NURS 6050 Discussion Agenda Comparison Grids

NURS 6050 Discussion Agenda Comparison Grids

Introduction

Healthcare has always been a contentious issue and will continue to be so as demand for adequate healthcare services increases. Each government owes it to its citizens to ensure their health. America provides numerous opportunities for residents to access advanced healthcare systems, but a sizable portion of the population lacks access to basic healthcare needs due to a lack of free health care. Presidents have debated incorporating opportunities for affordable healthcare into their presidential agendas over the years in an attempt to improve the lives of Americans.

Healthcare Reforms

During President George W. Bush‘s presidential period, in an attempt to reform healthcare he proposed the Medicare Act so that healthcare can be affordable and transparent allowing for easy access to prescription drugs (The White House , n.d.). He also wished-for persons to make their own determinations in healthcare by granting the chance to enroll in health savings that is tax-free for individuals to cover medical expenses (The White House , n.d.).

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The Obama administration formed the Patient Protection and Affordable Care Act by decreasing healthcare costs thus creating more opportunities for persons to seek medical attention and preventative care. With this, persons are diagnosed quickly, making the recovery rate shorter, and medical expenses reduced. The goal of this act was to also expand Medicare and Medicaid to more of it citizens providing family more coverage and benefits for all (The White House, n.d.).  Most importantly persons with affordable care act was able to seek coverage even with preexisting conditions (Anderson, 2020). Differently, I would improve upon the Medicaid program to make it less expensive, more accessible, and transparent to both patient and physician. NURS 6050 Discussion Agenda Comparison Grids

Trump’s administration decided to revoke and restructure healthcare and Obamacare by offering persons more options for healthcare as they make their own informed decision to suit their needs. President Trump also proposed to decrease the cost of prescription drugs, thus making healthcare more affordable (The White House, 2019). With this reform, I would build on the existing Obamacare Act to ensure that not only are healthcare costs reduced for the young and wealthy but most importantly the chronically ill patients or elderly.

Conclusion

As healthcare workers, our main goals are to provide care for those in need and ensuring our patients receiving the highest quality of care. Often, we find patients seeking medical care but with no insurance due to high costs. However, I seek to implement change and ensure all patients no matter social status receives the care they need.

References

Anderson, S. (2020, June 11). Obamacare: the Affordable Care Act. Retrieved from Health Insurance. Org: https://www.healthinsurance.org/obamacare/

The White House . (n.d.). The Bush Record: President Bush Strengthened America’s Health Care System. Retrieved from The White House: George W. Bush: https://georgewbush-whitehouse.archives.gov/infocus/bushrecord/factsheets/healthcare.html

The White House. (2019, October 3). President Donald J. Trump’s Healthcare Agenda Puts Seniors and American Patients First. Retrieved from The White House.

The White House. (n.d.). The Record: Improving Health for All Americans. Retrieved from The White House: President Barack Obama: https://obamawhitehouse.archives.gov/the-record/health-care

Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Template for Part 1 and Part 2

Part 1: Agenda Comparison Grid

Use this Agenda Comparison Grid to document information about the population health/healthcare issue your selected and the presidential agendas. By completing this grid, you will develop a more in depth understanding of your selected issue and how you might position it politically based on the presidential agendas.

You will use the information in the Part 1: Agenda Comparison Grid to complete the remaining Part 2 and Part 3 of your Assignment.

Identify the Population Health concern you selected.
The Opioid Crisis
Describe the Population Health concern you selected and the factors that contribute to it.

The opioid crisis has become a growing problem in the United Sates, so much so that it has gained national attention and is a constant agenda discussed by the current and previous presidents.

Factors contributing to the opioid crisis include, overuse of the opioid when prescribed and consumed illegally, pain, psychiatric disorders, prior drug addiction, social environment encouragement, etc.Administration (President Name)
(Current President)

Donald Trump
(Previous President)

Barack Obama
(Previous President)

George W. Bush
Describe the administrative agenda focus related to this issue for the current and two previous presidents.
President Trump proclaimed the opioid crisis a public health emergency. The Trump administration has implemented an initiative to stop opioid abuse by confronting the driving forces which include, reducing demand and the over prescription mentality, providing education for those struggling with addiction and cracking down on the international and domestic drug supply chains (White House, 2017). NURS 6050 Discussion Agenda Comparison Grids

Former President Obama made it clear that the heroin and opioid epidemic was a priority and requested over one billion dollars in funding to assist Americans with treatment. The Obama administration required federal departments to provide training to federal healthcare workers with plans to address the problems associated with the opioid use disorder. In addition to training first responders and others on the use of naloxone, the opioid reversal agent. NURS 6050 Discussion Agenda Comparison Grids SAMPLE
Former President Bush announced a strategy on national drug control, stating it would be the center of the nation’s agenda. Bush’s strategy included limiting drug supply while providing addicts effective and compassionate treatment. Former president Bush stated, his central focus was to find ways to reduce drug demand.
Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
The Trump administration secured 6 billion dollars in funding to aid in the fight against the opioid crisis.

The Trump administration offers resources to provide evidence-based treatment and services to help those affected by the addiction.

Provide education associated with the dangers of the ill-usage of the opioids.

Under the Obama administration the 21st Century Cures Act was proposed to combat the opioid epidemic.

Guidelines were established when prescribing opioids to ensure the safest and most effective treatment was being provided. NURS 6050 Discussion Agenda Comparison Grids SAMPLE

Expanded access to medication assisted treatment of opioid use disorders.

The Bush administration budgeted over 600 million dollars on the Safe and drug free schools and community program to ensure the message “Do Not Use Drugs” was being delivered clearly in the school systems.
Explain how each of the presidential administrations approached the issue.
The Trump administration is securing land borders, ports of entry to omit dangerous drugs from entering the U.S.

Implemented a Safer Prescribing Plan to reduce the number of opioid prescriptions

Passed the Support Act, which addresses the single drug crisis.

The Obama administration introduced the Prescription Drug Monitoring Program, which required prescribers/pharmacist to check databases prior to prescribing opioids to ensure the supply wasn’t greater than seven days. NURS 6050 Discussion Agenda Comparison Grids

Under the Obama administration it became a requirement for all health plans to offer substance use disorder benefits.

Bush was adamant that parents, faith leaders and communities do their part in educating youth early on with hopes to reduce the demand of drug supply and the amount of drug users in America. Former president Bush also sought advisement on improving national border management. NURS 6050 Discussion Agenda Comparison Grids SAMPLE

References

The White House. (September 19, 2016). Fact Sheet: Obama Administration Announces Prescription Opioid and Heroin Epidemic Awareness Week. Retrieved from: obamawhitehouse.archives.gov/the-press-office/2016/09/19/fact-sheet-obama-administration-announces-prescription-opioid-and-heroin

The White House. (October 24, 2018). President Donald J. Trump’s Initiative to Stop Opioid Abuse and Reduce Drug Supply and Demand. Retrieved from: https://www.whitehouse.gov/briefings-statements/president-donald-j-trumps-initiative-stop-opioid-abuse-reduce-drug-supply-demand-2/

U.S. Department of State. (February 12, 2002). President Bush Announces Drug Control Strategy. Retrieved from: 2001-2009.state.gov/p/inl/rls/rm/8451.htm

A….,

The opioid crisis has been an issue through the past three presidents, with each of them working on strategic plans to help reduce or eradicate the issue. However, the drug issue has only worsened. Michael Botticelli, Acting Director of the National Drug Control Policy states, “The issue touches every family and every community in one way or another” (“A Drug Policy for the 21st Century”, n.d.). Additions are devastatingly affecting our American homes, families and communities. Since December 2019, my community has lost 3 young persons to opioid overdose. This may not seem like much, but I live in a county of only 35, 000 people and each death has touched the life of someone I know or love. NURS 6050 Discussion Agenda Comparison Grids SAMPLE

In my review of your comparison grid, I thought you did an excellent job. As you probably guessed, I also chose this subject. There is an abundance of data out there on how many Americans are affected. It is broken down by age, race, sex, etc. I think that it may be beneficial for you to add some of this data to your grid. For example, in 2005, the death rate per 100,000 resident population was 10.1, in 2017 that number grew to 21.7 (“Products – Data Briefs – Number 329”, 2018). The age groups most affected are 25 years of age to 54 years of age(“Products – Data Briefs – Number 329”, 2018). I believe that statistics, when understood, can have a tremendous impact on how one sees or feels about an issue. When you see that 42,000 people died due to opioid overdose in the United States in 2016, that information can astound you (“Ending America’s Opioid Crisis”, n.d.).

 

References

A Drug Policy for the 21st Century. (n.d.). Retrieved February 24, 2020, from https://obamawhitehouse.archives.gov/ondcp/drugpolicyreform

Ending America’s Opioid Crisis. (n.d.). Retrieved February 22, 2020, from https://www.whitehouse.gov/opioids/

Products – Data Briefs – Number 329 – November 2018. (2018, November 29). Retrieved February 23, 2020, from https://www.cdc.gov/nchs/products/databriefs/db329.htm

Hello A…,

The topic of your post was a great choice. In the critical care area, I see firsthand the personal and financial cost of the drug epidemic in our nation. It seems to cross all gender, age, and socioeconomic lines. It appears that drug use is more mainstream than in the past. I wanted to approach it from a different angle and ask you what you thought about the current trend of legalizing certain classes of drugs. There are multiple states in the United States and other countries such as Canada that have passed laws legalizing the recreational and medical use of cannabis. In a multiyear study published in 2015, it was determined that early use of cannabis significantly increased the incidence of sedative and tranquilizer abuse and that early use of cannabis also increased the frequency of opioid abuse (Artberry, Horbal, Buu, &Hsein-Chang, 2016). In a 2018 study, the highest concentration of US states with liberal cannabis laws was found in the western US. It was also found that this is where the highest level of opioid abuse is found (Berenson, 2019). In a four-year study performed in Austria, it was shown that pain increased with the use of medical marijuana, which had been touted as a pain control measure to decrease the use of opioids (Berenson, 2019). With the constant increase of drug abuse found in the US, what steps are being taken by the current administration to assure that the legalization of cannabis and other drugs are being studied and appropriate legislation introduced to protect the public health? How, as advanced practice nurses, can we ensure the protection of the public health? These are all tough questions that will have to be worked out on a legislative, as well as healthcare-related level, over time. The legalization of certain classes of drugs could have severe ramifications on our communities and society. Nurses have a perfect opportunity to guide the discourse and direction in which such dialogue will take to provide for the optimum health outcomes for our patients. NURS 6050 Discussion Agenda Comparison Grids

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References

Berenson, A. (2019, March). Let’s tell the truth about marijuana, mental illness, and violence. USA Today. 147(20), 20-22. Retrieved from https://eds-a-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=edsgea&AN=edsgel.583144911&site=eds-line&scope=site

Arterberry, B.J., Horbal, S.R., Buu, A., & Hsien-Chang, L. (2016). The effects of alcohol, cannabis, and cigarette use on the initiation, reinitiation, and persistence of non-medical use of opioids, sedatives, and tranquilizers in adults. Drug and Alcohol Dependence, 159, 86-92. DOI: 10.1016/j.drugalcdep.2015.11.029

Rubric Detail

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Content
Name: NURS_6050_Module01_Week01_Discussion_Rubric

Grid View
List View

Excellent Good Fair Poor
Main Posting
Points Range: 45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

Points Range: 40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

Points Range: 35 (35%) – 39 (39%)
Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

Points Range: 0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness
Points Range: 10 (10%) – 10 (10%)
Posts main post by day 3.

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)
Does not post by day 3.
First Response
Points Range: 17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Response is effectively written in standard, edited English.

Points Range: 15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

Points Range: 13 (13%) – 14 (14%)
Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

Points Range: 0 (0%) – 12 (12%)
Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication. NURS 6050 Discussion Agenda Comparison Grids

Responses to faculty questions are missing.

No credible sources are cited.
Second Response
Points Range: 16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Response is effectively written in standard, edited English.

Points Range: 14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

Points Range: 12 (12%) – 13 (13%)
Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

Points Range: 0 (0%) – 11 (11%)
Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Participation
Points Range: 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100
Name: NURS_6050_Module01_Week01_Discussion_Rubric

Name:  Discussion Rubric

• Grid View
• List View

		Excellent  90–100	Good  80–89	Fair  70–79	Poor  0–69
Main Posting:  Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.		40 (40%) – 44 (44%)  Thoroughly responds to the Discussion question(s). Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. No less than 75% of post has exceptional depth and breadth. Supported by at least three current credible sources.	35 (35%) – 39 (39%)  Responds to most of the Discussion question(s). Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of the post has exceptional depth and breadth. Supported by at least three credible references. NURS 6050 Discussion Agenda Comparison Grids	31 (31%) – 34 (34%)  Responds to some of the Discussion question(s). One to two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Cited with fewer than two credible references.	0 (0%) – 30 (30%)  Does not respond to the Discussion question(s). Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible references.
Main Posting:  Writing		6 (6%) – 6 (6%)  Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style.	5 (5%) – 5 (5%)  Written concisely. May contain one to two grammatical or spelling errors. Adheres to current APA manual writing rules and style.	4 (4%) – 4 (4%)  Written somewhat concisely. May contain more than two spelling or grammatical errors. Contains some APA formatting errors.	0 (0%) – 3 (3%)  Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style.
Main Posting:  Timely and full participation		9 (9%) – 10 (10%)  Meets requirements for timely, full, and active participation. Posts main Discussion by due date.	8 (8%) – 8 (8%)  Meets requirements for full participation. Posts main Discussion by due date.	7 (7%) – 7 (7%)  Posts main Discussion by due date.	0 (0%) – 6 (6%)  Does not meet requirements for full participation. Does not post main Discussion by due date.
First Response:  Post to colleague’s main post that is reflective and justified with credible sources.		9 (9%) – 9 (9%)  Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.	8 (8%) – 8 (8%)  Response has some depth and may exhibit critical thinking or application to practice setting.	7 (7%) – 7 (7%)  Response is on topic and may have some depth.	0 (0%) – 6 (6%)  Response may not be on topic and lacks depth.
First Response:  Writing		6 (6%) – 6 (6%)  Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.	5 (5%) – 5 (5%)  Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English.	4 (4%) – 4 (4%)  Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited.	0 (0%) – 3 (3%)  Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited.
First Response:  Timely and full participation		5 (5%) – 5 (5%)  Meets requirements for timely, full, and active participation. Posts by due date.	4 (4%) – 4 (4%)  Meets requirements for full participation. Posts by due date.	3 (3%) – 3 (3%)  Posts by due date.	0 (0%) – 2 (2%)  Does not meet requirements for full participation. Does not post by due date.
Second Response: Post to colleague’s main post that is reflective and justified with credible sources.		9 (9%) – 9 (9%)  Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.	8 (8%) – 8 (8%)  Response has some depth and may exhibit critical thinking or application to practice setting.	7 (7%) – 7 (7%)  Response is on topic and may have some depth.	0 (0%) – 6 (6%)  Response may not be on topic and lacks depth.
Second Response: Writing		6 (6%) – 6 (6%)  Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.	5 (5%) – 5 (5%)  Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English.	4 (4%) – 4 (4%)  Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited.	0 (0%) – 3 (3%)  Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited.
Second Response: Timely and full participation		5 (5%) – 5 (5%)  Meets requirements for timely, full, and active participation. Posts by due date.	4 (4%) – 4 (4%)  Meets requirements for full participation. Posts by due date.	3 (3%) – 3 (3%)  Posts by due date.	0 (0%) – 2 (2%)  Does not meet requirements for full participation. Does not post by due date.