Monthly Archives: December 2020

Issues of Sex and Gender in Society Today

Issues of Sex and Gender in Society Today

Identify an issue that is facing our society today that is in some way related to sex and/or gender and has opposing sides. Consider a law that was recently put into or taken out of effect or is being debated. You could also look to the statements or actions of a public figure or organization that has generated significant attention from the media. The issue you select should have ample material from which you may pull to gain insight into the details surrounding it. Feel free to email your instructor if you would like to verify that an issue is appropriate or if you would like some suggestions as to what you could cover.

Explore multiple sides of the issue you have selected until you have a good understanding as to why each side believes it is right. Research the historical events that have caused the circumstances of this issue. Engage in discussions with others who have strong feelings about the issue to learn the reasons why they feel they way they do.

Make sure you research both sides thoroughly as your goal with this paper will be to write it in a manner that does not allow the reader to know which side of the issue that you are on. You will not be condoning or condemning either side- your goal is to be as objective as possible in reviewing the issue you select.

Construct a 1,000-1,250 word essay that demonstrates your understanding of the following:

  • The issue that you have identified (a concise synopsis of what the issue is)
  • Historical context (previous events in history that have contributed to the rise of the issue)
  • Both sides of the current argument (provide an objective review- the reader should not know which side of the issue that you personally are on)
  • At least two possible resolutions to the issue (include the potential ramifications of each resolution for both sides)

Your paper should include an introduction and conclusion, at least 5 cited references (only 2 of which may be your discussions with others, excluding those identified as subject matter experts in your writing), and must adhere to APA formatting.

All assignments are submitted to Turnitin, which is a plagiarism checking tool.  Any assignment receiving a score of 30% or better raises serious concerns about the originality of your work.  An originality score should generally be no more than 20%.  Assignments with originality scores between 20 and 50% will have points deducted. Any originality score over 50%  after review will be graded with a 0.  Please keep this in mind as you are submitting work.

 

Reflect on your own experiences and observations associated with health in your community.

Reflect on your own experiences and observations associated with health in your community. Select one health concern that you feel is important and should be addressed (e.g., a chronic disease such as diabetes or heart disease, obesity, violence, unintentional injury, communicable diseases, tobacco use, and so on).

Create a PowerPoint presentation that includes the following:

  • Describe the health concern that you have chosen in your community.
  • Analyze the difficulties in the community associated with the issue (e.g., social, political, access to care, education and awareness, community resources, and so on).
  • Recommend one strategy that an organization or agency (e.g., local health department, health center, hospital, school, CDC, mental health agency, and so on) should use in addressing the health issue.
  • Assess how the collaboration between these organizations or agencies aligns with current healthcare delivery reforms.
  • Describe the challenges or barriers that might be encountered when implementing your suggested strategy (e.g., financial, ethical, public resistance, lack of resources).

*APA STYLE WITH REFERENCES , PICTURES, ETC

Continuing to focus on the health of the community (Community Health Worker in Kansas)

Continuing to focus on the health of the community (Community Health Worker in Kansas) you have used in previous assignments, this assignment will require you to identify and examine a public health issue that is commonly experienced by a multicultural or diverse population in the community and then apply the health ecological model to identify a remedy for the issue.

Your case study should present an insightful and thorough analysis with strong arguments and evidence. Include relevant data about the population and the issue, and address the following questions.

1) How can you apply the health ecological mode to the public health issue you have identified?

2) What actions would you take at each level to improve the public health issue for that population?

3) What partners or assistance will you need to affect change for this population and the issue?

Your case study will be a minimum of two pages, not counting the title and reference pages. You must use at least three scholarly sources. All sources used, must be referenced; paraphrased and quoted material must have accompanying citations. Your case study, including all references, will be formatted in APA style.

 

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea.

 Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs: • Synthroid 100 mcg daily • Nifedipine 30 mg daily • Prednisone 10 mg daily.

  • Explain your diagnosis for the patient, including your rationale for the diagnosis.
  • Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
  • Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

 

When should you use qualitative methods when conducting counseling research?

When should you use qualitative methods when conducting counseling research? Provide at least two examples in your response as well as rationale. ( Need today 150 words)

 

What is the difference between clinical significance and statistical significance? How might these concepts be applied to program evaluation? Give an example of an instance in which you might be torn between two types of significance in the reported results of research. What are some other types of statistical evaluations that help to sort out the true significance of clinical research findings? Provide at least two scholarly references for your discussion and justifications.  (Need today 150 words)

Criminal Justice

For your Signature Assignment (12-15 pages), develop a comprehensive review of the literature as it relates to the latest theories and best practices in top-down criminal justice administration versus community participatory criminal justice models of administration.

As a clinical social worker it is important to understand group typology in order to choose

As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups.

For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following:

Program Design . Short Paper: Addressing Disparities

Read the article Lessons From Sexual and Reproductive Health Voucher Program Design and Function: A Comprehensive Review. Then write an article critique on the effectiveness of health voucher programs used in reproductive health. Critique the ability of the health programs addressed in the article to address disparities in an ethical manner. Conclude your critique with an overall evaluation of the health program for its ability to improve the flow of healthcare delivery at the community level.

Article link : https://equityhealthj.biomedcentral.com/articles/10.1186/1475-9276-13-33

Include the following critical elements:

  • State whether the program was effective or ineffective in addressing disparities. Explain your response.
  • Explain why addressing health disparities in an ethical manner is important.
  • Make recommendation for increasing efficacy in addressing disparities.

Guidelines for Submission: Each short paper should be submitted as a 2-page (minimum) Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and proper APA formatting.

 

Program Design Discussion Responses

In your response posts, evaluate your peers’ application of a particular model of collaborative practice. Do you agree with their initial post?

Post #1

Michael Kruzinski

Hello Class,

One collaborative practice model used in healthcare is the chronic care model (CCM) which has been successful in addressing preventative care and disease management. Within the CCM model, there is an emphasis on three elements impacting chronic care consisting of the community with its rich resources, policies and payment structures associated with the healthcare system, and the provider practice/organization (Fisher & Dickinson, 2014). The CCM model focuses on patients taking an active role in self-management and taking a hands-on approach to chronic care execution. The CCM is useful and effective because it can be applied to a variety of chronic illnesses, healthcare settings and target populations which leads to healthier patients, greater efficiencies/resource utilization and greater care deliveries (Group Health Research Institute, 2020). Additionally, under this model healthcare professionals across the board can share pertinent information, lessons learned, experiences and ensure cross-flow of this information to help address targeted populations which drives improved care overall. For instance, under the CCM model it enables psychologists the ability to make contributions with respect to clinical services, preventative and behavioral programs, and psychosocial programs to help with managing chronic disease in patient population groups (Fisher & Dickinson, 2014). CCM models have created partnerships with healthcare systems and the communities and have been helpful in providing care for people with diabetes as another example. Evidence supported by 16 studies showed CCM approaches were effective in addressing diabetes in the primary care settings within the US  which enabled healthcare leaders to initiate system-level reorganizations, generate disease registries and utilize electronic medical records to create patient-centered goals, track progress, and point out any lapses in care (Stellefson et al., 2013).  Lastly, the CCM model helps primary care physicians to deliver effective care backed by evidence and helps provide education to patients in order to improve health outcomes. In conclusion, all of the elements within the CCM model help to create a more effective provider-patient relationship; ultimately creating a healthier outcome for patients.

References

Fisher, L., & Dickinson, W. P. (2014). Psychology and primary care: New collaborations for providing effective care for adults with chronic health conditions. American Psychologist, 69(4), 355–363.

Group Health Research Institute. (2020). The chronic care model. Retrieved December 20, 2020, from http://www.improvingchroniccare.org/index.php?p=Model_Elements&s=18

Stellefson M, Dipnarine K, Stopka, C. (2013, March 4). The Chronic Care Model and Diabetes Management in US Primary Care Settings: A Systematic Review. Prev Chronic Dis 2013;10:120180. DOI: http://dx.doi.org/10.5888/pcd10.120180

Post #2

Nicole Napier

The patient-centered medical home (PCMH) model focuses on improving how primary care is delivered (Agency for Healthcare Research and Quality, n.d.).  There are five functions of a PCMH:

  1. Comprehensive care-ensuring that the care is all encompassing and offers a multidisciplinary approach to providing physical and mental health care
  2. Patient centered-this is the crux of the model. It ensures patients are seen as one whole entity and their unique needs are factored into their care. In addition, the wishes of the patient and family are incorporated into the care plan.
  3. Coordinated care-there are many moving parts in a patient’s care and this must all be coordinated so that a smooth outcome is reached. Coordinating care across sites, from hospital to home, hospital to hospital, etc., requires time and attention to help the patient receive quality care and good outcomes.
  4. Accessible services-care that is inaccessible is nonexistent. If a patient does not have access to timely care, poor outcomes can occur. Also, if patients are not educated on how to access care, it can be detrimental. This may be in the form of same day visits, urgent care, telephone triage, portal access, etc. Educating patients on how and when to seek care as well as having available access is an important component of this model.
  5. Quality and safety-by using tools to measure and ensure quality, care can consistently be improved. Utilization of evidence based medicine, including patients/families in decision making, assessing patient satisfaction and using models to improve care are all important.

When I was a director of nursing back in 2001, there was a national campaign to “redesign” health care. It consisted of many of the PCMH components and I have no doubt that it was the predecessor for the PCMH model as that term did not yet exist. Community health centers (CHCs) all over the country attended seminars and trainings to improve how they delivered care and put the patient at the center of it all. At my CHC (which was the first CHC in the nation), we began with the ‘huddle’ concept (which was new back then) and we all met the morning of each clinic. We also, created “teams” that consisted of the physician/NP, RN and medical assistant.  Corso and Gage (2016) find that teams are essential for patient management.  We reviewed all patient charts for the following day. We made sure radiology reports were available for the visit, had the front desk be proactive with any insurance coverage issues, made sure we had a paper chart for each patient (as that was a huge deal before the EMR), became proactive with prior authorizations, etc.  It was our first multidisciplinary approach as it included nurses, medical assistants, front desk staff, clinical providers, medical records, laboratory staff, etc. At the end of the project, all CHCs who participated went to Philadelphia and used poster boards to display their program and how it contributed to improved quality outcomes for the patient.  It was a great opportunity to share ideas, learn a completely new way of doing things and commend each other for the hard work.  It was a pleasure just to be in the presence of others who understood what it meant to provide care in a community setting (most of which were under served).

Again, I was able to link this week’s discussion to my father, as he admitted to MGH last week. They had planned to discharge him home the day of the storm but I was adamant that it did not happen.  The social worker said they could have “The Ride” bring him home. However, the issue was not about him just getting home. It was about me as his daughter (and a nurse) understanding that the biggest hurdle is not just getting him from point A to point B. There is much that goes into the discharge process; new medications that need to be picked up from the neighborhood pharmacy, making sure he knows what pills to take that night, getting him settled back into a home that he has not been in for 1 week and being sure he has food since he has not been able to shop while admitted. Roux (2019, p. 1) confirms that medication management “can become particularly tricky in the context involving a return home after a hospital stay and changes in the usual prescription, especially for older adults undergoing polypharmacy.”When I talked to the nurse, she totally got it. She said there was no sense in having him leave that day if there was no one who could follow up on these things. She reached out to his PCP, the ID specialist and his cardiac team.   Because of this collaboration, they postponed the discharge to the following day. And even with that (which we were grateful for) there were so many bumps in getting his medication, but as I was there, I was able to help the hospital get him what he needed.  There is just no way my father would have been able to navigate any of that on his own.  That is why it is important for the care team to have open communication with the patient and family members so that everyone is on board.

References

Agency for Healthcare Research and Quality. (n.d.) Defining the PCMH.

https://pcmh.ahrq.gov/page/defining-pcmh

Corso, K. A., & Gage, D. (2016). Nurses and Psychologists Advancing the Patient-Centered Medical Home Model. Nursing Administration Quarterly40(3), 192–201.

Roux, P., Verloo, H., Santiago-Delefosse, M., & Pereira, F. (2019). The spatial dimensions of medication management by home-dwelling older adults after hospital discharge. Health and Place60. https://doi-org.ezproxy.snhu.edu/10.1016/j.healthplace.2019.102230