First Steps on Becoming a Grassroots Lobbyist/Advocate for Health Care Policy

In a Microsoft Word document of 4-5 pages formatted in APA style, you will imagine you are going to make a visit to your representative in Congress. There are two parts to this assignment.

Address the following topics:

• Develop a one-page document that supports your position on the AHCA that you would leave with your representative or his or her aide when you make your visit.
  • This one-pager, also called a “leave behind,” should state your position clearly in bullet points and give your reasons why your position is preferred.
  • This “leave behind” should have 1 inch margins and utilize 14-point font throughout.
  • If you were making this visit in person, you would present your “leave behind” to the person with whom you speak during your visit.
  • Include a second page that describes your rationale for the position in your “leave behind” page supported by at least two journal articles.
• Write a two-page brief to describe the scenario surrounding your legislative visit. Understanding the political affiliation of your representative, include answers to the following:
  • Was your member in support or in opposition to the AHCA?
  • State three points that you would cover in support or opposition to your representative’s position.
  • How does your nursing experience influence the advocacy position that you take on the AHCA?

You may find it necessary to search for answers to the questions outside of the assigned reading.

On a separate reference page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.

•  Use this APA Citation Helper as a convenient reference for properly citing resources.
• This handout will provide you the details of formatting your essay using APA style.
• You may create your essay in this APA-formatted template.

Submission Details:

• Name your document SU_NSG4068_W3_Project_LastName_FirstInitial.doc.
• Submit your document to the Submissions Area by the due date assigned.

To support your work, use your course and text readings and also use resources from the  University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format. You may use this APA Citation Helper as a convenient reference for properly citing resources.

TASK

Post your initial response to one of the two topics below

Technology’s Impact on Population Health

Topic 1

Advances in technology have fed the explosion of wearable devices and patient self-monitoring. 

• How can nurses leverage this technology to promote healthy lifestyles and improved compliance with self-care and monitoring?

Topic 2

There are vast quantities of consumer data available today. For example, every time you use your grocery store loyalty card, data about what you purchased is collected, analyzed, and saved. These data in the hands of population health professionals can contribute to the creation of healthy lifestyle programs. However, the same data in the hands of health insurance plans could lead to higher insurance costs or denial of insurance. 

• Should there be regulations on how these consumer data are used? (Include your rationale for your response.)

Therapeutic Communication- Case Scenarios

Case #1– The patient was admitted 2 days ago with a diagnosis of cancer.  She was informed by her doctor that a course of radiation and chemotherapy was her best option.  She became very upset and frightened about the proposed treatment and stated that she wasn’t sure if she would go through with it.  The nurse approaches her to discuss how she is feeling today.

Nurse:  “How are you doing today, Miss Smith.  I was wondering how you were feeling about undergoing radiation and chemotherapy?”

Patient:  “I don’t know.  I’m not as scared as I was when I got here, but I have a lot of questions about it.”

Nurse:  “It sounds like you have given it some thought.  I’m sure Dr. Jones could talk with you and answer some of your questions.  Would you like to do that?”

Patient: “I guess so.  What do you think?”

Think of a few ways the nurse could respond. Provide references to support your statements. Please use your textbook.

Case #2

An elderly patient is sitting in bed taking a nap. A tray of uneaten food is on the bedside table.  The nurse comes into the room.

Think of a few ideas of what the nurse could say to start a therapeutic conversation with this patient. Provide references to support your statements. Please use your textbook.

Nurse:  “…………”

Patient: “Oh, don’t bother with me.  I don’t have much time left in this world.

And I don’t have much to live for anyway.”

Nurse:  Think of a few therapeutic responses. Provide references to support your statements. Please use your textbook

 Read the Mitchell (2013) article listed in the required reading list. Leading change is an important part of successful project execution and implementation. The nurse leader and project manager should be intimately familiar with a particular change theory that serves as the framework for leading the change represented by a project. Identify your “go-to” change leadership framework and discuss how you will use that framework to guide organizational change. 

Case Study: Chapter 5

Objective: The students will complete a Case study tasks that contribute the opportunity to produce and apply the thoughts learned in this and previous coursework to examine a real-world scenario. This scenario will illustrate through example the practical importance and implications of various roles and functions of a long-term care settings. As a result of this assignment, students will be better able to comprehend, scrutinize and assess respectable superiority and performance by all institutional employees.

ASSIGNMENT GUIDELINES (10%):

Students will critically measure the readings from Chapter 5 in your textbook. This assignment is planned to help you examination, evaluation, and apply the readings and strategies to your of a long-term care settings
You need to read the PowerPoint Presentation assigned for week 3 and develop a 3-4 page paper reproducing your understanding and capability to apply the readings to your long-term care settings. Each paper must be typewritten with 12-point font and double-spaced with standard margins. Follow APA Style 7th edition format when referring to the selected articles and include a reference page.

EACH   PAPER SHOULD INCLUDE THE FOLLOWING:

1. Introduction (25%) Provide a brief synopsis of the meaning (not a description) of each Chapter and articles you read, in your own words that will apply to the case study presented. 

2. Your Critique (50%)

Case study: Patient-Centered Care: Case Studies on End of Life in elderly

Background

Ms. L is an 87-year-old African American woman who was diagnosed with vulvar cancer at the beginning of 2017. She is also HIV-positive. By the time Ms. L engaged in care, the cancer had proliferated quite quickly in the setting of a compromised immune system. Upon discovery of the Stage 4 cancer, doctors recommended a dose of radiation and chemotherapy. However, during the course of this episode Ms. L was struggling with substance use. During her hospitalization, she tested positive for a number of substances, including heroin and cocaine. As a result, care providers had many discussions about pain management and which pain medications could be given to her. She was not on methadone treatment maintenance at first, so she was self-medicating to address her pain. While Ms. L wanted to seek help for her addiction to substances, some of the traditional models were not appropriate given the magnitude of her physical issues. There were expectations that she would get into outpatient treatment but she did not follow through, primarily because it was difficult for her to tolerate being in groups for long periods. (Given the location of her cancer, she could not sit upright for long periods or on the bus for transportation.) Ultimately, Lawanda Williams, Director of Housing Services at Health Care for the Homeless in Baltimore, Maryland, and her team were able to provide Ms. L with transportation and cab vouchers so she could access the full course of radiation that doctors had recommended. Her pain was never well controlled, because her physician refused to prescribe her any pain medications, due to the magnitude of her substance use. The radiation center gave her Percocet while she was there but would not give her anything that could not be directly supervised. After treatment, they sent her home with prescriptions for Tylenol and instructions to return and follow up with pain management teams, which she was unable to do because of her difficulties with transportation and sitting. Ms. L completed radiation and is in a period of holding to assess effectiveness of the initial course of radiation, but she still does not have a prescription for her significant pain and, as a result, continues to use substances to manage her pain. Ms. Williams observes, “I have been able to see how managing withdrawal and managing substance abuse in the context of a palliative care treatment plan does not always exist for patients experiencing homelessness. She does not fit very neatly into any mainstream treatment model.”

CASE STUDY CHALLENGE:

1. Harm reduction: How can care providers best advocate for a harm reduction approach while seeking to deliver palliative care services, including hospice care?

2. What ethical arguments can you make base on the case study? 

3. Why do you think that long-term care and palliative care insurance lacks of popularity among older Americans.

3. Conclusion (15%)

Briefly summarize your thoughts & conclusion to your critique of the case study and provide a possible outcome for Aging in America base on Health ethics Context?

Evaluation will be based on how clearly you respond to the above, in particular:

a) The clarity with which you critique the case study;

b) The depth, scope, and organization of your paper; and,

c) Your conclusions, including a description of the impact of these Case study on any Health Care Setting.