Capstone Portfolio Project Part 3B

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Capstone Portfolio Project Part 3B

U.S. Healthcare Systems

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Please prepare a one (1) to two (2) page reflective analysis paper to explain how you have demonstrated mastery of U.S. managed care systems, healthcare delivery systems, national and global healthcare organizations. Your paper must discuss the course work from the following courses:

HCA420 Healthcare Delivery Systems
HCA470 Global Health
The purpose of this paper is to synthesize your learning experiences and demonstrate mastery of this information. Consider primarily your course projects, clinical experiences, and practice when you write your analysis. Your examples from these classes should include your course project. Be sure to explain how the topic is related to your coursework.

Your paper should include an introduction, body containing supporting evidence, and a conclusion. Additionally, discuss how your perceptions and thought process has changed as a result of the coursework. The paper should represent college level writing and be free of grammatical errors.

Once you have written your reflective analysis, please upload this file along with your course project documents from the courses listed above. Please be sure to submit your course project files from the courses listed above as this is a requirement and points will be deducted from your paper if they are not received. Refer to the Course Project page, located in the Course Information for complete requirements.

Submit your files using the Upload Instructions below.

unit 3 discussion

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unit 3 discussion

Unit 3 Discussion: Healthcare Systems – The Ideal Plan

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One of the most criticized areas in the United States is the healthcare system. Lack of accessibility and affordability are of major concern. Many American’s site the success of universal healthcare in countries such as Canada and the United Kingdom; however, others point out the financial strain, long wait times, and high tax rates associated with Universal Healthcare Plans.

Taking into account all you have learned about healthcare systems, how would you describe an IDEAL healthcare system for the United States? Be realistic. How would it be structured? How would it be funded? How would people qualify for healthcare… would it be automatic upon birth or would people still need to register for service? Would care be totally free or would there be co-payments associated with care? Would preventative care be required to maintain benefits, or would individuals get to choose if and when they went to the doctor? How would you ensure there would be enough providers for the 300 million people in the U.S.? You may wonder how if our politicians cannot get it right, how you can figure it out, but the goal here is to recognize that as healthcare professionals we must work together to create a functioning healthcare system. There is no single system in the world without flaw, but with the common goal of doing what is best, we can set goals and objectives to improve healthcare in the United States.

You may need to do some outside research to refresh your memory on the different healthcare system structures.

Tags: science health healthcare

Global Health

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Global Health

Hey Robert, I’m going to post the scoring guide at the end. I need to score at least in “basic” I cannot have anything in “non-performance” please.

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Overview
Develop a 6–8 page, APA-formatted article on a global health topic for publication. Describe the factors that impact health and health care delivery, and the interventions that have been implemented. Explain the influence of altruism on global health, and identify evidence-based interventions to address the global health topic.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:SHOW LESS
Competency 1: Explain the factors that affect the health of communities.
Describe the factors that impact health and health care delivery associated with a global health care issue.
Explain the influence of altruistic organizations on health and health care practices associated with a global health care issue.
Explain how health care decisions and practices at a local level relate to health and health care delivery on a global scale.
Competency 2: Apply evidence-based interventions to promote health and disease prevention and respond to community health issues.
Describe interventions implemented to address a global health care issue.
Identify evidence-based interventions to promote wellness and disease prevention associated with a global health care issue.
Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.
Provide background information and statistics on a global health care issue.
Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
Correctly format paper, citations, and references, using current APA style.

Context
The overall wealth of a country often influences the country’s level of accessible health care and, ultimately, the health of the country’s citizens. However, developed countries often face similar public health issues as developing and middle-income countries. For example, HIV and AIDS are major public health concerns in both the United States and in many less developed sub-Saharan African countries. Through collaboration, research, and direct care, community/public health nurses can provide expertise and leadership in international health issues (Maurer & Smith, 2013). Understanding the processes involved in caring for populations provides the foundation for collaborative practices in international nursing care.
Reference
Maurer, F. A., & Smith, C. M. (2013). Community/Public health nursing practice: Health for families and populations (5th ed.). St. Louis, MO: W. B. Saunders.

Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.
What health issue do you see as having the greatest impact on the world today?
What is the attitude of the United States towards this health issue?
How might nursing influence the outcome of this health issue?

Assessment Instructions
PREPARATION
Suppose you have been asked to submit an article for publication in your organization’s newsletter, about a global health topic and how policies and practices at the local level can affect global health. Choose one global health topic from the list (or use another of your choice):
Mental health.
Communicable diseases (HIV/AIDS, influenza, malaria, tuberculosis).
Non-communicable diseases (cancer, lung, and heart disease).
Maternal and child health (prenatal care, midwife education, childhood vaccinations).
LGBT health.
Disabilities.
Global water supply and safety (GlobalHealth.gov, n.d.).
Look in the Capella library and on the Internet for very recent peer-reviewed articles, statistics, and professional nursing information on the global health topic you selected.
REQUIREMENTS
For this assessment, develop an APA-formatted research review article that covers one global health topic of your choice. In this assessment:
Identify your topic. Provide background information and statistics on the topic, including the global areas most affected by the topic and the types of health care issues most often associated with the topic.
Describe the factors that impact health and health care delivery in the global areas most affected by the topic you selected. These factors may include not only culture and tradition, but also politics, economics, and social attitude.
Explain the influence of altruistic organizations (Peace Corps, Project Hope, religious and non-religious missions, and so on) on health and health care practices in the global area specifically associated with the topic.
Describe the interventions implemented to address the health care issues associated with the topic. Include both conventional and unconventional interventions.
Explain how the health care decisions and practices at the local level (the area most impacted by the topic) relate to health and health care delivery in other global areas. This is not limited only to best practices, but could include poor health care decisions and practices.
Identify evidence-based interventions that are effective, efficient, cost-effective, and equitable for promoting wellness and disease prevention in the specific area and population.
ADDITIONAL REQUIREMENTS
Complete your assessment using the following specifications:
Title page and reference page.
Number of pages: 6–8 (not including the title and reference pages).
At least 3 current scholarly or professional resources.
APA format for citations and references.
Times New Roman font, 12-point, double-spaced.
Reference
Global Health Topics. (n.d.). Retrieved from http://www.globalhealth.gov/global-health-topics/
Global Health Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Describe the factors that impact health and health care delivery associated with a global health care issue.
Does not list the factors that impact health and health care delivery associated with a global health issue. Lists the factors that impact health and health care delivery associated with a global health issue. Describes the factors that impact health and health care delivery associated with a global health issue. Describes the factors that impact health and health care delivery associated with a global health issue, showing an in-depth understanding of the relationship between a variety of factors and the quality of health care.
Explain the influence of altruistic organizations on health and health care practices associated with a global health care issue.
Does not describe the role of altruistic organizations with regard to health and health care practices. Describes the role of altruistic organizations with regard to health and health care practices, but does not associate it to a global health care issue. Explains the influence of altruistic organizations on health and health care practices associated with a global health care issue. Explains the influence of altruistic organizations on health and health care practices associated with a global health care issue, and considers the likely outcomes of being without the aid of the organizations.
Explain how health care decisions and practices at a local level relate to health and health care delivery on a global scale.
Does not explain how health care decisions and practices at a local level relate to health and health care delivery on a global scale. Explains how health care decisions and practices at a local level relate to health and health care delivery on a global scale, but the explanation is inaccurate or is missing key elements. Explains how health care decisions and practices at a local level relate to health and health care delivery on a global scale. Explains how health care decisions and practices at a local level relate to health and health care delivery on a global scale, using relevant real-world examples.
Describe interventions implemented to address a global health care issue.
Does not identify interventions implemented to address a global health care issue. Identifies interventions implemented to address a global health care issue. Describes interventions implemented to address a global health care issue. Describes interventions implemented to address a global health care issue, and includes both conventional and unconventional interventions.
Identify evidence-based interventions to promote wellness and disease prevention associated with a global health care issue.
Does not identify interventions to promote wellness and disease prevention associated with a global health care issue. Identifies interventions to promote wellness and disease prevention, but does not provide supporting evidence, or does not associate the interventions with a global health care issue. Identifies evidence-based interventions to promote wellness and disease prevention associated with a global health care issue. Recommends evidence-based interventions to promote wellness and disease prevention associated with a global health care issue.
Provide background information and statistics on a global health care issue.
Does not provide background information and statistics on a global health care issue. Provides background information and statistics on a global health care issue, but does not reference the source of the information. Provides background information and statistics on a global health care issue. Provides well-sourced background information and statistics on a global health care issue, and identifies likely causes of the health care issue.
Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
Does not write content clearly, logically, or with correct use of grammar, punctuation, and mechanics. Writes with errors in clarity, logic, grammar, punctuation, and/or mechanics. Writes content clearly and logically with correct use of grammar, punctuation, and mechanics. Writes clearly and logically with correct use of spelling, grammar, punctuation, and mechanics; uses relevant evidence to support a central idea.
Correctly format paper, citations, and references, using current APA style.
Does not correctly format paper, citations, and references, using current APA style. Uses current APA style to format paper, citations, and references, but with numerous errors. Correctly formats paper, citations, and references, using current APA style. Correctly formats paper, citations, and references, using current APA style with no errors.

Community Crises

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Community Crises

Hey Robert, I’m going to include the scoring guide at the end of the post. I need to score at least in “basic” I cannot get anything in “nonperformance” please.

Overview

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Create a 10–15 slide PowerPoint presentation that compares how different communities respond to crises, describes obstacles to providing health care services related to community crises, and explains current practices for providing health care services related to community crises. Recommend an evidence-based nursing response for providing health care services related to community crises.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Explain the factors that affect the health of communities.
Explain how a crisis situation affects community health.
Competency 3: Develop an evidence-based nursing response for providing health care services related to community crises.
Compare different approaches for responding to a community crisis.
Describe obstacles to providing health care services related to a community crisis.
Recommend an evidence-based nursing response for providing health care services related to community crises.
Explain current practices for providing health care services related to community crises.
Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.
Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
Correctly format citations and references, using current APA style.

Context
As in acute nursing, emergencies do arise in the community/public health arena. These emergencies can take the form of manmade or natural disasters. Health care professionals have had to increase their awareness of their duty to care during these situations. The need for planning and preparing for these possible events is being reinforced (Tomczyk, et al., 2008). Public health nurses bring specific skills to disaster response. Their roles can range from first responders to policy developers.
Reference
Tomczyk, D., Alvarez, D., Borgman, P., Cartier, M., Caulum, L., Galloway, C., … Meske, D. (2008). Caring for those who care: The role of the occupational health nurse in disasters. AAOHN Journal, 56(6), 243–250.

Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.
What would you do in the event of a disaster?
What information would be critical to have, to ensure appropriate care for your loved ones?

Resources
SUGGESTED RESOURCES

Internet Resources
Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have either been granted or deemed appropriate for educational use at the time of course publication.
Federal Emergency Management Agency. (2008, January). Emergency support function #8 – Public health and medical services annex (ESF #8). Retrieved from http://www.fema.gov/pdf/emergency/nrf/nrf-esf-08.p…
Lee, C. H. (2010). Disaster and mass casualty triage. American Medical Association Journal of Ethics, 12(6), 466–470. Retrieved from http://journalofethics.ama-assn.org/2010/06/cprl1-…
Columbia University Medical Center. (n.d.). National center for disaster preparedness. Retrieved from http://ncdp.columbia.edu/
Centers for Disease Control and Prevention. (n.d.). Emergency preparedness and response: Preparation and planning. Retrieved from http://emergency.cdc.gov/planning/
Association of Public Health Nurses Public Health Preparedness Committee. (2013). The role of the public health nurse in disaster preparedness, response, and recovery [Policy statement]. Retrieved from http://www.achne.org/files/public/APHN_RoleOfPHNin…
Assessment Instructions
PREPARATION
Suppose you have been invited to participate in a roundtable discussion meeting on the development of a community response to crises. To prepare for this discussion, you have been asked to research ways that other communities have provided health care services during crisis situations, identify best practices, and develop a nursing response for providing health care services. You would be presenting your research and nursing response to the roundtable panel during the meeting.Select two communities that have suffered a crisis of some kind within ten years of each other. For example, you might choose to look at New Orleans and Hurricane Katrina in comparison to New Jersey and Hurricane Sandy. You might address the 2011 tornado outbreak and compare the response of Joplin, Missouri with the response of Birmingham, Alabama. Or, you might choose to look at the responses to volcano eruptions in Hawaii as compared to Washington State. You are not limited to natural disasters; feel free to explore environmental disasters and outbreaks of disease. Try to choose the type of crisis situation that could occur within your own community.Once you have selected your two communities and their comparable crisis situations, look in the Capella library and on the Internet for scholarly journal articles on how health care professionals responded to the crises.
REQUIREMENTS
For this assessment, create a PowerPoint presentation that examines provision of health care services related to community crises, from a nursing perspective. In your PowerPoint, address the following:
Compare the different approaches of two communities for responding to a community crisis.
Explain how the crisis situation in each community affected the overall health of the community.
Describe potential obstacles in your own community to providing health care services related to community crises.
Explain current practices in your own community for providing health care services related to community crises.
Recommend an evidence-based nursing response for providing health care services related to community crises.
Your nursing response does not need to be overly detailed. In real life, a nursing response would be the work of a committee or another group, based on the research and recommendations of others.
Your nursing response should provide foundational research and recommendations based on evidence. Consider things such as triage points, communication methods, caring for staff, providing basic necessities such as food and water, use of other organizations for shelter, and so on.
Use the Notes section of each PowerPoint slide to expand your points and provide supporting evidence.
ADDITIONAL REQUIREMENTS

Global Events

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Global Events

Hey Robert, i’m going to post the scoring guide at the end. I need to score at least in “basic” I cannot have anything in “non-performance” please.

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Overview
Write a 5–6 page, APA-formatted report that explains the responses to a global event, how issues of race, class, and gender may have affected the response, and the role of international and altruistic organizations in providing health care services related to the event. Describe barriers to receiving health care services related to the event, and explain the role of the professional nurse in providing health care services related to the global event.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Explain the factors that affect the health of communities.
Explain the response to a global event at the local and national levels.
Explain how social attitudes and issues of race, class, and/or gender may impact the response to a global event.
Explain the role of international and altruistic organizations in providing health care services during a global event.
Competency 2: Apply evidence-based interventions to promote health and disease prevention and respond to community health issues.
Explain the role of the professional nurse in providing health care services related to global events.
Competency 3: Develop an evidence-based nursing response for providing health care services related to community crises.
Describe barriers to health care services during a global event.
Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for a nursing professional.
Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
Correctly format paper, citations, and references, using current APA style.

Context
According to the World Health Organization (WHO), natural disasters kill approximately 90,000 people and impact another 160 million people every year (2015). Natural disasters such as earthquakes, tsunamis, hurricanes, and wildfires not only have an immediate impact on those who live in and around the affected area, they also often have a longer-term effect on the health and well-being of those impacted. Developing countries are frequently unable to respond to natural disasters effectively and efficiently because they lack resources, infrastructure, and disaster-preparedness systems.Poor health care systems in developing countries also make these countries more vulnerable to epidemics such as the recent outbreak of Ebola in Chad, Guinea, Liberia, and Sierra Leone. According to a report from Save the Children (2015), some developing countries have less than one health care worker for every 2,000 people. Other diseases such as malaria and pneumonia account for as many as 17,000 child deaths every day (Save the Children, 2015).SHOW LESSNurses can provide critical skills during times of global events. Whether by volunteering directly at the site of the event or by recruiting, screening, and training other professional nurses behind the scenes, nurses are crucial to global relief efforts.
References
Save the Children. (2015). A wake-up call: Lessons from Ebola for the world’s health systems. Retrieved from http://www.savethechildren.org/atf/cf/%7B9def2ebe-… Health Organization. (2015). Natural disaster profiles. Retrieved from http://www.who.int/topics/emergencies/en/

Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.
What does it mean to be a global citizen?
What responsibility do health care professionals assume during times of global events, by being global citizens?

Resources
Internet Resources
Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have either been granted or deemed appropriate for educational use at the time of course publication.
World Health Organization. (n.d.). Health action in crises publications. Retrieved from http://www.who.int/hac/publications/en/
Brewer, K. (2010, June). Who will be there? Ethics, the law, and a nurse’s duty to respond in a disaster (ANA Issue Brief). Retrieved from https://www.nursingworld.org/~4af058/globalassets/…
DeMoro, R. A. (2014, September 8). The underreported side of the Ebola crisis [Blog]. Retrieved from http://www.nationalnursesunited.org/blog/entry/the…
American Nurses Association. (n.d.). Disaster preparedness and response. Retrieved from http://www.nursingworld.org/disasterpreparedness

Assessment Instructions
PREPARATION
Suppose that within your health care organization there is no formal process or structure for health care professionals to volunteer time and services in times of global need. You would like to develop a proposal for establishing a process that would allow nurses and other health care professionals to secure time off to work with a specific worldwide organization, to provide health care services during global events. As part of the proposal, you would need to provide background research to support your request.Conduct background research on either one of the following to support the proposal you would develop:
Choose one worldwide epidemic, such as the 2009 flu pandemic, 2009 mumps outbreak, 2012 Middle East respiratory syndrome coronavirus outbreak, the recent Ebola virus epidemic, or another epidemic. Research articles that focus on how the initial outbreak was handled; the role of social attitudes and issues of race, class, and gender in responding to the outbreak; barriers to people receiving proper health care; and the role of nursing in providing health care services related to the epidemic.
Choose one natural disaster, such as the earthquakes in Haiti, Pakistan, or Nepal; Cyclone Nargis in Myanmar; the Indian Ocean earthquake and tsunami, or any other natural disaster that brought a worldwide response. Research articles that focus on the initial response to the disaster; the role of social attitudes and issues of race, class, and gender in responding to the disaster; barriers to survivors receiving health care; and the role of nursing in providing health care services related to the disaster.
REQUIREMENTS
For this assessment, develop background research that would support a proposal for an organizational process allowing health care professionals to volunteer time and services when global events happen. First, identify the global event you will be using in your research, and then:
Explain how the local and national (meaning the nation in which the event took place) communities responded to the event. Who responded? How long did the first response take? How did health care providers respond?
Explain how social attitudes, as well as issues of race, class, gender, or other factors may have influenced the response to the event. Be sure you consider not only the response of the home country, but the global response as well.
Describe barriers to health care services for the people impacted by the event. Some barriers may be obvious, and other barriers less obvious; try to consider multiple aspects.
Explain the role of international health organizations and altruistic organizations in providing health care services related to the global event.
Explain the role of the professional nurse in providing health care services related to the global event. Consider scope of practice when working professionally out of one’s area of license—either nationally or globally.
ADDITIONAL REQUIREMENTS
Complete your assessment using the following specifications:
Title page and reference page.
Number of pages: 5–6 (not including the title and reference pages).
At least 4 current scholarly or professional resources.
APA format for the entire document, including citations and references.
Times New Roman font, 12-point, double-spaced.
Global Events Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Explain the response to a global event at the local and national levels.
Does not explain the response to a global event at the local or the national level. Explains the response to a global event at either the local or the national level, but not both; or the explanation does not fully address the response. Explains the response to a global event at the local and national levels. Explains the response to a global event at the local and national levels, and describes how the response impacted outcomes.
Explain how social attitudes and issues of race, class, and/or gender may impact the response to a global event.
Does not explain how social attitudes and issues of race, class, and/or gender may impact the response to a global event. Explains how social attitudes and issues of race, class, and/or gender may impact the response to a global event, but omits key information or critical aspects. Explains how social attitudes and issues of race, class, and/or gender may impact the response to a global event. Explains how social attitudes and issues of race, class, and/or gender may impact the response to a global event, providing real-world examples that add clarity and insight.
Explain the role of international and altruistic organizations in providing health care services during a global event.
Does not explain the role of international and/or altruistic organizations in providing health care services during a global event. Explains the role of either international or altruistic organizations in providing health care services during a global event, or the explanation lacks key elements. Explains the role of international and altruistic organizations in providing health care services during a global event. Explains the role of international and altruistic organizations in providing health care services during a global event, and considers how professional nursing can play a greater part within the organizations.
Explain the role of the professional nurse in providing health care services related to global events.
Does not explain the role of the professional nurse in providing health care services. Explains the role of the professional nurse in providing health care services, but does not relate the explanation to global events; or the explanation is missing key elements. Explains the role of the professional nurse in providing health care services related to global events. Explains the role of the professional nurse in providing health care services related to global events, addresses scope of practice when working outside the area of license, and explores the contribution of nursing to positive outcomes.
Describe barriers to health care services during a global event.
Does not identify barriers to health care services during a global event. Identifies barriers to health care services during a global event. Describes barriers to health care services during a global event. Describes barriers to health care services during a global event, and offers evidence-based strategies to overcome barriers.
Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
Does not write content clearly, logically, or with correct use of grammar, punctuation, and mechanics. Writes with errors in clarity, logic, grammar, punctuation, and/or mechanics. Writes content clearly and logically with correct use of grammar, punctuation, and mechanics. Writes clearly and logically with correct use of spelling, grammar, punctuation, and mechanics; uses relevant evidence to support a central idea.
Correctly format paper, citations, and references, using current APA style.
Does not correctly format paper, citations, and references, using current APA style. Uses current APA to format paper, citations, and references, but with numerous errors. Correctly formats paper, citations, and references, using current APA style. Correctly formats paper, citations, and references, using current APA style with no errors.

Complete DQ below

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Complete DQ below

No plagiarism please add all references

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Read Ch. 2 of Consumer Behavior: Buying, Having, and Being (12th ed.).

Answer question between 90-110 words

1.The marketing efforts of companies promoting healthcare products and services has grown dramatically over the last few decades. I think it is almost impossible to watch television for more than 30 minutes without seeing some type of healthcare advertising.

When I was young, it was virtually inconceivable that physicians would advertise their services, but now this is commonplace. Do you think that the costs for advertising and marketing are justified – or does the healthcare industry spend too much in this arena?

 

Answer question between 90-110 words

2.I truly believe that Hospice is vital for patents at the end-stages of life. Do you think that most families are aware of Hospice and the services they provide? Do you think that most families benefit from their services? I ask, because I have known families that did not use Hospice – shockingly enough – their doctor did not make any referrals. How can we help educate communities, families and physicians about the importance of Hospice?

Week 4 discussion question #1

Answer between 90-100 words

3.What are some ways in which you share health information today?

What are the risks associated with sharing information?

What types of sharing are most effective?

 

Week 4 discussion question #2

Answer between 90-100 words

4.What are the pros and cons of government regulation of health care products and services to the consumer?

Complete Assignment below

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Complete Assignment below

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The focus of this Benchmark Assignment is to consider how consumer demographics and health care marketing plays a role in consumer behaviors of selecting health care resources.

Select 1 of the following in your community or surrounding area:

One walk-in clinic, such as an urgent care facility
One retail clinic in your local grocery store or retail pharmacy
No-appointment physician’s office
Research the market of this facility. Consider the following as you complete your research:

Demographics of the consumers who use the facility selected
The location of the facility selected
The marketing used to bring in consumers to the facility selected
Write a 700- to 1,050-word paper that analyzes the market perspective of the facility selected by addressing the following:

Describe the facility selected, including its location.
Analyze the demographics of the consumers who use the facility selected.
Include the cultural and generational demographics in your analysis.
Analyze the marketing approach used for the facility.
Consider the targeted audience of the facility based on the demographics of the consumers who use the facility.
Consider whether marketing techniques can be the same when marketing to different demographics.
Format your assignment according to APA guidelines.

Cite at least 1 reputable reference.

Community Health

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Community Health

Hey Robert I’m going to post the scoring guide at the end of the question. I need to score at least in “basic” I cannot have anything in “non-performance” please.

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Overview
Prepare a 3–4 page report on a critical health issue in a community or state. Describe the factors that contribute to the health issue and interventions that have been implemented. Explain the scope and role of nursing in the interventions, and recommend ways the scope of the interventions might be expanded.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Explain the factors that affect the health of communities.
Explain the factors that contribute to a critical health care issue within a specific community.
Competency 2: Apply evidence-based interventions to promote health and disease prevention and respond to community health issues.
Describe current interventions to target a critical health care issue within a specific community.
Describe the scope and role of nursing in current interventions that target a critical health care issue.
Recommend evidence-based ways to expand the scope of interventions to target a critical health care issue.
Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.
Describe a critical health care issue within a specific community.
Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
Correctly format citations and references, using current APA style.

Context
Community/public health nursing is nursing care that is population-focused and occurs in non-hospital settings. Numerous nursing theories can provide the structure for community/public health nursing; however, nursing theories that incorporate components of the general systems theory frequently provide the framework for the practice of community/public health nursing.Historically, nurses have made significant contributions to the field of public health. From providing maternal-child care to poor women in the late 1800s, to promoting hygiene among school aged children in the early 1900s, to providing environmental and safety care to industrial workers during World War I, nurses have been instrumental in shaping health policies (Maurer & Smith, 2013). Today, community/public health nurses have a key role in identifying and developing plans of care to address local, national, and international health issues.SHOW LESSMany factors influence the health of communities and populations, including national policies that focus on health promotion. Healthy People, a major national health promotion program issued by the U.S. Surgeon General, identifies major health problems of the nation and sets national goals and objectives targeting health promotion (Maurer & Smith, 2013). If adopted, activities that target health promotion can result in disease prevention.
Reference
Maurer, F. A., & Smith, C. M. (2013). Community/public health nursing practice: Health for families and populations (5th ed.). St. Louis, MO: W. B. Saunders.

Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.
What kinds of public health care services are available in your community? Do you think these services adequately meet the needs of the community?
How would you improve the scope of the services?

Resources
Internet Resources
Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have either been granted or deemed appropriate for educational use at the time of course publication.
HealthyPeople.gov. (n.d.). Healthy People 2020. Retrieved from http://www.healthypeople.gov/
Benson, G. A., Sidebottom, A., VanWormer, J. J., Boucher, J. L., Stephens, C., & Krikava, J. (2013). HeartBeat connections: A rural community of solution for cardiovascular health. Journal of the American Board of Family Medicine, 26(3), 299–310. Retrieved from http://www.jabfm.org/content/26/3/299.full.pdf+htm…
Assessment Instructions
PREPARATION
Suppose your organization is concerned about a number of health issues that have either affected an increased number of the residents in the community or show the probability of affecting a larger number of people in the population. Your organizational leaders have asked different health care professionals within the organization, including you, to examine the issues from your perspective, and to submit a report that includes evidence-based ways to address the issues.You will first need to identify a critical health care issue in your community or state. You may choose either a public healthissue, such as sudden infant death syndrome (SIDS), measles, Lyme disease, asthma, et cetera; or a community healthissue, such as uncontrolled diabetes, congestive heart disease, 30-day readmission, et cetera.Then, look in the Capella library and on the Internet for statistics and peer-reviewed or professional resources to use in preparing your report.
REQUIREMENTS
Format this assessment as a professional report. It may help to look at reports or other documents used within your organization and to follow that formatting. You must still follow APA guidelines for in-text citations and references, and include a title page and reference page.Within the report:
Describe one critical health issue in your community or state that has grown larger or has the potential to become larger. Be sure to include any statistics available on the health issue. Tip: check your county and/or state health department Web site.
Explain the factors that contribute to this health issue. Consider things such as access to health care services, economics, culture, attitude, education, health care policies, and so on.
Describe any interventions your community or state has put in place to address the health care issue. Include information on how long the interventions have been in place, how the community was made aware of the interventions, and so on.
Describe the scope and role of nursing and public health nursing in the interventions to reduce the health issue.
Recommend evidence-based ways the scope of the interventions could be expanded to increase positive health outcomes. Think in terms of cost, efficiency and access, effectiveness, and the use of both conventional and unconventional interventions.
ADDITIONAL REQUIREMENTS
Complete your assessment using the following specifications:
Title page and reference page.
Number of pages: 3–4 (not including the title and reference pages).
At least 3 current scholarly or professional resources.
APA format for citations and references.
Times New Roman font, 12-point, double-spaced.
Community Health Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Explain the factors that contribute to a critical health care issue within a specific community.
Does not list the factors that contribute to a critical health care issue within a specific community. Lists the factors that contribute to a critical health care issue within a specific community. Explains the factors that contribute to a critical health care issue within a specific community. Explains the factors that contribute to a critical health care issue within a specific community, and clearly illustrates how the factors affect the critical health care issue.
Describe current interventions to target a critical health care issue within a specific community.
Does not describe interventions to target a critical health care issue within a specific community. Identifies interventions to target a critical health care issue within a specific community, but does not clarify whether the interventions are current. Describes current interventions to target a critical health care issue within a specific community. Describes current interventions to target a critical health care issue within a specific community, and includes details on duration, communication methods, and effectiveness.
Describe the scope and role of nursing in current interventions that target a critical health care issue.
Does not describe the scope and role of nursing in current interventions that target a critical health care issue. Describes the scope and role of nursing in current interventions, but does not show how the interventions target a critical health care issue. Describes the scope and role of nursing in current interventions that target a critical health care issue. Explains how the scope and role of nursing in current interventions that target a critical health care issue contribute to positive health outcomes.
Recommend evidence-based ways to expand the scope of interventions to target a critical health care issue.
Does not recommend ways to expand the scope of interventions to target a critical health issue. Recommends ways to expand the scope of interventions to target a critical health issue, but does not support recommendations with sound evidence. Recommends evidence-based ways to expand the scope of interventions to target a critical health issue. Recommends evidence-based ways to expand the scope of interventions to target a critical health issue in terms of cost, efficiency and access, and effectiveness. Includes both conventional and unconventional interventions.
Describe a critical health care issue within a specific community.
Does not identify a critical health care issue within a specific community. Identifies a critical health care issue within a specific community. Describes a critical health care issue within a specific community. Describes a critical health care issue within a specific community, and provides statistical information related to frequency, severity, and population most affected.
Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
Does not write content clearly, logically, or with correct use of grammar, punctuation, and mechanics. Writes with errors in clarity, logic, grammar, punctuation, and/or mechanics. Writes content clearly and logically with correct use of grammar, punctuation, and mechanics. Writes clearly and logically with correct use of spelling, grammar, punctuation, and mechanics; uses relevant evidence to support a central idea.
Correctly format citations and references, using current APA style.
Does not correctly format citations and references, using current APA style. Uses current APA style to format citations and references, but with numerous errors. Correctly formats citations and references, using current APA style with few errors. Correctly formats citations and references, using current APA style with no errors.

Health Care assignments- 2

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Health Care assignments- 2

Name: print____________________________________ Sign: _______________________________ Assignment: Disease Transmission

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– Outbreak Help received: Draw an Epidemic Curve: A local health officer in a small community received reports from three physicians about patients who had diarrhea, abdominal cramps, vomiting, chills, and fever. From stool samples (feces) collected from several patients, a Salmonella species was isolated. A total of 119 patients were eventually identified in the community. The times of onset of the disease and numbers of ill persons were recorded as follows over a three-day period: January 7 Time # of ill January 8 Time # of ill persons January 9 Time # of ill persons persons 6-7 am 2 12-1 am 5 12-1 am 3 8-9 am 5 2-3 am 3 2-3 am 2 10-11 am 11 4-5 am 3 4-5 am 0 12-1 pm 18 6-7 am 3 6-7 am 1 2-3 pm 10 8-9 am 4 8-9 am 0 4-5 pm 7 10-11 am 6 10-11 am 1 6-7 pm 5 12-1 pm 8 12-1 pm 0 8-9 pm 4 2-3 pm 4 10-11 pm 4 4-5 pm 3 6-7 pm 3 8-9 pm 2 10-11 pm 2 a. 2-3 pm 0 Make a graph showing an epidemic curve with Time on the x-axis and # of ill persons on the y-axis (use Excel to make the graph, label all axes). DO NOT MAKE three curves (eg, don’t do the three dates separately). You should have ONE epidemic ‘curve’, not three. b. Your graph should show two peaks. If this graph represents a common source, single exposure outbreak, what do you think the second, smaller peak represents? The second peak represents how the number of ill persons reduces with time. c. Can the incubation period be determined from the data given? Why or why not? Yes it can be calculated since there is a range of time from time of infection and symptoms, it can roughly be estimated. Name: Assignment – Toxic Shock Syndrome Include questions with responses please. 1. Verifying that an outbreak is truly occurring is an early step of outbreak investigation. Investigators often rely on reviewing surveillance data to determine if the number of cases suspected of causing an outbreak is actually greater than expected. In the case of toxic shock syndrome there was no surveillance system at the time. How did the author attempt to perform this verifying step? 2. The mortality rate for toxic shock syndrome was only 3.2% in Wisconsin but elsewhere it was 25%. What may have accounted for such a large difference in these mortality rates? 3. There are many benefits of outbreak investigation. Make a list of the benefits of the performance of this particular outbreak investigation. 4. What important federal and voluntary measures were taken to decrease the risk of TSS in menstruating women? 5. What did the author of the chapter learn from his investigation of TSS? Include what the author learned about himself, as well as about this new disease.
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Microbiome

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Microbiome

Microbiome Name (print): Due: Review information on the module. Choose a specific topic of interest related to the

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microbiome. You may choose one of the papers in the reference folder in the module. Write a summary of your topic. You may do additional research. Include introduction • What is the topic you are discussing? Body of paper (at least 2 to 3 paragraphs) • • • What do we know? Describe experiment(s). What do we not know? Overall conclusions • Significance Cite reference(s) News & Analysis Medical News & Perspectives The Lung Microbiome: Key to Respiratory Ills? Jeff Lyon T Left, Nancy Wong/University of Chicago; Right, David Christopher/University of Chicago he word microbiome has become a catch term only in the past decade, but it refers to something as old as humanity itself: the diverse and unimaginably vast population of microorganisms that share our bodies. These microbiota compose an ecosystem whose constituent cells Author Audio and genes actually Interview outnumber our own, and without which we would be unabletocarryoutmanyfunctionsnecessaryfor life. Medicine has succeeded in mapping much of the gut microbiome, but only recently has advanced technology enabled researchers to identify and study the inhabitants of the human respiratory system and possibly use this information to diagnose and treat respiratory disease. Recently, JAMA discussed this research and its potential clinical applications with 2 experts on the front lines, Jack Gilbert, PhD, a microbial ecologist at the University of Chicago and director of its new Microbiome Center—one of many popping up around the country—and Steve White, MD, professor of medicine at the University of Chicago who studies asthma and chronic obstructive pulmonary disease (COPD). The following is an edited version of that conversation. JAMA: For some time the focus has been on the gut microbiome. When did the realization hit that the lung microbiome is a factor in respiratory pathology? DR WHITE: It was thought some years back that the lung was a sterile organ and that normally there were hardly any bacteria in it, and that only when you have perturbations of the lung as in cystic fibrosis, emphysema, bronchiectasis, or pneumonia would the lungs become infected. More recently it’s been recognized that the normal lung has its own microbiome. It’s much smaller than the gut microbiome, but it’s a unique microbiome that may influence health and disease. JAMA: Whatmightdisrupttheairwaymicrobiome leading to illness? You hear the word dysbiosis a lot in reference to such disruption. jama.com Jack Gilbert, PhD Steve White, MD DR GILBERT: Dysbiosis is a disassociation of the equilibrium in a microbiome. We’re really talking about the collapse of an ecosystem. The factors involved might range from antibiotics, which would obviously cause a significant disruption, to immune disorders, since the immune system is the interface between the bacterial populations—the microbiome—and the human body. When the immune system is disrupted it can cause chaos in the microbiome. Diet can affect the microbiome. Differential exposures early in life that could determine what kind of microbes colonize you can affect it, as well as medications and treatments that can have an impact upon the structure and the function of that microbial community. DR GILBERT: We also have substantial interactions with fungal organisms. When we talk about the microbiome, we’re talking about many different things, not just bacteria. JAMA: What kind of microbes are we talking about? DR WHITE: We have some normal bacteria sitting there, like Veillonella, Prevotella, Neisseria, and Acinetobacter. Some types of Streptococcus are completely normal and sit in our airways all the time. Then there are organisms we think of as being pathogens just by virtue of being there. Like we’ve found that the bacterium Pseuduomonas, which is clearly a pathogen in many contexts, is more prevalent in people who have severe asthma, but we see it hardly at all in normal lungs. JAMA: Viruses? DR GILBERT: Absolutely. In many airway diseases we’re seeing evidence that bacteriophages—viruses that live inside bacteria—use [these bacteria] to replicate themselves. [They may] hide out inside the genome of a bacterium for many years until they can burst free. Some of these are exacerbated by antibiotic therapy. So if you give someone an antibiotic it will stress the bacteria just enough to cause these viruses to explode out. And then suddenly you have a huge viral burden in the lung. JAMA: What respiratory diseases might be most amenable in the near future to treatment resulting from this new understanding? You mentioned asthma. DR WHITE: We’ve long thought that asthma is a disease of inflammation, but never understood what initiated it. More and more, we’re understanding that certain bacteria, fungi, and viruses have a role. And these [pathogens] can sustain the inflammation in adults. Over time, that’s going to cause the airways to become fibrotic and now you not only (Reprinted) JAMA Published online April 12, 2017 Copyright 2017 American Medical Association. All rights reserved. Downloaded From: http://jamanetwork.com/pdfaccess.ashx?url=/data/journals/jama/0/ by Eileen Hinks on 04/12/2017 E1 News & Analysis have the reversible obstruction of airways that you see in early asthma, but this fixed obstruction that occurs later. Right now we’re a little stuck at what we can do to help people with asthma. We have inhaled corticosteroids. We have beta-agonist drugs to dilate the airways. We have some very new anticytokine drugs that may help us with inflammation. But after that, we don’t know where to go. You can extend this same [situation] to other lung diseases. We know, for example, that in COPD, emphysema, and chronic bronchitis, bacteria have a substantial role in perpetuating the inflammation there that leads to frequent exacerbations that land people in the hospital. So if we understood how the bacteria turned on the parts of host defense that we really don’t want turned on, maybe we don’t have to go after bacteria A directly, maybe we could change bacteria B or bacteria C, and they would change bacteria A for us, to tell it to be quiet. DR GILBERT: We have 2 ways of using the microbiome most effectively. The first and the easiest is to stratify patients, so we can better predict how they’ll respond to a particular therapy. To do that, we build databases [that] link the profile of their microbiome, the profile of their immune system, and their medical history. And we use deep machine learning to map and identify those interactions and determine if they are predictive of health care outcomes. The second is intervention. Utilizing the microbiome, identifying which microbiota are exacerbatory toward disease, which ones could help to suppress disease, and then exploring ways to manipulate them. JAMA: Are both strategies under way? DR GILBERT: The strategy at the moment is to try and identify the playing field— the types of bacteria, the types of fungi, the types of virus interactions [that] can lead to progression of disease and then to identify how they vary across populations. With some of our recent work we’ve looked at E2 the Hutterites vs the Amish. We can see particular microbiological associations with the Amish and their immune response that appear to be protective against asthma vs the Hutterites who are lacking those microbial signals, leading to the exacerbation of asthma in their population. JAMA: You’re talking about the study published last summer that examined why Amish children have a dramatically lower rate of asthma and allergies than Hutterite kids, even though they belong to communities that are almost exactly alike culturally and genetically? DR WHITE: Yes. In the Amish communities the young children are [fully] exposed to farm life at an early age. To animals and all the dust that goes with that. The Hutterites, for whatever reasons, do not want their young children exposed to the barns and farm life. And so not only are the barns located some distance away from their homes, but the young children weren’t going out into the barns to work [as do Amish youngsters]. JAMA: So, exposure to farm pathogens at a very early age seems to train the Amish youngsters’ immune systems, so they don’t develop allergies later on? DR GILBERT: Right. The basic principle is again, that the disruption of microbiota during a critical window in the development of the immune system, say due to antibiotic therapy, leads to a long-term chronic problem. Many specific disease states are being linked to that early window, everything from obesity and metabolic ills to neurological disorders such as autism and these more chronic inflammatory conditions [such as asthma] related to immune function. We see that there are stages in a child’s development soon after birth when [microbial] exposure is interrupted [and] can cause a problem. A lot of that work is in the gut microbiome. When we alter that, we affect [immunity] throughout the body. The gut microbiome isn’t just affecting the gut. It has very distal effects altering immune responses in other organs, such as the heart, liver, and kidneys. It’s highly likely that the same is true for the lung. DR WHITE: This communication between different microbiomes may well be a 2-way street. We’ve got some data in animals and a bit in humans suggesting the gut microbiome may influence inflammation in the airways in asthma and cystic fibrosis. An interesting question is whether the airway microbiome then sends signals back to the gut that will be changing the gut over time. JAMA: Do you foresee a time when we will all undergo microbiotic profiling? DR GILBERT: Absolutely. It’s one of the key components of stratifying our patient population. We may end up screening every single patient [who] comes into our hospital, maybe even every baby as [it’s] born and in specific stages in its development, 6 months, 18 months, 3 years, 5 years, to build up a strong picture of how they are progressing. You could think about this as microbial GPS [global positioning system]. JAMA Published online April 12, 2017 (Reprinted) Copyright 2017 American Medical Association. All rights reserved. Downloaded From: http://jamanetwork.com/pdfaccess.ashx?url=/data/journals/jama/0/ by Eileen Hinks on 04/12/2017 jama.com
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