You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.

You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.

· All replies must be constructive and use literature where possible.

Post 1

 

Vulnerable Populations

Chabely Tapanes Prado

St. Thomas University

NUR 420

Dr. Tina Roberts

02/14/2023

 

Vulnerable Populations

Vulnerable populations include racial and ethnic minorities, the elderly, the economically disadvantaged, the homeless, low-income children, people with chronic health disorders, and unsecured individuals. People become vulnerable when there are things that they are unable to do, like other people, and these things affect their daily living and quality of life. Some factors are considered in identifying vulnerable people. The vulnerable population has resources that help them have an effective living just like other people. Resources for the vulnerable in my community have helped to some extent, but more is needed regarding equality, funding, and accessibility.

It is good to note that millions of vulnerable Americans have hospitals as an important source of their health care. Although the policy of universal health care has been applied, some hospitals for vulnerable groups risk losing the resources needed for improving health care and access to health services. Additionally, according to Bhatt & Bathija (2018), healthcare inequalities persist in America despite the actions taken to ensure equality.

Although federal funding is limited and regulation can act as barriers to delivering good health, hospital and community collaboration have worked in my community. Many stakeholders have been involved in that collaboration, which addresses similar issues and provides opportunities and solutions. To improve healthcare services for the vulnerable, community stakeholders should ensure that the limited financial resources are used well, there is proper identification and selection of the vulnerable people, and a strong collaboration between the hospitals and the community is maintained. Moreover, the vulnerable need to be sensitized about the resources available to them and their rights.

Furthermore, several programs have been run in the community to address the growing problems of drug abuse. These programs have been effective because some youths have been transformed through the programs. Children from vulnerable populations are vulnerable to the use of drugs, and other people use drugs to manage stressors (Sussman & Sinclair, 2022). The programs have been achieved through the involvement of researchers and practitioners. The effectiveness of these resources can be improved by proper follow-up of the victims and connecting them to productive activities such as schooling and training, involvement in programs such as football, and provision of employment opportunities. Moreover, there is a need for more social networking.

Mental health has recently become one alarming health problem in many countries, which affects both children and adults. Many vulnerable people with mental disorders have limited or no access to high-quality mental health services. Moreover, mental disorders receive limited funding compared to the significant impact the disease is making in the life of many people. Many strategies have been applied in addressing mental health issues, and the world bank endorsed mental health as a priority. Again, World Health Organization (WHO) developed the Mental Health Gap Action Program Intervention Guide, which was to be used by unspecialized healthcare providers. The providers use these guidelines after analyzing the local and community needs (Wainberg et al., 2017). However, research needs to be improved because, over the past 20 years, research concerning mental health has been conducted, but significant challenges still remain. Moreover, mental health disorders must be identified and treated when children are young. Schools should also introduce programs that address mental problems among young people.

 

References

Bhatt, J., & Bathija, P. (2018). Ensuring access to quality health care in vulnerable communities. Academic medicine, 93(9), 1271.

Sussman, S., & Sinclair, D. L. (2022). Substance and behavioral addictions, and their consequences among vulnerable populations. International journal of environmental research and public health, 19(10), 6163.

Wainberg, M. L., Scorza, P., Shultz, J. M., Helpman, L., Mootz, J. J., Johnson, K. A., … & Arbuckle, M. R. (2017). Challenges and opportunities in global mental health: a research-to-practice perspective. Current psychiatry reports, 19, 1-10.

 

 

 

 

 

 

 

 

 

Post 2

 

Name: Fabienne Jean Baptiste

Institution: St Thomas University

Professor: Robert Tina M

Class: NUR-420-AP1

Assignment: Module #6

 

From a healthcare perspective, one of the chief strengths of my community is that it has a wide range of resources that cater to different needs. For instance, all three major health centers have facilities that cater to the physical, mental, and psychological ailments that tend to afflict some members of the public. In this context, people have significant access to healthcare. However, the society is also renowned for being diverse, incorporating people from a wide range of social, ethnic, cultural, and economic backgrounds. For this reason, a significant number of people cannot afford to access these healthcare facilities due to financial constraints. The people in this category often lack health insurance, which is a cheaper option for accessing experts in these healthcare facilities. Additionally, sickness is likely to find such people without the finances necessary to pay for much-needed healthcare services. For this reason, while healthcare facilities enable access to wide-ranging services, some people are financially unable to afford the access.

Vulnerable demographic segments include children, the elderly, the disabled, and those with mental handicaps. The available facilities cater to the general public’s needs, incorporating services catering to the needs of different demographic segments. In this context, the community is restricted in the number of facilities that cater specifically to the healthcare needs of the mentioned vulnerable populations. The community has only two nursing homes catering specifically to the needs of older adults. However, these privately owned facilities are significantly expensive, which implies that their services are largely inaccessible to the massive number of older adults in the community that have financial constraints.

Some Non-Governmental Organizations (NGOs) have endeavored to children’s hospitals and older adult facilities. Thus, they have provided cheaper options that can ensure that the most vulnerable demographic segments can meet their healthcare needs. For example, the facilities catering to the healthcare needs of the elderly are renowned for offering a safe and supportive environment and referring people to different like-minded institutions that provide services that are unavailable in the facilities. However, these facilities are primarily dependent on funding from donors (Stajduhar et al., 2019). The same is true in the case of facilities catering to the needs of children. For this reason, the quality of service fluctuates in alignment with the available funds. This aspect throws the reliability and consistency of the services provided in such facilities into serious doubt.

The community boasts a wide array of facilities and organizations that cater to the needs of vulnerable populations. However, access to these services is determined by financial ability, which is often minimal among those in the targeted demographic segments. In this context, addressing the challenges requires formulating and implementing policies that can make the services targeted toward vulnerable populations cheaper. This aspect is crucial, considering the increase in the number of people in vulnerable demographic segments such as the elderly, children, and disabled from low socioeconomic contexts.

 

References

Stajduhar, K. I., Mollison, A., Giesbrecht, M., McNeil, R., Paul, B., Reimer-Kirkham, S. … & Rounds, K. (2019). “Just too busy living in the moment and surviving”: barriers to accessing   health care for structurally vulnerable populations at end-of-life. BMC  Palliative Care, 18(1), 1-14.

Choose one of the case study options to complete for this activity. Read the selected case study and answer the questions in a Microsoft Word document.

Choose one of the case study options to complete for this activity. Read the selected case study and answer the questions in a Microsoft Word document. Each response should be a minimum of 5 sentences in length, clear and concise, and use correct grammar.

Review each case study option and select the one you would like to complete.

Meet Jeremy and Sandy.

Jeremy and Sandy are nursing students in their second year of a baccalaureate nursing program. They both have an interest in emergency nursing and decide to start a blog. They call the blog Emergency Room Futures for Student Nurses and take turns writing posts about new information in emergency nursing and their aspirations and experiences.

Jeremy and Sandy, two nursing students holding patient files

Many of their fellow students and a few faculty members follow their blogs. There is a growing audience of students in other programs in the United States and even internationally. One post they cowrite is critical of the BCMA system being used in the emergency department of one of their clinical sites. They are careful not to mention the facility by name but refer to examples of workarounds used there.

In one instance, they mention a nurse who carried several patients’ barcodes on her belt and caused some confusion in treating three family members who were brought in following a motor vehicle crash. One of the blog’s readers is married to one of the nurses who work in the facility, and he shows it to his wife. A faculty member emails Jeremy and Sandy, telling them to delete the blog post. Sandy obliges immediately.

In what way could Jeremy and Sandy have used their blog in a better manner to provide constructive feedback about the BCMA system and the workarounds they observed?

How do you think a family member or friend of the motor vehicle crash victims might have felt if they read the article? What about other members of the community where the hospital is located? Can you think of any other possible ramifications?

What course of action do you think the Dean of Nursing should take in response to this incident? Support your opinion.

Congratulations on reaching the end of the course! Now it is time to reflect upon what you have learned. This course has introduced various topics regarding critical thinking

Congratulations on reaching the end of the course! Now it is time to reflect upon what you have learned. This course has introduced various topics regarding critical thinking. Reflect upon the concepts introduced in this course for your initial post. After creating your initial post, respond to at least two of your peers substantively. Comments like “I agree” or “Good point” are not accepted as required responses.

Discussion Prompts

  • Answer the following questions in your initial post:
    • What was the most personally useful or favorite thing you learned in this course? (how I discovered myself)
    • What topic(s) are you still struggling with? Or, what topic did you initially struggle with, and how did you master the concept? (Therapeutical questions
    • What have you learned in this course that will help you continue to grow as a future nurse?(self Confidence)
  • In your response to others, provide tips and pointers for topics you feel proficient in that they identified as struggling to learn.

Nursing Process Project: Peer Review

Nursing Process Project: Peer Review

Instructions

Initial Post

In your initial discussion board post:

  • Share your final Nursing Process Project: Presentation. You may upload a video file or share a link to the presentation.
  • Provide a brief 2–3 sentence summary of your presentation, including why you selected the character you did for this project.

Response Posts

Give feedback to two peers’ presentations and discussion post content. In your response, offer helpful topics regarding the video or information regarding the content.

Nursing Process Project: Peer Review

Nursing Process Project: Peer Review

Instructions

Initial Post

In your initial discussion board post:

  • Share your final Nursing Process Project: Presentation. You may upload a video file or share a link to the presentation.
  • Provide a brief 2–3 sentence summary of your presentation, including why you selected the character you did for this project.

Response Posts

Give feedback to two peers’ presentations and discussion post content. In your response, offer helpful topics regarding the video or information regarding the content.

Congratulations on reaching the end of the course! Now it is time to reflect upon what you have learned. This course has introduced various topics regarding critical thinking.

Congratulations on reaching the end of the course! Now it is time to reflect upon what you have learned. This course has introduced various topics regarding critical thinking. Reflect upon the concepts introduced in this course for your initial post. After creating your initial post, respond to at least two of your peers substantively. Comments like “I agree” or “Good point” are not accepted as required responses.

Discussion Prompts

  • Answer the following questions in your initial post:
    • What was the most personally useful or favorite thing you learned in this course? (how I discovered myself)
    • What topic(s) are you still struggling with? Or, what topic did you initially struggle with, and how did you master the concept? (Therapeutical questions
    • What have you learned in this course that will help you continue to grow as a future nurse?(self Confidence)
  • In your response to others, provide tips and pointers for topics you feel proficient in that they identified as struggling to learn.

Nursing Process Project: Evaluation

Nursing Process Project: Evaluation

Overview

You are now ready to evaluate the effectiveness of the interventions and whether your goals for the client have been met. Remember, the nursing process is cyclical and ongoing. The evaluation phase includes assessment and reassessment.

For example, if you set a goal to lose 10 lbs in one month, maybe it wasn’t realistic to set this goal during the holiday season? Maybe your interventions should have included eliminating sugary drinks in addition to French fries?

This is like weighing yourself after one week of being on a new diet. Perhaps your goal was to lose one pound in 7 days. Your interventions included reducing the number of French fries you consume in a week and eating one apple a day for 7 days. After 7 days, your intervention was to reassess your weight. You step on the scale, and you gained two pounds!

As a reminder, an overview of the Nursing Process Project and the project resources can be found in  Module 3: Nursing Process Project: Overview .

Instructions

The final part of the Nursing Process Project requires you to complete the evaluation section on the Nursing Process Project template. Follow these steps to complete this part of the project.

Step 1: Complete the evaluation section of the Nursing Process Project template. If a category is non-applicable, simply write NA in that section of the template.

Step 2: Implement instructor comments and edits to previous sections of the Nursing Process Project template.

· Assessment

· Diagnosis

· Planning

· Implementation

Step 3: Submit the entire Nursing Process Project template for final instructor review.

 

The Nursing Process Project will require you to assess a fictitious client using the nursing process. This project will be completed throughout Modules 3–8. Modules 3–7 will require you to complete an assigned part of the Nursing Process Project template. In Module 8, you will create a presentation using all of the information you compiled through the nursing process in Modules 3–7.

Project Resource

· Chapter 7 of  Fundamentals for Nursing (10th ed.)  provides specific details of the nursing process.

Project Details

Specific details for each part of the project are found within the respective modules:

· Module 3 | Nursing Process Project: Assessment

· Module 4 | Nursing Process Project: Diagnosis

· Module 5 | Nursing Process Project: Planning

· Module 6 | Nursing Process Project: Implementation

· Module 7 | Nursing Process Project: Evaluation

· Module 8 | Nursing Process Project: Presentation

Week 1: Introduction to Epidemiology and Population Health

Week 1: Introduction to Epidemiology and Population Health

Imagine walking out of your home to a chaotic scene of disaster relief personnel dressed in hazmat suits. Hollywood has long played upon fears of a catastrophic epidemic with movies such as Outbreak (1995) and Contagion (2011). In films such as these, the protagonist races to identify the origin of a fast-spreading disease, determine the potential course of the outbreak, and develop a method to control the spread of harm. Although these films are designed to entertain, they show how epidemiologic methods can be used to analyze and control a health event that has the potential to debilitate a large population.

It is important to note, however, that epidemiology relates to more than just acute outbreaks of illness; it addresses many chronic population health problems that nurses and health care professionals deal with every day, such as obesity, cardiovascular disease, and cancer. This first week of the course introduces the principles of epidemiology, as well as how epidemiology is used to study and address population health problems. As a nurse engaged in advanced practice, it is essential that you understand these concepts and appreciate the importance of epidemiology.

This week, you will examine one of the great success stories of the application of epidemiology to improve population health: the eradication of smallpox. You use this historic example to explore current population health problems, and you will consider how epidemiologic principles can be applied to address them. Finally, you will begin to consider the cost effectiveness of addressing a health problem at the population level versus the individual level.

Learning Objectives

Students will:

· Apply principles of epidemiology to population health problems

· Evaluate cost effectiveness of population health care versus individual health care

 

Learning Resources

Required Readings

Friis, R. H., & Sellers, T. A. (2021). Epidemiology for public health practice (6th ed.). Jones & Bartlett.

  • Chapter 1, “History and      Scope of Epidemiology”

Epidemiology is defined and introduced in Chapter 1. This chapter also presents an interesting historical overview that explains the emergence of the field.

  • Chapter 2, “Practical      Applications of Epidemiology” (pp. 52-85)

The assigned section of Chapter 2 addresses several uses of epidemiology.

Nash, D. B., Skoufalos, A., Fabius, R. J. & Oglesby, W. H.  (2021). Optimistic culture for healthCare: Population health from philosophy to practice. In Population health: Creating a culture of wellness (3rd ed., pp. xviii–xxxii). Jones & Bartlett Learning.

In this introductory section, Dr. Stephen Klasko challenges us to stop talking about population health and make it happen! He guides us through the various issues facing us today and the challenges we face in bringing knowledge to practice.

Nash, D. B., Skoufalos, A., Fabius, R. J. & Oglesby, W. H.  (2021). The population health promise. In Population health: Creating a culture of wellness (3rd ed.). Jones & Bartlett Learning.

In Chapter 1, the authors examine the promise of population health.  They discuss the current state of population health and introduce the initiatives guiding current public health efforts. The four pillars of population heath a) chronic care management, b) quality and safety, (c) public health, and (d) health policy are explored in relationship to education and practice.

Nash, D. B., Skoufalos, A., Fabius, R. J. & Oglesby, W. H.  (2021). Building cultures of health and wellness within organizations. In Population health: Creating a culture of wellness (3rd ed.). Jones & Bartlett Learning.

In Chapter 14, the authors explore how a culture of health and wellness can contribute to supporting health initiatives within organizations. They introduce the components of a benchmark organization.

Larkin, H. (2010). Managing population health. Hospitals & Health Networks, 84(10), 28-32.

This article uses examples from a diabetes pilot program to demonstrate the value of population health management. The author discusses how the application of individual patient interventions can positively affect the entire target population, as well as improve the cost effectiveness of management programs.

Center for Global Development. (n.d.). Case 1: Eradicating smallpox. Retrieved March 5, 2012, from http://www.cgdev.org/doc/millions/MS_case_1.pdf

This reading presents the eradication of smallpox in the form of a case study. Many lessons can be learned from the successful global effort to eliminate smallpox.

Centers for Disease Control and Prevention. (2011). Morbidity and mortality weekly report. Retrieved from http://www.cdc.gov/mmwr/

The Morbidity and Mortality Weekly Report (MMWR) is a weekly epidemiological report distributed by the U.S. Centers for Disease Control and Prevention (CDC) to provide, according to the MMWR website, “timely, reliable, authoritative, accurate, objective, and useful public health information and recommendations.” It is one of the most important sources of timely public health data published anywhere.

World Health Organization. (2001). Smallpox. Retrieved from http://www.who.int/topics/smallpox/en/

The World Health Organization provides a succinct overview of the eradication of small pox and its impact on population health.

 

Note: Explore population health issues presented at the websites below as you prepare for this week’s Discussion and Assignment:

American Public Health Association. (2011). Retrieved from http://www.apha.org/

Centers for Disease Control and Prevention. (2011). Retrieved from http://www.cdc.gov/

Food and Agricultural Organization of the United Nations. (2011). Retrieved from http://www.fao.org/index_en.htm

U.S. Food and Drug Administration. (2011). Retrieved from http://www.fda.gov/

Healthy People 2020. (2011). Global health. Retrieved from http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=16

U.S. Food and Drug Administration. (2011). Public health focus. Retrieved from http://www.fda.gov/NewsEvents/PublicHealthFocus/default.htm

Required Media

Laureate Education (Producer). (2012). Epidemiology and population health: Introduction to epidemiology and population health [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 6 minutes.

In this week’s program, “Introduction to Epidemiology and Population Health,” Dr. Hull and Dr. Frerich introduce foundational concepts related to epidemiology, noting that this scientific arena focuses on the study of human populations rather than individuals.

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Laureate Education (Producer). (2012). Epidemiology and population health: Epidemiology in nursing practice [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 4 minutes.

In “Epidemiology in Nursing Practice,” Dr. Rebecca Lee, Dr. Donna Shambley-Ebron, and Dr. Missie Willmarth discuss how epidemiology is utilized in nursing practice and, in particular, why it is salient for DNP-prepared nurses.

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Credit: Provided courtesy of the Laureate International Network of Universities.

Optional Resources

Long, D. A., & Sheehan, P. (2010). A case study of population health improvement at a Midwest regional hospital employer. Population Health Management, 13(3), 163–173.

Oudin, Åström D., Bertfil, F., & Joacim R. (2011). Heat wave impact on morbidity and mortality in the elderly population: A review of recent studies. Occupational and Environmental Medicine, 69(2), 99–105.

Excite. (2004). An introduction to epidemiology. Retrieved from http://www.cdc.gov/excite/classroom/intro_epi.htm

 

Discussion: Epidemiology and Population Health

Reflect on your nursing practice for a moment. If you could wipe out one illness, what would it be? How would that impact not just an individual patient, but your entire patient population? What would be the long-term benefits of eliminating that one illness?

The eradication of smallpox by 1979 provides an excellent example of this scenario. This eradication came about as a result of global collaborative efforts involving many countries and organizations, as well as the application of epidemiologic methods. In spite of high initial financial costs, it is estimated that millions of dollars continue to be saved around the world each year as a result of the eradication of this disease.

The eradication of smallpox illustrates the rich history of epidemiology and demonstrates the cost/benefits and implications of improving health at the population level. The application of epidemiologic methods and principles to other critical population health issues continues to play an essential role in improving health and health outcomes.

For this Discussion, you will identify a current population health problem, and you will examine how, and if, the problem is being addressed through the application of epidemiologic principles. You will also discuss the cost-effectiveness of dealing with the problem at the population level.

To prepare:

· Review the Learning Resources, focusing on the smallpox epidemic of the 1960s and 1970s and how health organizations applied principles of epidemiology to eradicate this disease.

· In light of this example, consider the cost effectiveness of addressing smallpox at the population level.

· Using the Learning Resources, research a current population health problem (local or global). Select one on which to focus for this Discussion.

· Think about how principles of epidemiology are being applied—or could be applied—to address the problem.

· What lessons from the use of epidemiology in the eradication of smallpox might be applicable to this selected problem? What are the financial benefits of addressing this issue at the population level as opposed to the individual level?

By Day 3

Post a cohesive response that addresses the following:

· Briefly summarize your selected population health problem and describe how principles of epidemiology are being applied—or could be applied—to address the problem.

· Are there any lessons learned from the use of epidemiology in the eradication of smallpox that can be applied to your selected problem?

· Evaluate the cost effectiveness of addressing this health problem at the population level versus the individual level.

2 pages in APA and cite at least 5 sources of the given sources in this week.

https://www.cdc.gov/mmwr/index.html

https://www.who.int/health-topics/smallpox#tab=tab_1

https://www.apha.org

https://www.fao.org/home/en/

https://www.fda.gov

https://www.cdc.gov

https://www.fda.gov/news-events/public-health-focus

https://www.healthypeople.gov/2020/topics-objectives/topic/global-health?t

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 1 Discussion

Complete the reading assignment and the interactive lessons before attempting this assignment.  Research a current journal article on nursing leadership styles.

Description

Complete the reading assignment and the interactive lessons before attempting this assignment.  Research a current journal article on nursing leadership styles. The article must be from a professional, peer-reviewed nursing journal published within the last 5 years    Write a 1-2 page summary of your findings following the criteria below:    First paragraph: summarize the major points of the article. Second paragraph: answer whether you support the leadership style, and why or why not. Final paragraph: discuss the article as it relates to nursing practice. Use at least one additional outside source, such as your textbook. The summary should be written in APA style format and all sources must be cited correctly

 Let’s find a current example of a disease / condition outside of class.

Let’s find a current example of a disease / condition outside of class. There are many.  1) Search news articles for an example of a nervous system related condition/ disease. IT MUST BE CURRENT (WITHIN THE LAST MONTH). You can try a google news search for a particular disease or even combine a few terms from the chapter.   Make sure the article you go with is about a nervous system disease / condition (not one that just mentions it).  You will be discussing the science in the article, so it would be good if there was some science in it.   **In your post, WRITE THE TITLE OF THE ARTICLE and POST A LINK TO THE ARTICLE **  2) Briefly summarize what the article is about. Just a few sentences should work (grammar counts).   3) Briefly talk about the science in the article.