Public Health Laws and Ethical Implications

Public health laws and regulations are often passed in response to human-caused or natural disasters or the spread of an infectious disease or other health epidemic. Select a law or regulation that was passed after a significant public health event or in response to an epidemic. In a 1,250-1,500 word paper, discuss the public health law or regulation and describe its impact on a community, including its ethical implications. Examples could include laws/regulations targeting smoking, obesity, healthy mothers and babies, vaccinations, etc. Include the following:

Introduction with an overview of the law/regulation, why it was passed, and how it was or is being implemented on the local, state, and/or federal level.


 A discussion of who the law/regulation targets and how they are being impacted.

 An evaluation of the efficacy of the law/regulation. Include evidence demonstrating whether it is or is not working.

 A discussion of the law/regulation’s ethical implications-Do you think this law is fair and ethical in natural? It is being applied ethically/fairly? Were/are there any unforeseen/unintended     consequences to be considered?


Prepare this assignment according to the guidelines found in the APA Style Guide.

You are required to submit this assignment to LopesWrite. 

STUDY MATERIALS

Read Chapters 9 and 10 in Public Health Nursing: Practicing Population-Based Care. URL:https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/public-health-nursing_practicing-population-based-care_3e.php

Read ""Fostering Nurses' Moral Agency and Moral Identity: The Importance of Moral Community,"" by Liaschenko and Peter, from Hastings Center Report (2016). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118225080&site=ehost-live&scope=site

Read ""Safeguarding the Public's Health: Ethical Nursing,"" by Rushton and Broome, from Hastings Center Report (2015). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103880265&site=ehost-live&scope=site

Read ""Laws & Regulations,"" from U.S. Department of Health and Human Services (2010). URL: https://www.hhs.gov/regulations/index.html

Read "" Explore Legislation, Regulations & Policies,"" from Centers for Disease Control and Prevention (2015).URL: https://www.cdc.gov/stltpublichealth/policy/legislation-regulation-policies.html

Read ""Specific Laws and Regulations Governing the Control of Communicable Diseases,"" from Centers for Disease Control and Prevention (2017).URL: https://www.cdc.gov/quarantine/specificlawsregulations.html

Explore the Public Health Law Center at Mitchell Hamline School of Law website.URL: http://www.publichealthlawcenter.org

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:


 Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).

 Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.

 Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.



* I work for a home healthcare agency in Houston, TX

Pathways to Safer Opioid Use Simulation and Paper

This week, you will proceed through the simulation as James Parker again, but make different decisions to see the different effects they cause.

 You will then write a 3- to 4-page paper describing the process you went through and the results in comparison to last week that you got based on the different decisions you made as James. State how James became addicted and what both the patient and the caregivers could have done to prevent this. Provide and integrate at least two scholarly resources within your paper that support prevention of opioid addiction. This paper must be written in APA format, typed in Times New Roman with 12-point font, double-spaced with 1-inch margins

Politics and the Patient Protection and Affordable Care Act

Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.

Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.

To Prepare:


 Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).

 Consider who benefits the most when policy is developed and in the context of policy implementation.


REFERENCES: ATTACHED AND:

 https://www.congress.gov/ 

 https://www.house.gov/ 

 https://www.senate.gov/ 

 http://www.senate.gov/senators/leadership.htm 

By Day 3 of Week 3

Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress' decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria.

Discussion

Review the following case study and complete the questions that follow. 

As a public health nurse at a free clinic, you are assessing and interviewing a 21-year-old woman who has come to the clinic because she doesn’t have any energy and hasn’t felt good in weeks. During the interview, you learn that she averages one meal per day, smokes up to two packs of cigarettes per day, and rummages through trash to find items she can sell to purchase food, snacks, and cigarettes. She admits to using street drugs every once in a while when she can find someone who will share with her. She admits her life is a mess and she doesn’t know how to make it better.


 What data can you gather based on available client information?

 What questions should you ask yourself while interviewing this client?

 During planning, how can you, as the nurse, best assist this client?

 What are the potential strategies that would assist the client to a “better” life?


Your paper should be 2 pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1” margins. If outside sources are used, they must be cited appropriately.

Human Needs Theory Journal

Complete the Human Needs Theory Interactive Case Study following the readings and presentation for this week. Associate what you have learned about the theories to this case study, and then see the instructions below to complete a journal entry about your experience. 

Click the Human Needs Theory Journal link above. Once opened, select the Human Needs Theory Case Study Reflective Journal and follow the instructions listed within the journal.

                                  

Case studies are assigned in weeks 2 and 4. Submit an entry by the end of each week that has a case study. Each journal entry reflection should be a minimum of five to six paragraphs.


 A comparison of what you have learned from the case study to related theories you have studied. Make sure to cite these theories in APA format.

 A comparison of the case study to your nursing practice, giving one or two examples from your nursing experience in which you might have applied a particular theory covered.


Your reflection should be a minimum of five to six paragraphs.

Clinical Global Impression

The Clinical Global Impression Scale (CGI) is one of the most widely used brief rating scales in mental health and pharmaceutical trials. The CGI is a standardized assessment tool that allows the clinician to rate the severity of illness, change over time, and efficacy of medication; while taking into account the client’s clinical condition and the severity of side effects. The CGI Scale is widely used in clinical psychopharmacology trials as an outcome measure. The CGI consists of three domains; Global Severity, Global Improvement, and Therapeutic Index. The Global Severity domain of the CGI is a single overall rating of severity of illness, which is rated on a seven-point scale rated from no mental illness to severely ill clients and change over time. The CGI-Improvement is rated 1-7 from very much improved to very much worse (Jones et al., 2019).  This rating is based upon observed and reported symptoms, behavior, and function in the past seven days. Symptoms and behaviors can fluctuate over a week; the score should reflect the average severity level during the seven days. The clinicians have many parameters to judge the severity of mental illness for clients in different settings. However, the CGI is known for its ease of use and ability to track progress through time and is as effective as other more lengthy and tedious instruments (Jones et al., 2019). 

The CGI was developed as a simplified global measure to reflect the clinician's view of the client's condition before and after initiating medication.  The CGI tool is used to measure mental illness (medical history, psychosocial circumstances, symptoms, behaviors, and impact on functioning) to diagnose clients and measure the client's response to treatment. For example, the CGI correlates well to scales such as the Hamilton Rating Scale for Depression, Hamilton Rating Scale for Anxiety, Positive and Negative Syndrome Scale, Brief Psychiatric Rating Scale to name a few (Jones et al., 2019).  

The CGI is well established and may be used for all psychiatric disorders in all FDA-regulated and most CNS trials; and the non-researcher clinician can easily use it in practice. The CGI is appropriate for use in depression, schizophrenia, anxiety, other mental disorders, regardless of the population, drug, or study measures. The CGI tool may also be used for other disorders such as sleep apnea (Dieltjens et al., 2019). The CGI is a brief and easy tool that may be administered by the practicing clinician to study the progression of treatment while using professional clinical judgment regarding the illness severity over the clinical experience. 

In conclusion, the Clinical Global Impression (CGI) is one of the most useful clinical tools available for monitoring outcomes across multiple clinically relevant domains, over time. The CGI is valid, reliable, and easy to use. The CGI can be effectively and efficiently used across cultures, for clients of all ages and across socio-economic locations, and mental disorders. The CGI scale allows the APPN to provide a more comprehensive treatment plan by creating a quantifiable measurement of symptoms and treatment efficacy. The clinician can monitor symptoms and improvement or lack of, to determine if the client is getting better or not throughout treatment. Therefore, allowing the client and provider to make an informed decision providing patient-centered treatment utilizing evidence-based practice.

Discussion

Why is understanding the health care system at the local level important to consider when planning an EBP implementation? Conduct research and solicit anecdotal evidence from your course preceptor that you will take into consideration for your own change project

The Nurse Leader as Knowledge Worker

Explain the concept of a knowledge worker. IN YOUR OWN WORDS 

Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker. IN YOUR OWN WORDS

Develop a simple infographic (s). to help explain these concepts 

Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. 

Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. 

Be sure to incorporate feedback received from your colleagues’ responses.

The PowerPoint slide count does not include the title slide

The PowerPoint slide count does include the reference slide. This should be your last slide.

Carefully review the assignment guidelines/expectations.

presentation should not exceed 10 slides. Be specific Consider paraphrasing.

Your responses to your colleague’s posts are an essential part of the first written assignment which is a PowerPoint presentation. No PDFs. 

Only a PowerPoint is accepted. Any other formats submitted will result in a Zero

Individual success plan

Planning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion ofThe required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice hours, and 25 indirect clinical experience hours.Completion of work associated with program competencies.Work associated with completion of the student's capstone project change proposal.Students will use the ""Individual Success Plan"" to develop an individual plan for completing practice hours and course objectives. As a part of this process, students will identify the number of hours set aside to meet course goals.Student expectations and instructions for completing the ISP document are provided in the ""NRS-493 Individual Success Plan"" resource, located in the Study Materials and in the assignment instructions.Students should apply concepts from prior courses to critically examine and improve their current practice. Students are expected to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.After the ISP has been developed by the student and approved by the course faculty, students will initiate a preconference with the faculty and preceptor to review the ISP