Peer 1 

My practicum takes place at a child daycare center. This past week I spent time with the four and five year- old children. We talked about our teeth. When asked to raise their hand if they brushed their teeth, I was surprised to find that out of fifteen children, only eight had. This provided a good teaching opportunity about the function of our teeth.

We looked at pictures of teeth and learned that they help us bite, chew, talk, and help us smile. Then I read the book Why Should I Brush My Teeth. They were so enthralled with the twelve-page story. Afterward, I answered some of their questions about their teeth.

One of the Healthy People 2020 goals is to prevent dental caries. I believe that childcare centers can serve as educators for oral health. This can be achieved by offering water instead of fruit juice and sending home flyers to parents about healthy foods. 

I learned that I must shorten my lessons. Children ask a lot of questions, and I felt as if I needed to answer them all. My preceptor kept pointing to her watch. I do not know why I thought this would be easy.

Office of Disease Prevention and Health Promotion. (2014). Oral Health. Healthy People 2020. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/oral-health

Peer 2

This week was rather interesting. Just a reminder I am doing my capstone at A.L.I.C.E hope a non-profit organization that helps people deal with different trauma they are going through with the main one being domestic violence. My preceptor asked me to attend a banquet where she was getting honored for all her work within the community. This week my preceptor went met with different community leaders to discuss a plan to help victims of domestic violence. She also told me that she is a two-time survivor of domestic violence and that this is something close to her heart and she wanted women to know that they can get away and feel safe.

We had a client call and said she was feeling really down and felt like everywhere she went her partner was following her. She said she started receiving calls and when she answered the person hung up in her face. She said she felt like she can’t live like this anymore. We met up with her and helped get her numbers changed. We also set her up with temporary housing with a security system so she feels a little safer. My preceptor also talked with her to see where her mind was because she knew other women that committed suicide and did not want this to happen. The lady says he feels safer and is going to set up an appointment with the therapist. At that moment I never realized how traumatic or emotionally draining. This made me want to help even more. Everyone deserves to feel safe at home and not constantly looking over their shoulder. Women who have dealt with domestic violence may have depression or even experience PTSD. October is domestic violence awareness month and my preceptor mentioned to me that many people think domestic violence is only physical and she says that a myth. She said domestic violence is physical, mental, verbal, emotional, financial, and psychological abuse. 

References 

DomesticShelters.org. (2020, October 14). Domestic Violence Survivors at Higher Risk for Suicide. Retrieved October 15, 2020, from https://www.domesticshelters.org/articles/health/domestic-violence-survivors-at-higher-risk-for-suicide

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

Peer 1

Vulnerable populations are those whose health issues may be enhanced by social factors and experience greater risk factors, worse access to care, and increased morbidity and mortality compared to the general public (Joszt, 2018). This can include the chronically ill and disabled, low-income or homeless individuals, certain geographical communities, LGBTQ+ populations, and the very old and very young.

In my community I can tell you about our Georgia Pines Behavioral Center that is state funded to provide mental health services from counseling to referrals for crisis interventions. To be eligible for services you need a valid Georgia ID, proof of household income, and Medicaid or Medicare documentation, If you do not have Medicaid or Medicare they do offer payment assistance.

Two other facilities that are located in my community are the Georgia Farm Worker Health Clinic and Primary Care of Southwest Georgia. These two clinics are very similar in that they are both federally funded and base service fees off of a sliding scale from proof of income. Each clinic offers a variety of different services, but are essentially equal in primary care. The differences are Primary Care of Southwest Ga is considered an FQHC, which is a Federally Qualified Community Health Center and serves the entire community. The Farm Worker Health Clinic only serves people that work in agriculture and can show proof of income from agriculture work. Anyone who lives in the same household as them also qualify. Having facilities in my community are a blessing since there are so many counties and towns that do not have any access to health care near them.

Reference

 Joszt, L. (2018). 5 vulnerable populations in healthcare. American Journal of Managed Care. Retrieved from https://www.ajmc.com/views/5-vulnerable-populations-in-healthcare

Peer 2

The population that I chose to research resources were the homeless people in the my area. The three organizations I found were Western Tidewater Community Services Board, Social Services and For Kids. All three of these organizations are non-profit organizations that assist with the community. The CSB  helps the homeless population with medication, case management services, food vouchers, financial assistance vouchers, clothes. Social services also helps the homeless with money and food. They link them to other resources as well. For Kids assist with shelters (they have homes), money, food, clothes (Good Mojo Store), crisis line, job coaching, mental health coordination and case management. 

Each organization is funded similar and differently at times. The CSB is funded through donations and state issued grants. They also get reimbursements from Medicaid when they provided certain services. Social services is funded by local and state funds. Lastly, For Kids is funded my grants from both local and state pools. They also use donations due to them being a non-profit. 

I think that all three organizations are able to provide good services/ support to the homeless because each one of them might know other services that can assist. Also, if they work together can provide a better solution for the population. 

References

For Kids. (n.d.). Family Homelessness | ForKids | Norfolk, VA. ForKids. Retrieved October 13, 2020, from https://www.forkids.org/

Social Services | Suffolk, VA. (n.d.). Suffolk Social Services. Retrieved October 13, 2020, from http://www.suffolkva.us/760/Social-Services

Western Tidewater CSB. (2020, October 8). Western Tidewater Community Services Board: Forward, Together. Western Tidewater Community Services Board. https://www.wtcsb.org/

 Review the Capstone Paper Assignment Guide

• Download the template you will use to complete this Assignment
  • Walden University. Walden templates: General templates: APA course paper template with advice (6th ed.). Retrieved from http://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-2774360
  • Review the webinar on using a template.
    • Delete the abstract page in the template. This is not required for this course.
    • The template includes the correct font and formatting:  12 pt. Times New Roman font, double spacing, and 1 inch margins on all sides.
• Review the Academic Writing Expectations Checklist Capstone Level
  • Note the new expectations for Use of evidence and Credit to Source
  • Use a Scholarly Voice
    • http://academicguides.waldenu.edu/writingcenter/scholarlyvoice
    • http://academicguides.waldenu.edu/writingcenter/webinars/scholarlywriting#s-lg-box-2773859
  • Review the Walden University Writing Center webpage: Using Evidence: Synthesis
• Review the Week 3 Assignment Rubric
• Identify a quality improvement practice problem to be discussed in the Capstone paper (Contolling pain at the end of life_
  • Consider problems related to structure, process, outcomes, or patient experience.

Remember: Each section of the Capstone Paper must meet the Academic Writing Expectations for the Capstone Level.

For this Assignment, write a paragraph that addresses the following:

• Practice Problem )Controlling pain in dying pt or hospice pt
  • State the practice problem in measurable terms and that reflect quality indicators. Include data that suggests a practice problem exists. Do not use anecdotal experiences or opinions.
    • This is the same problem described in the Week 1 Practice Experience discussion.
    • Keep in mind that this section may need to be revised after you complete all of the other sections.
  • Provide the rationale for selecting the practice problem. See Chapter 3, page 69, Exhibit 3.15 in the Spath (2018) text for examples.

Substance abuse in health care professionals

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

• Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
• Who is your target population?
• What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
• What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
• What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
• Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system? 

2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome? 

3. How does technology improve patient outcomes and the health-care system?

4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside? 

2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •

What does the organization/agency do that supports the hallmarks of quality? • 

What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •

How has the organization/agency affected facilities where you are practicing and your own professional practice?