Population Health Advocacy

Human trafficking, extreme poverty, preventable diseases, the opioid crisis and the lack of adequate low-income housing are a few current societal concerns worthy of social change. Nurses and healthcare leaders are in a good position to shape and influence health care policy.

Think of a cause you believe in strongly. Access the website of your elected officials either at the local, state, or federal level using the following link: https://www.usa.gov/elected-officials/ or use the website of your choice. Explore some of the issues and committees your legislators are involved in and select at least one that interest you or align with your beliefs. You may also contact your legislator’s office and speak to his or her legislative assistant by calling the U.S. Capitol switchboard operator at (202) 224-3121 for the Senate and (202) 225-3121 for the House. Legislator assistants are very knowledgeable about the legislator’s agenda and can provide a wealth of information. 

This assignment will be at least 1500 words or more. This week reflect on advocacy, collaborative partnerships with other health care practitioners and stakeholders, and the policy making process and write a paper that addresses the following:

• Describe the policy issue, policy problem of interest or a particular bill that your legislator has introduced
• Elaborate on why the policy matters and what you can possibly do to strengthen the policy? 
• Briefly define the role you would play as an advocate for the healthcare consumer and healthcare professionals.
• Explain how the policy impacts the public at large or a particular population. 
• What stakeholders would you collaborate with to promote the cause? 

Assignment Expectations

Length: 1500-2000 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment.  Your essay must include an introduction and a conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

 Assignment Content

1. Identify industries outside of health care that have deployed innovative management techniques, operational practices, or technology to improve their workforce. 

   Identify best practices and determine which could be implemented to improve the workforce for a specific health care service, facility, or other health sector-related occupation.

   Write a 350- to 525-word article that explains how a specific management technique, operational practice, or technology can be used to improve a specific health care workforce.

   Include a citation of the article in your assignment.

   Cite at least 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

   Format your assignment according to APA guidelines.

  

Cardiovascular System

Alterations of the cardiovascular system can cause serious adverse events and may lead to death when not treated in a timely and safe manner. Unfortunately, many patients with cardiovascular disorders are unaware until complications appear. In clinical settings, patients often present with symptoms of several cardiovascular disorders, making it essential for you, as the advanced practice nurse, to be able to recognize these symptoms and recommend appropriate drug treatment options.

This week, you examine the impact of patient factors that may lead to changes in pharmacokinetic and pharmacodynamic processes on patient drug therapy for cardiovascular disorders. You also explore ways to improve drug therapy plans for cardiovascular disorders based on patient factors and overall health needs.

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

· Chapter 33, “Review of Hemodynamics” (pp. 285–289)

· Chapter 37, “Diuretics” (pp. 290–296)

· Chapter 38, “Drugs Acting on the Renin-Angiotensin-Aldosterone System” (pp. 297–307)

· Chapter 39, “Calcium Channel Blockers” (pp. 308–312)

· Chapter 40, “Vasodilators” (pp. 313–317)

· Chapter 41, “Drugs for Hypertension” (pp. 316–324)

· Chapter 42, “Drugs for Heart Failure” (pp. 325–336)

· Chapter 43, “Antidysrhythmic Drugs” (pp. 337–348)

· Chapter 44, “Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and Triglyceride Levels” (pp. 349–363)

· Chapter 45, “Drugs for Angina Pectoris” (pp. 364–371)

· Chapter 46, “Anticoagulant and Antiplatelet Drugs” (pp. 372–388)

Required Media (click to expand/reduce)

  

Assignment: Pharmacotherapy for Cardiovascular Disorders

…heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…

—Murphy et al., 2018

Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.  

Photo Credit: Getty Images/Science Photo Library RF

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

To Prepare

• Review the Resources for this module and consider the impact of      potential pharmacotherapeutics for cardiovascular disorders introduced in      the media piece.
• Review the case study assigned by your Instructor for this      Assignment.
• Select one the following factors: genetics, gender, ethnicity, age,      or behavior factors.
• Reflect on how the factor you selected might influence the patient’s      pharmacokinetic and pharmacodynamic processes.
• Consider how changes in the pharmacokinetic and pharmacodynamic      processes might impact the patient’s recommended drug therapy.
• Think about how you might improve the patient’s drug therapy plan      based on the pharmacokinetic and pharmacodynamic changes. Reflect on      whether you would modify the current drug treatment or provide an      alternative treatment option for the patient

Write a 3-page paper that addresses the following:

• Explain how the factor you selected      might influence the pharmacokinetic and pharmacodynamic processes in the      patient from the case study you were assigned.
• Describe how changes in the      processes might impact the patient’s recommended drug therapy. Be specific      and provide examples.
• Explain how you might improve the patient’s      drug therapy plan and explain why you would make these recommended      improvements.

At least 3 citations. APA format 7th edition

 

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

1. Height: 68 inches; weight 134.5 kg
2. BP: 172/98, HR 88, RR 26
3. 3+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1. Describe the clinical manifestations present in Mr. C.
2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

  

HIMA350 Assignment 2:

CAHIIM Competencies Assessed: 

Subdomain V.A. Regulatory

1. Appraise current laws and standards related to health information initiatives (Blooms 5)

2. Determine processes for compliance with current laws and standards related to health information initiatives and revenue cycle (Blooms 5)

Instructions:  Download the Joint Commission standards manual provided.  Focus on the Information Management (IM) standards.  Choose 5 of the IM standards and discuss how you would ensure compliance with these 5 standards.  Include steps for a process for each standard that would help to ensure compliance.

Things to think about: 

· Who would be involved in the process?

· What types of resources are needed to comply with the standard?

· How does the standard specifically relate to HIM and how should the HIM Department be involved in the process?

Requirement:  Your paper should be 2-3 pages in length. APA formatting.

http://jointcommission.new-media-release.com/2016_annual_report/

https://www.new-media-release.com/jointcommission/2016_annual_report/2016-annual-report.pdf