Assignment 2: Health Policy Presentation

The purpose of this assignment is for you to identify an issue of concern for your role as an advanced practice nurse and to formulate a potential policy change to address that issue. There are many potential issues which can influence your practice setting or other issue which may negatively affect the patients with whom you work. All of the course reading will help you to identify a topic for this assignment. You can think about the issue as related to your health promotion project. The policy you consider may be in reaction to the health promotion issue or something larger that is still related to that issue. There are hundreds of possible issues, but here is a list of a few to consider:

• Child and elder care

• Civil rights

• Domestic violence

• Drug abuse/addiction

• HIV/AIDS

• Homelessness

• Native American and migrant workers’ health

• LONG TERM CARE ( I Choose this one)

• Immigration/illegal aliens

• Legislative issues affecting advanced practice nursing

•  

  • Access to care

    As you begin to work on the possible policy change: the following ideas and steps should be considered:

  • Definition and description of the issue

  • Exploration of the background of the issue

  • Stakeholders

  • Issue statement or statement of clarity

  • Possible methods of addressing the issue

  • Goals and options for changes

  • Risks and benefits of the changes

  • Evaluation methodology

  • Recommendation or solution

Barriers to practice

Assignment 3: Healthcare Quality
Due Week 6 and worth 200 points

Assume that you are a Quality Officer who is responsible for one of the state’s largest healthcare organizations. You have been told that the quality of patient care has decreased, and you have been assigned a project that is geared toward increasing quality of care for the patients. Your Chief Executive Officer has requested a six to eight-page summary of your recommended initiatives.

Note: You may create and /or make all necessary assumptions needed for the completion of this assignment.

Write a 6-8 page paper in which you:

1. Analyze three (3) quality initiatives for your organization.
2. Determine the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.
3. Differentiate between quality in a free market healthcare system and in single payer government system with three (3) examples for each.
4. Specify three (3) common law quality initiatives that are still found in 21st century healthcare organizations.
5. Defend your position on the importance of healthcare quality for your organization. Provide support with at least three (3) examples that illustrate your position.
6. Assemble a plan to protect patient information that complies with all legal requirements.
7. Use at least three (3) quality references. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

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

The specific course learning outcomes associated with this assignment are:

• Describe the evolution of hospitals and sources of law.
• Examine tort law and the criminal aspects of health care.
• Analyze the impact of healthcare financing and health insurance on healthcare access, quality, and cost.
• Determine the factors that affect healthcare quality in healthcare organizations.
• Examine information management and health care records and how the legal reporting requirements impact health care. 
• Assess the legal implications of ethical decisions that impact consent for treatment, right-to-die, and patient rights and responsibilities.
• Use technology and information resources to research issues in healthcare policy, law, and ethics.
• Write clearly and concisely about healthcare policy and law using proper writing mechanics.

Hello i need a good and positive comment related with this argument .A paragraph  with no more 150 words.

Karen Byfield 

1 posts

The topic that has been chosen is adolescent depression. Adolescent depression can be very common. There can be several contributing factors to depression for adolescents. These can include loneliness, crisis, or losses (Jarvis, 2012). Some signs and symptoms of depression are excessively feeling sad, problems sleeping or eating or problems concentrating (Jarvis, 2012). Other signs and symptoms are irritable mood or no interest in usual activities (Edelman, C., Kudzma, E., Mandle, C., 2014).

There are many types of prevention for depression. A Primary method of health prevention that a nurse can provide education to adolescents about depression and being included in health decisions (Edelman, C., et al, 2014). A Secondary method of health prevention that a nurse can utilize is screening and assessing for depression to all adolescents (Edelman, C., et. al, 2014). A Tertiary method of health prevention that a nurse has available is to refer the adolescent to a mental health specialist (Edelman, C., et al, 2014). Many times, adolescents who are going through depression have to refer to the Tertiary method. The adolescents can only feel like they are truly receiving the help that they need/ desire for is through seeking help through health specialists.

There are resources available both within the state and the community. The community resources available are several facilities to be utilized by adolescent patients with depression. There are both inpatient and outpatient treatment facilities can be utilized for depression (Psychology Today, n.d.). A State resource available is Depression Treatment Centers in Arizona. There are many centers available depending on the city live in (Psychology Today, n.d.). An intervention that a nurse can offer is teaching coping skills or techniques to reduce stress to the adolescent (Edelman, C., et al, 2014).

Reference:

Edelman, C., Kudzma, E., Mandle, C. (2014). Pg. 519 &526. Health Promotion Throughout the Life Span (8th Edition). St. Louis, MO: Mosby Elsevier.

Jarvis, C. (2012). Pg. 79. Physical examination and health assessment(7th ed.). Philadelphia: W. B. Saunders.

Hello i need a good and positive comment related with this argument .A paragraph  with no more 100 words.

 Deactivated

Alissa Kochaver 

3 posts

Depression in teenagers is a real and significant mental health issue that causes relentless feelings of sadness and powerlessness.  Teen depression affects the way a teenager thinks and feels, how the teen behaves, and creates emotional, physical, and functional problems (Mayo Clinic, 2016).  Changes within the teen’s body, peer pressure, and difficulty in school can contribute to teen depression.  Depression in this age group can be very serious, even resulting in suicide, and should be treated long-term with medications and/or psychological counseling (Mayo Clinic, 2016).

Physical changes seen in depressed teens may include: loss of energy, increased sleeping, decreased sleeping, increased or decreased appetite, weight changes, poor school performance, drug or alcohol use, social isolation, risky behaviors, and self-harm.  Emotional changes may include: extreme sensitivity to rejection or failure, anger, sadness, worthlessness, and hopelessness.

Primary intervention for adolescent depression in prevention.  Prevention may include programs that educate regarding the risks of smoking, drinking and driving, sex, and AIDS.  It is also helpful for the teen to be involved in healthy activities/hobbies such as sports teams, artistic groups, and classes in school (Mayo Clinic, 2016).

Secondary intervention, also called early intervention, takes place after the problem has already been going on for a while, and has been identified (Mayo Clinic, 2016).  At this point, the teen’s depression may not be very advanced, but has the potential to get worse if interventions do not occur.  Medication is an option at this point.  In addition, teens and parents may reach out to helplines, youth assistance programs, or out-patient counseling (Mayo Clinic, 2016). 

Tertiary intervention is a wide spectrum of clinical and non-clinical options.  Medications, inpatient adolescent psychiatric wards, eating disorder clinics, drug and alcohol programs, and residential treatment facilities are all options that may be helpful.  It is important that the teenager has support of family members and/or close friends. 

As nurses, we can intervene in many ways.  Some examples are: encourage the teen to express and talk about his or her feelings, assess the adolescent to determine precipitating event(s) when feelings of sadness/hopelessness arise, teach positive and effective coping strategies such as guided imagery and relaxation, assist the teen in focusing on strengths rather than weaknesses, and assist the teen in identifying positive and supportive friends and family members (Mayo Clinic, 2016). 

In the state of Wisconsin, there are 16 separate crisis and suicide hotlines teens can reach out to in desperate times.  Nurses can also call these numbers if they feel a teen is at risk for self-harm.  In addition, nurses can work together with doctors to make psychiatric referrals in order to ensure the teen gets the help he or she needs.

Reference:

Mayo Clinic. (2016). Teen depression. Retrieved from http://www.mayoclinic.org/diseases-conditions/teen-depression/home/ovc-20164553

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