Please submit your field experience log for Week 2 in one Word document to this assignment. Access the Guidelines for the Field Experience Requirement page for full instructions. As seen below :

 

Guidelines for the Field Experience Requirement

You must “attend” at least 4 policy events, at least approximately 1 hour in length. Attendance of at least one of these events must be in-person.

Up to 3 of the 4 events may be online and they must have a health policy focus. Online health policy events/ webinars will be posted from which you may choose. In addition, you may identify your own online policy events, but please check with your instructor to make sure the events you choose are eligible for field hours.

In-person events must be health-related. For example, an example of in-person event would be attendance at a local board of health meeting, a local school-board meeting, a legislative hearing or meeting, a meeting by an executive branch agency that falls under your governor, a meeting by advocacy organization or special interest group, or a meetings of a political party, political group, or candidate.

General Guidelines

1. At each event, take notes, and then write up an account and analysis of each event, using the template for field experience logs (below), and the Field Experience Rubric posted on Moodle.
2. You are required to complete and post a field event report assignment every other week, in Weeks 02, 04, 06, and 08.

Field Log Guidelines

As a way of demonstrating completion of this course requirement, you must submit, in writing, field logs that detail certain aspects of the event. The template for field experience logs is below.

• Each event log should be three to five double-spaced pages of text.
• Provide only a brief summary of the event itself.
• The analysis section should be 550 to 800 words, and be the most developed component of the report. In the analysis section, you can write about the process of policy being made at this event, and/or you can write about the actual health policy issue being discussed/considered.
• Your analysis should reference at least two sources. They can be from the learning materials in this course or other sources, but should be current (within the last 3 months).
• Use APA format for citations and references.
• Examples of logs are posted on Moodle.

Template for Field Experience Logs

• The name of the event/meeting and who has sponsored it.
• Describe the steps taken in preparation for the event (beyond listening or attending the event).
• Place, date, time, and length of hearing/meeting/event.
• Topic under discussion.
• Names of participants and their titles (to the extent you can get them).
• Brief description of the testimony/meeting/event. (If more than one issue is presented, discuss a sampling of issues.)
• Analysis of the health policy issue and its implications for healthcare. Integrate course content and readings in your analysis. This section should be approximately 500 to 750 words.
• Example of field logs :

  

HP609 Field Experience Log Example One 

Field Experience Log #1

Title of Event / Sponsors: Rutland County Maternal-Child Health Coalition Tobacco Cessation in Pregnancy Meeting / Vermont Department of Health and the Rutland County Maternal-Child Health Coalition

Preparation Steps Taken: Prior meeting minutes provided by Bethany Yon, Nutritionist at the Vermont Department of Health were reviewed. Pregnancy Risk Assessment Monitoring System (PRAMS) Data from the CDC at https://www.cdc.gov/prams/tobaccoandprams.htm was also reviewed.

Place / Date / Time / Length: Rutland Area Visiting Nurses and Hospice (RAVNAH) in Rutland, Vermont / May 19, 2017 / 9:30 / 2 hours

Topic Under Discussion: Pilot project for smoking cessation program for pregnant women. Names of Participants and Their Titles: Joanne Calvi (District Director / Nursing Supervisor Vermont Department of Health), Jill Hamilton (Registered Dietician / WIC Supervisor, Vermont Department of Health), Bethany Yon (Nutritionist, Vermont Department of Health), Kathleen Romano ( RN supervisor at Rutland Women’s Health Care), Sarah Cosgrove (Respiratory Therapist, Asthma Educator, Community Health Team at Rutland Regional Medical Center), Marjanna Barber-Dubois (QI Facilitator, Community Health Improvement at Rutland Regional Medical Center), Rhonda Williams (Chronic Disease Prevention Chief, Vermont Department of Health), Allison Kurti (University of Vermont Behavioral Health), Marissa Wells (University of Vermont Behavioral Health)

Brief Description of the Testimony / Meeting / Event: Rutland Regional Medical Center’s Women’s Health Clinic is partnering with the Vermont Department of Health to focus on decreasing the rate of smoking in pregnancy. Collaboratively, they are working with area partners to complete a pilot project for an incentive based smoking cessation program, modeled off an University of Vermont based incentive program. This meeting was a review of progress to date, the plans for initial roll out of the pilot project, and the plan for provider education.

Description and Analysis of the Health Policy Issue and Its Implications for Health Care:

Many behaviors and lifestyle choices that individuals choose to take part in significantly impact their health. One such health determinant, the behavior choice to smoke, is the leading cause of preventable disease and death in the United States (Shi & Singh, 2015). Smoking is one of the 3 health behaviors that contributes to four chronic diseases, leading to 50% of deaths in Vermont (Vermont Department of Health, 2017). For women who smoke during pregnancy, there are many additional health concerns related to the impact of smoking on the pregnancy and fetus as well. Some examples of these health concerns are an increased risk for miscarriage, certain birth defects, premature births, low birth weights, and SIDS (Centers for Disease Control and Prevention, 2016).

With the continued high rate of smoking in pregnancy in Vermont, the Maternal Child Health Division of the Vermont Department of Health is focused on addressing this public health concern. Rutland Regional Medical Center was selected as a site for the smoking cessation pilot project for two reasons. First, the Rutland Women’s Health clinic has been working to create smoking cessation programs for pregnant women. Second, the smoking rate during pregnancy is the highest in the state at 29.3%, and has the third lowest smoking cessation rate during pregnancy of 11.2% (Personal Communication, Sarah Cosgrove, May 19, 2017). The grant funded pilot project is looking to provide a financial incentive to women that take part in the smoking cessation program, which includes individual and group counseling, along with urinalysis to confirm compliance with smoking cessation.

Smoking during pregnancy has many implications on health and health care. As noted above, smoking leads to many preventable health conditions. This leads to significant health care costs to treat these medical issues. Between 2000 and 2012, it has been estimated that $133 billion has been spent in health care costs associated to treating tobacco-related illnesses (American Cancer Society, 2016). Melvin, Adams, Ayadi, and Rivera (2004) reported that in 1996, $366 million was spent on neonatal healthcare costs associated to maternal smoking during pregnancy.

The public health program being implemented in this community looks to provide a multidisciplinary team of providers with the education and training they need to educate, support and empower women to make the needed behavior modifications to successfully quit smoking. In addition, they will be utilizing an incentive based program targeted to this specific, high-risk patient population. Shi & Singh (2015) identified such methods as being avenues to motivate behavioral changes in health promotion and disease prevention.

From the public health perspective, it is not the treating of the disease caused by smoking that needs the attention. It is addressing the cause of these conditions, the behavior of smoking, that needs to be the focus to achieve improvements (Harvard University School of Public Health, 2014). Shifting the focus from one of disease treatment to health promotion through primary prevention interventions is key to improving population and public health. Such primary prevention strategies include therapeutic community efforts, such as the program described above, to assists people with smoking cessation to prevent the health conditions that can result from smoking. Hopefully in the future, there will be an increase focus and implementation of such primary prevention programs to improve the health of populations and decrease the costs of healthcare across the United States.

  

References

American Cancer Society. (2016). Tobacco: The true cost of smoking. Retrieved from https://www.cancer.org/research/infographics-gallery/tobacco-related-healthcare-costs.html

Centers for Disease Control and Prevention. (2016). Tobacco use and pregnancy. Retrieved from https://www.cdc.gov/reproductivehealth/maternalinfanthealth/tobaccousepregnancy/inde x.htm

Harvard University School of Public Health. (2014). United States health policy. Retrieved from https://courses.edx.org/dashboard

Melvin, C. L., Adams, E. K., Ayadi, M. F., & Rivera, C. C. (2004). State estimates of neonatal-healthcare costs associated with maternal smoking: United States 1996. Retrieved from https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5339a2.htm

Shi, L., & Singh, D. A. (2015). Delivering health care in America: A systems approach (6th ed.).

Burlington, MA: Jones & Bartlett Learning

Vermont Department of Health. (2017). 3-4-50: Prevent Chronic Disease. Retrieved from http://www.healthvermont.gov/3-4-50

Discuss disparities related to ethnic and cultural groups relative to low birth weight infants and preterm births. Describe the impact of extremely low birth weight babies on the family and on the community (short-term and long-term, including economic considerations, on-going care considerations, and co-morbidities associated with prematurity). Identify at least one support service within your community for preterm infants and their family. Provide the link for your colleagues to view. Does the service adequately address needs of this population? Explain your answer.

Develop a 1- to 2-page case study analysis in which you:

• Explain why you think the patient presented the symptoms described. (The response accurately and thoroughly describes the patient symptoms. The response includes accurate, clear, and detailed reasons, with explanation for the symptoms supported by evidence and/or research, as appropriate, to support the explanation.)
• Identify the genes that may be associated with the development of the disease. (The response includes an accurate, complete, detailed, and specific analysis of the genes that may be associated with the development of the disease.)
• Explain the process of immunosuppression and the effect it has on body systems. (The response includes an accurate, complete, detailed, and specific explanation of the process of immunosuppression and the effect it has on body systems.)

Scenario: A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient’s roommate. The roommate states that he does not know how long the patient had been lying there. Patient received naloxone in the field and has become responsive. He complains of burning pain over his left hip and forearm. Evaluation in the ED revealed a large amount of necrotic tissue over the greater trochanter as well as the forearm. EKG demonstrated prolonged PR interval and peaked T waves. Serum potassium level 6.9 mEq/L.

*No copying or plagiarism

* APA format

Evidence Based Integration Paper 

For this project, you will take on the role of a nurse practitioner treating a patient with a chronic condition. Your patient is not completely satisfied with the treatments you’ve tried and asks about a specific alternative therapy. Unfamiliar with these sorts of therapies, you decide to do some research before making recommendation. In this case, you get to decide what condition your patient has and which intervention he or she is interested in trying. Your objective is to determine whether or not you would recommend the regular treatment either alone or in combination with alternative treatment. The paper should not be more than 4 pages excluding the title page and references. APA format is required with a professional paper.  

Nurses, of all levels of education, must be able to convey information in an articulate, 

succinct, and confident manner in a variety of clinical and academic settings. 

Discipline-specific writing promotes critical thinking, which develops the skills of 

analysis and organization. For this project, you will take on the role of a nurse 

practitioner treating a patient with a chronic condition.  Your patient is not completely 

satisfied with the treatments you’ve tried and asks about a specific alternative 

therapy.  Unfamiliar with these sorts of therapies, you decide to do some research 

before making a recommendation.  In this case, you get to decide what condition 

your patient has and which intervention he or she is interested in trying.  Your 

objective is to determine whether or not you would recommend the regular treatment 

either alone or in combination with alternative treatment.  The paper should not be 

more than four pages, excluding the title page and references. APA format is 

required with a professional paper, A paper that is judged by the faculty as very 

poorly written (such things as incomplete sentences, multiple subject/verb errors, 

unclear wording, multiple spelling errors, and/or combination of these errors) may be 

returned for revision with an automatic deduction of 25 points that cannot be 

redeemed.  Have someone proofread the paper after you have proofread—it can 

difficult to recognize your errors

Criteria Points  Grade  

1 Description of the Chronic condition (including pathophysiology and etiology).  

2 Definition of the specific treatment options, including EBP guidelines and first-line pharmacotherapy.  

3 Summary of the current research in specific alternative therapy.  This area should include specific research studies, the population description, size (n =) and the results   NEED EVIDENCE-BASED PRACTICE   

4 After reading the evidence.  What are some nonpharmacological treatment options that you would recommend?    

5 What did I learn doing this paper?    

6 On-time, APA format, correct grammar and spelling  

Reference :  

You can use MERCK manual for the clinical aspect  

All reference need to be not older than 2015 

American Psychological Association [APA]. (2010). Publication manual of the  

American Psychological Association (6th ed.). Washington, DC:  

Dunphy, L. M., Winland-Brown, J., Porter, B., & Thomas, D. (2015). Primary care: Art  

and science of advanced practice nursing.  4th ed. FA.Davis. Philadelphia, PA.  

ISBN-13: 978-0803638013  

Fenstermacher, K., & Hudson, B. T. (2019). Practice guidelines for family nurse  

practitioners (5th  ed.). Elsevier. St Louis, Ms. ISBN-10: 0323290809  

Goroll, A. H., & Mulley, A. G. (2014). Primary care medicine: office evaluation and  

management of the adult patient. 7th ed. Wolters Kluwer Health: Philadelphia, PA.  

ISBN-13: 978-1451151497   

Kennedy-Malone, L., Fletcher, K. R. & Martin-Plank, L. (2014). Advanced Practice  

Nursing in the Care of Older Adults. F.A. Davis Company. Philadelphia, PA. ISBN 

13: 978-0803624917  

Rhoads, J., & Jensen, M. M. (Eds.). (2014). Differential Diagnosis for the Advanced  

Practice Nurse. Springer Publishing Company. New York, NY. ISBN-10:  

0826110274 

Other Resources  

1. Agency for Health Care Research and Quality (October 2017). Put prevention into practice. A  

step-by-step guide to delivering clinical preventive services: A systems approach. Available at  

http://www.ahrq.gov/clinic/ppipix.htm  

2. Clinical Evidence, BMJ Publishing Group web site. Available at http://www.clinicalevidence.org  

3. Cochrane Library evidence-based web site. Available at http://www.cochrane.org/  

4. Fronske Web Portal Page. Available at http://www.myhq.com/public/f/l/flagstaff/ There is a  

wealth of access to various sites that can be found here, including evidence-based links and  

patient education links.  

5. University of California, San Diego: A Practical Guide to Clinical Medicine At  

https://meded.ucsd.edu/clinicalmed/  

6. Journal of Family Practice POEMs web site. Available at  

http://www.essentialevidenceplus.com/  

7. U.S. Preventive Services Task Force (USPSTF). Available at 

http://www.preventiveservices.ahrq.gov  

8. University of Iowa Hospital and Clinics. Virtual Hospital. Available at https://uihc.org/health 

library  

9. National Center for Complementary and Alternative Medicine. Available at  

http://www.nccam.nih.gov/  

10. Nurse Org. https://nurse.org/resources/nurse-practitioner/#-what-is-a-nurse-practitioner