Option 3: Community Empowerment

Select an issue for Community Empowerment that you have observed in your clinical setting and that you have discussed with your preceptor.  This might be a chronic health condition, a recent crisis or disaster in the community, a health-related legislative concern or something else! 

Then, answer all of the following questions:

• Describe the issue comprehensively.  Is the issue simply and easily explained by community members?
• Will the issue unite community members and involve them in the problem resolution or divide them?
• Is the issue consistent with the long-range goals of the community or clinical setting?
• How does the issue affect community or organizational resources (financial, personnel, supplies, etc)?
• Does the issue have the potential for creating new community partnerships?  Or new adversaries?  Why?
• What is your prediction for the final outcome of the issue?

Every ? must be answered. 

At least one page long. 

All APA. 

Must include at least one peer reviewed nursing journal article from 2015-2020

 READ THE INSTRUCTION VERY CLEARLY/ I SEND MY RESUME AS A REGISTER NURSE/ NOW I HAVE TO APPLY AS A FAMILY NURSE PRACTITIONER

• Resume/Cover letterA resume is a personal document whose purpose is to promote one in a positive manner. This resume will be a current true representation of you as a professional Nurse practitioner. You can focus it as if you were applying for your current position. Each section in the resume should have a heading. Design should be uniform throughout the document and power words should be included. All sections must be flawless for spelling, punctuation, grammar, truth, etc. This resume should be accompanying by a cover letter. The cover letter formally introduces you and creates a critical first impression Should be specifically tailored to a specific position and company. Use professional vocabulary and style. Highlight relevant experiences / qualities as they relate to the position.
• Cover LetterYou will find a job announcement of interest to you and write a letter of application to the job. Be sure to address the qualifications and job requirements that the employer is seeking in your letter. Market yourself to the employer by highlighting your experiences that will make you a good candidate for this job.

 Scenario: Mary and Elmer’s fifth child, Melvin, was born 6 weeks prematurely and is 1-month old. Sarah, age 13, Martin, age 12, and Wayne, age 8, attend the Amish elementary school located 1 mile from their home. Lucille, age 4, is staying with Mary’s sister and her family for a week because baby Melvin has been having respiratory problems, and their physician told the family he will need to be hospitalized if he does not get better within 2 days.

1. Choose two or three areas of prenatal care that you would want to discuss with Mary, and then write brief notes about what you know and/or need to learn about Amish values to discuss perinatal care in a way that is culturally congruent.
2. Discuss three Amish values, beliefs, or practices to consider when preparing to do prenatal education classes with Amish patients.
3.  Should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

1. Does BPH predispose this patient to cancer? 

2. Why are patients with BPH at increased risk for urinary tract infections?

 3. What would you expect the patient’s PSA level to be after surgery? 

4. What is the recommended screening guidelines and treatment for BPH?

 5. What are some alternative treatments / natural homeopathic options for treatment

APA STYLE

2 SCHOLARLY REFERENCES X EACH QUESTION

  

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.