Develop and Concept Map, using the form provided, on the following patient. Include Diagnostic data and medical orders that you expect to be ordered on the patient.

T.J., a 30-year-old African American client, is in his last year of law school and is clerking for a prestigious law firm. He and his fiancé plan to marry as soon as he graduates. During the last week he has had four dizzy spells and a headache at the base of his skull upon awakening for the last 2 days. His father has a history of hypertension, so T.J. is aware that his symptoms may indicate high blood pressure. On his way home from work, T.J. stops by the clinic and asks the nurse to check his blood pressure. The nursing assessment yields the following data.

Subjective data: States he has had four dizzy spells and has awakened with a headache in the occipital lobe the last two mornings. T.J. has 1 glass of wine at lunch and 2-3 beers in the evening to relax from the tension of school and work. Most of his meals are at fast-food establishments and have a high fat content. T.J. does not smoke. He used to jog 4 mornings a week but quit when he started clerking. He has had nocturia for the last 3 weeks. He is not taking any medication. T.J. states he is concerned about having hypertension because he does not want to take medication.

Objective data: T 98.6°F(37°C), AP 78 beats/min, R 16 breaths/min, BP 142/92 mm Hg, Wt 190 lbs (optimum weight 160). No edema noted in hands, feet, or legs.

Purpose

Community health nurses practice in a variety of settings. The purpose of this paper is to describe the community setting and analyze the role of a nurse in the assigned setting. Health promotion nursing interventions and a professional nursing organization related to this role will also be examined. 

The topic for this paper is the role of a nurse in a faith community setting. 

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

· CO5: Analyze the nursing roles in providing comprehensive care in a variety of community health settings. (PO 1)

· CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO 2)

Due Date

Submit by 11:59 p.m. MT Sunday of Week 4.

Points: 200 Points

Directions

Watch the tutorial on tips for completing the Community Settings and Community Health Nursing Roles assignment.

This APA paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper. Please use the recommended APA Template linked below, which incorporates the following categories as the first level headings on your paper. APA formatting helps you to organize your paper in a professional manner and provides consistent methods for citing your sources and completing your reference page. See the documents in the APA category in Course Resources for assistance with APA formatting. The Student Success Strategies resource has great sections on writing scholarly papers and APA formatting.

1. The  community health setting for this paper must be a faith community such as a church/parish, or other congregation. 

2. Click to view and download the Community Settings APA Template (Links to an external site.)Links to an external site. to complete your paper. The template is formatted with the appropriate running head, title page, page numbers, paragraph formatting, and most of the headings. Please edit the headers and title page with your specific information. You are also encouraged to view the Week 4 assignment tutorial found at the end of the Academic Integrity Reminder.

3. Read the chapter of your textbook on the  assigned community health setting and take notes based on the outline below.

4. Locate and read at least one scholarly peer-reviewed journal article that is not assigned in the course related to a nurse’s role in health promotion in this setting. Go to the library at http:/library.chamberlain.edu (Links to an external site.)Links to an external site.. Search peer reviewed journals to find a scholarly article on this topic. The article must be less than 10 years old (less than 5 years is best).

5. Thoroughly address the following categories using the APA Template that is provided.

· Introduction (one paragraph):

o  The introduction should be interesting and capture the reader’s attention.

o  Introduce the assigned community setting 

o  Briefly identify CHN role(s) in this setting

o  Identify vulnerable population(s) served in this setting

o  Include a purpose statement

· Community Setting (two to three paragraphs)

o  Describe the assigned community setting, including vulnerable population(s) served.

o  Discuss three health services provided by the a CHN in the assigned setting.

o  Use your textbook or an outside scholarly source to address these sub-points.

· Health Promotion Nursing Intervention (two to three paragraphs) 

o  Describe in detail health promotion intervention(s) that a CHN could implement in the assigned community setting.

o  Identify people/organizations/community members this CHN role may collaborate with in health promotion interventions.

o  Utilize at least one peer-reviewed scholarly article related to a health promotion intervention.

· Professional Nursing Organization (two paragraphs)

o  Provide a detailed description of a professional nursing organization related to the assigned community setting. Search the text, your article, or the Internet for one professional organization that supports nurses in this role. If you can’t find an organization specific to this group, search the American Nurses Association (ANA) website for information on this role. Cite the organization in the body of the text with (organization name, year), and include a complete reference on the reference page.

o  Discuss one professional issue that this organization is addressing related to the assigned community setting.

· Summary (one paragraph)

The summary reiterates key points about:

o  The community setting and the CHN role(s)

o  Health promotion intervention

o  Professional organization

o  Includes a concluding statement.

· Reference Page: The reference page should start on a new page (insert a page break). All references should be cited within the body of the paper as (author or organization, year), and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the Chamberlain Guidelines for Professional Writing in the APA Folder in Program Resources for examples of properly formatted references.

Guidelines

The setting for this paper must be a faith community.

· Application: Use Microsoft Word 2010™ or later to create this assignment on the template provided.

· We highly recommend that you used the specific APA paper template for this assignment linked above as the headings are already included.

· Scholarly Writing: APA format is required. Review APA documents in Program Resources, and use the free resources of tutor.com for writing tutors.

· Length: This paper is expected to be no more than 4 pages in length (not including the title page and reference list).

· Quotations should be minimal—please paraphrase your sources. A maximum of one quotation should be used for this paper.

· Save your paper with your last name in the document title (e.g., Smith Community Settings).

· Submission: Submit your paper by 11:59 p.m. MT Sunday of Week 4.

· Late Submission: See the course policy on late submissions.

Best Practices in Preparing the Paper

The following are best practices in preparing this project.

· Follow the guidelines above carefully.

· Use only the assigned community setting.

· Complete you own work.

· Use the provided APA assignment specific template.

· Ask you instructor if you have any questions.

· Visit the SSPRNBSN Student Success resource for help with writing a scholarly paper, APA formatting, and library navigation. This should be one of your course tiles.

· Use the 1st column of the grading rubric to make sure all elements of the paper are addressed.

· Cite all sources within the paper as well as on the reference page.

· Proofread prior to final submission.

· Check for spelling and grammar errors prior to final submission with Grammarly.com or the free tutor available through the Tutoring link in the course.

**Academic Integrity Reminder**

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

 

Throughout this course, you have identified, examined, and provided individual as well as collaborative analysis on multiple facets of risk management in the health care setting.

Addressing the knowledge you have gained, and building on that knowledge to add your evaluation of the role that the managed care organization (MCO) plays in today’s health care environment, develop a 250-500 word reflection to incorporate the following:

1. What is a health care organization’s administrative role regarding oversight of risk management policies and ensuring compliance with managed care organization (MCOs) standards?
2. What is your assessment of the value provided to an organization that stems from the regulatory statutes of a typical MCO? Consider the establishment of conflict resolution and risk management strategies within the health care organization from the employer/employee perspective as well as in regards to patient conflict circumstances.
3. What MCO responsibilities pertain to the Patient Protection and Affordable Care Act (PPACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

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.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

               Press the comma key or shift + question mark to see a list of keyboard shortcuts                           

        This is a graded discussion: 25 points possible 

              due Aug 18                   

Week 6 Discussion 1: Presidential Advisor

 2      2 unread replies.    2      2 replies.          

Required Resources
Read/review the following resources for this activity:

• Textbook: Review Chapter 2, 3 (pp. 56-59), 13
• Lesson
• Additional scholarly sources you identify through your own research

Initial Post Instructions

You are an advisor to the President tasked with cutting at least $300  billion from the budget. The president wants your recommendations to  cut lines, not large categories. Explain why you chose those cuts.

Note: These are not true US budget numbers.

    

DOMESTIC PROGRAMS AND FOREIGN AID

Cut some foreign aid to African countries

 $17 billion

 

Eliminate farm subsidies

 $14 billion

 

Cut pay of civilian federal workers by 5 percent

 $14 billion

 

Reduce the overall federal workforce by 10%

 $12 billion

 

Cut aid to states by 5%

 $29 billion

 

MILITARY

Cut the number of nuclear warheads, and end the “Star Wars” missile defense program

 $19 billion

 

Reduce military to pre-Iraq War size and further reduce troops in Asia and Europe

 $25 billion

 

Cancel or delay some weapons programs

 $19 billion

 

HEALTHCARE

Enact medical malpractice reform by reducing the chances of large malpractice verdicts

 $ 8 billion

 

Increase the Medicare eligibility age to 68

 $ 8 billion

 

Raise the Social Security retirement age to 68.

 $ 13 billion

 

EXISTING TAXES

Return the estate tax to Clinton-era levels, passing on an estate  worth more than $1 million to their heirs would have portions of those  estates taxed.

 $ 50 billion

 

End tax cuts for income above $250,000 a year

 $ 54 billion

 

End tax cuts for income below $250,000 a year

 $ 172 billion

 

Payroll tax increase for people making over $106,000 annually contributing more to Social Security and Medicare.

 $ 50 billion

 

NEW TAXES

Institute a Millionaire’s tax on income above $1 million

 $ 50 billion

 

Add a national 5% sales tax

 $ 41 billion

 

Add a tax on carbon emissions

 $ 40 billion

 

Tax banks based on their sizes and the amount of risk they take.

 $ 73 billion

 

Total gap covered by your budget plan

$_________________

Use evidence (cite sources) to support your response from assigned  readings or online lessons, and at least one outside scholarly source.

Follow-Up Post Instructions
Respond to at least  two peers or one peer and the instructor. Further the dialogue by  providing more information and clarification. Minimum of 1 scholarly  source, which can include your textbook or assigned readings or may be  from your additional scholarly research.

Writing Requirements

• Minimum of 3 posts (1 initial & 2 follow-up)
• APA format for in-text citations and list of references

Grading
This activity will be graded using the Discussion Grading Rubric. Please review the following link:

• Link (webpage): Discussion Guidelines 

Course Outcomes (CO): 7

Due Date for Initial Post: By 11:59 p.m. MT on Wednesday
Due Date for Follow-Up Posts: By 11:59 p.m. MT on Sunday