Discussion about what community health nursing intervention strategies will best be suited to address your selected health concern (for your project). Explain how you would integrate your methods. Be sure to meet the word count of at least 400. Note that all assignments and discussion posts in this course are permitted to use first person, such as “I, we, me, us”, etc., due to the nature of the assignments.
REPLY1
Hi MariaL,
I can relate to the ethical distress that occurs when working with the underserved population in a small community hospital. I work in a small community hospital where we lack many resources and equipment that the larger hospitals have. We have doctors that order medications or treatments needing certain supplies and sometimes I have to tell the doctors that we don’t carry what they ordered and offer an alternative. The doctors get very frustrated because the patient’s health gets compromised due to lack of resources.
REPLY2
Aspects of medically underserved communities face more ethical and moral dilemmas than adequately served populations. These communities face problems such as lack of resources, low budgets, lack of medical training opportunities, and lack of medical providers. On top of these issues, some communities are forced to become untrusting of their healthcare providers due to their inability to fully treat the necessities of the population which, as stated before, stems from the inability to procure appropriate resources most of the time (Lo & Brody, 2007).
Some communities that are underserved are actually part of major cities. For example, the homeless population in San Diego, or even the lower-class community who doesn’t quite make enough money for insurance. They all live in a large area with healthcare nearby but that doesn’t mean they necessarily have access to it. We did an assignment on the Health Resources and Service Administration a couple of weeks ago. They are a great example of resources for this population and those who don’t have access to high quality healthcare (HRSA, 2020).
Our lecture discussed the fragmentation of the US health care. What difference does this fragmentation make to patient care?
To answer this question:
–Provide a clear example of how the US system is fragmented.
–Analyze the potential impact of this fragmentation on actual patient care.
Reply1
My topic of choice is “Not speaking up when unethical practices become evident”. One of the strategies I used is typing “not speaking up and unethical practices”. This search yielded specific articles and books that I can use in both the web and West Coast library. In the West Coast library, to further narrow my results, I simply clicked on the filters such as if I want articles or books or if I want it peer-reviewed, which is one of the most important search features because it gives me articles that have been evaluated by members of our profession. This gives articles more credibility.
Reply2
The topic I chose to discuss is: Exhibiting poor quality in performance and apathy in goal attainment. This sounds like a very interesting topic which I would like to explore more. In the West Coast Library search field, I used Boolean operators and entered “and” as the specific terms so that I am able to decrease results to ensure I narrow down my choices. I searched “Exhibiting poor quality performance and goal attainment”, I could also have used “or “to find alternative terms if needed to increase my choices. It was more difficult when entering “or”, for this specific topic.
I will choose a peer reviewed article as these articles are scientific journals and have meaningful research. I am interested in exploring accurate conclusions.
Please read the below links and respond to
https://www.nytimes.com/2020/05/16/health/coronavirus-ptsd-medical-workers.html
U.N. warns of global mental health crisis due to COVID-19 pandemic
A mental illness crisis is looming as millions of people worldwide are surrounded by death and disease and forced into isolation, poverty and anxiety by the pandemic of COVID-19, United Nations health experts said on Thursday.
:https://apple.news/A686URfNyT1uUSivWzFUDOQ
1. What ways do you think healthcare workers can gain support for themselves during this pandemic?
2. As a nurse, what resources would you provide to support the population for mental health issues during a pandemic?
Based on the required topic study materials, write a reflection about worldview and respond to following:
Remember to support your reflection with the topic study materials.
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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Using the attached Aquifer Case Study, answer the following questions using the latest evidenced based guidelines:
• Discuss the questions that would be important to include when interviewing a patient with this issue.
• Describe the clinical findings that may be present in a patient with this issue.
• Are there any diagnostic studies that should be ordered on this patient? Why?
• List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.
• Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.
Complete 2 pages
Provide references
Please answer the following questions regarding the implementation and operations of policies:
Question 1: What is the essence of policy implementation? Discuss the effect of implementing organizations on policy implementation.
Question 2: Describe in general terms the policy evaluation process.
Response for each question should be at least 100 words long and no more than 200 words long.
Please ensure you cite your references in APA format with a minimum of 3 references
Robert is a 68-year-old who has dealt with alcoholism for over 30 years. He has cirrhosis and is anemic. His appetite has declined, and he regularly complains of abdominal pain. Recently, while preparing himself a sandwich, he cut his finger deeply with a knife. The wound bled profusely, and he used a kitchen towel to stop the flow. Refusing to go and seek medical assistance, he put ice on his finger and wrapped the towel around it. He sat down in his recliner with his hand over his head and fell asleep.
Purpose: The purpose of this activity is to enhance reflection, facilitate critical thought, and express feelings in writing about challenges and successes encountered during role transition clinical experiences. Journal writing provides students with the opportunity to return to experiences in an attempt to develop new perspectives that can guide future nursing practice.
Directions: Students submit one journal entry during the term. The journal should be approximately 2 pages in length (double spaced). See below for specific content requirements.
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Instructions: Create a Word document that contains student name, date, and clinical placement. Address the three domains below, using the prompts. Label each section clearly. Since this is your personal account, first person narrative may be used. Double-space your work and proofread for errors.
Cognitive Learning (2 point)
Identify at least two skills or concepts that were learned or reinforced in clinical. This could be actual tactile skills (like suctioning or Foley insertion, for example) or other skills – like giving report, communicating with patients or families, dealing with conflict, managing your time, etc.
Affective & Transitioning Experiences (4 points)
How did you feel about the experiences you encountered in clinical? (1 pt.)
What were your strengths of performance and areas needing growth? (1 pt.)
How do you feel you are transitioning to the role of professional nurse? (1 pt.)
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