Category: Nursing

Give a positive response  to the following on geopolitical community and phenomenological community;

What is the geopolitical community in which you live? Why is it geopolitical?

My geopolitical community is Turlock, California. There is a big agricultural industry here and people’s sensibilities tend to lean conservatively, though there are small liberal pockets here and there. Often Turlock and Modesto (adjacent towns) are lumped together in terms of spacial community because a lot of people live in one and often work in the other. I live in Turlock but work in Modesto so I am involved in both communities socially and professionally.

What is a phenomenological community to which you belong? Why is it a phenomenological community?

My phenomenological community is very similar to my geopolitical one. If Modesto doesn’t count as part of my spacial community because I don’t live there, then I certainly feel like I’m a part of that community as well. There is also a significant Middle Eastern (specifically Assyrian) community in the Turlock/Modesto area and I certainly feel a part of them. While I was born and raised in the US my parents maintained a strong active cultural presence in our lives growing up.

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What would some challenges and benefits be for community health nurses in providing care for different communities? For similar communities? For the same community? What are some possible solutions to the challenges?

Challenges to working in different communities would largely relate to communication and culture. Does the nurse speak the same language as the community in which he/she is working? That can be a big challenge to overcome. Also, practicing culturally competent care is another layer to add onto one’s practice and can be difficult at times. Ensuring that the nurse is not judgmental or condescending if practicing in a lower socioeconomic community than the one she is from is also important. We must treat all of our patients with respect and dignity. “Clinicians may also have to step outside of their usual therapeutic role to serve the client as an advocate” (Hope, Mocarski, Bautista, & Holt, 2016). This is specifically referring to community health workers working with people who identify as transgender, but it can apply to any member of any community. Nurses must be flexible and use all the resources at their disposal. On the other hand, some communities may have limited resources, so the nurse must make do with what he has. A benefit to all this may be a feeling of fulfillment or satisfaction in overcoming a lot of these challenges. Some possible solutions would be networking with outside resources or partially taking on that advocate or caseworker role (as long as the scope of the position allows) in ensuring the patients receive the best care possible.

When working in similar or the same community to one’s own, some of the challenges may still be there in terms of resources, however, one may experience a sense of kinship with these communities that make the challenges seem less daunting. The language barrier is usually not an issue with these communities and the nurse will already understand the culture of the members living in his/her own community.

 

Hope, D. A., Mocarski, R., Bautista, C. L., & Holt, N. R. (2016). Culturally competent evidence-based behavioral health services for the transgender community: Progress and challenges. American Journal Of Orthopsychiatry, (4), 361.

Community Health Improvement Plan Essay Paper

Community & Public Health, Population-based

Community Health Improvement Plan (CHIP)

 

Assignment Overview

Now that you have conducted a community health needs assessment and identified a priority health concern within your county, you will explore and create a portfolio
of evidence-based interventions
that address the community’s primary health concern and vulnerable population.  You will also share information about
existing programs, services and partnerships
in place in your county to address the primary health concern.The assignment includes a 6-8 page scholarly paper in APA format. This is an individual assignment, based on the results of your Community Health Assessment (on your county).

 

Suggested Resources for Evidence-based Interventions

Begin with the CDC Community Health Improvement Navigator, Database of Interventions to identify interventions that work in four action areas—socioeconomic factors, physical environment, health behaviors, and clinical care.  Review the Database of Interventions Glossary to refine your search to describe a minimum of three interventions to improve the health of your target population across various action areas and settings.

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Source

Website

CDC Community Health Improvement Navigator: Database of Interventions

http://www.cdc.gov/chinav/database/index.html

The Community Guide

http://www.thecommunityguide.org/

Finding Answers Intervention Research (FAIR) Database

http://www.solvingdisparities.org/fair

Partnership for Prevention: Action Guides to Improve Health

http://www.prevent.org/Initiatives/Action-Guides.aspx

 

Suggested Resources for Existing Programs, Services and Partnerships

Contact the County Health Department, United Way agency or specific agency that serves your target population or addresses the primary health concern.  Identify at least three specific programs and agencies that are working to improve the primary health condition you have identified in your Community Health Assessment.

 

Source

Website or Source

Florida Department of Health

http://www.floridahealth.gov

(drop down list of counties at top of home page)

United Way of Florida

http://www.uwof.org/

(click on “find your United Way”)

Hospital Discharge Planner

 Personal contact

Faith-based organizations

 Personal contact

Community Health Improvement Partnership

Google “Community Health Improvement Partnership (insert county name)”

 

 

 

 

Assignment Outline (% of assignment grade)

 

Summary of Community Health Assessment (10%)

Provide a brief summary of the primary health concern identified in the Community Health Assessment. Identify how vulnerable populations in your selected county are affected by this health concern.

 

Evidence-based Intervention Portfolio (50%)

Research promising practices and evidence-based interventions that specifically address the community’s primary health concern, target risk factors, and target populations.

Describe
three
specific evidence-based interventions, and include the following for each intervention:

Intervention name

Action Area(s)

Source (include citation)

Intervention Goal and objective

Target Population

Activities

Results

Recommendation: Your own appraisal of how well this intervention would address the primary health concern within your county (assess the “fit”).

 

Community Health Improvement Partnerships (30%)

(Hint: these questions also on this week’s Discussion Board)

Identify at least three specific organizations, groupsor agencies that offer programs or policies to improve the primary health concern (or health promotion opportunity) you have identified in your Community Health Assessment.

Describe the activities (programs, policies) that these three organizations offer that relate to the health concern or health promotion opportunity.

How do these organizations and individuals coordinate efforts with one another and engage community stakeholders to improve the health of their community?

Are there any structured partnerships or coalitions established for collaboration and collective action across multiple sectors of the community?

What is the common vision of this collective group?

How are partners and stakeholders engaged in the CHIP process?

How does the group measure success?

 

Writing Style and Format (10%)

Baccalaureate level scholarly writing, applying APA format to paper, inclusion of and citations of reliable sources.

The learning activity and corresponding assignment in this topic requires students to perform a heritage assessment with families selected by students from their local communities.

Click on 
http://wps.prenhall.com/wps/media/objects/663/679611/box_6_1.pdf
 in order to access the “Heritage Assessment Tool.”

Interview three families from different cultures. One family should be from your own culture. Compare the differences in health traditions between these cultures.

Assess the three families using the “Heritage Assessment Tool.” In 1,000 words, discuss the usefulness of applying a heritage assessment to evaluate the needs of families and develop plans for health maintenance, health protection, and health restoration. Include the following:

Perform a heritage assessment on three families. One of these families should be from your own culture.

Complete the “Heritage Assessment Tool” for each of the three families interviewed and submit the three assessments to: RNBSNclientcare@gcu.edu. You are not required to include the tool in your LoudCloud submission.

Identify common health traditions based on cultural heritage. Evaluate and discuss how the families subscribe to these traditions and practices. Address health maintenance, health protection, and health restoration as they relate to your assessment.

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

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

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

Part  I: Negligence Liability

Negligence, which is  often an unintentional  action, occurs when a person either performs or fails  to perform an  action that a reasonable professional person would or would not  have  performed in a similar situation (Fremgen, 2012).

When a person is injured,  they sue under  tort law (“a wrongful act against another person”). The  unintentional  tort of negligence is the most often cause of lawsuits for  healthcare  professionals (Fremgen, 2012).

Charges of negligence  against a physician  or other healthcare professional arise because the  patient or family is  not happy with the outcome of the treatment or procedure  (Fremgen,  2012). A jury in a negligence trial would have to determine if a   reasonable professional person would have done the same action.  Malpractice  is the wrongdoing or negligence committed by a professional  person, such as a  medical professional (Fremgen, 2012).

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By  using your experience or resources on the Internet, present a case of  negligence against a physician.

Will  such a case impact the liability of a hospital? Why or why not?

Justify your  answers with appropriate  research and reasoning by using examples and  references from textbooks,  the South University Online Library, and other  acceptable references.  Cite sources in the APA format. Further, comment on  the postings of at  least two peers.

Part  II: Risk Management in Health Care

Risk management  is a practice used to  control or minimize the incidence of problem behavior  that might result  in injury to patients and employees, and ultimately, it  becomes a  liability for the physician/employer (Fremgen, 2012). A key factor  in  risk management is to identify problem behaviors and practices in an  organization  such as a hospital or medical office. A plan of action is  then put into  practice to eliminate these problem behaviors.

Accordingly,  respond to the following questions:

What  is the role of risk management and corporate compliance programs in a health  care facility?

Will  the role of these programs differ depending on  the type of the facility, for  example, hospital versus nursing home?  Why or why not?

Justify your  answers with appropriate  research and reasoning by using examples and  references from textbooks,  the South University Online Library, and other  acceptable references.  Cite sources in the APA format. Further, comment on  the postings of at  least two peers.

Source: 

Fremgen, B.  (2012). 
Medical law and ethics.
 (4th  ed.). Boston, MA: Prentice Hall.

Question 1       Discuss the importance of establishing a facility policy and procedure on the appropriate use of abbreviations in medical document filed in a patient’s record. Describe issues that can arise if health information management professionals are not properly trained in the documentation of medical records.   Your response must be at least 200 words in length

Question 2       Describe each type of patient record format and how it is used. Outline the advantages and disadvantages of each type.    Your response must be at least 200 words in length

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Question 3       Discuss the various ways that patient records are authenticated.    Your response must be at least 200 words in length

Question 4       Explain regulations or laws that prescribe how health information professionals are to handle archived or inactive medical records.    Your response must be at least 200 words in length.

Risk Management in Health Care Essay

Risk management  is a practice used to  control or minimize the incidence of problem behavior  that might result  in injury to patients and employees, and ultimately, it  becomes a  liability for the physician/employer (Fremgen, 2012). A key factor  in  risk management is to identify problem behaviors and practices in an  organization  such as a hospital or medical office. A plan of action is  then put into  practice to eliminate these problem behaviors.

Accordingly,  respond to the following questions:

What  is the role of risk management and corporate compliance programs in a health  care facility?

Will  the role of these programs differ depending on  the type of the facility, for  example, hospital versus nursing home?  Why or why not?

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Justify your  answers with appropriate  research and reasoning by using examples and  references from textbooks,  the South University Online Library, and other  acceptable references.  Cite sources in the APA format. Further, comment on  Risk Management in Health Care Essay postings of at  least two peers.

Source: 

Fremgen, B.  (2012). 
Medical law and ethics.
 (4th  ed.). Boston, MA: Prentice Hall.

Answer the following questions on Long Term Care in a Long Term Care Essay Assignment:

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More than three-fourths of the elderly needing assistance is cared for by family members, many of whom also   work outside the home. What implications does this have for employers? What types of employer policies might    be appropriate regarding those engaged in providing long-term care for a family member?

Discuss:  In what ways does assuring quality in the long-term care industry pose special challenges to regulators and consumers?

The value of informal long-term care provided by family members and friends is estimated at over $450 billion annually, more than double the national expenditures for skilled nursing and home care combined. Much of this cost would fall to government if it were not for this informal system. Would you support government assistance     for informal caregivers, through mechanisms such as tax reduction incentives, or subsidy for respite care? Why         or why not? If not, what alternative measures would you propose to help keep the informal system intact?

Shortages of health care personnel in the long-term care industry pose critical future challenges to the health    care system. Review reasons for these shortages. Suggest government and institutional policy changes that  might help attract more workers to this industry. Long Term Care Essay Assignment.

Negligence Liability Against a Physician Essay

Negligence, which is  often an unintentional  action, occurs when a person either performs or fails  to perform an  action that a reasonable professional person would or would not  have  performed in a similar situation (Fremgen, 2012).

When a person is injured,  they sue under  tort law (“a wrongful act against another person”). The  unintentional  tort of negligence is the most often cause of lawsuits for  healthcare  professionals (Fremgen, 2012).

ORDER A CUSTOM-WRITTEN PAPER NOW

Charges of negligence  against a physician  or other healthcare professional arise because the  patient or family is  not happy with the outcome of the treatment or procedure  (Fremgen,  2012). A jury in a negligence trial would have to determine if a   reasonable professional person would have done the same action.  Malpractice  is the wrongdoing or negligence committed by a professional  person, such as a  medical professional (Fremgen, 2012).

By  using your experience or resources on the Internet, present a case of  negligence against a physician.

Will  such a case impact the liability of a hospital? Why or why not?

Justify your  answers with appropriate  research and reasoning by using examples and  references from textbooks,  the University Online Library, and other  acceptable references.  Cite sources in the APA format. Further, comment on  the Negligence Liability Against a Physician Essay postings of at  least two peers.

Child abuse and Maltreatment Assignment

Child abuse and maltreatment is not limited to a particular age and can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups (infant, toddler, preschool, or school age) and discuss the types of abuse that are most often seen in this age. Discuss warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse.

cite references

Children’s health issues- environmental factors and links to poverty

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Research children’s health issues, focusing on environmental factors and links to poverty.  The assessment of environmental processes includes agents and factors that predispose communities and populations to injury, illness, and death. What correlations did your research show between environmental and health issues in the school-aged child? Make sure to include references to the article(s) you consulted.