Formal letter to a Healthcare organization based on determinants of health

Write a Formal Letter: based on the determinants of health (p.89, Fig 4-1).CHOOSE one (or a combination) determinant. Then write a letter to either a public health organization (i.e.  World Health Organization (WHO.int),  Center for Disease Control (CDC.gov),  American Public Health Association (APHA.org), or  Institute of Medicine (IOM), now know as the  National Academy of Medicine (NAM.edu) and recommend how the organization can improve their assessment, policy, or role in respect to one of the health determinants.

 Determinants of Health

General macroenvironmental conditions of socioeconomic, cultural, and environmental conditions that also impact health:

  • Education
  • Work environment
  • Living and working conditions
  • Healthcare services
  • Food production
  • Water and sanitation
  • Housing

Also, you can choose from Social Determinants of Health. According to Healthy People 2020, social determents of health include:

  • Neighborhood and built environment
  • Health and health care
  • Economic stability
  • Education
  • Social and community context

THIS IS A FORMAL LETTER. If citations are needed please use the link below titled “How to Cite Other People’s Work in a Business Letter” to assist you. It is optional to officially mail this to the designated organization you wrote the letter to.

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interest groups

Select an interest group (AARP, AHIP, Coalition for Health Services Research, Emergency Nurses Association, Pharma) Discuss how they are pushing their agenda (i.e., mechanisms used to influence policy makers), key obstacles, and spending (consult the Center for Responsible Politics, www.opensecrets.org) Investigate the interest group’s website and review their position statements, testimony, and consult media reports to obtain more information on the group’s lobbying efforts.

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Digital Clinical Experience: Assessing the Heart, Lungs, and Peripheral Vascular System

Instructions:

1.Complete the assignment using the provided template ( see attachment – Week 7_Template)

2. Use the information provided in word documents (3)  and PDF documents (3) to complete the assignment – Brian Foster – Documents and transcripts.

3.  List your priority diagnosis. For each priority diagnosis, list at least 5 differential diagnoses, each of which must be supported with evidence and guidelines.

4. At least 5 references.

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Case Study7, Chapter 18, Disorders of Thought, Emotion, and Memory

  Ella is 88 years old and was living at home until very recently. Her children, who visited her regularly, noticed that she was becoming more forgetful. At first, she mislaid objects, and then she began to forget her doctor’s appointments. With time, her personality changed, and she became withdrawn. At home, she would forget to turn off the stove or leave the kettle on until it boiled dry. After seeking advice from a gerontologist and social worker, Ella’s children placed her in a nursing home with a unit equipped for patients with Alzheimer disease.

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multiple learning styles

Week 1 Discussion 2

Nursing faculty is responsible for creating an environment that is conducive to learning and accommodates the multiple learning styles and abilities of students. As a nurse educator, how might you design learning experiences for class and clinical environments to promote positive and effective learning for all students? Do you think students should use their preferred learning styles and perhaps risk becoming rigid and unable to learn in different ways (should a situation demand a different learning style)? Or should educators encourage students to be open to different methods of learning, moving them away from their comfort zones?

1 page

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Culturally Competent Care for Native Americans

 Based on the readings, viewing the online materials & resources , and your own experience, what strategies would you recommend encouraging culturally competent care of Native Americans?

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windshield survey Little village chicago neighborhood

project assignment so I only need to focus on three parts:

 

“Commons”:  Commons refers to areas or establishments in which people gather, socialize, spend leisure time, or use for recreation (e.g. walking, biking, and walking their dogs).  What are the most popular neighborhood hangouts and what subgroup(s) of the population are drawn to those particular places to hang out? Supportive data may include:

· The “closed” hang out places that may be unfriendly to strangers or newcomers?

· Is there any gang activity?

· Popular bars or nightlife?

· Places that draw younger people (Jr. High, high school)?

 

Transportation: Include photos of cars, buses, trains, ferries, trolleys, bicycles, and pedestrians.  Photos of people utilizing the various types of transportation would be appropriate for your windshield survey.  Noting the safety measures (bike lanes, safe crosswalks, etc.) is helpful.   Which type(s) of transportation seems to be the most predominant in the community?

· Is the public transportation accessible and provide good transportation options for community residents?

· Where is the closest/local airport?

· What are the major highways that are close to the area?

 

Health Status of the Community: Evaluate the vital health statistics for the area. For example, note what mortality rates are. And morbidity rates for chronic conditions in particular.  Is there a specific health problem with a high incidence/prevalence rate in the community or a health problem within the community related to the environment (e.g. a problem of air pollution and high community rates of respiratory infection)? Is there high risk of non -communicable disease (e.g. Lead exposure)? Are there high risks of communicable diseases? (e.g. Tuberculosis; Covid-19)

For health status of the community, I did not find major information but I uploaded a file that is out to date, but can use page 40 to 42 of the little village quality of life pdf to guide in the research. Please write everything with supportive data

I uploaded some picture and major information for that assignment

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NR 509 Week 6 Quiz Latest /NR 509 Week 6 Quiz Latest /NR 509 Week 6 Quiz Latest

Question

1. A woman has come to the clinic to seek help with a substance-abuse problem. She admits to using cocaine just before arrival. Which of these assessment findings would the FNP expect to find when examining the woman?

Dilated pupils, pacing, and psychomotor agitation
Dilated pupils, unsteady gait, and aggressiveness
Pupil constriction, lethargy, apathy, and dysphoria
Constricted pupils, euphoria, and decreased temperature

2. A 63-year-old Chinese American man enters the office with complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflect the FNPs best course of action?

The nurse should focus on performing a full cardiac assessment.

The nurse should focus on psychosomatic complaints because he has just learned that his wife has cancer.
This patient is not in any danger at present, so the nurse should send him home with instructions to contact his physician.

It is unclear what is happening with this patient, so the nurse should perform an assessment in both the physical and the psychosocial realms.

3. The FNP is planning to assess new memory with the patient. The best way for the FNP to do this would be

Administer the FACT test.
Ask him to describe his first job.
Give him the Four Unrelated Words Test.
Ask him to describe what television show he was watching before coming to the clinic.

4. During the health history the FNP asks a female patient “how many alcoholic drinks do you have a week?” Which answer by the patient would indicate at risk drinking?

I may have one or two drinks a week.
I usually have three or four drinks a week.
Ill have a glass or two of wine every now and then.

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NURS 6051 Week 3 Assignment The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

  • Describe the project you propose.
  • Identify the stakeholders impacted by this project.
  • Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
  • Identify the technologies required to implement this project and explain why.
  • Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
  • Use APA format and include a title page and reference page.

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Infant and toddler Research

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EXCHANGE JULY/AUGUST 2017

Copyright © Dimensions Educational Research Foundation All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. Visit us at www.ChildCareExchange.com or

call (800) 221-2864.

The Invisible Curriculum of Care by Carol Garboden Murray

“We sometimes speak as if caring did not require knowledge,

as if caring for someone, for example, were simply a matter of

good intentions or warm regard. But to care I must understand the other’s needs and I must be able to

respond properly to them, and clearly good intentions do not guarantee this. To care for someone,

I must know many things.”

— Milton Mayeroff

“I didn’t get a master’s degree to change diapers!”

Nicole, a speech therapist who I worked with for many years, taught me a great deal about language development. We worked with toddlers in an integrated program. Nicole was not the type of therapist who came into the classroom to do a ‘speech lesson’; instead, she worked alongside me and embedded therapy naturally into every activity.

Carol Garboden Murray has been 

working with young children and families

for many years. She is a credentialed Early

Learning Trainer in New York State

(NYSAEYC), the director of Bard College

Nursery School, and the founder of the

Early Childhood Institute of the Hudson River Valley www.earlychildhoodhudsonriver.com/. Carol is currently writing a book about cultures of caring and the pedagogy of care.

While the children ate snacks, she ate with them and helped them learn to communicate using sign language, gestures, and words. We did therapy on the playground, and discovered the swings and slides were perfect tools for social pragmatic language. Nicole was my partner in just about every aspect of our work, except for diaper changes. When she was working with a toddler who had a dirty diaper, she would deliver the child to me. One day I said, “Nicole, it’s okay if you want to change diapers, too; the kids love you and trust you. Besides, it is an opportunity for reciprocal language and purposeful vocabulary.” Nicole turned to me, shook her head and said, “No thanks, I didn’t get a master’s degree in speech and language pathology to change diapers!”

Nicole’s comment got me thinking. When I got my degree, I did not foresee the amount of time I would spend in caring rituals either. It took me many years to see caring as the core of curriculum excellence. The deep assumption about caring is that it is something anyone can do, but we do not take care of human beings the same way we take care of a house or a lawn. In childhood, the sensations of the body are the pathways to the child’s intellect and emotions. Caring routines involve engagement around bodily functions

(elimination, cleaning, eating, sleeping) and therefore they hold the most inti mate importance. The way we touch children increases or diminishes their self-worth. Our care of children’s bodies is directly connected to the care of their minds.

The ‘Pedagogy of Care’ breaks down the false dichotomy that there is a difference between early education and care. In the past, caring tasks may have been viewed as custodial. In the emerging future, care is viewed as an honorable teaching prac tice that requires specialized knowledge

about human development.

The pedagogy of care is an applied science. Now more than ever, we possess the brain research that demon strates children are learning from the moment they are born and the most meaningful lessons are embedded in care. Nothing drives learning as powerfully as eye contact, touch, and voice — the essential elements in caring. Responsive care grows healthy brains. As Ron Lally tells us in For Our Babies, thanks to nonintrusive imaging, it is possible to watch the brain grow and we have evidence that brains are shaped by the quality of interactions children have with those who provide their early care.

As we view care through the lens of science, we continually evaluate our

www.ChildCareExchange.com CARING RITUALS 49 JULY/AUGUST 2017 EXCHANGE

practices to align with research. When

care isn’t viewed as education, it is common to rely upon personal child rearing experiences to shape caring practices, conversations around care can become emotionally charged because the way we care for children is laden with personal stories and cultural beliefs. For example, during discussions about meals and feeding I present the research of nutritionist, Ellyn Satter, who gives us extensive resources for feeding young children. Her Division of Responsibility Model calls into question some of the traditional ways of being with children at meals, such as praising children who eat everything on their plate, making picky eaters take just one bite, not allowing toddlers to play with their food, or withholding dessert from children who do not eat their vegetables first. Satter’s work emphasizes joy, competency, and trust, and it aligns with our educational philosophy that children are capable and whole, so it is a perfect example of the integration of early learning and caring rituals. I’ve found that when we describe care as educational and discuss it as a peda gogy, we elevate our practice beyond the confines of personal histories and embrace care as a new science.

Pedagogy of Care as an

Expressive Art

Early childhood teachers practice slowing down and creating respectful, intelligent care partnerships throughout the day. In daily rituals such as hand washing, serving meals, diapering babies, and zipping coats, we transform mundane tasks into educational prac tices that build relationships.

Several years ago at a training insti tute, I had an opportunity to mentor Tanya, a new teacher. My goal was to use video of her teaching as a reflection tool for naming dispositions, skills, and attitudes that are part of the hidden

Principles of Authentic Care for Early Education

Partnership: When we see the other as competent and capable, we practice caring as a conversation — a reciprocal exchange. Following one of Emmi Piker’s principles, we find ourselves doing things “with” children instead of doing them “to” children. Following the advice of Ron Lally, we engage in relationship planning rather than lesson planning.

Growth and Independence: We view care as a teaching practice that nurtures another’s development, actualization, and self-sufficiency. This is the opposite of caring in a way that creates helplessness, frustration, dependency, or entanglement. Within an educational framework, caring is associated with strength and power — not passivity or weakness. The other feels his or her wholeness in our caring response.

Science and Art: The practice of authentic care is both an applied science and an expressive art. Within the pedagogy of care, we name care as educational and we make it visible. Approaches are aligned with current research about child development and teachers express the art of care through their unique gifts and perspectives. Research also includes knowing the individual child well. Through defining care as a pedagogy, we name the tangible tools that are needed in care such as low sinks, lovely dishes, comfortable spaces, and natural light. We also name the teaching tools we cultivate that are essential, but often invisible: time, pace, touch, voice, tone, volume, and listening (among others).

A Curriculum of Care: We offer children opportunities to care for materials, small animals, plants, and one another. Children have opportunities to experience the joy of belonging and being known through care. Teaching the caring response has everything to do with learning to read social cues, develop empathy, and become emotionally intelligent. In her book, Starting at Home: Caring and Social Policy, Nel Noddings offers an interesting analogy. She describes how educators are trying hard to increase participation in mathematics and science for girls. The rationale is that women have been deprived opportunities by their lack of preparation in these subjects and it worries our society that women lag young men in skills that are so highly valued. She elaborates that it is unfortunate society does not seem to worry that young men lag behind women in caring — in preparation for nursing, early childhood education and parenting — because these traditionally female occupations are not highly valued. Noddings makes the point that men have “long been deprived of many of the joys that accompany everyday caring and have not been encouraged to develop the skills and attitudes that make life deeply satisfying.” She challenges us with the question, ‘How will we make caring attractive in our society?’

50 CARING RITUALS www.ChildCareExchange.com EXCHANGE JULY/AUGUST 2017

Photograph by Scott Bilstad

or implicit curriculum. I began by 

reviewing a video of Tanya engaged in

lunch with a group of toddlers.

Tanya sat in the low chairs with the

children. The youngest child, who was

tired and clingy, sat on her lap to eat

while Tonya orchestrated lunch rituals

with the other four toddlers who were

happily eating. One boy spilled his

small glass of water and Tanya smiled

and calmly but swiftly retrieved a paper

towel to help him wipe the spill. He got

up from his seat and threw the towel in

the garbage. She balanced herself with a

child on her lap and she reached out to

assist the other toddlers as they served

noodles on their own plates. One child

played with her bracelet while he ate

an apple and in-between bites he asked

questions about the colorful gems she

wore. She responded by taking off the bracelet so he could look at it more closely and included the other toddlers in a conversation about colors.

When I reviewed the video with Tanya, she was at first embarrassed. She questioned why I had chosen lunch time as an opportunity to observe her teaching. She suggested I could have recorded the morning curriculum block — her sensory activity had been carefully planned. I explained that the lunch experience provided an excellent example of her teaching. I noticed her thoughtful organization, the materials she had prepared that she and the children could easily access, and the environment where children could “do it by themselves.” She revealed her belief in the children as competent and capable as she encouraged them use the utensils, and I observed her smart judg ment to at first withhold her assistance and then to step in with prompts at just the right time to scaffold the toddlers’ growing independence in an encour aging way.

The clip also showed her connection. I pointed out how she listened, asked

open-ended questions, and laughed with the children. We talked about the intel ligence of her hands and body language — knowing just when to gently touch or glance in response to the children’s needs. Upon hearing this evaluation, Tonya began to cry. She was moved to tears and explained that she had not realized how caring for children during lunchtime was part of the curriculum. Caring was so close to her, she couldn’t see it. It was the invisible curriculum, but naming it as educational gave it power and visibility.

How do we create the highest quality program possible by practicing the pedagogy of care? For a starting point, we can engage in a self-study by looking closely at transitions, meals, sleeping, toileting, and dressing routines and reflecting upon our practices through the lens of the Principles of Authentic Care (see box).

Resources and References

Pikler, Emmi (8 guiding principles) http://thepiklercollection.weebly.com/ pikler-principles.html

Lally, J. Ronald, Ed.D.

https://www.pitc.org/pub/pitc_docs/ home.csp

Curriculum and Lesson Planning: A Responsive Approach. © WestEd, The Program for Infant/Toddler Care.

Lally, J. R., Ed.D. (2013). For our babies: Ending the invisible neglect of America’s infants. New York: Teachers College Press, Columbia University. WestEd.org

Mayeroff, M. (1971). On caring. Harper Collins Publishers, 10 East 53rd Street, New York, NY 10002.

Nodding, N. (2002). Starting at home: Caring and social policy. Berkeley: Univer sity of California Press, Berkeley and Los Angeles, CA.

Satter, E., MS, RDN, MSSW

www.ellynsatterinstitute.org

— n —

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