Purpose

Community health nurses practice in a variety of settings. The purpose of this paper is to describe the community setting and analyze the role of a nurse in the assigned setting. Health promotion nursing interventions and a professional nursing organization related to this role will also be examined. 

The topic for this paper is the role of a nurse in a faith community setting. 

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

· CO5: Analyze the nursing roles in providing comprehensive care in a variety of community health settings. (PO 1)

· CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO 2)

Due Date

Submit by 11:59 p.m. MT Sunday of Week 4.

Points: 200 Points

Directions

Watch the tutorial on tips for completing the Community Settings and Community Health Nursing Roles assignment.

This APA paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper. Please use the recommended APA Template linked below, which incorporates the following categories as the first level headings on your paper. APA formatting helps you to organize your paper in a professional manner and provides consistent methods for citing your sources and completing your reference page. See the documents in the APA category in Course Resources for assistance with APA formatting. The Student Success Strategies resource has great sections on writing scholarly papers and APA formatting.

1. The  community health setting for this paper must be a faith community such as a church/parish, or other congregation. 

2. Click to view and download the Community Settings APA Template (Links to an external site.)Links to an external site. to complete your paper. The template is formatted with the appropriate running head, title page, page numbers, paragraph formatting, and most of the headings. Please edit the headers and title page with your specific information. You are also encouraged to view the Week 4 assignment tutorial found at the end of the Academic Integrity Reminder.

3. Read the chapter of your textbook on the  assigned community health setting and take notes based on the outline below.

4. Locate and read at least one scholarly peer-reviewed journal article that is not assigned in the course related to a nurse’s role in health promotion in this setting. Go to the library at http:/library.chamberlain.edu (Links to an external site.)Links to an external site.. Search peer reviewed journals to find a scholarly article on this topic. The article must be less than 10 years old (less than 5 years is best).

5. Thoroughly address the following categories using the APA Template that is provided.

· Introduction (one paragraph):

o  The introduction should be interesting and capture the reader’s attention.

o  Introduce the assigned community setting 

o  Briefly identify CHN role(s) in this setting

o  Identify vulnerable population(s) served in this setting

o  Include a purpose statement

· Community Setting (two to three paragraphs)

o  Describe the assigned community setting, including vulnerable population(s) served.

o  Discuss three health services provided by the a CHN in the assigned setting.

o  Use your textbook or an outside scholarly source to address these sub-points.

· Health Promotion Nursing Intervention (two to three paragraphs) 

o  Describe in detail health promotion intervention(s) that a CHN could implement in the assigned community setting.

o  Identify people/organizations/community members this CHN role may collaborate with in health promotion interventions.

o  Utilize at least one peer-reviewed scholarly article related to a health promotion intervention.

· Professional Nursing Organization (two paragraphs)

o  Provide a detailed description of a professional nursing organization related to the assigned community setting. Search the text, your article, or the Internet for one professional organization that supports nurses in this role. If you can’t find an organization specific to this group, search the American Nurses Association (ANA) website for information on this role. Cite the organization in the body of the text with (organization name, year), and include a complete reference on the reference page.

o  Discuss one professional issue that this organization is addressing related to the assigned community setting.

· Summary (one paragraph)

The summary reiterates key points about:

o  The community setting and the CHN role(s)

o  Health promotion intervention

o  Professional organization

o  Includes a concluding statement.

· Reference Page: The reference page should start on a new page (insert a page break). All references should be cited within the body of the paper as (author or organization, year), and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the Chamberlain Guidelines for Professional Writing in the APA Folder in Program Resources for examples of properly formatted references.

Guidelines

The setting for this paper must be a faith community.

· Application: Use Microsoft Word 2010™ or later to create this assignment on the template provided.

· We highly recommend that you used the specific APA paper template for this assignment linked above as the headings are already included.

· Scholarly Writing: APA format is required. Review APA documents in Program Resources, and use the free resources of tutor.com for writing tutors.

· Length: This paper is expected to be no more than 4 pages in length (not including the title page and reference list).

· Quotations should be minimal—please paraphrase your sources. A maximum of one quotation should be used for this paper.

· Save your paper with your last name in the document title (e.g., Smith Community Settings).

· Submission: Submit your paper by 11:59 p.m. MT Sunday of Week 4.

· Late Submission: See the course policy on late submissions.

Best Practices in Preparing the Paper

The following are best practices in preparing this project.

· Follow the guidelines above carefully.

· Use only the assigned community setting.

· Complete you own work.

· Use the provided APA assignment specific template.

· Ask you instructor if you have any questions.

· Visit the SSPRNBSN Student Success resource for help with writing a scholarly paper, APA formatting, and library navigation. This should be one of your course tiles.

· Use the 1st column of the grading rubric to make sure all elements of the paper are addressed.

· Cite all sources within the paper as well as on the reference page.

· Proofread prior to final submission.

· Check for spelling and grammar errors prior to final submission with Grammarly.com or the free tutor available through the Tutoring link in the course.

**Academic Integrity Reminder**

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Assess current economic trends that influence the cost, quality, and access to healthcare

  1. Suggest at least one (1) method by which capitation rates are set for health maintenance organizations in Medicare. Provide one (1) example of an HMO with these types of set rates in order to support your response.
  2. Compare the primary available economic resources that health insurance payers may use to monitor, assess, and regulate health care providers’ behavior. Evaluate the degree to which alternative provider payment methods (e.g., capitation, pay for performance, etc.) impact HMO economic and business performance. Provide one (1) example of such a type of method to support your response.
  1. Examine the Aging Population and Non-employment and describe their short- and long-term impact on promoting the competitive market model in the healthcare environment.
  2. Evaluate the fundamental reasons why price and utilization economic factors in the healthcare setting influence competitive market status in regard to supply and demand for health care services. Provide at least one (1) example of such factors to support your response.
  1. Take a position on whether or not monopolistic competition works within a healthcare setting. Support for your position should include a discussion of the monopoly model being used to predict the allocation of resources in healthcare markets within preferred provider organizations.

Describe the key features of the Educational theoretical framework/model. What are its major components?

Identify specific research approaches appropriate for use with the educational theoretical model or framework and how it fits with your intended project. ( intended project  for this assignment is ”does the use of antiseptic barrier caps compare with the use of manual alcohol swabs in the prevention of central line infections in adult hospitalized students”)

o Does the model lend itself to quantitative or qualitative methods or both?

o What kind of quantitative/qualitative methods would be most appropriate? (Focus groups, interviews, pre/post-tests, record review, survey, etc.)

· Describe how the theoretical framework might be used to evaluate the program/project and critique how well the model fits the program or project.

o What aspects of the model works well and what aspects do not?

Why? 

Please write two pages. Plus reference. please provide turn in score too.

250-300 words due thursday by 11:59pm use correct citations
 
A cost-benefit analysis (CBA) and cost-effective analysis (CEA) provide valuable information for individuals responsible for financial planning. These tools are also helpful in health care organizations. The principles of CBA and CEA can also be applied to your personal financial decisions.
To prepare for this Discussion, complete the readings in your Learning Resources. Think of a project or program (e.g. creating a new geriatric health center, purchasing a piece of expensive diagnostic equipment, or adding an employee benefit) in a health care setting. Identify all of the primary and secondary benefits of the program. Also identify the direct and indirect costs.
By Day 4
Post a comprehensive response to the following:

Provide a brief description of the project or program you selected.
Highlight the primary and secondary benefits of this project. Briefly explain the direct and indirect costs. Are there costs that cannot be quantified? Are there any benefits that cannot be quantified? Why?
As a decision maker, how would you use the CBA and CEA for this project?

Be sure to support your work with specific citations from this week’s Learning Resources and/or additional scholarly sources as appropriate. Your citations must be in APA format. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct.
______________________________________
resources
 
Introduction to Health Care Economics & Financial Management

Chapter 7, “Cost Allocation and Cost-Finding”In their operating expense budgets, many health care settings budget and report indirect costs generated by departments that provide direct services. This chapter presents an overview of the allocation of indirect costs. The concepts of cost allocation and cost-finding are explained with examples from health care settings.
Chapter 8, “Break-Even Analysis”The break-even analysis calculates how much one should charge or how many patients must be seen to cover the cost of doing business in health care. This chapter addresses these factors and includes the calculation and application of the contribution margin as well as the importance of indirect and overhead costs.
 
Chapter 9, “Cost-Benefit Analysis and Cost-Effectiveness Analysis”Cost-benefit and cost-effectiveness analyses are the focus of this chapter. This chapter will explain how you evaluate the benefits and resources used between two or more alternative interventions.

 
Optional Resources
Kee, J. E. (1999). At what price? Benefit-cost analysis and cost-effectiveness analysis in program evaluation. The Evaluation Exchange, 5(2 & 3), 4–5. Retrieved from http://www.hfrp.org/evaluation/the-evaluation-exchange/issue-archive/methodology-15/at-what-price-benefit-cost-analysis-and-cost-effectiveness-analysis-in-program-evaluation
Hutton, G. & Reyfuess, E. (2006). Guidelines for conducting a cost-benefit analysis of household energy and health interventions. World Health Organization. Retrieved from https://extranet.who.int/iris/restricted/bitstream/10665/43570/1/9789241594813_eng.pdf
Centers for Disease Control and Prevention. (n.d.). Cost benefit analysis. Retrieved from http://www.cdc.gov/owcd/eet/cba/PrintAll.html

Evaluate information used to make public health decisionsInstructions:Answer the following questions concerning the role of assessment of public health: 4 pages APA styles1. Define public/community health. How does this differ from personal health?2. What are the benefits of public health assessments? What are the disadvantages, if any? Give an example of a potential conflict within the community that could arise as a result of public health assessments. How can public health advocates and policy makers prevent and/or manage such a conflict?3. How can public health assessments be used to form public policy?4. Choose one health concern and cite legislation that has been passed to address this concern. Discuss how this legislation has affected or could affect your community. You may choose one of the following or one of your own choosing:? Smoking in public places? Accessibility for physically handicapped populations? Legalization of marijuana for medicinal purposes? Youth violence? Domestic violence? Child abuse? Elder abuseList and discuss at least three health consequences of obesity.? Explain why youth violence is a health issue and discuss risk and protective factors relating to youth violence.? List and discuss at least three health issues that affect special populations and what specific population might be at high risk of the health issue.? Discuss the term meeting people where they are and why it is particularly important in successful intervention among special populations.Assignment RequirementsPoints possiblePoints earned by studentDefine public/community health.8Explain the benefits and disadvantages of public health.10Provide an example of a potential conflict within the community that could arise as a result of public health assessments. Explain how public health advocates and policy makers can prevent and/or manage such a conflict.14Explain how public health assessments can be used to form public policy.14Choose one health concern and cite legislation that has been passed to address this concern.14Discuss how this legislation has affected or could affect your community.14Includes at least 3 academic sources. (2 points each)6Total (Sum of points earned)80The Proposal is written in the most current version of APA format with no grammatical, spelling, copyright, plagiarism, or proofreading errors.Points deducted for spelling, grammar, and/or APA errors.

A woman went to the emergency room for severe abdominal cramping. She was diagnosed with diverticulitis; however, as a precaution, the doctor ordered a CAT scan. The CAT scan revealed a growth on the pancreas, which turned out to be pancreatic cancer—the real cause of the cramping.
Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time-consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.

In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

Abdominal Assessment

SUBJECTIVE:

  • CC: “My stomach hurts, I have diarrhea and nothing seems to help.”
  • HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.
  • PMH: HTN, Diabetes, hx of GI bleed 4 years ago
  • Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs
  • Allergies: NKDA
  • FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD
  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

OBJECTIVE:

  • VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Skin: Intact without lesions, no urticaria
  • Abd: soft, hyperctive bowel sounds, pos pain in the LLQ
  • Diagnostics: None

ASSESSMENT:

  • Left lower quadrant pain
  • Gastroenteritis
  • PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To prepare:

With regard to the SOAP note case study provided:

  • Review this week’s Learning Resources, and consider the insights they provide about the case study.
  • Consider what history would be necessary to collect from the patient in the case study.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

To complete:

  1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  2. Analyze the objective portion of the note. List additional information that should be included in the documentation.
  3. Is the assessment supported by the subjective and objective information? Why or Why not?
  4. What diagnostic tests would be appropriate for this case and how would the results be used to make a diagnosis?
  5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.

Learning Objectives

Students will:
  • Develop effective documentation skills for group therapy sessions *
  • Develop diagnoses for clients receiving group psychotherapy *
  • Evaluate the efficacy of cognitive behavioral therapy for groups *
  • Analyze legal and ethical implications of counseling clients with psychiatric disorders *

Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.

Then, in your Practicum Journal, address the following:

  • Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.
  • Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
  • Using the DSM-5, explain and justify your diagnosis for each client.
  • Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach.
  • Explain any legal and/or ethical implications related to counseling each client.
  • Support your approach with evidence-based literature.gnment 1: Practicum – Week 8 Journal Entry

Learning Objectives

Students will:
  • Develop effective documentation skills for group therapy sessions *
  • Develop diagnoses for clients receiving group psychotherapy *
  • Evaluate the efficacy of cognitive behavioral therapy for groups *
  • Analyze legal and ethical implications of counseling clients with psychiatric disorders *

*The Assignment related to this Learning Objective is introduced this week and submitted in Week 10.

Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.

Then, in your Practicum Journal, address the following:

  • Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.
  • Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
  • Using the DSM-5, explain and justify your diagnosis for each client.
  • Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach.
  • Explain any legal and/or ethical implications related to counseling each client.
  • Support your approach with evidence-based literature.

Write for your organization a 3–5-page impact report regarding the health concerns of a new immigrant population. Describe the population’s health concerns and issues, explain current pharmacological treatments, and explain how culture and traditional practices may affect use of pharmacology. Identify evidence-based strategies for the organization and nursing staff to use to educate the population and promote health and wellness.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Apply practice guidelines and standards of evidence-based practice related to pharmacology for safe and effective nursing practice.       
    • (IMPORTANT) -Describe current pharmacological treatment regimens for the health concerns and issues of a population.
  • Competency 2: Explain the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology and psychopharmacology.       
    • (IMPORTANT) -Explain traditional beliefs and practices of a population with regard to health concerns and issues.
    • (IMPORTANT) -Explain how the cultural values and traditional practices of a population affect the acceptance and use of pharmacology.
  • Competency 3: Apply the principles and practices of cultural competence with regard to pharmacological interventions.       
    • (IMPORTANT) -Identify evidence-based, culturally sensitive strategies an organization can use to educate a population about the appropriate use of pharmacology.
    • (IMPORTANT) -Identify evidence-based, culturally sensitive strategies nurses can use with a population to promote health and wellness.
  • Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.       
    • (IMPORTANT) -Describe the health concerns and issues for a specific population.
    • (IMPORTANT) -Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
    • (IMPORTANT) -Correctly format citations and references using current APA style. 

Assessment Instructions 

Imagine the county health department notifies your organization that a large number of immigrants are expected to be resettled in your area. The organization, wanting to be prepared to handle any health concerns of the population, tasks each department with readying for the influx of immigrants. Your supervisor asks you to prepare an impact report on the pharmacological needs of the population that can be shared with other departments.

Preparation

Complete the following as you prepare for your impact report:

  1. Choose one of the global areas below as the area from which the population will be coming.      
    • Sub-Saharan Africa.
    • India.
    • China.
    • Dominican Republic.
    • Guatemala.
    • Jamaica.
    • Bangladesh.
    • Saudi Arabia.
    • Pakistan.
    • Mexico.
  2. Research the most common health concerns and issues for immigrants from your chosen global area, the pharmacological treatments that will likely be prescribed, and any cultural values or traditional practices that may impact patient outcomes.

Requirements

Once you have identified the population you will be using for this assessment, include the following in your impact report:

  • Describe the health concerns and issues for the population.
  • Describe current pharmacological treatment regimens for the main health concerns and issues.
  • Explain any traditional beliefs and practices associated with the health concerns and issues. Does the population engage in culturally based methods of treating the health concern?
  • Explain how cultural values and traditional practices might affect acceptance and use of prescribed pharmacological treatments. Be sure to consider the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology.
  • Identify evidence-based, culturally sensitive strategies the organization can use to educate the population about the correct use of the pharmacology treatments.
  • Identify evidence-based, culturally sensitive strategies the nursing staff can employ with the population to promote health and wellness.

Write this assessment as an impact report formatted as other reports of a similar nature in your organization or an organization with which you are familiar. Include a title page and reference page and follow APA guidelines for your in-text citations and references.

Additional Requirements

  • Number of pages: 3–5
  • At least 3 current scholarly or professional resources.
  • Times New Roman font, 12 point, double-spaced font

1)     Assign CPT code(s) and appropriate modifiers to each statement.

The physician performed a complex repair during resection of the diaphragm and closed the residual defect with synthetic graft material.

2)      Mediastinotomy to remove foreign body using transthoracic approach, including median sternotomy.

3)      Patient underwent repair, laceration of diaphragm.

4)      Physician inserted a mediastinoscope through an incision in the sternal notch and performed a mediastinal lymph node biopsy.

5)      Physician  repaired an acute traumatic diaphragmatic hernia. 

    Patient underwent alveoloplasty to remove sharp areas or undercuts of alveolar bone, one quadrant.

      Surgeon used a scalpel to slice off a cancerous portion of the vermillion border of the patient’s lip: mucosal advancement was performed after excision.

      Surgeon made an incision through submucosal tissue and removed a lesion in the vestibule of the mouth. Wound repair was not required.

      Patient underwent simple incision of the lingual frenum to free the tongue.

      Patient underwent incision in the parotid gland to remove calcified stone.

    Surgeon repaired a tear at the pharyngeal esophageal junction.

      Physician drained and abscess near the tonsil.

     Surgeon removed an 8 year old patient’s tonsils and adenoids.

      Physician controlled secondary oropharyngeal hemorrhaging, status post tonsillectomy, by using cellulose sponges that expanded when placed in the tonsillar cavity.

  Physician performed a tonsillectomy on a 12 year old male patient.

    Physician inserted a flexible esophagoscope into the esophagus and destroyed a lesion, using snare technique.

   Surgeon made an incision in the left posterior chest wall into the esophagus to remove a foreign body from the esophagus.

  Physician inserted a balloon endoscopically for tamponade of bleeding esophageal varices.

    Dr. Smith performed a partial cervical esophagectomy while Dr. Jones performed a jejunum transfer with microvascular anastomosis.

   The physyician passed an endoscope through the patient’s mouth and visualized the entire esophagus, stomach, duodenum, and jejunum. One lesion was removed using biopsy forceps. Another was remove using snare.

      Patient underwent incision of the pyloric muscle.

      The physician performed an open revision of a previously performed gastric restrictive procedure and reversed the previously partitioned stomach to restore normal gastrointestinal continuity.

    Using fluoroscopic guidance, the physician repositioned a gastric feeding tube through the duodenum.

   The physician performed a laparoscopic surgical gastric restrictive procedure with gastric bypass and roux-en-Y gastroenterostomy.

 The physician percutaneously place a gastrostomy tube into the stomach under fluoroscopic guidance including contrast injection(s), image documentation. 

 Marketing and the Health Care System

Select a health care provided with which you are familiar and write a four to six (4-6) page paper in which you:

  1. Determine the direct impact of marketing for the health care provider you selected.
  2. Outline a strategy for the health care provider you selected to determine the utilization of its products or services.
  3. Outline a marketing strategy for the health care provider you selected.
  4. Recommend at least three (3) separate ways the health care provider you selected could shape the buying decisions of its customers.
  5. Provide at least three (3) qualified sources, e.g., peer-reviewed journals, professional organization Website, or health care provider Websites.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Describe the health care system and the role of marketing.
  • Analyze the competitive environment of a health services organization and identify a course of action that will allow for strategic marketing success.
  • Use technology and information resources to research issues in health services marketing.
  • Write clearly and concisely about health services marketing using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic/organization of the paper, and language and writing skills.