For this assignment, identify an area of focus in community health within your own community.

I live in Florida, USA.

Using Gordon’s Functional Health Patterns framework (p. 130 in your e-text), assess the health risks in your community.
– PAGE 130 TEXT:

Definition

Functional health patterns view the individual as a whole being using interrelated behavioral areas. The typology of 11 patterns serves as a useful tool to collect and organize assessment data and to create a structure for validation and communication among health care providers. Each pattern described in Table 6-2 forms part of the biopsychosocial-spiritual expression of the whole person. Individual reports and nursing observations provide data to differentiate patterns. As a framework for assessment, functional health patterns provide an effective means for nurses to perceive and record complex interactions of individuals’ biophysical state, psychological makeup, and environmental relationships. Miami Dade College Gordon Functional Health Patterns framework Discussion

Characteristics

Functional health patterns are characterized by their focus. Gordon (2011) uses five areas of focus: pattern; individual-environmental; age-developmental; functional; and cultural.

Pattern focus implies that the nurse explores patterns or sequences of behavior over time. Gordon’s term behavior encompasses all forms of human behavior, including biophysical, psychological, and sociological elements. Pattern recognition, a cognitive process, occurs during information collection. Cues are identified and clustered while gathering information. Patterns emerge that represent historical and current behavior. Quantitative patterns such as blood pressure are readily identified, and pattern recognition is facilitated when baseline data are available. As the nurse incorporates a broader range of data, patterns imbedded within other patterns begin to emerge. Blood pressure, for example, is a pattern within both the activity and the exercise patterns. Individual baseline and subsequent readings may present a pattern within expected norms. Erratic blood pressure measurements indicate an absence of pattern. This lack of pattern forms its own type of pattern. Functional health pattern categories provide structures to analyze factors within a category (blood pressure: activity pattern) and to search for causal explanations, usually outside the category (excessive sodium intake: nutritional pattern) (Gordon, 2011).

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Food intake examples illustrate the individual-environmental focus of Gordon’s framework (Gordon, 2011). Reference to environmental influence occurs within many patterns in the form of physical environments within and external to the individual. Environmental influences in functional health patterns include role relationships, family values, and societal mores. Personal preference, knowledge of food preparation, and ability to consume and retain food govern the individual’s intake. Cultural and family habits, financial ability to secure food, and crop availability also influence food intake. Additionally, the person who secures, prepares, and serves the food controls nutritional intake for the family. Miami Dade College Gordon Functional Health Patterns framework Discussion

Each pattern also reflects a human growth and age-developmental focus (Hockenberry & Wilson, 2010). As individuals fulfill developmental tasks complexity increases. These tasks, however, provide learning opportunities for the individual to maintain and improve health. Erikson’s framework, which organizes specific health tasks for the individual to accomplish at each developmental phase of the life cycle, continues to serve as the framework to assess and plan care (Vogel-Scibilia et al., 2009). Erikson’s eight stages provide the traditional developmental assessment nurses generally use to plan care (see Table 6-3 on p. 139). Each stage presents a central task or crisis that must be resolved before healthy growth can continue (Hockenberry & Wilson, 2010). Individuals develop their sense of autonomy in early childhood and struggle with the sense of shame and doubt. When this developmental level is achieved or resolved, the child moves on to develop initiative during the next stage.

In your community assessment paper, include the following:

Identify resources in your community that would enable you to complete a community assessment and submit a summary of your findings (1–2 paragraphs).

Refer to Table 8-3: Examples of Community Strengths and Concerns, and assess the strengths and concerns of your community (2–3 paragraphs).

Identify potential barriers to implementing community health plans in your community and brainstorm  ways of addressing these barriers (2–3 paragraphs).

Table 8-3: Examples of Community Strengths and Concerns

TABLE 8-3 EXAMPLES OF COMMUNITY STRENGTHS AND CONCERNS

STRENGTHS:                                                                                                CONCERNS:

Well-child clinic available                                                                            Unavailable

Feeding program accessible to older adults                                            Inaccessible

Sex education in schools acceptable                                                       Unacceptable

Family planning services accessible                                                        Inaccessible

Fluoridated water system                                                                     Nonfluoridated water system

• Open communication                                                                             Dysfunctional communication
• Interagency cooperation                                                                        Dysfunctional transactions
• Adequate kitchen and plumbing facilities                                            Inadequate

High interest of key leaders in health promotion                                 Lack of interest

Your paper should be 2–3 pages in length, not including the cover and reference pages. Use APA throughout.

You must include 2–3 sources that are APA cited and referenced in your paper. (Sources may include community resources such as flyers, brochures, interviews, news stories, and local research data from credible sources.)

Review the rubric for further information on how your assignment will be graded. Miami Dade College Gordon Functional Health Patterns framework Discussion

Some Resources:

Some of the online links to available health data have been updated. You may have to do some searching on the websites for your state and local data. Here are some updated links to assist you:

US Census Bureau: https://www.census.gov/quickfacts/map/RHI225213/00 (Links to an external site.)

(Links to an external site.)My Environment (EPA): http://www.epa.gov/environmental-topics/health-topics (Links to an external site.)

CDC: http://www.epa.gov/environmental-topics  (Links to an external site.)

CDC: CDC – State and Territorial Health Departments – STLT Gateway

Healthy People 2020: Search for your state’s data here–https://www.healthypeople.gov/2020/data-search/Sea…

 

 

three parts

addressing two important pieces of legislation related to the right of

individuals to make health care decisions for themselves.

Part I

The Advance Health Care Directive  

Locate a copy of an advanced  directive (AD) that complies with the laws of the state in which you  work (FLORIDA). The organization in which you work should have a copy of an  advance directive that is given to patients. If not, download your  state’s Advance Directives here http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289. (Links to an external site.)

Complete the advance directive for yourself.  Do not turn in your AD with your paper. The AD is for your personal use. MDC Nursing Right of Individuals to Make Health Care Decisions for Themselves Paper

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In your paper, Part I:

1. Identify where you obtained the AD and explain its compliance with state law.
2. Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.
3. Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective.  For example, when you state your personal feelings, you must relate  them to the literature (textbook and research) that discusses this  process and the difficulties that many people face when completing an  advance directive.

Part II

Physician Orders for Life-Sustaining Treatment (POLST) Form 

1. What is a Physician Orders for Life-Sustaining Treatment (POLST) form (Links to an external site.)?
2. When should this form be completed?
3. Who can complete the form?
4. Who needs to sign the form to make it a legal document?

(Cite/reference any sources you use to explore these questions, including your texts.)

Part III

Tie the two first sections together by writing a summary and conclusion.

This section should address:

1. the differences between an Advance Health Care Directive and the POLST,

2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcare interventions the patient does or does not want. MDC Nursing Right of Individuals to Make Health Care Decisions for Themselves Paper

I’m working on a nursing presentation and need an explanation and answer to help me learn.

 

Choose a topic below.

Topic: Not speaking up when unethical practices become evident

1. Create a presentation of 10-15 slides or screens excluding the title and references.

Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc.

• In your presentation:

Describe an ethical situation, based on the chosen topic, that can  get in the nurse’s way of practicing ethically. Describe the situation  clearly and concisely.

Identify how this situation relates to one provision within the Code of Ethics for Nurses.

Identify two ethical principles that may arise when facing this situation.

Discuss how a nurse might lessen the impact of the situation on the nurse’s practice. mdc Organizational Ethics Presentation

In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.

Close with a summary of your topic, and APA formatted reference slide(s).

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Other Important Info to Include in the PowerPoint Presentation:

1. Create a presentation of 10-15 slides or screens excluding the title and references
   Your slides should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc.

In your oral presentation: (audio of full content, as you were presenting nationally- read from authors notes, slides should be snapshot/bullet points)

Describe an ethical situation, based on the chosen topic, that can get in the nurse’s way of practicing ethically.

• Describe the situation clearly and concisely.

Identify how this situation relates to one provision within the Code of Ethics for Nurses.

1. Identify two ethical principles that may arise when facing this situation.

Discuss how a nurse might lessen the impact of the situation on the nurse’s practice  (Think of this in terms of nursing implications.  What can you, as the  healthcare professional implement (do) to improve, or even PREVENT the  unethical or illegal behavior? Nursing impact!) .

• In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.
• Close with a summary of your topic, and APA formatted reference slide(s). mdc Organizational Ethics Presentation

Choose a patient-care situation in which the RN should intervene and advocate for the patient.  An example of such a situation might be when a patient has not been given complete informed consent.

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Include the following in your paper:

Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.

Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model in your paper.

• Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate.  MDC Nursing Paper
• Bioethical Decision Making Model:Bioethical Decision Making Model

1. Define the dilemma: Use your own words to describe the problem. State it in a way

• that others can quickly understand your dilemma. Review
  2. Identify the medical facts: Describe the facts that are relevant to the dilemma.
  3. Remember that the diagnosis and prognosis are medical facts.
  4. Identify the non-­?medical facts (patient and family, external influences):
  a.Patient and family facts such as culture, religion, social, economic, the
  existence of an Advance Healthcare Directive, verbal preferences made by
  the patient, how the patient lived his/her life.
  b.Those that you discuss should be relevant to the situation.
  5. External influences include: organizational policies, federal and state laws, practice
  acts, code of ethics. These should be relevant to the situation.
  6. For both step 2 or 3, separate the facts from the assumptions: Sometimes all
  healthcare professionals allow assumptions to guide their decision-­?making. These
  must be identified so that these assumptions do not interfere with the process.
  7. Identify items that need clarification. Your paper should identify facts that you need
  to clarify. When initially discussing an ethical situation, it is not unusual to not have
  all of the answers. MDC Nursing Paper
  8. Identify the decision makers: Is the patient an adult competent to make their own
  choices? Is the patient a child who is old enough to have a say in the decision. If the
  patient cannot make their own decision, who is the decision maker? How was this
  person selected?
  9. Review the underlying ethical principles: Review which ones and why they apply t
  this particular case: beneficence, nonmaleficience, veracity, fidelity, autonomy and
  justice.
  10. Define alternatives: One-­?Way to proceed may be apparent at this point. However,
  sometimes there are different choices. They should be addressed identifying the
  benefits and burdens for doing one thing versus the other.
  11. Follow-­?up: Define the process to be used with the chosen alternative. MDC Nursing Paper