Social Determinants of Health

This week, the focus was on social determinants and how social determinants impact the quality of life and health care of a community. For this week's discussion:

1. Explore a social determinant issue in your community that may be impacting quality of life or health care. Take a picture of this issue as it may be represented on a billboard, or like Dr. Riley, a bus stop. Upload that picture into the discussion.

2. Share your perspective about the social determinant issue with your class colleagues defining what role you might play in changing this social determinant in your community.

3. Compose a 140-character Tweet that describes what you have shared with the class. Remember Twitter only allows 140 characters so you will need to be concise. Share this Tweet in the discussion.

Please answer each question separated and use at least 3 sources no later than 5 years

Death, Dying, and Grief

Euthanasia The intentional act of causing or hastening a patient’s death for generally good ends, such as the relief of pain and suffering. Includes active, passive, voluntary, involuntary, and nonvoluntary euthanasia (Hoehner, 2018).

I have watched many documentaries about euthanasia greatly practiced in different parts of the world such as many parts of Europe. Often times I have seen people suffering from mental illness are the one looking into such options. Suicide is another mental health concern when people tend to not get help on time feeling of hopeless can have them take action that they might not realize they cannot turn around.

I do not agree with neither the euthanasia or the Suicide but I do believe that people suffering from mental illness not able to get help on time dose end on in situations to take such actions. God has given a life to live and sends us on earth with purpose. But then there as situations in life that sometimes people cannot get over even with help of God. There is also wide variety of people that do not believe in God and does not have any means of connects with any spiritual groups. I have seen people over comes their fears with help of God but then there is only so much a human brain can control.

Euthanasia and PAS are directly opposed to God’s direction, the inherent dignity of every man and woman, and an affront to the profession of medicine (Hoehner, 2018).

 Reflect on the analysis of the sin of suicide and, thus, euthanasia from the topic readings. Do you agree? Why or why not? Refer to the lecture and topic readings in your response.

  

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.

Social Determinants of Health

This week, the focus was on social determinants and how social determinants impact the quality of life and health care of a community. For this week's discussion:

1. Explore a social determinant issue in your community that may be impacting quality of life or health care. Take a picture of this issue as it may be represented on a billboard, or like Dr. Riley, a bus stop. Upload that picture into the discussion.

2. Share your perspective about the social determinant issue with your class colleagues defining what role you might play in changing this social determinant in your community.

3. Compose a 140-character Tweet that describes what you have shared with the class. Remember Twitter only allows 140 characters so you will need to be concise. Share this Tweet in the discussion.

Please answer each question separated and use at least 3 sources no later than 5 years

The Psychiatric Evaluation and Evidence-Based Rating Scales

Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy.

Assessment tool assigned is: Brief Psychiatric Rating Scale

Death, Dying, and Grief

Death can be unavoidable and also uncontrollable (Grand Canyon University, 2018). Death plays an important role and raises a lot of ethical questions. I personally have worked in many different health care settings including TCU and long term care units. At these health care centers, death would happen expectedly and unexpectedly. I currently work in a LTAC, so I work with chronically critically ill patients. Most of our patients have tracheostomies and are on the ventilator. Considering the fragility of the patients in this kind of health care setting, death is seen. Prior to being a nurse, my view of death was way different than my view of death today. I have done chest compressions on many, and I have watched the LUCAS CPR machine be attached to many individuals.

Every single time I witness death occur, it is very difficult and, in most cases, very traumatic. Every case is different and unique, and there are different variables and circumstances surrounding each situation. However, being surrounded in this type of environment has helped me decide on certain things. I have made it very clear to my loved ones, exactly what I want and what I do not want done in emergency situations. The subject of death and dying I have come to learn is very difficult for most people in the general public to talk about. As a health care provider, I have found that talking about death and dying makes it easier and less emotional and distressing and has been very helpful for me. For the Christian believer the death and resurrection of Jesus Christ transforms the significance of death and provides a new perspective with end of life (Grand Canyon University, 2018).

  How often do you engage with or witness death in your work? How has this experience or the lack of it shaped your view of death? Has it gotten easier or harder for you to accept the fact of death? As you explain, include your clinical specialty. 

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years

Educational Program on Risk Management

The purpose of this assignment is to create an educational program that supports the implementation of risk management strategies in a health care organization.

In this assignment, you will develop an outline for an ""in‐service""‐style educational risk management program for employees of a particular health care organization that will then form the basis for a PowerPoint presentation in Topic 5. Select your topic for this educational session from one of the proposed recommendations or changes you suggested in the Risk Management Program Analysis – Part One assignment to enhance, improve, or secure compliance standards in your chosen risk management plan example.

Create a 500‐750-word comprehensive outline that communicates the following about your chosen topic:

1-Introduction: Identify the risk management topic you have chosen to address and why it is important within your health care sector.

2-Rationale: Illustrate how this risk management strategy is lacking within your selected organization's current risk management plan and explain how its implementation will better meet local, state, and federal compliance standards.

3-Support: Provide data that indicate the need for this proposed risk management initiative and demonstrate how it falls under the organization's legal responsibility to provide a safe health care facility and work environment.

4-Implementation: Describe the steps to implement the proposed strategy in your selected health care organization.

5-Challenges: Predict obstacles the health care organization may face in executing this risk management strategy and propose solutions to navigate or preempt these potentially difficult outcomes.

6-Evaluation: Outline your plan to evaluate the success of the proposed risk management program and how well it meets the organization's short-term, long-term, and end goals.

7-Opportunities: Recommend additional risk management improvements in adjacent areas of influence that the organization could or should address moving forward.

You are required to support your statements with a minimum of six citations from appropriate credible sources.

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

Discussion

Information flow in a healthcare system is extremely important. Technology has been used to develop systems that are more efficient. But as with any electronic system, while there is an upside, there is also a potential downside.

Address the following requirements:


 Discuss some of the advantages and disadvantages of using such systems.

 Provide examples of where these disadvantages have created problems.


Be sure to support your statements with logic and argument, citing all sources that you use. Post your initial response early and check back often to continue the discussion

Nursing

) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

                                                                            

 

Parts 6, 7, and 8 must be different. Different writing and perspective, but always answering questions objectively


              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

              Part 8: minimum 1 page


Submit 1 document per part


2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph


         Submit 1 document per part


3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)


4) Minimum 3 references per part not older than 5 years


5) Identify your answer with the numbers, according to the question.


Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX


6) You must name the files according to the part you are answering: 


Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

Based on how you will evaluate your EBP project ( See file 1), 


1. Which independent and dependent variables do you need to collect? Why?



Part 2:

Not all EBP projects result in statistically significant results. 


1. Define clinical significance, and explain the difference between clinical and statistical significance. 

2. How can you use clinical significance to support positive outcomes in your project? (See File 1).



Part 3:


 A 49-year-old female is discussing age-related changes with the nurse practitioner. She states that she is having irregular periods and “hot flashes.”

1. What other assessment data would substantiate the diagnosis of menopause?

2. What type of therapy would you expect this patient to receive? Why?



Part 4:


Margo is a 49-year-old divorced woman who works as a bank teller. She tells her primary care provider (PCP) that she feels tired all the time and that she is gaining weight because she has no interest in her usual exercise activities, and that she has been overeating, even though she is often not really hungry. She notices that she has difficulty falling asleep at night and awakens around 4 a.m. most mornings, without her alarm, and cannot go back to sleep even though she still feels tired. She finds little joy in her life but cannot pinpoint any particular concern or event causing this problem. The PCP asks Angela to fill out a Beck’s Depression Scale, which indicates she has moderate depression.

1. Choose a pharmacologic intervention for Margo and explain its effects.

2. Provide Margo with written education regarding her prescription. (Include what she should expect when first taking the drug, appropriate activity warnings, when to expect improvement, side effects she may experience, and anything she should report to the provider).



Part 5:


A 35-year-old comes to the clinic. He states, “It’s getting close to allergy season and I need something to keep me from getting sick. Last year the doc gave me a shot, a spray, some pills, and an inhaler. They worked really well but I don’t remember what they were. Can I have those things again? I just can’t afford to miss work.”

Please answer the following questions in a narrative format: 

1. Discuss the epidemiology of allergies.

2. What are your treatment options (consider pharmacoeconomic)? 

3. Compare first and second-generation antihistamines.

4. What education will you provide to the patient?


Part 6:


The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence--2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?


Part 7:


The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence--2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?


Part 8:


The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence--2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

Discussion

Consider the healthcare initiatives in Saudi Vision 2030. What are the most important factors to consider in creating a safety culture for Saudi Arabian healthcare organizations, medical employees, and patients?  


 Briefly summarize the safety culture in your current or former healthcare organization, or in one with which you are familiar. 

 What processes needs to be changed or improved to meet the culture of patient safety benchmark? 


Embed course material concepts, principles, and theories (which require supporting citations) in your initial response along with at least one scholarly, peer-reviewed journal article. Keep in mind that these scholarly references can be found in the Saudi Digital Library by conducting an advanced search specific to scholarly references.

Discussion Question

Investigate how school health is delivered within your local school system. You can look at one specific school, or an entire school district. Do the schools in your area have a school health nurse assigned? If not, how are health care needs within the school district managed? What are ways in your area schools in which health promotion and management of existing health problems are addressed?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook