The benchmark assesses the following competency:

4.2 Communicate therapeutically with patients.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note:  The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

1. Primary Prevention/Health Promotion
2. Secondary Prevention/Screenings for a Vulnerable Population
3. Bioterrorism/Disaster
4. Environmental Issues

Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

1. After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
2. Request feedback (strengths and opportunities for improvement) from the provider.
3. Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

Community Strategic Plan: Part B, Strategic Plan 

For this assignment, you will research and prepare a community-level strategic plan that addresses a key public health issue.  

Potential topics may include:

•      Using prenatal and infancy home visits to prevent child abuse and neglect

•      Preventing falls in the elderly

•      Reducing population salt intake

•      Reducing tobacco use among adults

•      Preventing risky sexual behavior among youth and young adults

•      Reducing drug experimentation among young adults

Include the following in your paper:

• Introduction: 
  • Provide an overview of the community health issue as described in Part A with identified causes and influences, including knowledge gaps.  
  • Detail the prevalence of the issue inside and outside the United States. 
  • Describe potential monetary costs associated with the issue in the United States. 
  • You must include data as part of your introduction (images, charts, graphs, etc., may be included as well as written data).
• Describe advance practice roles and management strategies that affect change at the community level.
• Identify key community and social resources that negatively and positivelyaffect the selected issue. 
• Identify changes or enhancements in community-related services for your selected topic. 
• Develop a strategic plan that could decrease the prevalence of your selected topic.The goals for this plan needs to be specific, measurable, attainable, realistic, and time-bound. Include how your plan takes into consideration health literacy, socioeconomic factors, and cultural differences.
• Conclusion:  
  • A summary of the goals and challenges
  • An assessment of the outlook for action/progress 
• Appendix A: Include your community assessment from Week 3 as Appendix A.

Your paper should be 3–5 pages in length (not including the cover or reference pages). Use APA throughout.

Include 2–3 scholarly sources that are carefully selected and appropriate to the topic. References should be current—no more than four years old.

 THIS JOB IS BASES TO REPLY THIS-ONE PAGE THREE REFERENCES -PLEASE)

According to Reisman (2015), different studies have indicated that rates of the uninsured have significantly decreased in the country due to the Affordable Care Act (ACA). As the opinion of the Americans’ on the reform of health care increases over time, the law continues to be disruptive politically. The patient protection and affordable care act are called the ACA, which was passed without the support of the dual-party. Mendelson (2010) states that there are three reform phases in the ACA, which includes the reduction of payment that led to the lower profit margins that the organizations involved will endure. The other reform stage is the federal government’s effort to shift the risk to the providers from the government, which is moving on so quickly. The final step is the expansion of coverage, but the reform will keep on being modified over time (Mendelson, 2010).

Apart from the political association, people were anxious about the government competing and the effects of the government on the interest they have on the issue. This is no different from the health department. The main aim of the legislators is to be elected again, and they increase their chances of being supported politically. They are mostly known to be lucid and make profitable decisions when they get legislative demands. Unfortunately, their profits calculations are not the profits obtained by the community for electing or passing specific legislation. The profits are otherwise used to support the legislator politically, but when the profits are more than their costs, they tend to fund the regulation (Feldstein, 2006).

Political choices are influenced by the voter, which in the end, results in the changes in the Medicare plans. The Medicaid changes will bring an effect to the insurance and costs of the low-income earners that will depend on the response towards the organization of finance on the American Health Care Act (AHCA). Federal funds will be limited by the AHCA in the states that have passed to enlarge the Medicaid, canceling the ACA’s plans of expansion. The effect of the coverage or insurance for the adults will bring about an undulation effect on Medicare. This will end up increasing Medicare and cost-sharing also (Neuman et al., 2017).

Review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document.  Do not copy paste or use a past students work as all files submited in this course are registered and saved in turn it in program. 

 Turn it in Score must be less than 15% or will not be accepted for credit.

L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5′4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb.

Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.

Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated.

One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of microalbumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes. Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm.

Questions

1. What are the effects of controlling BP in people with diabetes?
2. What is the target BP for patients with diabetes and hypertension?
3. Which antihypertensive agents are recommended for patients with diabetes?