Population Focused Interventions in a Rural Community

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Population Focused Interventions in a Rural Community

In this activity, you will identify health issues or concerns that impact a specific population group living in Sentinel Town to address health promotion and disease prevention.

Enter Sentinel Town and click the map to locate a citizen or family. Review the bio-sketch relevant to the specific population group (i.e. elderly, immigrants, single parents, Hispanic men or women, etc.).

  • Identify three (3) key health issues or concerns that impact a specific population group living in a rural community
  • List the determinants of health relevant to each of the issues or concerns
  • What are three (3) common issues or concerns similar for people in this population group who live in urban areas might encounter?
    • Explain why or why not this would be different from the rural setting?
    • Provide an evidenced-based health promotion or disease prevention intervention for each identified issue or concern
      • Would the location, rural or urban, impact your interventions, why or why not?
      • State a rationale that includes statistical data

Reading and Resources

Read Chapter 10 In Rubenfeld, M. G., & Scheffer, B.K. (2015). Critical thinking TACTICS for nurses: Achieving the IOM competencies (2nd ed.). Sudbury, MA: Jones and Bartlett.

Read Finn, P. (2011). Critical thinking: Knowledge and skills for evidence-based practice, Language, speech, and hearing services in schools, American Speech-Language-Hearing Association (42), 69–72.

Additional Instructions:

  1. All submissions should have a title page and reference page.
  2. Utilize a minimum of two scholarly resources.
  3. Adhere to grammar, spelling and punctuation criteria.
  4. Adhere to APA compliance guidelines.
  5. Adhere to the chosen Submission Option for Delivery of Activity guidelines.

Submission Options:

Choose One:

Instructions:

Paper

  • 4 to 6-page paper. Include title and reference pages.

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Assignment: Assessing and Treating Clients With Dementia

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Examine Case Study: An Elderly Iranian Man With Alzheimer’s Disease. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

  • At each decision point stop to complete the following:
    • Decision #1
      • Which decision did you select?
      • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
      • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
      • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
    • Decision #2
      • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
      • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
      • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
    • Decision #3
      • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
      • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
      • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
  • Also include how ethical considerations might impact your treatment plan and communication with clients.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

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Trends in healthcare Week 1

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Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health

In a Microsoft Word document of 2-3 pages formatted in APA style, you will focus on the methods to develop a change in policy to improve the public’s health by using a health policy model.

Suppose you want to initiate a policy of taxing sugared sodas/pop/beverages in your community. In your paper, address each of the following criteria:

  • Use the Longest’s policy cycle model to structure your proposed policy.
  • What arguments would you use to make the case for the policy?
  • What argument(s) would your opponents make?
  • How would you go about getting buy-in for your proposed policy?
    • What stakeholder groups need to be involved in promoting your policy?

On a separate reference page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.

Submission Details:

  • Name your document SU_NSG4068_W1_Project_LastName_FirstInitial

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Miss Evers Boys

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Discuss how the Tuskegee Study started out and the intent of the research (3 points).

o   Cite additional source(s) and include on reference page in APA (1 point)

·         What was unique about the population of Tuskegee, Alabama, as it relates to this study? (2 points)

·         Why do you believe Dr. Douglas chose Dr. Brodus and Miss Evers to participate in this study? (2 points)

8

·         Describe at least three distinct approaches Miss Evers used to convince the men of Tuskegee to participate in the study? (3 points)

·         For each activity by Miss Evers – identify if you feel the activity constituted use of coercion, power (implicit or explicit), advocacy, or a mixture of these and explain why? (6 points)

9

·         In what ways did the United States government use power to influence and propel this study to continue for several decades? (2 points)

·         In what ways did roles (e.g. physician, nurse), race, economics, education, or other factors contribute to this study continuing and to Miss Evers staying with the study? (6 points)

8

·         How do you feel about Miss Evers participation in the Tuskegee Study?  (2 points)

·         What would you have done the same or differently? (3 points)

·         Why? (3 points)

8

·         Locate another research study that violated ethical standards.

o   Describe the study itself (3 points).

o   Which ethical standards did it violate and how? (4 points)

o   Cite additional source(s) and include on reference page in APA (1 point)

8

·         Compare and contrast the ethical violations of the study you describe and the Tuskegee Study. In what specific ways are they similar or different?) (4 points)

4

·         Describe specific research ethics, laws or practices (names, descriptions of protections) that exist now to prevent the issues that arose from the Tuskegee Study and other unethical studies. (4 points)

o   Cite additional source(s) and include on reference page in APA (1 point)

5

·         Written as a paper in APA, not as a bulleted list of answers

·         Paper format (correct APA 7th ed.): font (½ pt), margins/double-spacing (½ pt), page numbers (½ pt), cover page & reference page formats (½ pt)

·         Correct spelling and grammar (4 points)

·         Citations & References (correct APA 7th ed – graded in sections above with these criteria): all references are cited in paper; each reference includes all required elements (author, year, title, journal name, volume, issue if available, page number or electronic locator, URL/doi

·         Turnitin score reflective of original thought (4 points)

10

Total

60

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500-1000 word assignment

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To Prepare:

  • Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
  • Select an existing healthcare program or policy evaluation or choose one of interest to you.
  • Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

  • Describe the healthcare program or policy outcomes.
  • How was the success of the program or policy measured?
  • How many people were reached by the program or policy selected?
  • How much of an impact was realized with the program or policy selected?
  • At what point in program implementation was the program or policy evaluation conducted?
  • What data was used to conduct the program or policy evaluation?
  • What specific information on unintended consequences was identified?
  • What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
  • Did the program or policy meet the original intent and objectives? Why or why not?
  • Would you recommend implementing this program or policy in your place of work? Why or why not?
  • Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

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case study

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Case study for nursing school. 5-6 pages APA style

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Info. Change Proposal

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 Change Proposal

In a Microsoft Word document of 4-5 pages formatted in APA style, develop a change proposal for a new technology that will contribute to a safer patient environment.
In your paper address each of the following criteria:

  • Describe how the change proposal for the new technology will:
    • impact patient safety.
    • be measured to assess the impact of your change.
    • be communicated to staff and implemented.
  • Examine human factors related to change and resistance to change.

On a separate reference page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.

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assessment addresses the following learning outcomes

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This assessment addresses the following learning outcomes:1.Apply common epidemiological concepts including incidence and prevalence of disease, mortality and survival and age standardisation.2. Recognise the role of exposure to biological, behavioural, social and environmental risks in disease patterns.3. Differentiate between different types of research designs, including observation and experimental and mixed methods designs. 4. Assess levels of evidence and make recommendations.5. Interpret data arising from surveillance and research studies, including rates and ratios.6. Understand the difference between association and causation, statistical and public health significance.7. Analyse the role of epidemiology in screening and prevention programs, and assess the sensitivity and specificity of programs.8. Critically evaluate epidemiological studies, including potential for bias, confounding and chance errors.9. Identify key health indicators and sources of data.

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Ethics

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Instructions
Review the following ethical dilemmas:

  1. John Doe has decided to clone himself. He is sterile. He cannot find anyone to marry him. He wishes to have children. He knows that he will not be able to love a child that is adopted or not connected directly to him biologically. He will be making use of a new procedure that involves taking his skin cells to produce a twin. The twin starts out as an embryo and grows into a child. The child in this case will have the same genetic information as John Doe. John Doe and his child will be twins.
  2. Jane Doe is eighteen. For as long as she can remember she has been sexually attracted to other females. Her parents belong to a religion that has a religious text stating that God forbids one to be a lesbian. This religion goes on further to say that lesbians will be punished in the afterlife. Jane Doe is debating whether she should tell her parents about her sexual attraction. She has not yet decided if she should come out to her parents and live as a lesbian now that she is a legal adult.
  3. Joe and Mary are a couple. Before becoming sterile, they had a child. This child died of a rare disease. Joe and Mary miss their child terribly. They have heard that there is a new IVF procedure that can ensure that they can have another child. However, their religion forbids using IVF.
    Use the resources assigned for this week and additional research,

Instructions
Select two of the situations above and then address 2 of the following:

  1. What is the relation between ethics and religion? Formulate and investigate the relation.
  2. For each case, determine the ethical path of conduct. Then, determine what paths of conduct would be unethical
  3. For each case, what would an emotivism say to appraise what you determine is the ethical form of conduct?
  4. For each case, would a natural law ethicist agree with what you say is the ethical form of conduct? Why or why not?
  5. Articulate, explain, and evaluate in each case an approach that makes use of divine command ethics.

Writing Requirements (APA format)

  • Length: 2-3 pages (not including title page or references page)
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page (minimum of 2 scholarly sources)

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Nursing leadership and management DQ 3 Repy Martha Gomez

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Question 1

A. The question of whether abortion is is ethical or not primarily pertains to how a person views abortion according to their own believes. Abortion clinics are not illegal as long as they comply with standards set forth by the state such as providing the necessary area and equipment for interventions, to have these performed by a licensed physician and to be able to transfer a patient to a hospital facility should they need emergency services following an abortion or complications (The Florida Statutes, 2019).

b. Patients must be allowed to exercise autonomy whenever possible. This is legal and ethical. Many patients have advance directives stating what interventions they want for their health. It is the nurse’s duty to respect these wishes regardless of their own views. This is ethical because you are respecting the patient’s autonomy and legal because there may be a document that states such decisions (Weiss, Tappen & Grimley, 2019).

c. A health surrogate is legally appointed to make decisions for the patient. However, the issue of ethics may arise when some people think it’s too soon to remove life support or when the possibility of recovery has not been ruled out. As nurses we provide care  to maintain a patient’s optimal level of functioning and to allow for dignified death when there is no other option. The concept of end of life however poses many ethical dilemmas in some nurses as they become more knowledgeable in this area (Weiss et al., 2019).

d. Diverting drugs is both unethical and illegal. The nurse that participates in this is incurring in medication error by administering less than the prescribed dose and stealing. These are both reportable issues because they put both the nurse and the patient’s life at risk. Impaired coworkers need to be reported and explore the possibility of rehabilitation (Weiss et al., 2019).

Question 2

Deontological theory is based on the idea that a person is performing an action based on good intentions and what they believe is ethical based on their rules. However, the breaking of these rules even if with justifiable motives is considered wrong (Weiss et al., 2019). Utilitarianism argues that the most correct approach is the one that will generate the best outcome for the most amount of people. It takes into account the interests of others and not solely that of one person (Driver, 2014). Principlism is a relatively newer approach that combines other principles in order to address dilemmas while making emphasis on autonomy, non-maleficence, beneficence and justice (Weiss et al., 2019).

Question 3

It is the responsibility of all healthcare professionals involved in patient’s care to provide accurate and reliable information regarding prognosis, treatments and medications. Some of this information may be distressful for some to hear however, knowing the truth can assists in properly managing conditions and preventing complications and ultimately it allows the person to make decisions on their own care. Not being honest violates the principle of veracity (Weiss et al., 2019). If you anticipate that the information that will be provided may cause distress it may be wise to ask for assistance from other members of the interdisciplinary group such as social workers, doctors or chaplains, also when starting this conversation make sure there are no interruptions and allow ample time for patient to ask questions and discuss concerns.

Question 4

The nurse-patient relationship has its foundation in trust. Patients rely on nurses and other healthcare professionals for information and guidance regarding their health. Withholding health information can create ethical dilemmas between nurses and family members and violates the principle of veracity as well as the nature of the relationship (Weiss et al., 2019). If the family wishes to not disclose information to the patient the nurse can assist by discussing with the family their concerns and fears regarding the information and explore alternatives that ease the family’s concerns and allows the patient to be in control of their health and decisions (Weiss et al., 2019).

Question 5

The code of ethics is one of the most fundamental aspects of any job. It provides a description of what is expected of a professional while at the workplace and provides a framework for nursing to function accordingly (Weiss et al., 2019). If a behavior is witnessed that does not align with the code of ethics it must be reported to the appropriate entity. Passwords must remain private as sharing them can lead to confidentiality breach and patient information is at risk. Every action carries a consequence therefore the person witnessing an unethical act can be held as responsible for the consequence as the person who initiated the act. Moral courage means bypassing the fear and holding true to your values and ideas of what is right and wrong (Schmidt, 2015).

Question 6

Confronting colleagues can be difficult especially when friendships arise from the daily routine of working together. This can impair the judgement and affect the way a situation is viewed. Rather than assume she is taking the supplies I would talk to her regarding the child’s situation and how she is dealing with it and try to gain some insight as to not jump to conclusions. Offer support if necessary. Taking supplies is stealing and that is dishonest. The inappropriate handling of supplies can be costly to the unit. If I witness a nurse stealing and do nothing about it, I become an accomplice, and if I do say something and in fact, she needs those supplies for her daughter then I would be interfering with her daughter’s recovery. This type of dilemma is usually what causes moral distress in nurses, knowing what the right action is but not being able to take it (Weiss et al., 2019).

Question 7

There are many aspects of end of life care that create dilemmas in nurses. A nurse needs to examine her own views and feelings before acting as to not project her own perspectives. A terminal disease as the word implies is one with no cure. However, two people may run different courses even with the same disease therefore estimating the time someone has left is difficult and often creates more anxiety in the patient. As a nurse I would explain to the patient that while it is unfortunate that his disease has no cure, he should take comfort in knowing we can work toward making the rest of his time valuable, meaningful and with dignity. We can use the time to reflect on his life, his achievements, happy moments and even not so happy ones. I would take time to discuss fears such as painful death, dying alone and feeling isolated. Patients wit terminal disease fear this more than the actual death itself and by exploring those feelings we can help them process the situation more effectively and find coping mechanisms (Trivate et al., 2019). Grieving is a normal part of the process and not being honest for fear of mentioning the word death can affect this.

Question 8

The patient has the right to know what he is taking. As a nurse I would explain what it is for, what to expect and possible side effects. The nurse has the duty to provide this information and accept that the patient has the right to refuse this medication as well.

Reference

Driver, J. (2014, September 22). The History of Utilitarianism. Retrieved May 17, 2020, from https://plato.stanford.edu/entries/utilitarianism-history/

Schmidt, K. (2015, October 19). Nurses must summon moral courage to confront unethical behavior. Retrieved from https://www.nurse.com/blog/2015/10/19/nurses-must-summon-moral-courage-to-confront-unethical-behavior/

The 2019 Florida Statutes. (2020, May 17). Retrieved from http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0300-0399/0390/Sections/0390.012.html

Trivate, T., Dennis, A.A., Sholl, S. et al. Learning and coping through reflection: exploring patient death experiences of medical students. BMC Med Educ 19, 451 (2019). https://doi.org/10.1186/s12909-019-1871-9

Weiss, S. A., Tappen, R. M., & Grimley, K. A. (2019). Essentials of nursing leadership and management (7th ed.). Philadelphia, PA: F.A. Davis Company.

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