Scenario: Family
An 83, year old woman is recovering from pneumonia. She has Alzheimer’s disease and has become increasingly hostile and unmanageable in the home setting. Her 65, year old daughter is distraught about the idea of placing her mother in a long term care facility but feels she is not able to care for her.

Directions:
• The original post must be at least 200 – 300 words in length
• What is your role in this situation?
• How might you help the daughter with her decision?
• What information would you give the daughter?

 

Write a 4-5 page population health improvement plan, based on your evaluation of the best available evidence from a minimum of 3-5 current scholarly or professional sources of demographic, environmental, and epidemiological data that focuses on your diagnosis of a widespread population health issue.

Part of effectively engaging in evidence-based practice is the ability to synthesize raw health data with research studies and other relevant information in the literature. This will enable you to develop sound interventions, initiatives, and outcomes to address health concerns that you find in data during the course of your practice.

In this assessment, you have an opportunity to evaluate community demographic, environmental, and epidemiological data to diagnose a widespread population health issue, which will be the focus of a health improvement plan that you develop.

 

Scenario

Your organization is undertaking a population health improvement initiative focused on one of the pervasive and chronic health concerns in the local community. Examples of health improvement initiatives include nationwide concerns, such as type 2 diabetes, HIV, obesity, insect bites, and Zika. However, your organization has asked you to determine which widespread health concern should be addressed in a population health improvement plan for your community and has entrusted you with gathering and evaluating the relevant data.

Your Role

You are a nurse in a community clinic or hospital and you have a good idea about the most common chronic health issues among its patients. You have been asked to prepare a presentation for the next staff meeting about the issue and the plan that you are proposing to help improve the community’s health.

Instructions

The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance-level descriptions for each criterion to see how your work will be assessed.

Part 1: Data Evaluation

Evaluate the outcomes of a population health improvement initiative from community demographic, epidemiological, and environmental data.

• Identify the relevant data.
• Identify the level of evidence, validity, and reliability for each source.
• Describe the major community health concerns suggested by the data.
• Explain how environmental factors affect the health of community residents.

Part 2: Health Improvement Plan

Develop a health improvement plan that ethically and effectively addresses the population health concern that you identified in your evaluation of the relevant data.

• Base your plan on the best available evidence from a minimum of 3-5 current scholarly or professional sources.
  • Apply correct APA formatting to all in-text citations and references.
  • Attach a reference list to your plan.
• Ensure that your plan meets the cultural and environmental needs of your community and will likely lead to some improvement in the community’s health related to this concern.
  • Consider the environmental realities and challenges existing in the community.
  • Address potential barriers or misunderstandings related to the various cultures prevalent in the community.
• Justify the value and relevance of the evidence you used as the basis of your plan.
  • Explain why the evidence is valuable and relevant to the community health concern you are addressing.
  • Explain why each piece of evidence is appropriate and informs the goal of improving the health of the community.
• Propose relevant and measurable criteria for evaluating the outcomes of your plan.
  • Explain why your proposed criteria are appropriate and useful measures of success.
• Explain how you will communicate with colleagues and members of the community, in an ethical, culturally sensitive, and inclusive way, with regard to the development and implementation of your plan.
  • Develop a clear communications strategy mindful of the cultural and ethical expectations of colleagues and community members regarding data privacy.
  • Ensure that your strategy enables you to make complex medical terms and concepts understandable to members of the community, regardless of language, disabilities, or level of education.
• The headings for your Evidence-Based Population Health Improvement Plan should be the following:
  • Data Evaluation.
  • Meeting Community Needs.
  • Evidence.
  • Measuring Outcomes.
  • Communication Plan.

Step 1: Read the following quote by Hubert H. Humphrey, United States politician (1911-1978).

“It was once said that the moral test of government is how that government treats those who are in the dawn of life, the children; those who are in the twilight of life, the elderly; and those who are in the shadows of life, the sick, the needy, and the handicapped.”

Step 2: Post a response to the discussion board by addressing the following questions:

1. Do you agree or disagree with the Humphrey statement? Why or why not?
2. State your reasons based on your knowledge of the health care system, current research, observations in the clinical area, and personal experience.
3. Justify your responses with appropriate resources.

 

Directions:

Due to the increasing percentage of older adult clients in the U.S., it is imperative that healthcare providers assess and confront their own attitudes and perceptions toward older adults.

In your initial post, address the following:

1. Describe ageism and its impact on societal views of older adult clients.
2. Explain how ageism can influence the healthcare provisions of older adult clients.
3. As a healthcare provider, how can one best assess and confront attitudes, perceptions, behaviors, and biases toward older adults?

 4-5 pages 

APA format

A.  Select one of the following communicable diseases that has had an outbreak across international borders:

•  influenza

•  measles

•  respiratory syndrome coronavirus

•  meningococcal disease

•  HIV/AIDS

•  Ebola virus

•  hepatitis B

•  hepatitis C

•  tuberculosis

•  Zika virus
 

B.  Describe the outbreak of the disease selected in part A, including each of the following:

•  name of the disease

•  the countries involved

•  the date the outbreak was discovered

•  the dates the disease reached each involved country

1.  Analyze the epidemiological determinants and risk factors associated with the outbreak.

2.  Discuss the route of transmission of the selected disease.

3.  Discuss how an outbreak of the selected disease would impact your community at a systems level (e.g., the functioning of schools, local government, businesses, hospitals).

4.  Explain what the reporting protocol would be if an outbreak of the selected disease were to occur in your community.

5.  Discuss two strategies (e.g., patient education strategies, community education strategies) that you would recommend to prevent an outbreak of the selected disease in your community.