Community Assessment Worksheet, Rural Health Group

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Community Assessment Worksheet, Rural Health Group

For the data and discussion we are using Community Commons, which combines data from the CDC, American Community Survey, census data and more.

Website: http://www.communitycommons.org/

DEOMGRAPHICS

1) What do population trends reveal (State, Local and National)? 

2) Has there been a change in population in people over 65 or under 5? (GO TO Change in population). Are some age groups in your county older/younger than the nation/state? 

3) How could growth or decline in growth in various age groups affect public health planning?

4) Why do you think it is important to understand the population and race distribution? Discuss the race demographic trends (growth or decline) in your county/state/nation. 

5) How do changes in demographics affect public health programs/programming?

6)  Why does the site list race under Hispanic and Non-Hispanic and how do race and ethnicity, and origin differ? (See Notes at the bottom, and the Hispanic Population tab)

SOCIAL AND ECONOMIC FACTORS

SOCIAL AND ECONOMIC FACTORS: Links within the section are in italics at the end of most questions, abbreviations to note for this section: FPL- Federal Poverty Level, SNAP- Supplemental Nutrition Assistance Program (food stamps). 

1) What percentage of children are eligible for Free/Reduced Lunch in your county/state/nation? Why is this an important indicator? (Children Eligible for Free/Reduced Price Lunch)

2) What percent of children are living poverty in the county/state/nation? Do all races and ethnicities have similar percentages? (Children in Poverty)

3) How is poverty linked to health? 

4) What are the High school graduation rates for your county/state/nation? And what is the Healthy People 2020 goal? Why is this relevant for health outcomes? (High School Graduation Rate, NCES)

5) How is lack of social or emotional support relevant as a health indicator and what it is linked to? And how did your county and state compare to the nation? (Lack of social or emotional support)

6) What are the rates of households receiving public assistance income in your county/state/nation? And why is this relevant to health outcomes? (Households Receiving Public Assistance Income)

7) What is the Income Per Capita of your county/state/nation? What does income per capita include? How does this compare with the average new nurse salary in the area?

(Income per Capita) Income per Capita is all income and wages a person receives in a year

8) What is the percent of the population living in poverty in the county, state, and nation? And why is this relevant to health status? (Population in Poverty 100% FPL)

9) What is the percentage of households receiving SNAP benefits? Why is this relevant to health? (Population Receiving SNAP Benefits, ACS)

10) What percent of your county/state/nation do not have a high school diploma? How is this relevant to health status? Describe who and how Community Commons measures this. (Population with No High School Diploma

· For questions 11-13 please click on the (Freudenberg & Ruglis, 2007) link under Population with No High School Diploma. 

11) Why do these researchers refer to education as the elixir for public health? 

12) (From Table 3) Name 2 reasons students drop out from each column:

· Individual or family reasons 

· Neighborhood or community causes, School or School System causes

13) Name 3 school-based health interventions that have evidence to support a reduction in school drop-out rates?

HEALTH BEHAVIORS

1. How does Kentucky compare to the USA regarding alcohol consumption? Why do you think the CDC asks about alcohol consumption? (Alcohol Consumption)

2. How does Kentucky compare to the USA regarding Fruit and Vegetable consumption? What was the measurement and why is this important to health? (Fruit/Vegetable Consumption)

3. How does your county and Kentucky compare to the USA regarding physical inactivity? What are implications might this have on the health care system? (Physical Inactivity)

4. How does your county and Kentucky compare to the USA regarding tobacco use? Percent smoking, percent smoked over 100 cigarettes, quit attempts in the past 12 months. (Tobacco Usage: Current, Former and Quit attempts). 

HEALTH OUTCOMES: Look up the following health issues (below) discuss the incidence rate or percent comparison between the nation, state, and county. Do they differ a lot by race/ethnicity? In addition, address the specific question by each disease/health outcome and be thinking about what public health nurses could do to address these, for discussion you do not need to record here.

Asthma Prevalence: Name 2 issues that could exacerbate asthma.

Cancer Incidence- Lung: Name 2 issues that increase the incidence of lung cancer.

Cancer Incidence- Colon: Why are cancer rates addressed by the type of cancer? What is one lifestyle change you can do to reduce your risk of colon cancer?

Chlamydia: Why is this a concern for public health if it is treatable/curable? 

Heart Disease(adult): What other indicators is this related to?

Diabetes(adult): What lifestyle/behavior factors increase rates in Kentucky?

Infant Mortality: Who is included in this rate? Why is this a good indicator of health of the community? Death before the age of 1 year

Poor Dental Health: How is this defined and why do you think the state has such high rates? 18+years with 6 or more perm. Teeth removed or lost from poor dental health

History of Present Illness

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Chief Complaint: “I fell down in my house a week ago and my knee is still hurting”.

History of Present Illness: Mr. Peterson is 52-year-old male construction worker who presents to the clinic with symptoms of right knee pain related to a fall sustained at home one week ago while he was coming down the stairs. Patient states that he tripped and during the fall, the right knee twisted and was caught between two bars of the stair wells. Immediately after the fall, the pain was sharp and stabbing, and he was unable to walk straight and apply weight on the knee. He applied ice and took 800mg of Motrin and went to bed.

Patient states he did not want to go to the emergency department due to the long wait. After 24 hours he applied warm compresses intermittently and took extra strength Tylenol as needed. Mitigating factors include ES Tylenol, heat application, and resting the knee. However, sometimes the pain is so severe that even Tylenol does not help. Aggravating factors are long standing, bending the knee, and climbing stairs. He describes the pain as sharp, and annoying at the same time. At present time he feels like “something is not right inside the knee”. Level of pain is 8/10. He denies previous musculoskeletal injuries. Patient also reports shortness of breath but denies chest pain.

 

PMH: Asthma, bipolar disorder. Left knee anterior crucial ligament (ACL) 10 years ago from basketball injury.

Past surgical history: Right hip replacement 15 years ago from kick boxing.

Medications/OTC: Theophylline, Prednisone, Singular, Geodon, Prozac, Benadryl, Tylenol as needed.

Allergies: NKA.

Past family history: One brother with asthma, and another brother with bipolar. Maternal aunt with diabetes type II.

Health Maintenance: Immunization up to date.

Social history: Patient does not smoke, drink or use recreational drugs. He maintains a regular diet and exercises 3 times a week, has been married for 10 years and lives with his wife and one adult son, and one teenage daughter, is a mathematics teacher in the same high school where he attends clinic. And sleeps well.

 

With the information provided above, please continue the patient’s soap note to include:

Subjective: A thorough review of systems

Objective: A thorough physical examination

Primary diagnosis: Must be supported by subjective and objective findings.

3 differential diagnoses with one citation for each ddx (APA formatted).

Laboratory tests

Diagnostic testing

Management plan:

Medications

Non-pharmacological approach

Diagnostic (if applicable)

Referral (if applicable)

Follow up

Patient education and Health promotion (disease, lifestyle, medication safety and side

effects…).

References: A minimum of 3 different peer-reviewed references are required for this assignment. All references must be properly APA formatted and published within 5 years.

 

Note: Please use the FNU soap note template. Review the soap note examples posted on Bb. Also, have the soap note rubric handy when completing your assignment.

Below is how an example of how a reference list looks like:

 

References

American Lung Association. (2009). Chronic obstructive pulmonary disease (COPD) fact sheet.

Retrieved on March 8, 2013, from http://www.lung.org/lung-disease/copd/resources/facts-figures/COPD-Fact-Sheet.html

American Lung Association. (2010). The promise of research. Retrieved on March 12, 2013,

from http://www.lung.org/finding-cures/research-news/promise-of-research/por-fall-2010/promise-of-research-fall2010.pdf

Buttaro, T. M., Trybulski, J., Bailey, P. P., & Sandberg-Cook, J. (2012). Primary care: a

collaborative practice. St. Louis, Mo.: Elsevier/Mosby.

Durairaj, L. (2010). Disparities in lung disease: Ethnic & racial clues. Retrieved on March 7,

2013, from http://www.lung.org/assets/documents/publications/research-awardsnationwide/RAN0405_LR.pdf

Miravitlles, M. et al. (2010). Cost of chronic bronchitis and copd: 1-year follow-up study.

Retrieved on March 8, 2013, from https://journal.publications.chestnet.org/data/Journals/CHEST/21990/784.pdf

National Guideline Clearinghouse. (2010). Management of uncomplicated acute bronchitis in

adults. Retrieved on March7, 2013, from http://www.lung.org/finding-cures/research-news/promise-of-research/past-issues/por-spr

Niederman, M., S. et al. (2012). Treatment cost of acute exacerbations of chronic bronchitis.

Retrieved on March 11, 2013, http://www.ncbi.nlm.nih.gov/pubmed/10321424

Poole P, H. (2012). Prophylactic antibiotic therapy for chronic bronchitis and chronic

obstructive pulmonary disease (COPD) (Protocol), Retrieved on March 11, 2013, from http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009764/pdf

South Carolina Department of Health and Environmental Control. (2010). Identification and

elimination of health disparities among populations. Retrieved on March 8, 2013, from http://www.scdhec.gov/health/chcdp/tobacco/goal4.htm

Thomas, M. (2012). Acute bronchitis in adults. Retrieved on March 2, 2013, from

http://www.uptodate.com/contents/acute-bronchitis-in-adults?source=search_result&search=bronchitis&selectedTitle=1%7E150

Community Setting

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The RN to BSN program at Grand  Canyon University meets the requirements for clinical competencies as  defined by the Commission on Collegiate Nursing Education (CCNE) and the  American Association of Colleges of Nursing (AACN), using  nontraditional experiences for practicing nurses. These experiences come  in the form of direct and indirect care experiences in which licensed  nursing students engage in learning within the context of their hospital  organization, specific care discipline, and local communities.

Based  on the feedback offered by the provider, identify the best approach for  teaching. Prepare a presentation based on the Teaching Work Plan and  present the information to your community.

Options for Delivery 

Select one of the following options for delivery and prepare the applicable presentation:

  1. PowerPoint presentation – no more than 30 minutes
  2. Pamphlet presentation – 1 to 2 pages
  3. Audio presentation
  4. Poster presentation

Selection of Community Setting

These are considered appropriate community settings. Choose one of the following:

  1. Public health clinic
  2. Community health center
  3. Long-term care facility
  4. Transitional care facility
  5. Home health center
  6. University/School health center
  7. Church community
  8. Adult/Child care center

Community Teaching Experience Approval Form 

Before  presenting information to the community, seek approval from an agency  administrator or representative using the “Community Teaching Experience  Approval Form.” Submit this form as directed in the Community Teaching  Experience Approval assignment drop box.

General Requirements

While  APA style is not required for the body of this assignment, solid  academic writing is expected, and documentation of sources should be  presented using APA formatting guidelines, which can be found in the APA  Style Guide, located in the Student Success Center.

This  assignment uses a rubric. Please review the rubric prior to beginning  the assignment to become familiar with the expectations for successful  completion.

You are not required to submit this assignment to LopesWrite.

Benchmark Information

Registered Nurse to Bachelor of Science in Nursing

The benchmark assesses the following competencies:

3.3 Provide individualized education to diverse patient populations in a variety of health care settings.

Test Information Description  

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Take Test: Exam – Week 6   Test Information Description

This is a 101-question Exam which will assess your knowledge on the  Learning Resources from Weeks 1-5.  Instructions Please answer each question below and click Submit when you have  completed the Exam.  Timed Test This test has a time limit of 2 hours and 30 minutes.This  test will save and submit automatically when the time expires. Warnings appear when half the time, 5 minutes, 1 minute. And 30 seconds  remain. Multiple Attempts Not allowed. This test can only be taken once. Force Completion This test can be saved and resumed at any point until  time has expired. The timer will continue to run if you leave the test.

SAMPLE QUESTIONS (Question and answer on the document with a guarantee of 96%)

 

QUESTION 3: Small, minute bruises are called: ecchymoses. spider veins. petechiae. telangiectasias.

QUESTION 6 Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain. You have completed the inspection of the abdomen. What is your next step in the assessment process? Auscultation Percussion Light palpation Deep palpation

QUESTION 16 The review of systems is a component of the: past medical/surgical history. health history. assessment. physical examination.

QUESTION 17 Which of the following is the most vital nutrient? Protein Water Carbohydrate Fat

QUESTION 18 The attitudes of the health care professional: are culturally derived. are largely irrelevant to the success of relationships with the patient. do not influence patient behavior. are difficult for the patient to sense.

QUESTION 18 The attitudes of the health care professional: are culturally derived. are largely irrelevant to the success of relationships with the patient. do not influence patient behavior. are difficult for the patient to sense.

complains of a headache

QUESTION 19 Mr. D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the: personal and social history. past medical history. review of systems. chief complaint.

QUESTION 20 Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have noted a 4′ 3-cm, rough, elevated area of psoriasis. This is an example of a: D. papule. C. macule. B. patch. A. plaque.

QUESTION 31 George Michaels, a 22-year-old patient, tells the nurse that he is here today to “check his allergies.” He has been having “green nasal discharge” for the last 72 hours. How would the nurse document his reason for seeking care? G.M. is a 22-year-old male here for having “green nasal discharge” for the past 72 hours. G. M., a 22-year-old male, states he has allergies and wants them checked. G. M. is a 22-year-old male here for “allergies.” G. M. came into the clinic complaining of green discharge for the past 72 hours.

examining a pregnant patient

QUESTION 32 You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a: A. telangiectasia. B. spider angioma. D. purpura. C. petechiae.

QUESTION 33 A fixed image of any group that rejects its potential for originality. Or individuality is known as a(n): acculturation. stereotype. ethnos. norm.

QUESTION 34 To approximate vocal frequencies. Which tuning fork should be used to assess hearing? 1500 to 2000 Hz 100 to 300 Hz 500 to 1000 Hz 200 to 400 Hz

QUESTION 35 In issues surrounding ethical decision making. Beneficence refers to the: need to avoid harming the patient. care provider knowing what is best for the patient. care provider acting as a father or mother figure. need to do good for the patient.

QUESTION 56 When examining the skull of a 4-month-old baby. You should normally find: C. ossification of all sutures. D. overlap of cranial bones. B. closure of the posterior fontanel. A. closure of the anterior fontanel.

Ethical Dilemma

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Step 1: Select Your Ethical Dilemma 

Option 1: Select one of these ethical dilemmas. There is a lot of information on the internet about each of them.

  • Withholding/Withdrawing Life Support – Terri Schiavo, was in a persistent vegetative state when her life-sustaining treatment was withdrawn (2005)
  • Withdrawing Life Support/Resource Allocation – Jahi McMath. Was a teen who was declared brain dead but remained on life support for almost 5 years (2013)
  • Physician Assisted Suicide – Brittany Maynard, had terminal brain cancer. And chose when/how she would end her own life (2014)
  • Right to Die – Dan Crews, had been a quadriplegic since childhood. And wanted his ventilator removed to allow for death to come (2011)
  • Religion/Culture/Rights of Minor and Parental Rights – Daniel Houser. Was a teen with Hodgkin’s Disease who refused life-sustaining chemotherapy for religious reasons (2009)
  • Withdrawing Life Support/Rights of the Unborn Child – Marlise Munoz. Was a brain-dead woman kept on life support because of her unborn child (2013)

Requirement :

  • EACH component/step of the Framework for Ethical Decision Making. As outlined on the Worksheet for Ethical Decision Making Framework; refer to these document (Course Modules/Materials >>Supporting Documents).
  • Spirituality and Religion. Describe how spirituality. And / or religion may have been a factor in the actions and outcomes.

At a minimum, you will want the following topics included (some may be more than 1 slide):

  • Cover slide with project title and your name
  • Individual and situation (introduction a)
  • Ethical dilemma (introduction b)
  • Step 1:
  • Ethical issues
  • 2: Facts
  •  3 and 4: Option 1 and Arguments for/against
  • 3 and 4: Option 2 and Arguments for/against
  •  4a: Ethical Theory and Why
  • 5: Decision and Why
  •  6: Assess outcome
  • Impact of Spirituality and / or Religion
  • References; at least 3 scholarly references

Other:

  • You will need in-text citations where necessary
  • The Power Point Presentation can be bullets.
  • Speaker notes and/or narration are NOT required.
  • There is NO document required; only the PowerPoint presentation
  • These are real people! Make them “come alive” with some pictures in your presentation. Pictures are a requirement without making your presentation too large!

Psychopharmacology Treatment Algorithm

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. Signature Assignment (Psychopharmacology Treatment Algorithm)

Using your learning experience from your clinical experience. Preceptor input and evidence-based literature, develop a pharmacology treatment Algorithm of a patient with a DSM diagnosis. You can use your readings to change. And add to your work, but it must be an original and not a copy of an algorithm from someone else. This is an algorithm developed specifically for this client to demonstrate your critical thinking throughout the treatment planning.  The following areas must be covered in the assignment.

· Overview of your initial patient clinical assessment including: Chief compliant, medical history, psychiatric history. Psychosocial, mental status examination.

· Using the information from the assessment. Reading materials and textbook, develop an  evidence-based algorithm for four treatment stages, tailored to this individual. The information must include interview questions nehttps://homeworkforyouhelper.com/eded to guide decision-making at the different stages, length of treatment in trial/initiation period, dosage titration schedule and duration of time the client should stay on the medication, factors that might influence the effectiveness of the medications, necessary labs and test, and patient education. Include pertinent side effects profiles that would warrant a change in the medication being prescribed and a brief reasoning for your decisions.

Attached is the case presentation rubric.

For References: Please do not use any sources from websites or .com sources, only use peer-reviewed academic and scientific journals.

Also do not reuse papers from older courses, even if you are the author. SafeAssign will mark this as plagiarism.

Medical algorithm (1) (1).docx Case presentation rubric(1) (1) (1) (4).docx

2. By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the  Blackboard Privacy Policy ; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.

3. Institution Release Statement

4. Instructors can use the SafeAssign service to check submitted assignments for originality. SafeAssign compares your submitted assignments against a set of academic papers to identify areas of overlap between the submitted assignment and existing works.

5. RUBRICS

QUALITY OF WORK SUBMITTED: THE EXTENT OF WHICH WORK MEETS THE ASSIGNNED CRITERIA AND WORK REFLECTS GRADUATE LEVEL CRITICAL AND ANALYTIC THINKING
15 points Description
Excellent (15-13 points) Assignment exceeds expectations. All topics are addressed with a minimum of 90% containing exceptional breadth and depth about each of the assignment topics.
Good (12-11 points) Assignment meets expectations. All topics are addressed with a minimum of 80% containing good breadth and depth about each of the assignment topics.
Fair (10-7 points) Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed.
Poor (6-0) Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.

Cultural Relativism And Moral Action

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Instructions
For this assignment propose a scenario where you or someone you know are confronted with a moral dilemma relating to cultural diversity. And multiculturalism. It cannot be the same as what was covered in the week one discussion.

Cultural diversity refers to religious, sexual, racial. And other forms of social difference. A moral dilemma is a situation in which one must make a decision between two or more options such that the options involve seemingly ethical. And/or unethical conduct. Address the following questions:

  • What was the situation? What did the dilemma involve? would a subjective moral relativist say is the right approach to the dilemma? Why would that kind of relativist say that?
  • What would a cultural relativist say is the right approach to the dilemma? Why would that kind of relativist say that? Is that approach correct?
  • What did you the person confronting the dilemma decide to do? What moral justification did they give? Is that approach morally correct?
  • Was there an objective moral truth (the objectively right thing to do) in this situation? Why or why not?

Remember, the dilemma should be detailed with description and dialogue. Regard the questions as requirements.

Cite the textbook and incorporate outside sources, including citations.

Writing Requirements (APA format)

  • Length: 1.5-2 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)

the costs associated with the increased utilization of health care

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the costs associated with the increased utilization of health care

Discuss the costs associated with the increased utilization of health care. Include a discussion of unnecessary care, consumer attitudes, healthcare financing, pharmaceutical usage, and changing population demographics and disease patterns.

  • Must address the topic.
  • Rationale must be provided.
  • May list examples from your own nursing practice.
  • 150-word minimum/250-word maximum without the references.
  • Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.
  • Upload by  Saturday week # 10
  • Each student must respond to two student’s original post by day seven. This grade is a compilation of the original post and the response post. Please see the discussion topic rubric with responses in the course documents folder.

Informatics Competencies And Advanced Nursing Practice

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  • What were your initial thoughts on reading the AACN Information Systems/Technology Essentials for the DNP graduate?

Over the last decade or so there has been fast-paced changes. The government assisted with these changes through the electronic medical records implementation (EMR) to help move us forward. Information technology has been an essential change in today’s medicine. That has helped spread better more accessible ways to gain healthcare. Through this technology, nurses have been able to track areas that needed advancement to provide better. And safer care to patients. Data has been collected and easier to access for quality improvement.

With data stores we can not only access a collection of data easier, but we have been able to transport our health care records with us wherever we go through Information technology. The DNP nurse will have the professional development to influence and enhance essentials through organizational and leadership skills and interprofessional collaboration gained in education and experience to enhance the development of nursing standards according to Giardino & Hickey, (2020.)  The DNP nurse prepares graduates through the development or innovation of practice change and implementation of quality improvement processes. The Ph.D. graduate with the use of research and statistics works with statistical methodologies to make change. Both degrees use information technology to do this. (Loescher, Love Badger, 2021).

statistical methodologies

  • Did you find any of the essentials surprising? Why or Why not? I was not surprised by the changes as I have lived through the advancement of technologies from black. And white TV with 6 channels to Dish, WIFI, and wireless cellphones that we carry in our pockets.
  • Describe the changes you have seen in your practice setting over the past five years that have been brought about by the use of technology and evidence-based practice. The use of electronic medical records (EMR) has changed many things in nursing from the accessibility of one’s history to safer administration of medications. We can find information in a quicker and more easily accessed way. If you are older, you remember charting by hand and looking up medications in drug books. In a way, this is harmful to newer nurses who rely on the internet for information. If the technology of today was to have a breach of functionality, I have my own concerns for the ability of newer nurses to function. I personally have met new nurses who have no idea how to even begin to chart unless using electronic charting. The biggest advancement in the last few years was the advancement of telemedicine and patient care with the pandemic of COVID-19.

  • the advancements

  • Describe the changes you expect to see in your practice setting over the next five years based on technology. WOW, this is a very challenging question. Looking back at the advancements in the last 5 years seems like a lot so trying to guess at what will be is difficult. I would wonder to guess that simulation technology should advance in the next 5 years making teaching hands-on skills more improved and life-like. Also, the ability to scan other more advanced diagnostics would be a possible advancement and a decline in medical injuries with the use of advancing robotic-assisted procedures. By 2025 Artificial intelligence is expected to make great changes in nursing (Robert, 2019) robotics already are advancing in engineering to respond to emotional circumstances these robots are called social or companion robots that are designed to help older adults. They are expecting to develop robots to perform nursing duties like ambulation, vital signs, and medication delivery this will change the role of nursing and how we care for patients. (Robert, 2019).
  • How have these changes affected nursing practice in your setting? Nursing education and clinical practice skills have become a bit more complicated with not only the hands-on patient care, but incorporation of technical skills needed to perform many of the nursing duties. With the expected advancements nursing will be making great changes in what we do. There is no telling where it is going until it happens at this time, we will continue to use information technology as a tool to enhance our safety of practice.

References:

Giardino, E.R., Hickey, J.V. (2020). Doctor of nursing practice students’ perceptions of professional change through the DNP program: Journal of Professional Nursing 36(6) p.595-603. https://doi.org/10.1016/j.profnurs.2020.08.012 (Links to an external site.)

Loescher, L.J., Love, R., Badger, T. (2021). Breaking new ground? The dual (PhD-DNP) doctoral degree in Nursing: Journal of Professional Nursing 37(2) p. 429-434. https://doi.org/10.1016/j.profnurs.2020.05.001 (Links to an external site.)

Robert, N. (2019). How artificial intelligence is changing nursing: Nursing management 50(9) p. 30-39. https://doi.10.1097/01.NUMA.0000578988.56622.21

I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT

The gap between the rich and poor in the United States

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The gap between the rich and poor in the United States

Consider the following quote  ”The gap between the rich and poor in the United States …has been widening for some time. In recent years, the gap has been the widest since our government began to keep records on it in 1947” (eText, p.143).  For example, one report states that: “Since 2009, 95% of U.S. economic gains have gone to the wealthiest 1% of the population” (“Income Inequality: Why Does the Gap Keep Widening?” The Week Feb. 7, 2014).

Discuss the growing income inequality in the U.S. and the world with someone mature enough to have some perspective from experience about it.  Ask them what they think about the widening gap between the rich and the rest of us in America, as our course materials speak of this problem.  How has the economic trend for middle class Americans affected them?  How as it affected you? After all do bonded slaves in India effect you in the USA?

references: