1-This is a tough topic.  Here you are, a working family, you are going to school to better yourself even further and you millions of others are still faced with these decisions about health care.  When you say you pray I know you mean that literally because our daughter is in the same boat.  My husband keeps talking about wanting to retire early but he just does not understand the cost of having good health care.  I will probably be working until I am 90 because I will be afraid of Medicare and not being able to afford good care.  Wish we had better answers but we are not getting anywhere fast…that’s for sure. 

2-The most important elements of the Affordable Care Act were to get more people insured, to keep costs down and to improve overall care and outcomes.  New laws were to make affordable health insurance available to more people.  The law would provide consumers with premium tax credits that will lower costs for households that qualify.  To qualify households must have incomes between 100% and 400% of the federal poverty level. Another component was to expand the Medicaid program.  This would now cover all adults with income below 138% of the federal poverty level.  In addition, the goal was to support medical care delivery methods designed to lower costs of health care overall.

As nurses, we need to continue to be innovators and continue our work in research.  We need to focus on continuing to improve on patient safety and improving quality of care.  Nurses need to continue to be lifelong learners and meet demands of a changing society.  We must also continue to raise the bar for education with advanced degrees.  We must continue to push for more diversity in our profession to keep up with our diverse society to make patients more comfortable.  We also need to continue to bring our ideas to the table and be leaders within our organizations.  As we foster interprofessional collaboration the patients will benefit from teams working more closely together to improve patient care. 

3-The key elements of the Affordable Care Act are the following: providing national access to healthcare coverage for the entire population from birth through retirement, this will provide coverage for about 94 percent of the American people, to improve quality, affordability and fairness of health insurance coverage, to enhance healthcare efficiency, quality, diversity and values, to reduce wasteful spending, and to improve public health by expanding clinical preventive care and community investments.

The Act focuses on improving public health by investing in primary health care, especially in medically underserved communities. It also increased insurance coverage for clinical preventive services and procedures. For instance, physical examination, annual wellness visits, well child visits, immunizations, screening exams, like colonoscopy, mammograms and cervical cancer, are all covered by insurance with no cost sharing. In addition, the development of a national preventive plan and the establishment of a Prevention and Public Health Trust Fund, to fund investments in communities that will improve public health. Further investments are being made to in school-based health programs, preventive oral health care, tobacco cessation and adding prevention planning to Medicare.

Nurses are play a vital role and a an extremely important driving force in the implementation of this law. By developing innovative care models like transition of care, home care, care management, and nurse managed clinics, nurses will improve quality of care and lower health care cost.  Also, participating in research to aid in scientific evidence-based practices which improves quality, safety and patient outcome. Advanced practices nurses help increase the availability of primary care providers and provide cost effective care. Lastly, nursing leadership will be needed to implement better workflows to reduce medication errors, improve quality and care coordination, and increasing access to medical care. For these reasons and many others, nurses are of upmost importance in the implementation process of this Act.

Consider what was happening in nursing in the late 1970’s and early 1980’s with the change from diploma programs to an associate degree program. Martha Rogers believed that nursing is a separate and essential discipline and a unique field of study. She worked hard to establish nursing in higher education. Explain the importance of this shift and how it impacted nursing as a profession.

1) **********minimum 3 full pages ( not words)**************************** (cover or reference page not included) 

2)¨**********APA norms 

3)********** It will be verified by Turnitin and SafeAssign 

4) **********References from the last 5 years   

5) The points don’t be must copied in the work. It must be identified by numbers. 

For example:

1. The theories of health promotion are…………………………..

2.  Health behaviors are……………………….

____________________________________________________-

1.  Discuss various theories of health promotion, including Pender’s Health Promotion Model, The Health Belief Model, the Transtheoretical Theory and the Theory of Reasoned Action.
2.  List and discuss health behaviors for health promotion and disease prevention.
3.  Apply and discuss the principles of transcultural nursing to community health nursing.
4. Apply and discuss the basic concepts of critical theory to environmental health nursing problems.

This presentation will be checked for plagiarism

Topic: “Child abuse charges for knowingly exposing fetus to harmful substances such as tobacco, alcohol, drugs, and environmental teratogens-“

1.Define the scope ethical issue. 

2.Examine the scope of the issue as it relates to nursing and principles identified in codes of ethics. 

3.Identify at least two positions taken on this issue by scholarly experts in the ethics discipline. 

4.Explore the future for the issue as it relates to nursing practice

APA style 700 words 4 references

 Introduction to Target Community & Program Intervention Sample and Program    

REQUIRED COMPONENTS for Assignment #2: Introduction to Target Community & Program Intervention Sample and Program    

The assignment should be typed out on a word document in APA format. Each paragraph should consist of 5-6 complete sentences. The assignment should consist of 1,500- to 2,500-words (excluding references and title pages). This assignment must be completed and submitted on a Microsoft word document. 

 APA format is required. 12 font size should be used, font names that should be used are Times New Roman or Cambria (not both), normal margins (no more than 1 inch), double spaced, indentation, etc. Please include the title page that consists of your name (First and Last), Panther ID number and title of the article (APA format).In addition, include a reference page that consists of three (3) references from creditable resources.

1. Description of Target Community. Describe, succinctly, the “community” that you perceive can be targeted to meet the selected HP 2020 Objective.  Community means the target population that is within your reach and that is at risk for not meeting this HP 2020 objective.

Describe the following:

• Stated target objective from HP 2020 (Same as assignment #1 targeted objective).
• Description of your “community” at the city or county or municipality level; in other words, “who are these people?” in terms of demographics; you can typically find this demographic data from census databases or other national or local databases or information that is within the public domain.  
• You must include important epidemiological “person, place and time” information about your target community.  This includes the target population size and target population demographics.  Include local incidence and prevalence rates of health outcomes that are directly related to your chosen Healthy People 2020 health behavior.

*With regards to the “community”, I strongly recommend you target a relatively narrow segment or community.  For example, it would be advisable to choose to target the issue of underage drinking and subsequent car crashes in a target community within your county, city, town or local school district versus addressing this issue by choosing a chosen target community of your entire state. 

2.  Description of Your Health Promotion Program and Sample Size

(a) Provide detailed and specific information about your chosen “Building Your Own Health Promotion Program” intervention sample group in whom you plan on being your program participants in your eventually implemented “Building a Health Promotion Program Project”. This program intervention sample should be taken from within your chosen target community. You MUST provide a SPECIFIC INTERVENTION SAMPLE SIZE AND A SPECIFIC SAMPLE INTERVENTION LOCATION AND A SPECIFIC SAMPLE INTERVENTION START DATE AND COMPLETION DATE.  This will specify when the program’s intervention sample subjects will begin the program and begin to have activities administered to them.  This will also describe the completion date of the program.   You will eventually have specific health promotion program educational activities and components that you will develop and administer during the implementation period of your program.  If you decide to implement your program in a school or worksite or hospital or community center or place of worship or clinic within your target community then you must obtain try to obtain important descriptive statistical information and demographic information about your sample from the site manager or overseer.  For example, if you decide to implement an obesity prevention program that targets first and second graders in your city because the city or county or state statistics reveal high child obesity prevalence rates in this area, then you may choose to implement your program at a local elementary school.  Your intervention sample would be first and second grade classes in this particular elementary school.  You will seek to gather basic information about the number of first and second graders in your chosen school and also seek to gather basic demographic data about the school population if at all possible.  Try to choose an intervention sample in which you will be able to research and find and report on all of this important demographic data.  This data will be important for your “stakeholders” as well as for your program planning.

3. Proposed Program. Conclude this proposal with a brief discussion of your idea for a health promotion program plan to meet your HP 2020/2010 objective, health behavior and associated health indicator (assuming the results of your needs assessment indicate a need).  Please use three (3) sources of research supporting this type of program.