitted for approval by an IRB? Use as many paragraphs as needed to cover the content appropriately 

HIPPA

What is HIPPA and how does it apply to a research study? Was the research conducted using database information, and if so, was the health information protected? How was it protected? Was any data de-identified? Were participants provided pseudonyms or assigned numbers? Use as many paragraphs as needed to cover the content appropriately.

Benefit to Risk Ratio

Discuss if a benefit to risk ratio was calculated and how? Did it provide am honest estimation? What is your opinion about the outcome of the study and the potential benefits? Can it have a positive impact on the individual, how about in the community? Use as many paragraphs as needed to cover the content appropriately. 

Conclusion

Most papers should end with a conclusion or summary, which consists a short description of the key points of the paper. It should be concise and contain little or no detail. No matter how much space is left on the page, the References are always on the next page.

 

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