Assignment: Vulnerable Population Assessment

Assignment: Vulnerable Population Assessment

Milestone 2: Caring for Populations Vulnerable Population Assessment Guidelines

Purpose

The purpose of this paper is to identify and assess an aggregate or vulnerable population in your community. You will also describe one community health problem that impacts this group. This problem must be one that a community health nurse could positively impact.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO2: Assess the health needs of individuals, families, aggregates, and communities using demographic and epidemiological data to identify population health risks. (PO 4)

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

 

Points: 225 points

Rubric

Click to view and download the NR443 Milestone 2: Caring for Vulnerable Populations Rubric (Links to an external site.)Links to an external site..

Directions

Watch the Milestone 2 tutorial at http://www.brainshark.com/devry/Milestone2_2016 (Links to an external site.)Links to an external site.

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 categories described below as the first level headings on your paper (note: the introduction does not carry a heading of “introduction,” instead the title of the paper is repeated and centered at the top of the second page in plain text). APA formatting helps you to format your paper in a professional manner and provides consistent methods for citing your sources within the paper and providing the complete reference on the reference page. See the APA resources for assistance with APA formatting. There is an APA template that you can use to type on and this will help with APA formatting. The SSPRNBSN Student Success Strategies resource has a module on writing scholarly papers and APA formatting. You may access SSPRNBSN by finding its tile in your dashboard, or clicking on the link in your course list. Assignment: Vulnerable Population Assessment

Based on your community assessment, including your windshield survey and the assessment information from your discussions, identify one aggregate or vulnerable population in your community that faces a community health problem. See units five (5) and six (6) in Nies and McEwen (2015) for examples of vulnerable populations and aggregates. Your community must be the area where you live or work.

Introduction (one paragraph): The introduction should be interesting and capture the reader’s attention.

Provide a brief description of your community including the city name and state and key features.

Briefly introduce one aggregate or vulnerable population that you identified in your assessment.

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Discuss the purpose of your paper. The purpose statement of the paper should relate to assessing this vulnerable population in your community.

Note: the introduction does not carry a heading of “introduction,” instead; the title of the paper is repeated and centered at the top of the second page in plain text.

Vulnerable Population Overview (one to two paragraphs):

Describe one aggregate or vulnerable group in your community in greater detail.

Include your observations about this group from the windshield survey.

Discuss events or trends that have affected this vulnerable group such as economic conditions, trends in health related behaviors or disease rates, etc.

Strengths, Risk Factors, and/or Barriers (two to three paragraphs):

Discuss the strengths, risk factors, and/or barriers that impact this vulnerable population’s health.

Include support from at least one scholarly peer-reviewed journal article in this discussion. Go to the Chamberlain 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 that discuss the strengths, risk factors, and/or barriers faced by this vulnerable group. Summarize what you learned from this article and cite the source in the text and reference page (Author, year). For this section, you must choose at least one scholarly article from a peer-reviewed journal. The article must be less than 10 years old (less than 5 years is best). You may include and cite your textbook or other scholarly sources as well, but they do not count as the scholarly journal article. Assignment: Vulnerable Population Assessment

Please do not include more than two short quotations, at the most. You will need to summarize and analyze the information from the article in your own words.

Community Resources (one to two paragraphs):

Search your local public health department website, the internet, the local newspaper and/or telephone book for health resources available in your community for this vulnerable group.

Briefly describe the resources in your community that are available for this group.

Are these resources adequate? If so, why? If not, discuss gaps in services that you identified.

Community Health Problem Diagnosis (one to two paragraphs):

Based on your assessment and the Healthy People 2020 objectives, identify and discuss one priority community health problem that a community health nurse could positively impact. Examples include an increase in teen pregnancies, prevalence of cancer, high incidence of tobacco use, above average infant mortality etc. The problem must relate to the aggregate or vulnerable population you identified.

Go to the Healthy People topic areas at http://www.healthypeople.gov/2020/topics-objectives (Links to an external site.)Links to an external site.. Find a topic area that relates to your aggregate or vulnerable population. Click on the topic area and then click on the green “Objectives” tab. Find and state the Healthy People 2020 specific numbered objective (not just a goal) that describes your problem (ex. for teen pregnancy, the topic area Family Planning is relevant, click the green objectives tab and you might choose FP-8.1 “Reduce pregnancies among adolescent females aged 15 to 17 years” (US Department of Health and Human Services: Healthy People 2020, 2016, Objectives: Family Planning, para 8).

Summary (one paragraph):

Summarize important points from the body of your paper including the aggregate or vulnerable group you identified and key factors that you discussed above that affect the health of this group.

Include a statement about the priority problem you identified.

End with 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, 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 APA Guidelines in Course Resources for examples of properly formatted references.

Guidelines

Application: Use Microsoft Word 2010™ or later to create this assignment.

Scholarly Writing: APA format is required. Review the APA resources and take advantage of the free tutorial resources.

Use the categories above as APA headings for the sections of your paper.

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 two short quotations should be used for this paper.

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

Save your paper with your last name in the document title (e.g., Smith Vulnerable Population Assessment). Assignment: Vulnerable Population Assessment

NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet

Assignment: Agenda Comparison Grid

Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief

Healthcare may appear to you to be a national topic of debate among political leaders for as long as you can remember.

Healthcare has been a policy issue and a source of contention not only recently, but since the administration of the second President of the United States, John Adams. In 1798, Adams signed legislation requiring sailors to set aside 20 cents per month of their pay to cover medical expenses. This was the first major piece of healthcare legislation in the United States, and the topic of healthcare has been woven into presidential agendas and political debates ever since. NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet 

As a healthcare professional, you may be asked to provide expertise, guidance, and/or opinions on healthcare issues that are being debated for inclusion in new

policy. You may also be involved in the development of new organizational policies and responses to legislative changes. For all of these reasons, you should be prepared to discuss national healthcare issues that are making headlines.

You will examine recent presidential healthcare agendas in this Assignment. You will also create a fact sheet to communicate the significance of a healthcare issue and the impact of recent or proposed policy on this issue.

To Prepare:

Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations. NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet

Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.

Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.

Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.

The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:

Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.

Describe the administrative agenda focus related to the issue you selected.

Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.

Explain how each of the presidential administrations approached the issue.

(A draft of Part 1: Agenda Comparison Grid should be posted to the Module 1 Discussion Board by Day 3 of Week 1.) NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet

Agenda Comparison Grid Assignment Template for Part 1 and Part 2

Different presidents have different agendas on health care issues and concerns when they are elected into the Oval Office. These concerns become presidential agendas because of their effects on public health and individual’s wellbeing. The opioid crisis remains a national public health concern with presidents making it part of their presidential agendas and seeking Americans’ support to tackle it. Positioning the opioid crisis as a presidential agenda is essential in getting solutions to issue because of its devastating effects on health outcomes and quality of life (Robeznieks, 2021). The essence of this comparison grid is to compare how current and previous administrations have handled the Opioid crisis. The paper in its three parts discusses the concern and offers analysis and a brief its significance and the role of nurses in setting agenda for healthcare issues. Use this Agenda Comparison Grid to document information about the population health/healthcare issue you selected

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Part 1: Agenda Comparison Grid

Identify the Population Health concern you selected.	The population health issue selected is the Opioid Crisis and Overdose.
Describe the Population Health concern you selected.	Opioid abuse or addiction occurs due to the use of prescription drugs, non-prescription drugs and outlawed substances or illegal drugs. The Center for Disease Control and Prevent asserts that the epidemic leads to catastrophic impacts on individuals, neighborhoods and communities. These effects include substance use disorder, mental health issues and mortality that may happen due to overdosing of the drugs. For instance, in 2016 Opioid overdose caused over 46,000 deaths. Recent statistics show that close to 90,000 overdose fatalities occurred between 2019 and 2020 President Trump declared the opioid crisis a public health emergency. The National Institute of Health (NIH) asserts that the crisis costs the economy over $78 billion each year due to expenses related to treatment, healthcare costs, criminal involvement and rehabilitation as well as time lost by the most affected individuals. Federal departments and agencies have dedicated resources and strategies to tackle the epidemic. The Department of Health and Human Services (DHHS) launched a 5-point strategy focused on empowering communities to tackle the opioid epidemic with the aim of reducing morbidity and mortality.
Administration (President Name)	Current President  President Joe Biden	Previous Present  President Donald Trump	Previous President  President Barack Obama
Explain how each of the two presidential administrations approached the issue.	The current Biden administration focuses on ensuring that people have access to high quality health care that comprises of substance use disorder treatment and mental health services. Through efforts to expand insurance coverage under the Affordable Care Act or Obamacare, the Biden administration is keen on expanding Medicaid for mental health and substance use disorder services (Robeznieks, 2021). The administration has also boosted access to overdose treatment and prevention	President Trump make efforts to tackle the problem by increasing border patrols through his agenda of building a wall on the border with Mexico to control the trafficking of drugs. The seizure of heroin and trafficking arrests that doubled between 2007 and 2017 are some of the continual efforts by the president Trump to deal with the crisis.  Efforts by the administration also include introduction of new limits on opioid prescriptions through the Center for Disease Control and Prevention (CDC) guidelines (Frank & Haffjee, 2019). Under his administration, the Drug Enforcement Agency (DEA) introduced pharmaceutical companies to minimize their production of certain opioids like morphine and fentanyl. The Justice Department also ramped up its efforts to prosecute those involved in trafficking and over prescription of drugs. It is important to note that the Trump Administration declared the opioid epidemic as a national health emergency. NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet	The Obama administration focused on efforts to create and develop programs like monitoring of prescription, drug take-back at local police stations and pharmacies within the community. The administration enhanced programs to rehabilitate and treat individuals battling actions. The rolling out of the Affordable Care Act was a critical step in enhancing access to healthcare, including mental health for millions of Americans and their families battling the opioid epidemic. Obama also signed the Bipartisan Bill to Combat Opioid Epidemic in 2016. The bill aimed at offering a multifaceted approach to dealing with the epidemic and enhancing access to effective treatment.
Identify the allocations of resources that the current and previous presidents dedicated to this issue.	The Biden administration has proposed to allocate or spend about $125 billion to tackle the crisis (Ellerbeck, 2020). The resources will focus on developing prevention programs, treatment and recovery effort.	The Trump administration allocated over $13 billion to assist law enforcement to initiate several novel initiatives to respond to the crisis. The administration made an addition allocation of 1.6 billion to 12 states and 13 counties with high drug abuse cases (Frank & Haffjee, 2019). The administration also outlined 21 billion for infrastructure and $23 billion to enhance border security, including the construction of the border wall.	The Obama administration allocated close to $28 billion to support efforts to control drug trafficking and other activities like treatment and creating awareness.
Explain how each of  the presidential administrations approached the issue.	The Biden administration’s main approach is to allocate more resources to battle the epidemic amidst the COVID-19 Pandemic. The administration is also keen restructuring the criminal justice system to ensure that no individual is jailed due to drug use alone (Ellerbeck, 2020). The administration is also keen on holding big Pharmaceuticals responsible for the over-prescription of opioids.	The main approach of the administration on the issue was to enhance border security and have stricter indictment using the Justice Department for drug dealers. The administration also enacted a Safer Prescribing Initiative to reduce opioid prescription fills by over one-third.	The primary approach to dealing with the crisis was expansion of health access through the Affordable Care Act. Enforcement efforts targeted illegal opioid supply chain, stopping physician-shopping attempts and having experts to offer guidance.

 

Part 3: Fact Sheet or Talking Points Brief

Based on the feedback that you received from your colleagues in the Discussion, revise Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis.

Then, using the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. Be sure to address the following:

Summarize why this healthcare issue is important and should be included in the agenda for legislation.

Justify the role of the nurse in agenda setting for healthcare issues. NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet

 

Important:

*******The response needs to fully integrate at least 2 outside resources and 2-3 course specific resources that fully supports the summary provided. I would recommend combining your Agenda Grid Comparison and Fact Sheet together in one document. If you upload separately, be sure to attach to the assignment link at the same time********

***Final Agenda Grid Comparison, Analysis, and Fact Sheet Required References****

Be sure to answer all the questions associated with the Agenda Comparison Grid for your final assignment:

-Identify which administrative agency would most likely be responsible for helping you address the -healthcare issue you selected.

-How does the healthcare issue get on the agenda and how does it stay there?

-Who was the entrepreneur/champion/sponsor of the healthcare issue you selected?

Setting the Agenda Program Transcript

FEMALE SPEAKER: How do you get a policymaker’s attention? It’s very simple. You develop a relationship with that person. Don’t wait until you need something. Develop the relationship early on.

[MUSIC PLAYING]

FEMALE SPEAKER: Sometimes it’s difficult to get issues on the agenda that are our issues, that might be an issue that’s of interest to a nurse, if it doesn’t align with the interests and the priorities of that elected official. So it’s really important to know what their priorities are, what their health issues are that they’re most interested in. You can usually Google their name. You can get their official bios. You can read about the committees that they serve on and the issues that matter to them. And look to see whether or not their agenda matches with yours, or if there’s a way you can leverage your issue into their agenda.

FEMALE SPEAKER: Know exactly what the congressional members have on their agenda. And you can get them online, through their local office, or through their congressional office in Washington, DC. Find out what they’re interested in. Find out how you can help them. You need to call them up, or you need to go visit the office and find out exactly what is being done.

FEMALE SPEAKER: Call up a state senator and say, I am so-and-so. I would like to meet with you. I’m a registered nurse. And I think I may have something that you might be interested to talk about.

FEMALE SPEAKER: Do the homework you need to do to get up to speed, not just on the issue and a potential solution you may be advocating, but also their background so that you can calibrate your conversation with them in ways that will resonate for them, that they’ll understand and appreciate.

FEMALE SPEAKER: It’s often helpful to have what is known as a policy entrepreneur. That’s a big word that simply says, do you have anybody who’s on your side or who’s really interested or who can continue to work with your policymaker when you’re out doing your own practice. It could be a retired legislator. It could be a current legislator, someone who’s willing to support a bill and then could perhaps introduce your bill, because only legislators can introduce bills. The president cannot, the governor cannot. That’s the purview of the General Assembly or the Congress.

FEMALE SPEAKER: People want to hear from their constituents. Ideally, you are communicating with the people who represent you. So that’s almost always the first place to start, your elected official, not the one two states over. That might be appealing, because you know their name from national news. And you certainly can communicate to them. But the voices that often matter the most, I’ve found, are the voices from local communities back home in the district or the state that that Senator or Congressman or state legislator represents. NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet

 

FEMALE SPEAKER: You have to make sure that you are in it for the long run. These kinds of political processes and policy issues may take years. So you say, oh, my gosh, are you on this forever. Sometimes it seems like it. It may take one session of two years. It may take two. It may take five sessions. But if it’s important enough to you, you need to go.

 

FEMALE SPEAKER: This particular meeting with the president was my coming over to the White House, because he’d asked me to meet with him. And he started by saying, Mary, I want to thank you for. And I did what people probably never should do and that my mother would have been very unhappy about my having done, I interrupted the President of the United States. And I did that because I thought I had something more important as a nurse to tell him than he had to tell me.

 

So I had hijacked that meeting with him. And given that feedback, very quickly went through those programs that I thought were important for him to hear about, told him the impact, speaking as quickly as I am right now to convey that message. There is information that nurses are uniquely positioned, because of our expertise and our practice, to inform the work of policymakers. And you don’t ever want to lose that opportunity to do just that, even when you’re talking to the President of the United States.

[MUSIC PLAYING]

Setting the Agenda

Additional Content Attribution

Trowell‐Harris, I. (n.d.). Various Photographs [Photograph]. Used with permission of Irene Trowell-Harris.

Wakefield, M. (n.d.). [Photograph]. Used with permission og Mary Wakefield WAL_NURS6050_NIH-SenatorDanielInouye

Official White House Photo by Pete Souza

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.