1. Content
   Scenario
   You are a nursing case manager working in a 100 bed community hospital in a rural setting. Many clients are elderly with chronic health conditions and have several factors that impair their timeliness of follow-up appointments for chronic care management. Since they are remote, the hospital struggles to meet the needs of this community health population. Therefore, the hospital experiences a delay in client care and chronic care management due to a lack of provider access. Many clients also report having to align transportation needs for their nurse appointments which further limits their availability. Recently, client complaints have increased with regards to lack of reliable, prompt service for client chronic care consults and lingering concerns for their overall health.

   Instructions
   A Clinical Standards and Innovations Committee has been created to look at leveraging technology to expand care for remote, community health populations. The Chief Nursing Officer has assigned you to this committee to examine strategies for best practice related to use of telehealth to support rural settings and expand care to all community populations. As the lead RN on the committee you have been tasked with leading the telehealth initiative and have one month to research, analyze, and propose the best evidence based strategy to implement telehealth services through telecommunications-ready tools. You will present your findings to the Chief Nursing Office and CEO of the facility in a succinct one-page summary leveraging your committee’s recommendation. They have asked for the summary to include the following components:

   • Discuss the defining characteristics of telehealth
   • Include your own definition of telehealth
   • How does telehealth impact the nursing role
   • Examine how telehealth is currently integrated in healthcare
   • Describe the evidence based practice that supports the use of telehealth in rural and community healthcare settings.
   • Provide a detailed description of your recommended evidence based strategy to implement telehealth
   • Provide rationale supporting your strategy
   • Summary to include current evidence from the literature.

 

1.  A family is gathered around in the ICU waiting room to monitor the status of a 22-year-old male, David, who sustained traumatic injuries in a motorcycle accident. He is in critical unstable condition with many wounds and severe abrasions. David’s mom keeps crying and saying, “What did I do to deserve this, God?” The family is Roman Catholic.

• a.   What information should you ask the family regarding their culture, beliefs, and coping mechanisms?
• b. The family wants to be at the bedside with David and requests to be present if he has a code blue or becomes asystolic.
• c. What is your best response to their request?

2.  A 45-year-old divorced Filipino man with end-stage Alzheimer’s disease was found dead from hanging. While preparing the body for the morgue, the mother tells the nurse that he has disgraced the family and he will go to hell.

• a.   What religious or spiritual beliefs influenced the mother’s reaction?
• b. How should the nurse respond to the mother?

Submission Instructions:

• Your initial post should be at least 500 words 
• APA style 
• 2 academic sources. 

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

1. Give examples of psychosocial factors that affect the health care professional and the effect those factors could have on patient education.
2. Give examples of psychosocial factors that affect the patient and the effect those factors could have on patient education.
3. Explain what is meant by personality styles and give examples of approaches that could be used to help the patient. Include self-perception as a factor.
4. List the steps in adjustment to illness and how the patient copes with each step.
5. Explain the health professional’s role in teaching the patient at different life stages.
6. Define the role of the family in patient education.
7. How might the family influence the compliance of the patient and what measures can the health care professional use in communication with the family?

APA format

1-3 paragraphs answering each section.

Topic is Increased risk of infection with covid-19 among the population of persons aged 65 and above of Hudson County, NJ related to knowledge deficit of preventive measures such as mask wearing, social distancing and vaccination as evidenced by an overall increase in covid-19 cases.

(B1) Health Inequity/Disparity 

Explain how the health concern from your community health nursing diagnostic statement is linked to a health inequity or health disparity within the target population.

(B1a) Primary community and Prevention Resources

Discuss the primary community resources and primary prevention resources currently in place to address the health concern.

(B1b) Underlying Causes

Accurately and logically discuss the underlying causes that contribute to the selected primary health concern. (This may be similar from the information you included in section B1). 

(B2) Evidence-Based Practice

Logically and appropriately include evidence-based practice article(s) relevant to the selected primary prevention field experience topic.  Look for 1 or more articles that provide evidence for strategies, best practices, or guidelines that have been used to improve the problem within communities

[[This is not a section to discuss the reason for the problem in your community. Instead you should discuss the best practices (EBP) for prevention/promotion of the health concern. Discuss and in-text cite and reference scholarly journal article(s) to support the practices for the primary prevention topic.]]

(B2a) Identification of Data

In this section include relevant data relating to selected field experience topic at the local, state, or national level and discuss your findings. This should include supportive data that your prevention topic is a true problem in your community.

(C1) Social Media Campaign Objective

The description presents a measurable objective of what you hope to accomplish to improve the health concern for your population using the social media campaign. Refer to the SMART tool in the CDC intervention section: CDCynergy.

Components of the social media campaign objective should include

• improving what, 
• for whom (target population) 
• by what percent 
• in what time frame.

(C2) Social Marketing Interventions

Provide 2 specific population focused social marketing interventions to aid in meeting your objective in section C1. Describe how each intervention would improve the health message related to the selected field experience topic. 

(C3) Description of Social Media Platform 

Describe applications you will use to implement your interventions (e.g. Facebook, Twitter, YouTube, Blogs, Snapchat, Instagram and others) that enable users to create and share content or to participate in social networking (electronic dissemination of ideas). 

(C3a) Benefits of Social Media Platform 

Discuss how each platform will support preventative healthcare in your target population for your identified health problem. 

(C4) Benefit to Target Population

You will Discuss how your target population will benefit from the social media campaign. Discuss how your target population would benefit from using social media to receive the health care message. 

(D) Best Practices for Social Media

Discuss the general principles for best practice in implementing all types of social media tools for healthcare marketing. Look at the key concepts from 5.1  and 5.2 in your course material and refer to the CDC social media toolkit. 

(E1) Stakeholder Roles and Responsibilities

A stakeholder is someone who has an interest in the health problem and whose support is required for the social media campaign to be successful. Stakeholders have a special connection to you and your involvement in the prevention of the health problem Identify the role and responsibilities for each stakeholder

• They are or could be affected by the social media campaign
• They are interested in how the social media campaign will impact them
• They may know what you need to know for the campaign to be successful
• Points of view from community perspective
• Communicates your message (e.g. Advertises your campaign)

(E2) Potential Public and Private Partnerships

Partners have a working relationship to you and collaborate in an official capacity on the social media campaign. Discuss potential public partnerships relative to implementing your campaign (Public partners are comprised of organizations that are owned and operated by the government and exist to provide services for a community (e.g. law enforcement, healthcare agencies, emergency medical service (EMS), schools). Discuss potential private partnerships relative to implementing your campaign (Private partners is usually composed of organization that are privately owned and not part of the government (e.g. businesses, independently owned institutions, grocery stores).

Partners:

• are interested in fulfilling their role in the campaign and staying informed
• they work together with you to benefit everyone involved
• help to solve problems by seizing opportunity or sharing resources 

(E3) Timeline

Discuss in detail the timeline with dates (week 1, week 2, etc.) for implementing the campaign.

Consider benchmarks (time points) from the planning phase to the evaluation phase.

(E4) Evaluation

Explain how you will evaluate the effectiveness of meeting your measurable objective for the social media campaign. Include a measurement tool.

(E5) Cost of Implementing the Campaign 

Discuss the estimated direct/indirect costs of planning, implementing, and evaluating your campaign. 

(F) Reflection on Social Media Marketing

Reflect on how the community health nurse can use social media marketing to promote healthier populations (provide one or more examples).

(F1) Reflection on Future Nursing Practice

Reflect on how you can apply a social media campaign to your future nursing practice (provide one or more examples).