E S s a y5 WELL DEVELOPED PARAGRAPHS (5 SENTENCES EACH)(WITH HEADINGS)AT LEAST 3 REFERENCESAPA STYLE (7TH EDITION)PLAGIARISM NO MORE THAN 15%
MINIMAL 200 WORDS.REFERENCES NEEDED.HOMEWORK 1Interdisciplinary Geriatric TeamsCare of the elderly population cannot be fully complete without the input of all the interdisciplinary professional teams. The American Geriatrics Society (AGS, 2011), noted that geriatric care promotes preventive care that is centered on care coordination and management to maintain functional independence. I currently do my practicum in one of the VA Community Living Centers (CLC), and I noted that the Program of All-Inclusive Care for the Elderly (PACE) Model is being utilized by the facility. The PACE Model was developed to “promote effective and efficient treatment of patients with multiple chronic conditions outside of the hospital setting” (Casiano, 2015). The AGS, (2011) also noted that, this model empowers the individual to live independently in the community with a high quality of life. The interdisciplinary geriatric care team comprises of the unit physician, advanced nurse practitioner (ANP), registered nurse, physical, occupational, speech, and recreational therapists, neuropsychologist, psychiatrist, nutritionist, and podiatrist. All these professionals work together to provide high quality care for the veterans, keeping them out of the hospital, and making them independent in their activities of daily living.With regards to other sites of care such as the hospital, the nursing homes and the rehabilitation centers, different models of care are used. For instance, in the hospital, the Geriatric Resource Nurse (GRN) is used based on the “belief that the primary nurses know the most about the daily patterns and needs of the older adults in their units” (Flaherty & Resnick, 2011). Although the nurses work hand in hand with the physicians and the nurse practitioners, they carry the workload of the patients and serve as resource for geriatric practices. I also noted that, the primary care clinics use the Guided Care Model where a registered nurse assists three to four physicians in providing care for the patients.Differences on ANP roles based on sitesAt CLC levels, the NP practices in collaboration with the unit physician, but in the absence of the unit attending, the NP practices independently. In some primary care clinics, NPs are independent practitioners, but in some clinics, though they are independent, there is a physician overseeing their activities. During my Primary care practicum a few months ago, one of the physicians was telling me that when he practiced outside the VA in the primary care clinic, his team of caregivers included NP, RN, LPN, and a tech. He stated that, the NP had her own patients that she was seeing, but he had to oversee her practices per the policy of the facility. He added that “but that NP was great, in my absence she took care of all my patients including hers”.Model of care for Case Study #2Mr. William certainly has multiple chronic diseases which requires an interdisciplinary team to manage his care. The PACE Model, which was developed to promote effective and efficient treatment for patients with comorbidities like Mr. William will be effective in managing his care as well as empowering him to live independently in the foster home. Mr. William will need the care of a physical and occupational therapists for muscle strengthening and ADLs. His history of benign prostatic hypertrophy (BPH) can also cause him to use the bathroom frequently, and given his unsteady gait, he is at risk for falls. Therefore, he will also benefit from a urologist. Buttaro, Trybulski, Polgar Bailey, & Sandberg-Cook (2013) noted BPH is common among elderly men and symptoms include urinary frequency, urgency, and nocturia. The other team that should be involved in Mr. William’s care is the ophthalmologist to evaluate and treat his sight.ReferencesAmerican Geriatrics Society. (2011). The principles of geriatric care. Retrieved fromhttp://www.americangeriatrics.orgButtaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: Acollaborative practice (4 ed.). St Louis, MO: Mosby.Casiano, A. (2015). PACE: A model of care for individuals with multiple chronic conditionsRetrieved fromhttp://www.managedhealthcareconnect.com/article/pace-model-care-individuals-multiple-chronic-conditionsFlaherty, E. & Resnick, B. (2011). Geriatric nursing review syllabus: A core curriculum inadvanced practice geriatric nursing (3rd ed.). New York, NY: American Geriatrics Society.I NEED:• Offer and support an alternative perspective based on your own experience and additional literature search.OR• Validate an idea with your own experience and additional literature search.
Prompt: In the first part of the course, we have applied foundational economic principles to the healthcare industry. For the first part of your final project, you will analyze these same microeconomic and macroeconomic principles and their impact on healthcare markets, healthcare service, and organizations. In this milestone, you will apply the knowledge you have gained through the first half of the course, as well as research current economic environments and legislative changes to gauge the impact on the healthcare industry through a policy research report.In Milestone Two, you will submit your draft of the policy research report. Based on instructor feedback and direction, you will revise your policy research report for the final submission of the policy research and organizational analysis report in Module Nine.
Examine the science and art of theory development and evaluation.Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources.
After reading Chapters 19 and 20, please read the following scenario and respond to the questions with rationale from the textbook and/or other readings or references. It is worth 7.5% of your grade and it does have to be in APA format withat least2 scholarly references (within 5 years) in APA format. Your response needs to be400-500words in length. Do not write in first, second, or third person (I, me, we, you they, he, she, it, this that, they, their, etc.). No response to another student is needed. The assignment is due November 9 @1159 PM.Delegation ScenarioThe 7 PM to 7 AM RN who usually works on the Adult Medical/Surgical unit is told to report to the Labor and Delivery unit as it is their turn to float to another unit. The RN has not taken care of a patient in labor since nursing school 5 years ago. The unit supervisor on the L & D unit has assigned this RN to 2 patients in active labor. The floating RN states they are uncomfortable in this situation since it has been 5 years in caring for this type of patient. The unit supervisor says, “Don’t worry – you just need good basic nursing assessment and nursing skills.”Respond to the question: Should the RN take the assignment?If your answer is “yes”: State the rationale using support from the textbook or other references. If you have additional questions for the RN or the supervisor, please include those in your response.If the answer is “no”: State the rationale using support from the textbook or other references. Give an alternative action in your response.
Post a brief introduction of yourself that includes an explanation of your strengths and challenges as they apply to pediatrics and the role of a Family Nurse Practitioner. Also explain your career goals and objectives, and how your work in this course can help to accomplish those goals and objectives as a Family Nurse Practitioner. Use your research to support your explanations by providing credible and scholarly sources.About ME: I am 42 years old, ER nurse working with adult patients and prior to becoming a nurse I was a firefighter/EMT working with the DOD/DOS overseas in Iraq.Note: FYI: I do not have any previous experiences with pediatrics, only Adults.ResourcesNational Association of Pediatric Nurse Practitioners, Professional Issues Committee. (2019).NAPNAP position statement on age parameters for pediatric nurse practitioner practiceLinks to an external site.. Journal of Pediatric Healthcare, 33(2), A9–A11. https://doi.org/10.1016/j.pedhc.2018.10.007U.S. Department of Health and Human Services. (2020).Healthy people 2020 topics and objectivesLinks to an external site.. https://www.healthypeople.gov/2020/topics-objectives
Ashford 4: – Week 3 – AssignmentAssessment of Community-Level BarriersFor the second written assignment of the course, you will continue in the design of your proposed model program by demonstrating your understanding of your selected population’s challenges, which negatively impact this group’s health and well-being. Based on this week’s research, conduct an assessment of the barriers, limitations, and other distinguishing features, as they exist within your community.Prepare a recap of the model program for your community that you originally shared in the week 2 written assignment. As stated in the Week Two directions, changes to the potential program can be made as you research and develop the focus of the program.Analyze and discuss at least three critical barriers that impact the health and well-being of your chosen group; one must be a micro-level (individual) barrier that is financial, one must be a macro-level (community/state) barrier that relates to access and funding for care, and the third barrier may be one of your choosing.Discuss at least one proposed solution for each barrier. Your solution for the micro barrier must include an analysis of various potential funding options (both independent and integrated). Your solution for the macro barrier must include an analysis of financing resources for health care.Research and analyze the regulatory, legal, ethical, and accreditation requirements and issues for the service(s) offered in your proposed program. Discuss how each will impact the management of the program.Your assignment should be a minimum of three pages in length (excluding title and reference pages) and should include a minimum of three scholarly sources cited according to APA guidelines as outlined in the Ashford Writing Center. Please note: All assignments in this course are progressive; therefore you should use the same population selected in your Week Two assignment. The Week Two assignment’s contents do not need to be re-submitted with this assignment.Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.
I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT. BETWEEN 150-200 WORDSA vulnerable population is a group that is more likely going to develop health-related problems. They are more likely to have problems accessing health care, and are more likely to have shorter life spans and poorer outcomes. Not all persons that are at risk for poor health are vulnerable. To be vulnerable, there must be aggravating factors that place them at greater risk for on-going poor health.The more risk factors, the more vulnerable. Nurses must identify risk factors that are amendable to intervention (Maurer & Smith, 2013, p. 528) .At risk populations are sometimes associated with people that exibit concerns with communication, medical, independence, supervision, and transportation services. The key is based on understanding how a person functions on a daily basis (Minnesota Department of Health, 2016) . At risk populations would be those with cancer, people with transplants, people with HIV, pregnancy, and diabetes. Some groups that would be considered vulnerable would be the econmical disadvantaged, racial and ethnic minorities, the uninsured -low income children, the elderly, the mentally ill, and the homeless.In L&D, we see a group that is vulnerable, the pregnant homeless woman. There is a pattern that typically follows; no support system, substance abuse issues, and mental health issues. This group has a hard time advocating for themselves due to the systems many hurdles and also the mear fact, these women tend to have mental health unstabilites. Substance abuse further complicates their plight. We have services in place to help them find a living situation that would be in their best interest, however, they are still able to accept or decline help. We see this population coming in to the OB triage frequently to obtain some prenatal care, which is better than none. It is frightening for them, they know their child will be taken away from them, they also may fear repurcutions of their drug use concerning their baby. In South Carolina, drug abuse by a pregnant woman is the toughest in the nation. In 1997, a South Carolina court ruled that expectant mothers who use drugs can be convicted of child abuse, dozens of women in that state have faced charges due to their drug abuse (“Pregnant and homeless,” 2001) . Being part of this vulnerable population puts the woman and unborn baby at-risk. These women fall through the cracks without proper advocacy. There is so much that needs to be done to help this woman find success in her life, it is overwhelming for the nurse and professionals trained in this area, we can only imagine how heavy this burden must be for the woman when she stands alone.Amy Winehouse had borderline personality disorder, this was her vulnerability, this made her susceptible to self-destructive behaviors. Freddy Mercury (Queen) was a member of an at-risk population, he was a gay man with HIV. This made his body vulnerable to AIDS. Amy and Freddy lost their lives due to their vulnerability and at-risk factors. We all carry our histories in our bodies.ReferencesMaurer, F. A., & Smith, C. M. (2013). Vulnerable populations. In Community/public health nursing practice (5th ed., pp. 527-551). [Elsevier]. http://dx.doi.org/978-1-4557-0762-1Minnesota Department of Health. (2016). http://www.health.state.mn.us/oep/responsesystems/atriskdef.htmlPregnant and homeless. (2001). Retrieved from http://www.nhchc.org/wp-content/uploads/2011/10/preg.pdf
The student will create a PowerPoint presentation consisting of 9 slides(excluding the cover page and reference) which will allow them to demonstrate a developing sense of themselves as learners. FirstStudents build on prior experiences and how those experiences led to an understanding of self, others, and program content (Slides 1, 2, and 3). Next, students are asked to respond to how they will deal with new and challenging situations while questioning and discussing any personal biases, stereotypes, preconceptions, and assumptions that were made throughout this process (Slides 3,4 and 5). Finally, students will discuss how they will use their experiences in the Health Management or Health Science Program to make the transition from being a student to becoming a graduate (Slides 5, 6, and 7). American Psychological Association (APA) format to cite sources is required.
Please compose a Policy Brief including determinants and associated issues pertaining to your individually preferred public health topic (e.g. Healthy People 2020/2030 LHI). Please include a brief consideration of possible public health and public policy actions for addressing the LHI that you have proposed. Please incorporate ethical considerations using the Framework for Ethical Analysis and Justification, which may be found on page 127 of the text. Please use the sample Health Affairs policy brief to organize your homework.Sample Policy Brief: https://www.healthaffairs.org/do/10.1377/hpb20130815.523558/full/Instructional Objective:Final product; The homework should be 3 to 4 pages in length, with 1.5 inch spacing and 1 inch margins.Outline the LHI and associated issuesBackground; primary determinants and historical contextEthical Considerations; goals, risks and harms, stakeholders, scope of authorityPolicy ImplicationsOutline Next Steps/Action Steps References and ResourcesOne Public Health (prevention or intervention) actionOne related Public Policy actionFor each of these 2 actions, please consider and evaluate ethical dimensions;Utility, Justice and Respect for individuals and public institutionsEffectivenessProportionality and NecessityLeast infringement and Public justificationPlease use the following resources:N & M Text – Chapter 6 on EthicsHealth Affairs sample policy brief re: Health Disparities (attachment provided)Healthy People 2020/2030 LHI website and associated documents on the websiteFind 1 journal articleand1 policy article related to your topic to provide some historical context and to serve as a mini Lit Review
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