thank you for your detailed posting. As I read your posting, the one thought that keep coming to me was the importance of communication and detailed assessment.  Was it ever asked how often Patricia was taking the narcotic and how long ago did she take it?  Perhaps she has not needed a strong narcotic every day and has found other alternatives to pain relief. Perhaps she only needs it occasionally. It would be helpful if people monitored on narcotics would have an electronic sign in and out system whereby they could only get x number of doses in one day. Of course this would be expensive but may in the end save not only money but lives as well. What do you think? This way, the practitioner would have access to each patient’s pattern of use. 

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system. 

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time. 

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected. 

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected. 
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor. 

The Assignment (4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a  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.

Read chapter 32 of the class textbook and review the attached PowerPoint presentation.  Once done answer the following questions; 

1.Do you think that the societal norms for men regarding expressing emotion and social support have changed in recent years? Why or why not? If so, how can community health/public health nurses take an advantage of this to help men improve their health? 

2.Are there differences in the ways that homosexuality in men and women are viewed by general society in the US? If so, why do you feel that these differences exist? From where or whom do people get their messages about homosexuality or other non-heterosexual lifestyles?  

As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board.  A minimum of 3 evidenced-based references must be used (excluding the class textbook) and 2 replies to any of your peers sustained with the appropriate references must be posted.  Only the assignment must be attached in a word document in the forum, replies do not.  References must be no older than 5 years.  A minimum of 700 words is required.  Please follow the instructions on how to present the first page and the name of the assignment when you post should be Week 11 discussion questions, not my name or blackboard posting

 

Hi dear,

can help me to finish this assignment with good quality and be on time please?

 Answer the following: for each Discussion 1 and Initial response must be a minimum of 200 words or more. You must cite referenced answers with reading citations, with page numbers, parenthetical style (Author, Date: page#), and the source listed APA style at the end of the post.  

Discussion 1

The content of this video is graphic because it showed injury and death during the 2017 Las Vegas Shooting: http://www.cnn.com/videos/us/2017/10/02/las-vegas-strip-shooting-jake-owen-concert-sot.cnn

After watching the video, the Las Vegas incident have serious morbidity and mortality effect on public health.

1. Please share your thoughts on how this incident can be used to provide/develop public health programs that can prevent or respond to similar catastrophes.

2. What type of injuries can result from these type of events?

3. How about the first responders, what type of occupational injuries will they be exposed to?

Discussion 2 

1. Access either one of the following checklist:

• https://www.nhtsa.gov/sites/nhtsa.dot.gov/files/walkingchecklist.pdf – PDF Document
• http://archive.saferoutesinfo.org//sites/default/files/walkabilitychecklist.pdf – PDF Document

2. Share the location where you used the checklist.

3. Discuss at least 2 things that you learned about your community or 2 things that you can improve within your community based on the checklist you chose.

4. Share your thoughts about your results.

Thanks,

describe the health problem HYPERTENSION

Include a discussion of morbidity, mortality, epidemiology and pathophysiology related to this health problem

PRACTICE GUIDELINE: Describe the clinical practice guideline used for hypertension . Reflect on the questions included. Expand on your answer using support from evidence

·  Does the clinical practice guideline adequately address the health problem? Describe.

·  Is this practice guideline based on current evidence (within 5 years)? What is the strength of this evidence?

·  Does this clinical practice guideline adequately direct the healthcare provider in the management of a patient with this problem?

·  How effective is this clinical guideline in the management of patients with this healthcare problem? Think about how you would assess the effectiveness of patient management.

ANALYSIS: Think about future healthcare needs of patients with this problem, changing demographics, and changes in healthcare policies. Address these questions.

·  Does this clinical practice guideline need revision(s)? Please explain your answer in detail.

·  If you were going to revise this clinical practice guideline, what would you change? What evidence would you use to base your changes on?

·  How might changes in US demographics and healthcare reform affect this clinical practice guideline?

·  What strategies would you use to increase the likelihood that a new or modified clinical practice guideline would be adopted and used in clinical practice?

EVALUATION How would you determine its effectiveness of this revised clinical practice guideline in directing care for patients with the identified health problem? 

Outline the steps you might employ.

LEARNING POINTS (3-5 bullet points outlining key learning in this case.)

REFERENCES (APA formatting, current within past 5 years.)

Expectations

·  Length: 8 pages not including the title page, abstract, and reference pages

·  Format: APA formatted paper 

·  Research: APA formatting, current within past 5 years.