HCA320 Assignment Mod 1

Assignment:

Population Health Advocacy

Human trafficking, extreme poverty, preventable diseases, the opioid crisis and the lack of adequate low-income housing are a few current societal concerns worthy of social change. Nurses and healthcare leaders are in a good position to shape and influence health care policy.

Think of a cause you believe in strongly. Access the website of your elected officials either at the local, state, or federal level using the following link: https://www.usa.gov/elected-officials/ or use the website of your choice. Explore some of the issues and committees your legislators are involved in and select at least one that interest you or align with your beliefs. You may also contact your legislator’s office and speak to his or her legislative assistant by calling the U.S. Capitol switchboard operator at (202) 224-3121 for the Senate and (202) 225-3121 for the House. Legislator assistants are very knowledgeable about the legislator’s agenda and can provide a wealth of information. 

This assignment will be at least 1500 words or more. This week reflect on advocacy, collaborative partnerships with other health care practitioners and stakeholders, and the policy making process and write a paper that addresses the following:

• Describe      the policy issue, policy problem of interest or a particular bill that      your legislator has introduced
• Elaborate      on why the policy matters and what you can possibly do to strengthen the      policy? 
• Briefly      define the role you would play as an advocate for the healthcare consumer      and healthcare professionals.
• Explain      how the policy impacts the public at large or a particular      population. 
• What      stakeholders would you collaborate with to promote the cause? 

Assignment Expectations

Length: 1500-2000 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment.  Your essay must include an introduction and a conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

 Hello i need a Briefly, Good and Positive Comment for this Post.Thank you.  I need at least two references  

  

Yvonne Amune 

Week 5 discussion

COLLAPSE

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NURS 6660 Week 5 Clinical Supervision Discussion Video Transcript

           Anxiety disorders are psychiatric conditions that share characteristics of excessive fear of real or perceived imminent threat. According to Thibaut (2017), anxiety disorders are the most prevalent psychiatric disorders- accounting for 7.3% of all psychiatric disorders worldwide. Anxiety disorders are distinguished from one another by the triggers that induce the anxiety, fear, or other associated behavior and may include generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, selective mutism, separation anxiety disorder, medication/substance-induced anxiety disorder, and social phobia (American Psychiatric Disorder, 2013; Thibaut, 2017).

           A client I observed is N.B, a 15-year old male Caucasian presented to the clinic by his mother, who was concerned about his anxious behavior. The client’s mother described him as a shy person with little friends. For this reason, N.B spends most of his time playing video-games in his room. The client’s mother also revealed that N.B has always had problems meeting new people. During the interview, N.B looked uncomfortable. He could not keep eye contact and was fidgeting. N.B’s mother also revealed that he has always struggled in the presence of his peers. N.B has severally turned down his peer’s invitations to hang out and often engages in avoidance behaviors. After assessing the client, a diagnosis was made for social anxiety disorder (Social phobia) 300.23 (F40.10) (American Psychiatric Disorder, 2013).

           The DSM-5 diagnostic criteria for social anxiety disorder (Social phobia) involves marked fear or anxiety of one or more social situations where an individual is exposed to scrutiny by others- (in peer settings for children). The social situations always provoke fear or anxiety and must have been lasting for six months or more. In the given case, the client met the diagnostic criteria for social anxiety disorder.

Therapeutic Approach and perceived Effectiveness

           The most appropriate treatment for N.B is cognitive behavioral therapy (CBT). CBT is regarded as the approach with the highest level of evidence in the treatment of social anxiety disorder (Bandelow et al., 2017). CBT’s goal in treating social anxiety disorder is to enable the client to gain self-consciousness by changing maladaptive behaviors and negative thoughts that make oneself uncomfortable in social situations. In their study, Pinjarkar et al. (2015) examined the effectiveness of CBT in treating social anxiety and found a clinically significant improvement in the subject’s self-consciousness and avoidance behavior (63.79%). In another study, David et al. (2014) concluded that cognitive therapy resulted in better outcomes than wait-list in the treatment of social anxiety disorder patients (78% of the subjects did not meet avoidant personality criteria at the end of treatment). The study also showed that cognitive-behavioral therapy was more superior to expressive and art therapy in the treatment of social anxiety disorder (71%) (David et al., 2014).

Thank you for listening to me.

I look forward to hearing from you on alternate therapeutic approaches.

 

References

Bandelow, B., Michaelis, S., & Wedekind, D. (2017). Treatment of anxiety             disorders. Dialogues in Clinical Neuroscience, 19(2), 93–107.

David M., C., Anke, E., Ann, H., Freda, M., Melanie, F., Nick, G., Louise, W., & Jennifer,          W. (2014). Cognitive therapy versus exposure and applied relaxation in social   phobia: A Randomized controlled trial. Journal of Consulting and Clinical             Psychology, 74(3), 568–578.

Kaczkurkin, A. N., & Foa, E. B. (2015). Cognitive-behavioral therapy for anxiety disorders:        an update on the empirical evidence. Dialogues in Clinical Neuroscience, 17(3), 337–      346.

Pinjarkar, R. G., Sudhir, P. M., & Math, S. B. (2015). Brief cognitive behavior therapy in         patients with social anxiety disorder: A preliminary investigation. Indian Journal of       Psychological Medicine, 37(1), 20–25. https://doi.org/10.4103/0253-7176.150808

Thibaut F. (2017). Anxiety disorders: A review of current literature. Dialogues in Clinical           Neuroscience, 19(2), 87–88.

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Assigned topic: Therapeutic Approaches in Psychiatric Nursing Care

The attached article is approved by instructor and can be used to summarize and discuss.

Write a 2–3 page paper (excluding the title and reference pages) using the following criteria. 

a. Write a brief introduction of the topic and explain why it is important to mental health nursing. 

b. Cite statistics to support the significance of the topic.

c. Summarize the attached article; include key points or findings of the article.

d. Discuss how you could use the information for your practice; give specific examples.

e. Identify strengths and weaknesses of the article.

f. Discuss whether you would recommend the article to other colleagues. 

g. Write a conclusion. 

(Please follow for the attached guidelines carefully) 

CASE STUDY:  

E.J. is a nurse in an elementary school setting. Health promotion at the school-age level is a critical time when behaviors can be influenced before unhealthful patterns have become the standard. Healthy behaviors are taught and modeled by the nurse as well as the teachers in the school.

She has a diverse set of roles. She provides direct care to ill or injured students when needed. She also coordinates vision and hearing screenings, tracks immunization compliance, provides referrals, and participates in the care and planning of special needs students. She is aware that she has high rates of students with asthma and allergies, so she monitors the air quality index in her community.

QUESTION FOR THE CASE :

 

The prevention of overweight and obesity is critically important during the school-age years. Which educational interventions as a Nurse practitioner you should give to your school-age patients?

 

Then, continue to discuss the 3 topics listed below for your case:

1. Discuss appropriate interventions for adolescents suspected of having an eating disorder. Describe how they would initiate conversations with adolescents about this issue.
2. Describe the physical changes of adolescents that include natural processes of biology and genetics
3. Discuss the prevalence of violence among adolescents. Identify ways that health care practitioners can help prevent and educate adolescents about these issues.

Communication Strategies & HIPPA

Hospitals have embraced the use of health technology and electronic gadgets to improve communications among different parties. Some of the electronic strategies preferred for communication with patients include emails through electronic health record platforms, video calls, and telephone communication, among others (Mccorry & Mason, 2020). Communications conducted with patients over electronic platforms have several advantages over a patient visit to the hospital. For instance, these electronic communication strategies are preferred due to their speed and ease of operation (Anastasius, 2016). Patients can communicate with providers at all times, regardless of geographical barriers.

Furthermore, electronic communications are less expensive than office visits (Anastasius, 2016). Importantly, the use of electronic platforms produces electronic documentation of the interaction. The selection of the strategy to apply is based on the target and the message being passed. 

 The hospital has implemented numerous measures to ensure that the privacy and confidentiality of patient data are protected at all times. These measures include the installation of a secure electronic health recording system (Koontz, 2017). A secure system helps to restrict access to applications and patient health information. This electronic platform requires unique login details that protect the system from access to unauthorized parties (Akhilesh & Möller, 2019).  Staff education on patient privacy and confidentiality is also conducted regularly in the hospital. During the training sessions, nurses and other care providers are encouraged to ensure they key in the correct patient data at all points of interaction. Risk assessments are also conducted frequently to ensure patient data is not compromised. These assessments are essential in identifying potential vulnerabilities in the hospital’s security system, gaps in staff education, and other issues of concern (Koontz, 2017). 

References

Akhilesh, K. B., & Möller, D. P. (2019). Smart technologies: Scope and applications. Springer Nature.

Anastasius, M. (2016). Design, development, and integration of reliable electronic healthcare platforms. IGI Global.

Koontz, L. (2017). Information privacy in the evolving healthcare environment. Taylor & Francis.

Mccorry, L. K., & Mason, J. (2020). Communication skills for the healthcare professional enhanced Edition. Jones & Bartlett Learning.

Reply 2

Electronic communication would include methods such as email, phones, electronic health records (EHR), and telemedicine. Home health has a unique approach to using electronic communication due to the clinical setting. These nurses are not working in a medical facility with information technology readily available. Home health is defined as the “delivery of intermittent health-related services in patients’ places of residence to promote self-care and independence rather than institutionalization” (Nelson, 2014, p.154). This means that electronic communication used in the homes should be accessible and individualized for the families receiving services. 

All patients I have worked with communicate with the organization through phone calls, texts, and emails. Nurses communicate with our organization in the same way with the addition of a mobile app. To maintain patient privacy and confidentiality organizations that work with patient information follows its HIPAA policy. Health information protected under HIPAA includes patient name, social security number, telephone number, email address, street address, and any other patient identifiers. This includes the transmission of such data throughout an organization and applies to anyone involved with the use of health-related data (Edemekong, Annamaraju & Haydel, 2020). Nurses working in my organization only receive information about the patients they are treating. We have no way of accessing the patient’s not on our schedule. The medication administration record (MAR) and plan of care (POC) are sent to the family’s home in paper form for the nurses to use. In some ways, this is a great way to maintain patient privacy due to the limited accessibility of information. However, there have been instances when my patient’s information was sent to the wrong address. In addition, when nurses turn in the paper forms, we place them in a drop box at the organization’s office. Our notes are also dropped off in the same box. Respecting HIPAA would rely on the person emptying the box to ensure all the papers with patient information is taken to the proper person. Doing things this way seems like errors would happen easily. Using more electronic communication in handling patient information would make the home health setting abide by our HIPAA policy more efficiently. 

Nelson, states that a trend within home health organizations is the introduction of point-of-care devices to facilitate communication and collaboration. These devices would make “patient records available in the home when care is being provided and capture clinicians’ documentation in real-time, thereby supporting care” (2014, p. 157). I know of other home health agencies that use iPads and work phones to make this possible. Nurses on shift are given these devices to access patient information while in the home, eliminating paper records. Devices are handed in at the end of the shift to guarantee that information is only accessed by appropriate individuals and when necessary.  

References 

Edemekong, P. F., Annamaraju, P., Haydel, M. J. (2020) Health Insurance Portability and Accountability Act (HIPAA). StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK500019/ 

Nelson, R., & Staggers, N. (2014). Health Informatics: An Interprofessional Approach (2nd ed.). Mosby