Discuss how elimination complexities can affect the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological, emotional, and spiritual needs. Provide an example integrating concepts from the “Statement on the Integration of Faith and Work” located in Class Resources.

Elimination complexity

Discuss how elimination complexities can affect the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological, emotional, and spiritual needs. Provide an example integrating concepts from the “Statement on the Integration of Faith and Work” located in Class Resources.

Based on the scheduled RN/CNA/unit secretary (if any) – is the unit staffed appropriately? Do you have too many staff scheduled? If yes, who would you flex/cancel? Do you have not enough staff? If yes how would you fix this (consider cost as well).

Calculating the Proper staffing

Scenario – Staffing is an important part of nursing management as healthcare is very labor intensive. Since nursing is a major expense in any institution it is oftentimes the area where administrators will try to save money, sometimes forsaking quality and increasing the chances that there will be disgruntled nurses after a short time. The following scenarios are for two units in the same hospital so acuity levels will be the same. Acuity levels are as follows: #1=4.0; #2=3.2; #3=2.3; #4=1.4. The first unit is the ICU. The second is a Med-Surg floor.

ICU Unit

RN scheduled: 4

Unit Secretary scheduled: 1

  • 6 patients = #1 acuity
  • 2 pts = #2 acuity
  • 0 pts = #3 acuity
  • 0 pts = #4 acuity

Med-Surg Unit

RN Scheduled: 2

CNA Scheduled: 1

Unit secretary scheduled: 1

  • 1 pts. = #1 acuity
  • 2 pts. = #2 acuity
  • 3 pts. = #3 acuity
  • 2 pts. = #4 acuity

Instructions:

  1. Calculate the proper staffing for each unit along with the hours for a unit secretary.
    • Be sure to show each step in your calculation with an explanation for each of the steps.
    • There is an explanation of this in your book on page 245-247.
    • Based on the scheduled RN/CNA/unit secretary (if any) – is the unit staffed appropriately? Do you have too many staff scheduled? If yes, who would you flex/cancel? Do you have not enough staff? If yes how would you fix this (consider cost as well).

How should this communication be handled effectively? What violations occurred during this communication? How can Chad help Sylvia to prevent further electronic infractions?

SCENARIOS

SCENARIO #1 – Chad is the case manager supervisor for the facility. He sent out an e-mail reminding Sylvia and the other case managers about the meeting they are to attend. Sylvia had less time to prepare for the case managers meeting, so she sends the following e-mail to her supervisor and the other case managers by using the “Reply all” button: “Hi Chad, I plan on being at the meeting but am running late. I was tied up with a case, Mrs. Hilton. I’ll be there shortly.”

SCENARIO #2 – Sylvia attends the meeting, and Chad informs her of the HIPAA violation that occurred in her e-mail. Chad suggests that they work together to resolve the issue and informs Sylvia he is available after the meeting is over. Sylvia thanks him and states, “I appreciate your help and support; it is stressful dealing with chronically ill patients.

Instructions:

  1. Read both scenarios above, and then answer the following questions:
    1. How should this communication be handled effectively?
    2. What violations occurred during this communication?
    3. How can Chad help Sylvia to prevent further electronic infractions?

What is the most likely diagnosis? Why? What would be three differentials in this case? Why? What developmental milestones are expected at this age? What do you believe is your best course of action/treatment plan for this appointment? Why?

Clinical Case Study: Neurological Disorders and Cognitive Perceptual Problems in Children

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

For this assignment, you will read the clinical case scenario below based on the course objectives and content for the week. Finally, apply the information from the clinical case scenario and your readings to answer the discussion questions that follow.

Clinical Case Scenario

An 11-month-old girl, well-known to your clinic since birth, arrives for a well-child visit. The parents report that their baby drags her legs rather than crawling on both hands and legs. They are concerned that this is abnormal. The father says that the child only recently began crawling and she does not pull to a stand. You noted at her 6-month visit that she was not rolling over or sitting; previous visits were unremarkable as was the mother’s pregnancy and vaginal delivery. While examining the baby, you note that when she is held by the axillae her legs are extended and crossed (i.e. the “scissoring” posture).

  • What is the most likely diagnosis? Why?
  • What would be three differentials in this case? Why?
  • What developmental milestones are expected at this age?
  • What do you believe is your best course of action/treatment plan for this appointment? Why?

Write a letter to an official in your state or local government. (Choose the individual in the level of government that will best address your issue).

Lobbying for change – nursing shortage

Write a letter to an official in your state or local government. (Choose the individual in the level of government that will best address your issue). The purpose of this letter is to advocate for action with regards to your chosen health care environment issue.

Introduction
Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.

As health care leaders, it is important to understand strategies for advocating and lobbying elected officials. This can lead to the development of policies or laws that can help drive improved equity and outcomes for all participants in the health care environment as well as a more sustainable financial future.

Background and Context
As a master’s-level health care practitioner, you may be expected to implement plans to ensure that initiatives designed to take advantage of economic opportunities for the organization are rolled out successfully and can be sustained over multiple years. Additionally, it is important to be able to envision how an initiative could be implemented in different contexts and for different purposes to ensure the investment remains a viable and positive asset to your organization or care setting.

As a master’s-level practitioner, you will often be challenged to influence the health care environment in a variety of ways. This influence can occur on a micro-level (implementing change on your unit, institution, community, or local organizations) or at a macro level (implementing change via state or federal regulations and policy). One way you can influence the health care environment is by lobbying an elected official at the local, state, or national level to adopt policies or legislation that would support positive economic and health outcomes for patients, practitioners, and organizations within the health care environment.

Instructions
For this assessment, you will develop a letter to an official in your state or local government (choose the individual in the level of government that will best address your issue). The purpose of this letter is to advocate for action with regards to your chosen health care environment issue. Remember, when writing the letter, you must use your personal address and telephone number unless you are exclusively representing a group or your organization.

Be sure to address each main point. Review the assessment instructions and scoring guide, including performance-level descriptions for each criterion, to ensure you understand the work you will be asked to complete and how it will be assessed. In addition, note the requirements for document format and length and for supporting evidence.

Overall, your assessment submission will be assessed on the following criteria:

Summarize the health care economic issue that you are addressing.
Keep this brief but try to include details about how the issue is currently impacting the elected officials’ constituents.
Explain the positive outcomes that will occur if the issue is addressed and the negative outcomes that will occur if the issue is not addressed.
Tailor this messaging to focus on the impacts in the communities and organizations that are relevant to the elected official you are writing to.
Summarize key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, and national levels; and proposed changes or actions to address the issue.
Cite at least five current, scholarly sources that support your argument and help provide the elected official (who may not have a detailed knowledge of the health care environment) with an understanding of the issues, changes, or actions that you are proposing to drive improved outcomes.
Identify the impact your issue has on health care institutions and health care providers at the local community, state, and national levels.
Make sure to include information from both a health care and an economic perspective. An elected official may be more responsive to one perspective than another.
Incorporate ethical, cultural, and diversity principles when picking resources and making recommendations for change in your assessment.
Explain how personal, professional, and organizational experiences have informed the resource planning and risk analysis for working toward addressing the economic issue.
Think about how your experiences (the experiences can be personal, professional, or from your team’s perspective or experience) affect how you have planned for the resources needed to implement your desired changes or actions. How did this impact your approach to conducting a risk analysis on the project?
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.
Remember to conclude your letter with a summary of your position on the issue and a compelling reason that the elected official should act in your favor and support your issue or initiative.

Additional Requirements
Audience: Make sure you are addressing your letter to an actual local or state official.
For most states, you can use the following resource:
Open States. (n.d.). Find your legislators. https://openstates.org/find_your_legislator/
For local officials, search your city’s government website for officials and their positions.
Length of Submission: 1–2 double spaced pages. Your letter needs to be succinct and persuasive.
Number of References: Cite at least five sources of evidence to support your identification of the gap. This could be public health data, a peer-reviewed journal article, or another scholarly source.
APA formatting: Resources and citations are formatted according to current APA style.

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

 

How could social media be used by C/PHN in the prevention of vaccine preventable diseases? Provide two examples. What are the advantages and disadvantages of using social media for disease prevention?

Nursing Question

1. The antivaccine movement uses the Internet through social media, Web sites, and blogs to spread their antivaccine information. Find a Web site, social online group, or blog and summarize who they are targeting and why. Create a response to one argument against antivaccination using evidence-based research that could be easily understood by a nonmedical person. (5 points)

2. How could social media be used by C/PHN in the prevention of vaccine preventable diseases? Provide two examples. What are the advantages and disadvantages of using social media for disease prevention? (5 points)

Consider a topic (mental health, HIV, opioid epidemic, pandemics, obesity, prescription drug prices, or many others) that rises to the presidential level. How did the current and previous presidents handle the problem? What would you do differently?

PRESIDENTIAL AGENDAS

Rather than focus on the treatment of chronic disease, policies that influence population health tend to emphasize prevention and wellness; the reduction or elimination of waste and the eradication of health disparities based on race, ethnicity, language, income, gender, sexual orientation, disability and other factors. The reasoning is that good health belongs to the whole, not just an individual. (New York State Dept. of Health, n.d.)

Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.

Consider a topic (mental health, HIV, opioid epidemic, pandemics, obesity, prescription drug prices, or many others) that rises to the presidential level. How did the current and previous presidents handle the problem? What would you do differently?

Reference:
New York State Department of Health. (n.d.). Making New York the healthiest state: Achieving the triple aim. Retrieved June 21, 2021 from https://www.health.ny.gov/events/population_health…

Respond to at least two of your colleagues on 2 different days and respectfully agree or disagree with your colleague’s assessment and explain your reasoning.

Discussion question

Respond to at least two of your colleagues on 2 different days and respectfully agree or disagree with your colleague’s assessment and explain your reasoning. In your explanation, include why their explanations make physiological sense or why they do not.

 

Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Which social determinant(s) most affects this health issue?

National healthcare issue

To Prepare:

  • Review the Resources and select one current national healthcare issue/stressor to focus on.
  • Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.

Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Which social determinant(s) most affects this health issue? Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.

What is the nurse’s educational and practice background? Do they have any special certifications? What do they believe are the essential competencies to function as a community health nurse?

Interview paper

HEARTLAND COMMUNITY COLLEGE

Community nurse interview assignment: Given the continued requirement of social distancing and wearing masks, for this assignment you should find a nurse working in a community health setting that is agreeable to being interviewed via phone, or in person outside of their workplace using appropriate precautions. The goal of this interview is to find out the typical roles and functions of the nurse in their particular community setting.

Some questions to consider are:

  • What is the nurse’s educational and practice background? Do they have any special certifications?
  • What do they believe are the essential competencies to function as a community health nurse?
  • How do they spend their typical day?
  • How do they incorporate the concepts of disease prevention and health promotion in their daily activities?
  • How do they assist their clients to improve their self-care ability?
  • Do they identify with being any or all of the following, or how do they describe their role?
    • Educator
    • Counselor
    • Advocate
    • Case Manager
    • Leader
    • Change Agent
  • Find out how long they have been in this practice area, and what changes they have seen over their time there.
  • Did anything you saw or learn surprise you? What aspects did you enjoy about the activities you heard/learned about?