Category: Nursing

  • Distinguishing Management and Leadership Competencies in Nursing Paper

    Distinguishing Management and Leadership Competencies in Nursing Paper

    Distinguishing Management and Leadership Competencies  Thriving organizations see the value of cultivating both management and leadership competencies. For this Discussion, you consider two distinct “buckets” of competencies—management and leadership—and think about how these can be leveraged to successfully introduce a new product or service in an organization.  To prepare:

    •Think about a new product or service in your organization that was recently implemented. ◦Identify five leadership strategies you might use to address the implementation of the new product or service. ◦Think about the management competencies that were needed in order for this project to be successful. Why are these competencies important? ◦Consider the leadership competencies required for success, and reflect on the value of these competencies.

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     Post a description of the new product or service and how it aligns with organizational goals and professional standards. Describe the distinct management and leadership competencies that facilitated successful implementation of this project. Provide your rationale.

    Required Readings  Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

    •Review Chapter 2 with a focus on page 44–50.  Arroliga, A. C., Huber, C., Myers, J. D., Dieckert, J. P., & Wesson, D. (2014). Leadership in Health Care for the 21 st Century: Challenges and Opportunities. The American Journal of Medicine, 127(3), 246–249.  Copyright 2014 by Elsevier Health Science Journals. Reprinted by permission of Elsevier  Health Science Journals  via the Copyright Clearance Center.    Stetler, C. B., Ritchie, J. A., Rycroft–Malone, J., & Charns, M. P. (2014).

    Leadership for Evidence–Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP. Worldviews on Evidence–Based Nursing, 11(4), 219–226.  Retrieved from the Walden Library databases.     Daire, J., & Gilson, L. (2014).

    Does identity shape leadership and management practice? Experiences of PHC facility managers in Cape Town, South Africa. Health policy and planning, 29 (suppl 2), ii82–ii97.  Distinguishing Management and Leadership Competencies in Nursing Paper.

  • Smoking: Non-adherence to Lifestyle Changes During Pregnancy Essay

    Smoking: Non-adherence to Lifestyle Changes During Pregnancy Essay

    After identifying potential health risks for pregnant patients, providers often recommend behavior changes in lifestyle choices such as drug use, alcohol consumption, dietary habits, and environmental exposures. Even with provider recommendations and patient education programs, some patients still struggle to adhere to recommended lifestyle changes during pregnancy, posing health risks for both the mother and child. In your role as the provider, you must be able to recognize signs of non-adherence to recommended lifestyle changes because not all patients will be forthcoming with the struggles they may be experiencing. Management plans are only successful if patients’ individual needs are recognized and met, so provider-patient collaboration is essential for mitigating non-adherence issues.

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    For this Discussion, consider implications of non adherence to recommended lifestyle changes, such as Stop smoking during pregnancy and potential management strategies for pregnant patients.

                                     
             MY TOPIC IS ON SMOKING DURING PREGNANCY

    • Review the “During Pregnancy” article in this week’s Learning Resources.

    • Think about the health promotion topic that you selected.(smoking).

    · With the topic you selected in mind, consider early signs and symptoms that might indicate a patient’s nonadherence to recommended lifestyle changes (stop smoking) during pregnancy.

    ·  Explain the impact of non-adherence to these lifestyle recommendations on the fetus and the patient the impact of non-adherence on the fetus and the patient.

    • Reflect on treatment and management strategies for patients presenting with signs and symptoms of non-adherence to recommended lifestyle changes.

    . Then, explain treatment and management strategies for patients presenting with signs and symptoms resulting from their non-adherence.

      Required Readings/ References

    Tharpe, N. L., Farley, C., & Jordan, R. G. (2017). 
    Clinical practice guidelines for midwifery & women’s health
     (5th ed.). Burlington, MA: Jones & Bartlett Publishers.

    · Review: Chapter 3, “Care of the Pregnant Woman with Prenatal Variations” (pp. 93-154)

    This chapter examines the care of women who suffer from complications during pregnancy and focuses on interventions that maximize health outcomes for the mother and baby.

    · Chapter 4, “Care of the Woman During Labor and Birth” (pp. 161-245)

    This chapter explores the care of women during labor and birth. It also describes the progression of pregnancy and potential concerns that may arise at each stage.

    · Chapter 5, “Care of the Infant and Mother After Birth” (pp. 253-297)

    This chapter explores the care of the infant and mother after birth and focuses on connecting the mother and baby physiologically and emotionally. It also covers the assessment of the newborn infant, breastfeeding, and the postpartum assessment of the mother in the weeks after birth.

    The American College of Obstetricians and Gynecologists. (2010). 
    Smoking cessation during pregnancy
    . Retrieved from http://www.acog.org/Resources_And_Publications/Committee_Opinions/Committee_on_Health_Care_for_Underserved_Women/Smoking_Cessation_During_Pregnancy

    This article explores the epidemiology of smoking by pregnant and nonpregnant women of reproductive age. It then examines strategies for helping patients quit smoking when pregnant, including effective behavioral and drug therapies.

    The American College of Obstetricians and Gynecologists. (2012). Opioid abuse, dependence, and addiction in pregnancy. Retrieved from http://www.acog.org/Resources_And_Publications/Committee_Opinions/Committee_on_Health_Care_for_Underserved_Women/Opioid_Abuse_Dependence_and_Addiction_in_Pregnancy

    This Smoking: Non-adherence to Lifestyle Changes During Pregnancy Essay article describes factors associated with opioid addiction and its effects on pregnancy outcome. It then examines screening strategies for opioid use, abuse, and addiction in pregnant women.

    Centers for Disease Control and Prevention. (2011). During pregnancy. Retrieved from http://www.cdc.gov/pregnancy/during.html

    This website emphasizes the need for health promotion during pregnancy. Implications of smoking, alcohol, infections, and environmental exposures are explored. Smoking: Non-adherence to Lifestyle Changes During Pregnancy Essay.

  • Healthcare workers and medical teams – how leaders can inspire, respect, and reward their followers – critical and analytical annotated bibliography

    Healthcare workers and medical teams – how leaders can inspire, respect, and reward their followers – critical and analytical annotated bibliography

    This is a critical thinking assignment of critical and analytical annotated bibliography

    Mah’dAlloubani, A., Almatari, M., &Almukhtar, M. M. (2014). EFFECTS OF LEADERSHIP STYLES ON QUALITY OF SERVICES IN HEALTHCARE.
    European Scientific Journal, ESJ
    ,
    10
    (18).

    McSherry, R., & Pearce, P. (2016). What are the effective ways to translate clinical leadership into healthcare quality improvement?.
    Journal of Healthcare Leadership
    .

    Fischer, S. A. (2016). Transformational leadership in nursing: a concept analysis.
    Journal of advanced nursing
    ,
    72
    (11), 2644-2653.

    Lega, F., Prenestini, A., & Rosso, M. (2017). Leadership research in healthcare: A realist review.
    Health Services Management Research
    ,
    30
    (2), 94-104.

    Wicks, R. J., & Buck, T. C. (2013). Riding the Dragon: Enhancing Resilient Leadership and Sensible Self‐Care in the Healthcare Executive.
    Frontiers of health services management
    ,
    30
    (2), 3-13.

    Dunkl, A., Jiménez, P., ŠarotarŽižek, S., Milfelner, B., & Kallus, W. K. (2015). Similarities and differences of health-promoting leadership and transformational leadership.
    Našegospodarstvo/Our economy
    ,
    61
    (4), 3-13.

    Zwingmann, I., Wegge, J., Wolf, S., Rudolf, M., Schmidt, M., & Richter, P. (2014). Is transformational leadership healthy for employees? A multilevel analysis in 16 nations.
    German Journal of Human Resource Management
    ,
    28
    (1-2), 24-51.

     

    Utilizing the above research articles on how leaders can inspire, respect, and reward their followers. Please make your focus on the leadership of healthcare workers and medical teams.

    Make an annotated bibliography that should meet the following requirements:

    Be 5 pages in length, not including the cover or reference pages.

    Formatted according to Saudi Electronic University and APA writing guidelines.

    Provide full APA citations for articles under review. These citations should serve as the headings for your annotated bibliography, each followed by a summary of the article’s content.

    Use headings of your choosing to organize the content in your work.

    Introduction

    Articles

    Conclusion

    References

    An example of annotated bibliography is attached in another file for your info.

  • Effectiveness of Behavioral Theories Essay Assignment

    Effectiveness of Behavioral Theories Essay Assignment

    Health education and health promotion programs focus on changing health behavior. Public health interventions are increasingly using theoretical frameworks to guide the design, implementation, and evaluation components to achieve behavior change and increase the health of the community.

    From the assigned readings this week, review the following Web resource:

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    SOPHE Unintentional Injury and Violence Prevention. (n.d.). 
    Behavior change theories that can be applied to injury prevention and control.
    Retrieved from 
    http://sophe.org/ui/behavioral-theories.shtml

    Based on your research, select a behavior change theory and provide an example of how that theory applies to a health promotion program. Then, respond to the following:

    Describe the effectiveness of behavioral theories in bringing about behavior change in a health promotion program.

    In the example you cite, examine the factors that led to the decision to apply your chosen theory to the specific health promotion program.

    Describe how the health promotion program was designed to incorporate the elements of this theory.

    Support your effectiveness of behavioral theories essay assignment statements with appropriate examples and scholarly references.

  • Teen depression essay

    Teen depression like adult is quite common and very treatable. Adolescence is always an unsettling time, with many emotional, psychological, physical, and social changes (MHA, 2017). According to the National Comorbidity survey, the prevalence of depression in adolescence is approximately 20 % by eighteen years of age (Gladstone, Beardslee, & O’Connor, 2011). As with any disorders of adolescence, depression and depressive disorders have inherit risk factors. The adolescent period is often met with confusion, increased responsibilities, pressures of school and is largely influenced by peers. In the case of adolescence depression, the strongest influence is having a parent with a depressive illness. These youth are two to four-fold increased risk for depression and mood disorders. (Gladstone, Beardslee, & O’Connor, 2011). Other contributing factors include, female, those with body image disturbances, limited support, and inadequate coping skills. Non-specific risk factors contributing to adolescence depression include, exposure to violence, poverty, child maltreatment and family instability (Gladstone, Beardslee, & O’Connor, 2011). Parents, close family members, school teachers, administrators, and health care professional all have the responsibility in observing for signs and symptoms of depression in adolescents. This vulnerable group is not well known for their ability to express themselves or how they are feeling emotionally. Objective symptoms may include withdrawing from friends and activities, lack of enthusiasm, overreaction to criticism and indecisiveness. Subjectively teens may report doing poorly in school, feelings of anger or rage, restlessness or agitation, suicidal thoughts, and changes in eating and sleeping habits. Teens may also express their depression through hostile risk-taking behaviors, experimenting with drugs or alcohol and sexual promiscuity (MHA, 2017).

    Overall improved mental health is the target of prevention. Primary prevention of teen depression is knowledge. We need to extend resources to the vulnerable population with education in schools and through youth centers on the signs and symptoms of depression, when and where to seek help before depression is escalated to point of injury to self or others. As for secondary prevention, adequate and routine screening of adolescents in a comfortable, non-punitive environment with each encounter. Early intervention with medications and or therapy should be initiated with positive screenings. Therapy can help teens understand why they are depressed and how to cope with stressful situations (MHA, 2017). Tertiary prevention begins with follow-up to ensure these teens are functioning at a better overall level. Continued therapy and monitoring of therapies as the teen encounters other stressors is key. Professional treatment can have a dramatic impact on their lives, putting them back on track with hope for the future.

    Many state and local resources exist in prevention and treatment of adolescent depression. The California Youth Crisis line is a statewide, confidential, 24 hour, toll-free hot line for teens and young adults age 12-24. They also have on line resources available at http://calyouth.org/ca-youth-crisis-line/.  In our community we also have something called the Community Emergency Response team (CERT), they offer emergency services, peer support and a 24 hour hot line for teens. Beyond referring a teen to one of these services, the nurse could listen to the teen. Most often the teen is crying out for attention, in need of someone to listen to them and to hear them. Build rapport with them, so they can entrust in you. Finally educate all teens on every encounter the warning signs, when and whom to seek help from.

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    References

     

    California Coalition for Youth. (n.d.). Retrieved from http://calyouth.org/ca-youth-crisis-line/

     

    Gladstone, T., Beardslee, W., & O’Connor, E. E. (2011). The Prevention of Adolescent Depression.  The Psychiatric Clinics of North America ,  34 (1), 35–52. http://doi.org/10.1016/j.psc.2010.11.015

     

    Mental Health America (MHA). (2017). Depression in teens. Retrieved from http://www.mentalhealthamerica.net/conditions/depression-teens

  • Teen suicide essay assignment

    Comment on the following teen suicide essay assignment post;

    Adolescent suicide becomes a serious health concern. According to the American Academy of Child and Adolescent Psychiatry (AACAP, 2017), suicide is the second leading cause of death and the majority of suicide attempts are often impulsive as this might be associated with sadness, confusion, anger, and the saddest part, adolescents view suicide as a solution to their problems.

    There are several risk factors that contribution to suicide in adolescents. According to AACAP (2017): the major risk factors of teens suicide include: family history of suicide attempts, exposure to violence, aggressive behavior, access to firearms, bullying, feeling of hopelessness, and acute loss or rejection. According to an article, “Teen Suicide is Preventable,” by the American Psychology Association (2017), some possible warning signs of teen suicide might be: talking about dying; recent loss of the loved one; change in personality, behavior, sleep patterns, or eating habits; fear of losing control; low self-esteem; and no hope for future .It is important to parents and family to early recognized warning signs of suicide; so that it could be prevented.

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    The primary methods in suicidal prevention would be to increase and awareness about adolescent suicide in the community. National suicide prevention such as school education programs, media guidelines, and limit firearm access are some of the examples (APA, 2017). The secondary prevention method such as suicidal screening could be very beneficial for identifying adolescents who are at risk. The tertiary methods could be appropriate referral and treatment to improve mental health and quality of life of the adolescents.

    The community resources to prevent suicide in my community, the Burlington County, is the Legacy Treatment Service, which offer screening center, providing face-to-face crisis service within one hour of notification, and the mobile service is available 24 hours a day (State of New Jersey, 2017). For state resource, the State of New Jersey provides New Jersey Hopeline to provide peer support and specialists in suicidal prevention over the phone; this service also available 24 hours a day (NJ Hopeline, 2013).

    The nursing interventions that could use to assist depressed adolescent is to first assess the teen whether he or she thinking about self-harm and whether he or she has a plan, to initiate safety precaution. After that, I would provide safe environment for the adolescent, ensure privacy, use calming approach and offer present. When the adolescent is ready to talk, I then would assess the risks factors and emotional status to creating the individual care plan. As the care process, I would evaluate the effectiveness of the care plan and adjust it as needed.

    NJ Hopeline. New Jersey’s 24/7 Peer support & suicide prevention hotline. Retrieved October 17, 2017 from http://www.njhopeline.com/

    State of new Jersey. 2017. Department of Human Services. Primary screening service in each county. Retrieved October 17, 2017 from http://www.state.nj.us/humanservices/dmhas/home/hotlines/MH_Screening_Centers.pdf

    The American Academy of Child and Adolescent Psychiatry (AACAP). 2017. Suicide in children and teens. Retrieved October 17, 2017 from http://www.aacap.org/aacap/families_and_youth/facts_for_families/FFF-Guide/Teen-Suicide-010.aspx

    The American Psychology Association. 2017. Teen suicide is preventable. Retrieved October 17, 2017 from http://www.apa.org/research/action/suicide.aspx

  • Youth suicide in the United States of America essay

    Youth suicide in the United States of America essay

    Youth suicide is the third leading cause of death for persons between 15-24 years of age, and almost 4,600 youth deaths each year are the result of suicide for a person 10-24 years of age (Smischney, Chrisler, & Villarruel, 2014). Learning of these numbers is very discouraging considering that suicide can be prevented by recognition and implication of interventions. Adolescents may present to family, friends, or teacher’s signs of suicidal behavior such as talk of suicide, threat of suicide, or risky behavior. Sometimes the adolescent may not display warning signs before committing suicide. It is important to identify risk factors that can lead to suicide. Risk factors that contribute to suicidal ideation are biological, environmental, and psychological factors (Smischney et al., 2014).

    Biological risk factors include gender, ethnicity, and sexual orientation. The male gender is 4 times greater to attempt suicide that results in death, whereas female adolescents experience higher rates of depression. Native American or Alaska Natives that are between the ages of 15-24 are at a 2.4 percent higher rate than the national average. Suicidal ideation is higher amongst gay and bisexual male adolescents than heterosexual male adolescents. This may due to the adolescent’s parents or friends lack of approval or support (Smischney et al., 2014).

    Environmental risk factors that contribute to suicide include family stress and conflict such as divorce, death of a loved one, academic failure, and abuse. During adolescence, peer relationships greatly contribute to suicide. Adolescents who suffer from poor social skills, low self-esteem, and lack support from their peers are at greater risk for suicidal ideation (Smischney et al., 2014).

    Psychological risk factors contributing to adolescent suicide include mental health problems, psychiatric disorders, poor coping skills, and substance abuse. Mental health disorders include anxiety, depression, post-traumatic stress disorder, and schizophrenia. Alcohol is often experienced with by adolescents. Female adolescents are 3 times more likely to attempt suicide and male adolescents are 17 times more likely to attempt suicide when alcohol is involved (Smischney et al., 2014).

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    Primary, secondary, and tertiary heath prevention measures can be taken to prevent suicide. Primary prevention can be implemented by addressing the topic of suicide with adolescents, identifying risk factors of suicide, and talking about ways to avoid risk factors that can lead to suicide. Secondary prevention can be done by addressing risk factors that the adolescent is experiencing and implementing healthy and effective interventions. This will help to reduce the chance of the adolescent following through with the act of suicide. Tertiary prevention should include providing support and resources to the adolescent, as well ensuring safety. Measures should be taken to prevent the adolescent from attempting and succeeding at suicide.

    The Suicide Prevention Resource Center is a resource that provides contact information and suicide prevention plans specific for each state. This information can be accessed through the website http://www.sprc.org/states. Adolescents can also contact the National Suicide Prevention Lifeline 24/7 by calling 1-800-273-8255, or going online to https://suicidepreventionlifeline.org/. Both of these resources offer support to those who are experiencing a suicidal crisis. As a nurse if you suspect a depressed adolescent is in immediate danger of harming themselves, immediate intervention should be implemented such as ensuring the safety of the adolescent. If the nurse is physically present at the adolescent’s side, taking the adolescent to a safe environment and informing a physician is important to prevent harm or injury. If the nurse is talking with the adolescent over the phone and the adolescent is posing immediate danger to themselves, proper authorities should be notified and full detail of the adolescent’s location and situation should be provided.

    References

    National Suicide Prevention Lifeline, (n.d.). Get help. Retrieved from https://suicidepreventionlifeline.org/

    Smischney, T. M., Chrisler, A., & Villarruel, F. A., (2014). Risk factors for adolescent suicide: Research brief. Retrieved from https://reachmilitaryfamilies.umn.edu/sites/default/files/rdoc/Adolescent%20Suicide.pdf

    Suicide Prevention Resource Center, (2017). Organizations: States. Retrieved from http://www.sprc.org/states

  • Cultural competency in nursing essay

    Comment on the following cultural competency in nursing essay post;

    Culture has a great impact on a person’s thinking and behavior. Culture also influences how a person may view and approach their own health, as well as their unique lifestyle choices that will affect their health. Nurses who practice culturally competent care are respectfully caring for patients by keeping the context of the patients’ culture and/or belief systems at the forefront of their minds. Community health nurses can become skilled at cultural competency through keeping an open mind, and be open to staying in a state of continuous learning as they strengthen their skills, and receive new knowledge about cultural practices of others as they relate to health. Nurses must also be willing to remain honest in their assessment of their own ignorance or biases. The three practices that nurses can use to demonstrate cultural competency are: cultural preservation, cultural accommodation and cultural repatterning.

    Cultural preservation involves the nurse supporting cultural health practices that contain both practical usage and scientific evidence for their effectiveness. One example is how acupuncture practiced in many Asian cultures.

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    Cultural accommodation is the practice of supporting and encouraging cultural practices that are may not have scientific proof of their effectiveness, yet these practices are not necessarily harmful either. Cultures that place great emphasis on belief of spirits, such as Mexican and other Asian cultures may do rituals such as putting totems near a babies, or coffins with the deceased so as to honor the belief that these items will be with the deceased in their afterlife (Huebner, 2009). Cultural competency in nursing essay.

    Cultural repatterning is more difficult to practice as this activity involves the nurses inoffensively making efforts to deter from cultural health practices that are actively harmful. The next step is to attempt to encourage the patient to find an alternative method. (Huebner, 2009).Genital mutilation may be one example.

    A familiar roadblock to cultural competency is that of ignorance. Prejudice and a sheltered life also pose barriers. Nurses who have lived in communities that are homogeneous, with little exposure to those of different cultures are more likely to harbor prejudices, even if they are unconscious. They may also be resistant to emphasizing with those of other cultures, different socioeconomic class and educational levels (Maurer & Smith, 2012). Empathy is one of the greatest tools a nurse has to offer, and should be practiced amongst all patients. An example may be a strong nationalist and religious nurse who is prejudiced against non-Christians and is suspicious of patient who is Muslim and wears religious head coverings. cultural competency in nursing essay.

     

    References:

    Huber, L. (2009). Making community health care culturally correct. American Nurse Today, 4(5). Retrieved October 17, 2017, from http://www.americannursetoday.com/making-community-health-care-culturally-correct/

    Maurer, F. & Smith, C. (2012). Community/public health nursing practice (4th ed.). St. Louis, MI: Elsevier.

  • Advanced practice nurse essay

    Advanced practice nurse essay:

    Nursing is rated the first when it comes to the medical profession. An advanced practice nurse has the sole duty of providing primary care and preventative care to the patients. This kind of nurses may specialize in various areas of healthcare equipping them with clinical education. An advanced practice nurse has the knowledge and skills required in the nursing circle. It is essential for an advanced practice nurse to engage in activism given the scope of knowledge he or she possesses. Activism is crucial as it involves advocating for particular changes within a specific field. The healthcare sector is a vital area that requires policy change to improve the health services offered to patients.

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    Engaging in activism as a nurse is beneficial, as one becomes an advocate on behalf of the patients’, community and the organization as a whole. An advanced practice nurse who engages in activism works in close collaboration with government lawmakers at every level. These legislators’ need nurses who have a non-adversarial approach to assist them to come up with health policies for the health care organizations’. Nurses who are activists regularly champion for a habitable and healthy working environment (Wise, 2014). Such an environment works best for the patients as well as the staff working within the health organization.

    A nurse who is an activist plays a significant role in the delivery of a working health care system. Nurses ought to be provided with opportunities and awareness on how to venture in activism. They are vital in the development and the implementation of health care policies (Forrester, 2016). Nurses understand health care better hence can offer great advice when passing such laws as they are equipped with knowledge and experience.

    Advanced practice nurse essay

  • Vulnerable groups paper

    Comment on the following vulnerable groups paper post;

    At-risk groups include groups of individuals that have high chances of contracting diseases or illnesses. An example of this would be adolescents and young adults. These groups are less likely to use protection with sexual activity. They are also at increased risk for using drugs and alcohol due to peer pressure. More at-risk groups include drug addicts, persons with multiple sex partners, and prostitutes (Smith 198). These groups become vulnerable in their community and then become at-risk because of the situation they are in.

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    “Vulnerable” groups

    Vulnerable groups include the elderly, infants, disabled, ill, and poor people (Smith 6). These groups of people are vulnerable to disease and illness and can’t help

    themselves from debilitations in health.

    Both groups have trouble advocating for themselves. Adolescents and young adults tend to shy away from healthcare whether it’s because of embarrassment, poor access, or oblivion. Infants cannot speak for themselves and may have caretakers that are able/willing to speak for them. The elderly often get “lost” in the system and have poor access to healthcare (much like infants). Disabled, ill, and the poor often don’t have access to healthcare as well or they have no one to help them.

     

    I would advocate for healthcare for all communities. I would make access to health facilities more available for those in poorer communities. I would encourage free/low-cost preventative healthcare to poorer communities. I would also encourage access to sexual health for adolescents and young adults through schools and community clinics. I work with the elderly and always make sure they are well taken care of and if they are having trouble accessing the appropriate information, I am sure to get in touch with someone

    that can help.

     

    Everyone deserves access to their health.

     

    Smith, Maurer a. Community/Public Health Nursing Practice: Health for Families and Populations, 4th    Edition. W.B. Saunders Company, 102008. VitalBook file.