at least 2 references in each peer responses! 

Utilizing a portfolio showcases a nurse’s accomplishments, both academically and professionally. There are many advantages to using a portfolio. It can allow nurses to help identify their strengths and areas that need further development. It helps to keep all documents that are necessary for re-certifications and evaluations organized and together (Cope & Murray, 2018). There are two types of professional portfolios: a growth and development portfolio and best work portfolio (Cope &Murray, 2018). A growth and development is used for nurses to track their growth and development and is not used by anyone else. A best work portfolio is meant to be used for and by potential employers to show the growth in their career and academics.

Placing academic successes into a portfolio such as academic transcripts, allows for employers or potential employers to see your achievements. Something that I have utilized in addition to putting transcripts into my portfolio was adding letters of recommendation from my clinical instructors from nursing school. This helped to show potential employers my abilities both in a classroom as well in a clinical nursing setting. Others could put in memberships for academic organizations, such as honor society groups. This would be accurate for those in a masters program or in a graduate program. Another type of academic achievement that could be placed into my portfolio would be any continuing education such as certificates showing a completion of a course towards the maintenance of certifications.

Minimum of 300 words with at least 2 peer review reference in 6th edition APA style.

1. What are the associated complications with altered thyroid functionality?
2. Adrenal insufficiency can be induced by steroid treatment. What are associated conditions with adrenal insufficiency and how would you prevent the state of adrenal crisis?

Introduction

Many Americans are still confronting medical bills that are large enough to threaten their family financial health, up to and including personal bankruptcy. While more people have health insurance under the ACA, some people still lack coverage or have significant gaps in coverage for a variety of reasons. Some expenses are related to the high cost of treatments for certain diseases and conditions. Other expenses are related to the “routine” costs associated with insurance premiums and cost sharing for covered benefits.

Initial Post

Using 500 to 750 words, complete the following:

• Analyze the major current contributors to insurance coverage gaps (no coverage and gaps in coverage).

Grading Rubric

Discussion Rubric

Discussion Rubric – 100 PointsCriteriaExceeds ExpectationsMeets ExpectationsNeeds ImprovementInadequatePointsFrequency of ContributionInitial post with two peer replies posted on two separate days.

25 pointsInitial post with two peer replies posted on the same day.

22 pointsInitial post with one peer reply.

19 pointsOnly initial post submitted or only replied to peers.

17 points25Initial PostInitial post to is on time and of the correct length (500–750 words).

All components of the initial post requirements are addressed.

Course content synthesis is applied with at least two scholarly references included.

25 pointsInitial post is on time and of the correct length (500–750 words).

Most components of the initial post requirements are addressed.

Synthesis is present but weak.

One to two references are included.

22 pointsInitial post is one day late.

Does not meet the correct length (500–750 words).

Some components of the initial post requirements are addressed.

Synthesis?

One to two references are included.

19 pointsInitial post is more than one day late.

Initial post much fewer than 500-750 words.

Few components of the initial post requirements are addressed.

Lacks course content synthesis.

One or no scholarly references are included.

17 points25Peer RepliesOn time.

There was substantial evidence and synthesis of course content utilizing course topics and the introduction of questions and new information.

25 pointsOn time.

There was some evidence and synthesis of course content utilizing course topics and the introduction of questions or new information.

22 pointsReplies were at least one day late and/or:

There was either some synthesis of course content or the introduction of questions or new information.

19 pointsReplies were two or more days late and/or:

There was little or no evidence of course content utilizing course topics or the introduction of questions or new information.

17 points25Writing Mechanics and APA FormatFew to no writing mechanics or APA errors.

25 pointsFew to several writing mechanics and/or APA errors.

22 pointsSeveral to moderate writing mechanics and/or APA errors.

19 pointsMany writing mechanics and/or APA errors.

17 points25Total points100

Option 2: Case Management, Health Policy Strategies, Community Empowerment, and Education

You have just accepted your first job as a public health case manager. One of your responsibilities is to promote that health of your community by focusing on the health and safety of the local children. The area has low compliance with childhood immunizations. The affected children are usually not identified until they are ready to enter kindergarten. It is your goal to be proactive and decrease the number of children that are out of compliance and implement a system to help maintain up-to-date immunizations. In your post:

• Identify and discuss the specific responsibilities of the case manager as it relates to the health and safety of the local children.
• Present the current immunization legislature that supports your efforts. How does the Affordable Care Act effect immunizations?
• Discuss how you might empower the community to support and eventually lead the charge for community immunizations.
• Provide specific educational and programmatic strategies to offer the community.
• One page essay
• ALL in APA
• Must include at least one peer reviewed nursing journal article