Population Health Policy Analysis

Population Health Policy Analysis

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Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following:

Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it?

To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals?

Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This Benchmark – Population Health Policy Analysis 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. Please refer to the directions in the Student Success Center.

Child abuse Case Study

Child abuse Case Study

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You are contacted by an attorney representing a client who has been charged with child abuse and whom faces loss of her child and 15 years in prison. The record indicated that the child was 4 years old and presented to the ER room with a broken arm and a broken leg. There also appeared to be multiple previous fractures. Now, you examine the child and find blue sclera, a sunken chest wall, severe scoliosis, and you observe a triangular face and prominent forehead. You confirm that there have been multiple previous fractures by evaluating the previous X-rays. This is a genetic disorder.

• What      is the most likely genetic disease that this presents and why?
• What      is the molecular basis of this disease?
• Before,      calling the police what should the initial clinician have done?

PART No 2:

Johnny is a 5-year-old Asian boy who is brought to a family practice office with a “runny” nose that started about 1 week ago but has not resolved.  He has been blowing his nose quite frequently and “sores” have developed around his nose.  His mother states, “The sores started as ‘big blisters’ that rupture; sometimes, a scab forms with a crust that looks like “dried maple syrup” but continues to seep and drain.”  She is worried because the lesions are now also on his forearm.  Johnny’s past medical and family histories are normal.  He has been febrile but is otherwise asymptomatic.  The physical examination was unremarkable except for moderate, purulent rhinorrhea and 0.5- to 1-cm diameter weeping lesions around the nose and mouth and on the radial surface of the right forearm.  There is no regional lymphadenopathy.

• Write      a differential of at least three (3) possible diagnoses and explain how      each may be a possible answer to the clinical presentation above.      Remember, to list the differential in the order of most likely to less      likely.
• Based      upon what you have at the top of the differentials how would you treat      this patient?
• When      would you allow the student back to school? Elaborate on your reasoning?

PART No. 3:

Keisha, a 13-year-old female, has come into your urgent care center. She has red conjunctiva, a cough and a fever of about 104 F, She also has a rash on her face a possibly the beginning of a rash on her arms. About 10 days ago she was around another student who had similar symptoms.

• Write      three (3) differential diagnoses?
• What      are some of the complications of this disease, assume that the top of your      differential is the definitive?
• Assume      that the second item you place on your differential is the definitive      diagnosis. What are some complications of that disease?

PEER:

NR 507 Week No. 6 Quiz Solutions:

1. Considering the pathophysiology of osteoporosis, which cytokines and hormones decrease receptor activator of RANKL expression?(Points : 2)

2. Rhabdomyolysis is characterized by (Points : 2)

3. Which type of osteoporosis would a person develop after having the left leg in a cast for 8 weeks to treat a compound displaced fracture of the tibia and fibula? (Points : 2)

4. Considering the pathophysiology of osteoporosis, what are the effects of extracellular signal regulated kinases (ERKs) and receptor activator of RANKL on osteoblasts and osteoclasts? (Points : 2)

5. What is the diagnosis of a person who has tennis elbow characterized by tissue degeneration or irritation of the extensor carpi brevis tendon? (Points : 2)

6. Which statement is false about giant cell tumors? (Points : 2)

7. What pattern of bone destruction is described as not well defined and not easily separated from normal bone? (Points : 2)

8. The pain experienced in Legg-Calvé-Perthes disease is referred to as involving (Points : 2)

9. In osteomyelitis, bacteria gain access to the subperiosteal space in the metaphysis, which is considered the “path of least resistance.” What factor makes this route for bacteria the path of least resistance? (Points : 2)

10. Molecular analysis has demonstrated that osteosarcoma is associated with (Points : 2)

11. Ewing sarcoma arises from (Points : 2)

12. Which serum laboratory test is elevated in all forms of osteogenesis imperfecta? (Points : 2)

13. The _____ is cartilage that retains the ability to form and calcify new cartilage and deposit bone until the skeleton matures. (Points : 2)

14. Osteochondrosis is caused by a(n) (Points : 2)

15. An insufficient dietary intake of vitamin _____ can lead to rickets in children. (Points : 2)

16. In latex allergies, which immunoglobulin is associated with an immediate reaction? (Points : 2)

17. Chickenpox may be followed years later by (Points : 2)

18. Cutaneous vasculitis develops from the deposit of _____ in small blood vessels as a toxic response allergen. (Points : 2)

19. Which malignancy is characterized by slow-growing lesions that usually have depressed centers and rolled borders and are frequently located on the face and neck? (Points : 2)

20. Scleroderma is more common in women and is associated with a(n) (Points : 2)

21. Thrush is a superficial infection that commonly occurs in children and is caused by (Points : 2)

22. What is the cause of chickenpox? (Points : 2)

23. Which vascular anomaly is a congenital malformation of dermal capillaries that does not fade with age? (Points : 2)

24. What is a common source of tinea

Discussion: Communication Technologies

Discussion: Communication Technologies

With so much attention focused on health care reform, it is important that nurses be given the opportunity to use high-quality technology tools. These tools can increase access to vital medical information, promote effective communication among health care professionals, and improve the patient experience. By actively seeking out and adopting these tools, nurses can greatly enhance the quality and safety of care that they provide.

This Discussion focuses on identifying quality technology tools that increase the ability of nurses to provide safe, effective care.

To prepare:

Review the various technology tools described in this week’s Learning Resources.

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Identify a recently adopted information, education, or communication technology tool in your specialty area. Reflect on how it is used and how its use impacts the quality of care.

Consider how your identified technology tool might impact nursing practice if it were more widely used. What are some barriers preventing increased usage? How could wider implementation be facilitated?

Please Provide References

Learning Objectives

Students will:

Evaluate the effectiveness of a technology tool in your specialty area

Appraise the barriers and facilitators of implementing an information technology tool in your specialty area

Learning Resources

Required Readings

American Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver Springs, MD: Author.

“The Future of Nursing Informatics”

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

Chapter 12, “The Human-Technology Interface”

This chapter describes the human-technology interface and explores some of the problems that result from its usage. The author also reflects on methods for improving the interface.

Chapter 19, “Telenursing and Remote Access Telehealth”

This chapter explores the usage of telehealth in nursing practice. The authors examine the role of telehealth, along with potential issues that may arise in its usage.

Brewer, E. P. (2011). Successful techniques for using human patient simulation in nursing education. Journal of Nursing Scholarship, 43(3), 311–317.

This article identifies studies that have used human simulation as an effective instructional tool in nursing education. The article describes different strategies for incorporating human simulation into nursing education, and it also offers insight on improvements that could be made to current practices.

Guarascio-Howard, L. (2011). Examination of wireless technology to improve nurse communication, response time to bed alarms, and patient safety. Herd, 4(2), 109–120.

The author explains the results of a study on the outcomes of using wireless communication devices to improve patient safety by allowing nurses to communicate more quickly and easily with other nurses. The results indicate that this technology can increase the value of team nursing, improve response time, and increase patient safety, although there are some drawbacks and challenges associated with the devices.

Simpson, R. L. (2012). Technology enables value-based nursing care. Nursing Administration Quarterly, 36(1), 85–87.

This article describes how technology can be used to address problems in the U.S. health care system, such as lack of consistency and lack of effective treatment. The article explains the use of value-based care initiatives and outlines how nurses can use these initiatives to improve outcomes in treatment and research.

Vinson, M. H., McCallum, R., Thornlow, D. K., & Champagne, M. T. (2011). Design, implementation, and evaluation of population-specific telehealth nursing services. Nursing Economic$, 29(5), 265–272, 277.

Telehealth is defined as health services that integrate electronic information and telecommunications to improve health care access, outcomes, and costs. This article describes how a telehealth implementation project was designed, enacted, and evaluated, and it analyzes the results of that project.

Required Media

Laureate Education (Producer). (2012c). Health care technologies. Baltimore, MD: Author.

This video features Katie Skelton, Doris Fischer, Carina Perez, Shannon Mori, Carmen Ferrell, and Lynn Tamanaha as they discuss current technologies and innovations in health care. They also describe a specific bed management-system that has improved their hospitals’ efficiency.

Assignment: Professional Clinical Judgment

Assignment: Professional Clinical Judgment

Assignment: Professional Clinical Judgment

Week 6 Milestone 3 Intervention and Evaluation Purpose The purpose of this PowerPoint presentation is to provide an opportunity to develop a community health nursing intervention and evaluation plan for a community health problem that you identified in your community (described in Milestone 2: Vulnerable Population Assessment). You will apply the components of the nursing process to assist this vulnerable population and develop a proposal that could be presented to community leaders. Course Outcomes This assignment enables the student to meet the following course outcomes. CO1: Apply principles of nursing theory to the public health system by analyzing determinants of health and the public health intervention wheel. (PO 1) CO3: Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice. (PO 4, 8) CO4: Evaluate the delivery of care for individuals, families, aggregates, and communities based on theories and principles of nursing and related disciplines. (PO 1) Due Date Submit your PowerPoint presentation by 11:59 p.m. MT Sunday by the end of Week 6. Points This assignment is worth a total of 225 points. Scenario You are a community public health nurse (C/PHN) working with the vulnerable population you identified in Milestone 2. You will choose a specific community health role that would serve this population. You have analyzed the data collected from your windshield survey and vulnerable population assignments (the first two milestones) and identified one community health problem that a nurse can impact. Now, review the scholarly literature or scholarly websites listed below and identify one specific evidence-based nursing intervention that has the potential to improve the health of this group. Then develop a proposal to implement this intervention and a plan to evaluate the outcomes of this intervention. Create a PowerPoint that you could use to present to an organization in your community to request approval for funding and support for this intervention. (You are not required to implement the intervention or present your PowerPoint, though you may want to consider implementing your project in the future). Directions Watch the Milestone 3 tutorial at http://www.brainshark.com/devry/Milestone3_2016 (Links to an external site.)Links to an external site.. Introduction: (average of 2-3 slides) Describe the identified problem Include at least two important findings that demonstrate that this is a problem in your community. Describe your specific community health role: Some examples of roles are school nurse, parish nurse, home health nurse, occupational nurse, health department nurse etc. Identify the purpose of the presentation which is related to proposing a community health intervention and evaluation plan. Identify an evidence based intervention: (average of 2-3 slides). Find an evidence-based nursing intervention from a peer-reviewed journal article OR one of the following databases. These databases evaluate research evidence about community health interventions. Be sure that your intervention is one that is recommended. Cite your source on the slide with the author or organization and year. Use at least one of the following to identify an evidence based intervention: A peer reviewed journal article demonstrating that your intervention has been successful The Community Guide (http://www.thecommunityguide.org/ (Links to an external site.)Links to an external site.) Choose one of the topics in the topic tab to find interventions. The CDC Community Health Improvement Navigator Database of Interventions (http://wwwn.cdc.gov/chidatabase (Links to an external site.)Links to an external site.) Healthy People 2020 evidence-based interventions. Find a relevant topic area at (http://www.healthypeople.gov/2020/topics-objectives (Links to an external site.)Links to an external site.), click on that topic area, and then click on the “Interventions and Resources” tab to see the evidence-based interventions list for that topic area Provide a brief overview of your intervention. Discuss why this intervention is a good fit for your community (why you expect it to be effective in your community). Intervention Implementation: (average of 3-4 slides). Describe how you would implement your community health nursing intervention in your community Discuss the actions will you take as the community health nurse to accomplish this intervention. Relate your actions to the Public Health Intervention Wheel (Nies & McEwen, 2015, p. 14, Figure 1-3) Identify your target population. Describe how you will reach out to your target population. Include strategies to engage your target population. Describe where the intervention will take place. Identify when your intervention will take place Will it take place once or multiple times? Identify those in the community that you will collaborate with (e.g., physician’s office, church, local resources, etc.). Explain what level(s) of prevention is your intervention addressing (primary, secondary, or tertiary prevention)? Proposed Evaluation Methods: (average of 2-3 slides) Your presentation must include at least one proposed quantitative or qualitative evaluation method that you would use to determine whether your intervention is effective. Outcome measurement is a crucial piece when implementing interventions. Describe the method you would use to evaluate whether your intervention was effective. (The Qualitative and Quantitative Education Methods (Links to an external site.)Links to an external site. handout can help with understanding qualitative and quantitative methods of evaluation). Identify the outcomes you would track to show whether your intervention works (eg. BMI would be one outcome you could track for a weight loss intervention). When would you measure these outcomes? Describe the short-term and long-term impact on your community if the intervention is successful. Summary: (average 1 slide) The summary should reiterate the main points of the presentation and conclude with what you are asking to be accomplished; for example, “Based on ABC, it is imperative our community has XYZ. Can we count on your support? Thank you for your consideration.” In addition to the slides described above, your presentation should include a title slide with your name and role and a reference slide. Cite all sources used with (Author, year) on the PowerPoint slide. The slides should include the most important points in short bullet pointed phrases. Do not include full sentences or paragraphs on the PowerPoint slides. You may add additional comments in the notes section to clarify information for your instructor. The slides should be visually appealing and not overcrowded. Use an interesting template and include some clipart or graphics for interest. Guidelines Application: Use Microsoft PowerPoint 2010 or later. Length: The PowerPoint slide show is expected to be no more than 20 slides in length (not including the title slide and reference list slide). Save the assignment with your last name in the file title: example: “Smith Intervention and Evaluation.” Submission: Submit your PowerPoint file by 11:59 p.m. Sunday by the end of Week 6. Late Submission: See Policies on late submissions. Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx (Links to an external site.)Links to an external site. The SSP Chamberlain Student Success Strategies offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found on your course list in the student portal. Best Practices in Preparing PowerPoint The following are best practices in preparing this presentation. Be creative. Incorporate graphics, clip art, or photographs to increase interest. Make easy to read with short bullet points and large font. Review directions thoroughly. Cite all sources within the slides with (author, year) as well as on the Reference slide. Proofread prior to final submission. Spell check for spelling and grammar errors prior to final submission.

Assignment: Plan Of Action

Assignment: Plan Of Action

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The first step is to articulate your own privacy philosophy. Importantly though this should be done with reference to the readings from the first few weeks of class, i.e. it is not just your opinion on philosophy, but an informed position, one which reflects engagement with the multiple and complicated definitions of privacy. In this philosophy you should articulate which arguments about privacy you find most persuasive and what makes them so. For instance, you might want to consider whether you think privacy is an individual right (the right to be left alone), or a social good (necessary for a community). You will want to articulate which aspects of privacy you find to be most valuable (for example space, information, decision, choices, etc). Importantly you will want to articulate which privacy “threat” you find the most concerning, for example government intrusion (Big Brother), the intrusion of others (Little Brother), the obfuscation of surveillance and intrusion, intrusion and data collection by corporations (data collection), etc.. Note these aren’t mutually exclusive but you will want to focus on which ones are most important to you along with the reasons and motivations for this (again this will require reference to the class readings). Ultimately you want to explain what parts of privacy most concern you and why. You might want to use one or two specific examples to illustrate your position (do not however use lots of examples, one or two focused examples=good, thirty two examples=bad).

### Plan of Action

As you start to experiment with the above, you want to develop what your long term privacy plan is. After class is over what are you going to do different going forward to reclaim some of your privacy, what practical daily things are you going to do? These should be informed by philosophy (i.e. reclaiming aspects that are most important to you). These should be all the things you want to do different from now on. These can be small things like avoiding Google search (use DuckDuckGo), managing Facebook privacy settings (regularly checking these, not using apps), or larger more ambitious ones such as getting off Google entirely, or not using Facebook. In this section you will need to detail all the steps, as well as the cost and benefits of each step. Make this list both thorough and reasonable (what you will actually do).

### Final Report

The final report will have three sections:

* Your Privacy Philosophy 400 wc

* Your Privacy Plan of Action

* Conclusion 200-400 wc

Reference text Data and Goliath by Bruce Schneier