For this assignment, please review the Case Scenario on page 112 and Case Scenario 1 on page 131 (Kersey-Matusiak, 2019). Reflect on your attitudes, beliefs, and practices as they apply to each case scenario. This assignment requires you to address your personal feelings about culturally and linguistically appropriate service and care for the terminally ill. Remember, answer these questions from your unique perspective, so there is no right or wrong response. You must address each problem.

For this assignment, create a 1250-1500-word essay based on the following case studies.

Read the following two Case Studies and answer the questions presented below.

1. Case Scenario: Mrs. Garcia is located in Chapter 6 on page 112.

Questions:

• Where are you on the Cultural Competency Staircase regarding this patient’s language and culture? How will you progress to the next level? (Review Chapter 1 and the Staircase Model in Kersey-Matusiak textbook).
• What knowledge do you need to have about this patient, including cultural/language needs, to provide this patient with culturally sensitive care?
• What would you personally do to address the needs of this patient?
• What resources do you need, and how would you obtain them?
• What cultural assessment model would you plan to use to assess this patient?
   

1. Case Scenario 1: Ms. Vera Talsford located in Chapter 7 page 131

Questions:

• Have you considered the significance of your death?
• Do you believe in life after death?
• Where are you on the Cultural Competency Staircase when caring for patients who are terminally ill? How will you progress to the next level?
• How comfortable are you caring for this patient and discussing issues related to her and her family’s death and dying process?
• What cultural information about the patient will you need to obtain culturally sensitive care during the EOL?
• What kinds of psychological, emotional, and spiritual support would you need if given a similar diagnosis?

Assignment Expectations

Length: 1250–1500 words; answers must thoroughly address the questions clearly and concisely.

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment. include brief introduction of the 2 case scenarios. include conclusion. summary of the 2 case scenarios.

References: Use the appropriate APA style in-text citations and references for all resources to answer the questions. Include at least three (3) scholarly sources to support your claims. Reference within 5 years from 2017.

Select a global health issue affecting the international health community. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues. 

Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.

Epidemiological surveillance data can be used to guide public health interventions, support funding, develop policy, and educate the community and specific populations in order to decrease burden. The purpose of this assignment it to analyze, interpret, and disseminate Morbidity and Mortality Weekly Report (MMWR) surveillance data to both technical and nontechnical audiences, and provide recommendations for public health action for a selected disease or heath issue using audience-appropriate language and information.

Select a MMWR health issue published within the past 5-10 years to disseminate data to a technical and nontechnical audience.  Select a technical audience, such as public health practitioners, clinicians and other health care providers, policymakers and other decision makers, and a nontechnical community group or target population. Provide the reason for the dissemination from the following, be specific, and provide details tailored to your data and health issue:

1. Educate about recent findings or accomplishments.
2. Elicit immediate action.
3. Solicit support or participation.
4. Justify program/prevention activities.
5. Prepare for an upcoming intervention or program.
6. Provide rationale to develop new policy or support current policy.

For the technical audience, create a PowerPoint presentation (10-13 slides)  to disseminate surveillance data from the MMWR report for a selected purpose using the slide headings outlined below. Include speaker notes for each slide. For your final slide, develop an educational “fact sheet” about the issue that is appropriate for a nontechnical community group or target population.

Add two additional slides for the Title and References slides.

Refer to Morbidity and Mortality Weekly Report (MMWR), “Introduction to Public Health Surveillance,” and “Data Dissemination” to assist you in completing this assignment.

PowerPoint Headings

1. Title Page: Include your health issue topic which identifies a specific technical and nontechnical audience and group member names.
2. Audience Appropriate Data Dissemination (1-2 slides): Explain the importance audience appropriate messages for data dissemination. Identify your health issue, technical and nontechnical audiences, and the reason for the dissemination
3. Data Collection (1-2 slides): Identify and describe a MMWR for a health issue and the data collection timeframe and methods.
4. Data Analysis (1-2 slides): Summarize the data and document the magnitude of the health issue using descriptive statistics (person, place, time), rates, include tables, graphs, maps, or charts.
5. Data Interpretation (1-2 slides): Summarize the report results and provide the implications for public health practice.
6. Recommendations for Action (1-2 slides): Provide recommendations or support for policy, policy development, funding for screening or implementation of an intervention or program to address the health issue. Include the factors (e.g., unique behaviors, exposures, or environmental factors) that contribute to the health issue that will be addressed.
7. Fact Sheet: Data Dissemination to a Nontechnical Audience (1 slide): On the last slide of your presentation, create an audience appropriate fact sheet that explains and brings awareness to the health issue and the steps in addressing/mitigating the health issue for a community group or population. Include both text and photos, images, or illustrations to make it eye catching and compelling.
8. Conclusion (1 slide)
9. References page

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and public health content.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MPH 2.1; MSN Public Health Nursing 6.2

Apply epidemiological methods to the breadth of settings and situations in public health practice.

Current Scenario of Health Insurance Plans

Currently, in the United States, an individual is not required to  purchase a health insurance plan. However, according to Section 1501 of  the PPACA, beginning in 2014, “Individuals will be required to maintain  minimum essential coverage beginning in 2014. Failure to maintain  coverage will result in a penalty of $95 in 2014, $350 in 2015, $750 in  2016 and indexed thereafter.”

Currently, employers are not required to provide health insurance  coverage to their employees. However, in 2014, the employers’  responsibility in health insurance coverage will change, according to  the PPACA. This is the latest update in a long line of US health care  reform efforts.

Using South University Online Library or the Internet, search on the  topic of latest health care reforms. On the basis of your research and  your understanding of the topic, answer the following questions:

• Track the progress of health care reform efforts in the US history  starting with the early 1900s detailing the role of Presidents’  attempting to pass health care reform.
• Give your views on the AALL’s efforts to pass National Health Reform.
• What are the issues of culture, politics, and special interests in  the United States that have made health care reform difficult to  achieve?
• Of these three issues, which issue do you find to be the most difficult to overcome? Why?
• What is path dependency? What has this been an issue in health reform? How can the power of inertia be overcome?
• What are the advantages and disadvantages of PPACA that was passed in 2010?

As adolescents separate from their parents and gain a sense of control, sometimes they are unable to balance stresses. As a result, depression may occur, and, at times, suicide may be the outcome. Choose the topic of either adolescent depression or adolescent suicide. Discuss contributing factors and signs and symptoms that may be observed or assessed in these clients. Describe primary, secondary, and tertiary methods of health prevention for this topic. Research community and state resources and describe at least two of these for your chosen topic. What nursing interventions could you use to assist an adolescent you suspect is depressed beyond referring the adolescent to a state or community resource?