Use our essay title generator to get ideas and recommendations instantly
Health - Nursing
Community Health 9400
America is the most obese nation in the world. American nation in general and people of Lansdowne in particular are studied here for the issues of obesity. Lansdowne is located in county of Delaware, Pennsylvania with a diverse population and demographics.
Lansdowne is located in east of America. The city is at WikiMiniAtlas
39°56"29"N 75°16"31"W? / ?39.94139°N 75.27528°W. The city has land area of ? / 39.94139; -75.275281.2 square miles and zero percent area is covered with water. Geographically the city is in southwest of Philadelphia at about 5 miles' distance. The area is majorly covered by residential apartments and some area is also commercial. City also has some artistic and historic buildings.
Population and Demographics
In 2010, the population of Lansdowne, Pennsylvania was 10,579 (State & County Quick Facts, 2013). During the census of 2010, it…
Center for Disease Control and Prevention, Overweight and Obesity, (2012), Retrieved from:
State & County Quick Facts, (2013), Retrieved from:
The subject is now part of a national political task force, with the goal of eliminating the problem within one generation (Ferran, 2010).
Formally, teen pregnancy is based on a woman who will not reach her 20th birthday by the expected birth of her first child. This definition does not assume marriage, nor if the woman is legally an adult (depending on the country). The idea of marriage and birthing age has, of course, changed based on societal and cultural issues. At one time, when the lifespan was 40, it made sense for a girl to begin her childbearing years as soon as she was able, usually around 12-13. In contemporary U.S. culture, however, the amount of information and professional data that is needed to become a well-rounded citizen is so high that we usually gauge 18 as the very minimum age to begin to have the resources and/or acumen…
Key Health Data About Oklahoma. (2011). Trust for America's Health. Retrieved from:
Linking Teen Pregnancy Prevention to Other Critical Social Issues. (2010, March). Retrieved from the Namtional Campaign: http://www.thenationalcampaign.org/why-it-matters/pdf/introduction.pdf
Oklahoma at a Glance. (2011). Oklahoma Department of Commerce. Retrieved from:
Medical ethics are basically a collection of values, principles and moral judgments in the context of healthcare practice. For instance at the core of these values, is the aspect of autonomy. n this regard, it is realized that a patient is granted the right to accept or refuse treatment which only affects them. Medical practitioners are not therefore supposed to forcefully offer their services or compel patients to accept particular types of treatments. nstead, they should mostly inundate the patient with all the relevant information and give them the liberty to make their own decisions.
n the same way, the principle of beneficence states that the medical practitioner should always act to the best interest of the patient. The patient has the right to get the best service from the practitioner as much as can be granted. ndeed, considering the importance of health in the society, medical ethics are very…
In healthcare, civic responsibility is involves individual decisions, which are very difficult to enforce through the law. For instance, throwing away rubbish might eventually become a very grave healthcare concern to the whole community of not avoided. The public are therefore under the duty of ensuring that they always keep their environment clean and avoid practices that would compromise the healthcare situation. Civic responsibility in healthcare does not only boil down to individuals. It also encompasses the practices and duties which are supposed to be conducted by organizations. Organizations should always ensure that their activities do not in any way affect the general environment in a way that can compromise the health situation. In this regard, the dumping of toxic wastes and other concerns should be a top priority for organizations. Other organizations such as universities are supposed to teach the people and create awareness on the important aspects of healthcare without really seeking direct benefits from such programs.
The paper is based on different nursing questions which include community health nursing, tobacco cessation, health care ethics and civic responsibility. This paper is for a community health nursing course. There is four part to the paper in which each page would be directed toward a particular topic.
The first page would be about "Healthy people in 2012" in this particular page you will start off by defining public health; moreover, discuss what public heath does, essential public health services and leading health indicators. Since I live in Miami, it would be very necessary if you discuss health concerns in Miami-Dade county (HIV / AIDS, TB, Hepatitis a, obesity and School readiness to name a few). Lastly discuss the key goals focus on improving health.
nother key facet of the Patient Protection and ffordable Care ct is that it has enacted legislature that makes it easier for people with previously existent health care conditions to both get health coverage as well as to get the treatments they need. gain, the result of this aspect of the health care reform measure is that it should make it possible to increase the general wellness of the merican people. lso, health care insurance is projected to become more affordable due to various changes related to Obama's health care reform. Forms of preventative treatments, for example, will not require copayments. Doing so will allow more people who are not financially able to afford health care visits to access nurses and doctors at those facilities and get the treatments they require.
One of the most egregious health care epidemics to sweep through the modern world in the past couple of…
Another key facet of the Patient Protection and Affordable Care Act is that it has enacted legislature that makes it easier for people with previously existent health care conditions to both get health coverage as well as to get the treatments they need. Again, the result of this aspect of the health care reform measure is that it should make it possible to increase the general wellness of the American people. Also, health care insurance is projected to become more affordable due to various changes related to Obama's health care reform. Forms of preventative treatments, for example, will not require copayments. Doing so will allow more people who are not financially able to afford health care visits to access nurses and doctors at those facilities and get the treatments they require.
One of the most egregious health care epidemics to sweep through the modern world in the past couple of years is the infamous H1N1 swine flu. It took up a place of prominence in the health care industry in 2009, when it was initially discovered as a new, more malignant strain of influenza. Research linked this particular form of influenza to the type of this virus that is related to pigs -- some of the earliest reports of swine flu came from people who were either near pigs or had direct exposure to pigs. Still, it was quickly ascertained that the most popular way that this condition spread was actually from inter-human contact. This particular virus infects the cells related to a person's lungs, nose and throat areas, and is transmitted via contact from a contaminated surface to a person's hands, eyes, mouth or nose.
There are a number of measures that are used to cope with swine flu and to ideally prevent its occurrence. Early on in the development of the epidemic outbreak of this environment that was most prevalent in 2009 and 2010, it was determined that antiviral drugs such as zanamivir and oseltamivir were important deterrents in counteracting the effects of this virus. Researchers were even able to come up with a vaccine midway through 2009 that could be used for patients who reached life threatening levels of complications due to swine flu. Other measures that should be taken in order to control the spread of this virus are more preventative in nature. These measures including frequently washing one's hands (either with soap and water or liquid sanitizer), staying home when infected with the virus to suppress any possible contamination of others, and striving to cover up sneezes or coughs through which the virus may spread.
Community health needs assessment is a process that illustrates the health status of the local people, facilitates the identification of the main risk factors that cause ill health among these people, and promotes the determination of the necessary actions to address these factors and causes ("Community Health Needs Assessment," 2001). Notably, this process is not a one-off activity but a developmental procedure that is amended and added to with time. Consequently, the community health needs assessment is not an end in itself but a means of using information to prepare public health care programs in the future.
In order for this process to provide accurate information, it entails various steps that need to be carried out effectively. The first step in the process is profiling, which is gathering relevant information that provides information about the health status and health needs of the population. Profiling also involves analyzing the obtained information…
"Community Health Needs Assessment." (n.d.). GHSU/GHSMC and University Hospital
Collaborative Community Health Needs Assessment (CHNA). Retrieved from Georgia Health Sciences University website: http://www.georgiahealth.edu/community/chna/
"Community Health Needs Assessment." (2001). World Health Organization. Retrieved December 31, 2012, from http://www.euro.who.int/__data/assets/pdf_file/0018/102249/E73494.pdf
Shortage of family practice physicians should be a worrying trend if America is to achieve its goal of ensuring that it has a surplus of 139, 531 family physicians in the medical practice in 2020 (Lloyd, 2009). Matters are complicated by the fact that not so many students are enrolling for such programs. America attracts only half of the number of future family physicians that it needs. The situation is also worrying factoring in the scope of a family physician practice that entails provision of personal, comprehensive, and continuing care for individuals in context of the family and the community (Halsey, 2009).
As a CEO of a community hospital I would consider paying family practice physicians within my facility to enable them pay their student loans. I would also consider hiring family practice physicians from other countries who have been equipped with standard training from countries where they…
Halsey, A. (June 20, 2009). Primary Care Doctor Shortage May Undermine Health Reform
Efforts. The Washington Post.
Lloyd, J. (2009). Doctor Shortage Looms as Primary Care Loses its Pull. Retrieved from http://usatoday30.usatoday.com/news/health/2009-08-17-doctor-gp-shortage_N.htm
Mast, T. (October 25, 2010). New Community Health Center Planned. The Billings Gazette.
Community Diagnosis: Pearland, Texas
The community of Pearland is an ethnically-diverse, growing community located adjacent to the thriving metropolis of Houston, Texas (PEDC, n.d.). The population for the community was estimated to be 93,305 in 2011, up by 2.25% from the previous year (Census, 2013a). By comparison, the U.S. population grew by just 1.67%. There are slightly more females than males (51.4 vs. 48.6%) in Pearland and the median age is 34.1 years. This represents more women on average and a younger population by 3.1 years than the rest of the United States. An estimated 97.5% of residents considered themselves to be of one race and these are: 49.8% White, 20.0% Hispanic or Latino, 15.2% African-American, and 12.5% Asian. Pearland is therefore a minority community.
In terms of immigration patterns, Pearland is equivalent to the rest of the country (Census, 2013a). An estimated 15.3% and 12.8% of the…
AngiesList.com. (2013). Houston Acupuncturists. AngiesList.com. Retrieved 21 Feb. 2013 from http://www.angieslist.com/companylist/houston/acupuncture.htm.
AngiesList.com. (2013). Pearland Acupuncturists. AngiesList.com. Retrieved 21 Feb. 2013 from http://www.angieslist.com/companylist/us/tx/pearland/acupuncture.htm.
Barns, Patricia M., Bloom, Barbara, and Nahin, Richard L. (2008). Complementary and alternative medicine use among adults and children: United States, 2007. National Health Statistics Reports, U.S. Centers for Disease Control and Prevention. Retrieved 17 Jan. 2013 from http://www.cdc.gov/nchs/data/nhsr/nhsr012.pdf .
Census (U.S. Census Bureau). (2013a). American FactFinder: Community Facts -- Find popular facts (population, income, etc.) and frequently requested data about your community. Pearland City, Texas. Census.gov. Retrieved 20 Feb. 2013 from http://factfinder2.census.gov / faces/nav/jsf/pages/community_facts.xhtml.
Community Health Promotion Project Design: Intimate Partner Violence
The special emphasis population at focus in this project is those who are affected by Intimate Partner Violence. The community agency that will be identifying and treating these individuals is the Public Health Department.
Primary Program Components
The primary components of the program described herein include the following:
(1) Assessment for intimate partner violence and training curricula to make sure that the program uses the most current best practices as they are emergent;
(2) Component for technical assistance and training for increasing local capacity for primary prevention of Intimate Partner Violence;
(3) A component for implementing, assessing and refining the comprehensive prevention program plan; and (4) A component for evaluation. (Connecticut Department of Public Health, 2009)
Conceptual Framework: Socio-Ecological Model
The Socio-Ecological Model has been chosen for this program because it "supports a comprehensive public health approach that not only addresses an…
State of Connecticut -- Sexual Violence Prevention (2010) Connecticut Department of Public Health. January 2010. Retrieved from: http://www.connsacs.org/documents/SexualViolencePreventionPlan1-29-10FINAL2.pdf
John, Ime Akpan (2010) Screening for Intimate Partner Violence in Healthcare in Kano, Nigeria: Barriers and Challenges for Healthcare Professionals. Karolinska Institut. Stockholm. Retrieved from: http://diss.kib.ki.se/2010/978-91-7409-947-8/thesis.pdf
Groups at risk and vulnerable populations.
A group at risk for poor health is the group of people that are at risk of not receiving the needed healthcare regardless of their race, their income or insurance status, gender. These groups are such as children, the elderly, immigrants, and any other members of the society that are predisposed to risk factors that make them not able to get quality healthcare. Vulnerable populations are those groups of people that are not integrated into the healthcare system due to factors such as ethnic, geographic, economic, culture as well as health characteristics. Heightened vulnerability is contributed by factors such as poverty, lack of education, gender, age, ethnicity, homelessness, and limited access to resources, the isolation puts the people who are included in this group at risks for not being able to access the necessary medical care therefore a potential threat to the…
Flowers, D.L. (2010). Culturally Competent Nursing Care a Challenge for the21st Century. Retrieved March 9, 2013 from http://ccn.aacnjournals.org/content/24/4/48.full.pdf
Rodriguez, C. (2012).Designing and using cultural brokers program. Retrieved march 9,2013 from http://www.slideshare.net/rodriguezccia/effective-use-of-cultural-brokers-boilerplate
Urban institution. (2010).Vulnerable populations. Retrieved March 9,203 from http://www.urban.org/health_policy/vulnerable_populations/index.cfm
The team analyzed samples for carcinogen-DNA adducts, biomarkers associated with increased cancer risk, and cotinine, a measure of secondhand tobacco smoke exposure. Based on prior findings in animal models, scientists believe only one-tenth of the dose of PAH passes from the mother to fetus through the placenta. Even so, the investigators found that newborns incurred DNA damage at a rate slightly higher than their mothers" (ood, 2006). In other words, even if a mother does not smoke, the nurse may wish to ask about the patient's partner's smoking habit, or if the patient works in a smoke-containing environment.
The study also found that "detectable adducts were identified in 45% of the newborns and 42% of the mothers. Newborn cotinine levels were higher, 47% in the infants versus 44% detectable in the mothers," despite the screening effect of the placenta (ood, 2006). "Researchers said the fetal concentration may be due to…
Green, Pauline M,
Polk, Laura V.,
Slade, Diann S. "Environmental nursing diagnoses:
proposal for further development of Taxonomy II."
Community Health Scenario
Death is an inevitable destiny of life. It is essential to be able to provide the best care that a patient may need during his last days, when all medical treatment fails. Frequently, the battle of life and death leads one to formulate a concept or an analogy of these two processes. This concept is bound to interfere with what one does in life. As a nurse, my idea of death and dying has an impact on the quality of care I provide to patients undergoing this process.
The ideal attitude of a nurse's care for terminally ill patients involves the criteria of flexibility in interpersonal relations, effective communication about critical issues, such as in Mrs. Thomas's case, and psychological stability and mindedness in relation to dying patients their families. (A oberta and A. olland. Nurses' attitudes about end-of-life referrals. 2009).
According to the Journal of Medicine…
Bottarf, JL. (1995). Comforting: exploring the work of cancer nurses. School Of Nursing. 22(6), 1077-84.
Dunn, K.S., Cecilia, O. & Stephans, E. (2005). Nursing experience and the care of dying patients. Oncology Nursing Forum. 32(1), 97-104.
Gloria, W. (2004). Basic geriatric nursing. Philadelphia: Library of Congress.
Matzo, M. And Witt Sherman, D. (2010). Palliative care nursing: quality care to the end of life. Springer Publishing Company: New York.
Community Health Statistics for Caddo Parish, Louisiana
Description of Caddo Parish, Louisiana
With about a quarter of a million residents, Caddo Parish, Louisiana is a fairly older community with almost two-thirds of its population aged 25 years or older. Most of the residents of Caddo Parish (82.3%) are high school graduate or higher and 22.3% have a bachelor's degree or higher compared to the national averages of 84.6% and 27.5%, respectively. There are slightly more females than males in Caddo Parish, and median family incomes are slightly lower than the national average at $48,522; per capita income is also slightly less than the national average at $22,323. There are also slightly more whites than blacks (50.3% compared to 46.4%, respectively) in Caddo Parish. ecent relevant statistical data for these and other areas of interest are presented below.
Biophysical Considerations: Caddo Parish
About the Parish of Caddo. (2011). Caddo Parish Official Web Site. Retrieved from http://
Annual report. (2007, 2010). Caddo Parish Official Web Site. Retrieved from http://www.caddo.
Watson's origin of human life is tied to notions that one's soul possesses a body that is not restricted by objective space and time. The lived world of the experiencing person is not well-known by external and internal notions of time and space, but shapes its own time and space. "Nursing is a human science of persons and human health-illness experiences that are mediated by professional, personal, scientific, esthetic, and ethical human care transactions. The process of nursing is human care" (Fawcett, 2002).
The main concept of Watson's theory is transpersonal human caring which is best understood within the concepts of three subsidiary concepts: life, illness and health.
Human life is defined as spiritual, mental and physical being which is continuous in time and space.
Illness is not automatically a disease. Illness is turmoil or disharmony with a person's inner self or soul at some level or disharmony within the…
Fawcett, Jacqueline. (2002). Jean Watson's Theory of Human Caring. Retrieved July 28, 2009,
from DeSales University Web site: http://www4.desales.edu/~sey0/watson.html
Obesity. (2009). Retrieved July 28, 2009, from MedicineNet.com Web site:
Community Health Centers
Conditions Necessary for Policy Innovation
An important but often ignored part of community involvement in academic health centers is the formation of a collaborative and responsive relationship with stakeholders. Such relationships enhance the role of academic health centers as providers of healthcare and as leaders in community health (Butger, 2010). esearch from Harvard's Health Law and Policy Innovation (CHLPI) gives evidence of the way the design of health plans can discourage some people from taking up the care they need. An interesting PHD project by Karolina under the banner of 'Pathways to a Healthy Life' aims to push boundaries between disciplines aside so that the contribution of the university in the provision of health care across all facets including life expectancy, wellbeing and ageing are improved. It evaluates the various ways in which local communities, individuals, lifestyle as well as environmental and economic conditions affect aging healthily.…
Brutger, R. D. (2010). Academic Health Centers and Community Health Centers: The Landscape of Current Partnerships. Association of Academic Health Centers.
Griffiths, J., Maggs, H., & George, E. (2007). Stakeholder Involvement. World Health Organization.
News, H. (2016, September 8). HLS News. Retrieved from Harvard Blogs: https://blogs.harvard.edu/clinicalprobono/tag/center-for-health-law-and-policy-innovation/
Taylor, J. (2004). The Fundamentals of Community Health Centers. NHPF Background Paper.
As a group, the 3 groups in this study showed significant increases on both the school-level accountability indicators like performance and progress and the core content indicators like reading, math, and writing for the 3-year period. This was expected and likely due to the importance placed on academic reform throughout the entire state educational system. Holding time constant, the level of implementation was an important factor, particularly on the reading and math indicators. Schools implementing CSHP at a low level had a considerably lower proportion of students meeting both the reading and the math standards than schools implementing CSHP at a high level.
Interestingly, schools implementing CSHP at a low level also had a considerably lower proportion of students meeting both the reading and the mathematics standards than those schools not implementing CSHP at all. This finding was not surprising given that for academically struggling schools, upholding fidelity across multiple…
Rosas, S., Case, J., & Tholstrup, L. (2009). A Retrospective Examination of the Relationship
Between Implementation Quality of the Coordinated School Health Program Model
and School-Level Academic Indicators Over Time. Journal of School Health, 79(3),
Middle school officials have been reporting a rash of mysterious absences recently. Upon examining information given by those officials and corellated by health department staff there appears to be a pattern to the absences. In the month of April there were only minor similarities in time and occurence of these absences in two schools. In contrast, in the month of May there were quite a few absences in two of the schools, Jackson and Truman, but not in the others.
The similarities first appear in the period of late April to early May, but those are few in number. The spike in absences occurs in May, from the 19th to 25th. There are two hypotheses for these occurences. The first hypotheses is that the absences are due to something as simple as the common cold. The second hypotheses for the spike in absenses is food poisoning or a…
Community Health dept. Intranet Kaplan.edu
Food Poisoning. Retrieved April 28, 2011 from: http://www.livestrong.com/article/17793-common-causes-poisoning/#ixzz1E6UcQg57
West Nile Virus. Retrieved April 28, 2011 from: http://www.cdc.gov/ncidod/dvbid/westnile/index.htm
The company's board believed they could not find a replacement for Chaney by the date of his intended departure, and so the directors put the company up for sale. In March 1996, the New York-based investment banking firm Merrill Lynch was hired to generate interest in the company, and a suitable buyer was found, a New York-based private investment firm named Forstmann Little & Co. This company was headed by Theodore Forstmann, a leveraged buyout specialist. Forstmann's firm had more than $20 billion invested in 20 companies and made its living by acquiring companies and selling them for a profit. Forstmann Little acquired Community Health in 1996, and this was the firm's first purchase of a healthcare company. The firm paid $1 billion for Community Health, which at the time operated 38 hospitals in 18 states, and this change in ownership made Community Health a privately held company. In January…
Adams, D. (1996, March 20). Buy materials management systems, or pray you can swim. Health Management Technology, 63-65.
Community Health Systems Inc. scales back on risk (2004, November 23). Ioma.com, retrieved May 30, 2007 at http://galenet.galegroup.com/servlet/BCRC?vrsn=157&locID=longbeach&ste=5&n=25&docNum=A131272544 .
Community Health may seek other deals (2001, February 2). Philadelphia Business Journal, v19 i51, 10.
Career opportunities (2007), retrieved May 29, 2007 at http://www.chs.net/career_openings/corporate.html .
It would be helpful to have public awareness campaigns designed to help community residents be aware of the need to test their homes and their bodies for radon content. Funding from federal, state, and local sources might be available to establish a public awareness campaign. In fact, a public awareness campaign related to radon might be sponsored by a public health organization including but not limited to the Environmental Protection Agency. The National Institutes of Health might also provide the means by which to devise effective public health awareness campaigns as well as specific intervention programs. In fact, the National Institutes of Health also offer materials that I could publish in lieu of a community-specific guide. These documents offer general information that homeowners might be happy to have, and they are available in Spanish as well as English (National Institutes of Health, 2013). I might need to analyze the demographics…
...precise community health picture invariably aids residents, professional entities, and community groups prioritize illness prevention, and develop coalitions for improving and tackle current issues. A collection of individuals' health status measures may aid comparisons between different populations, foster cooperation between entities performing evaluations, help stimulate residents to collaborate and work towards improving community health, and help establish mutual understanding of contributing factors to health (Boothe, Sinha, Bohm, & Yoon, 2013).
Assessment of Community Health normally utilizes information from secondary and primary sources for characterizing health factors and results, determining community assets, and reflecting community views (Myers & Stoto, 2006). Qualitative as well as quantitative primary information is gathered first-hand via listening sessions, surveys, observation, and interviews (North Carolina Division of Public Health, 2010; U.S. DHHS, 1992; North Carolina Division of Public Health, 2010). Meanwhile, secondary information is gathered for some different purpose, or by some other individual, group or organization…
Windshield Survey on Community Health Nursing
This survey is out of San Jose, California to define 3 out of 5 aspects (mental, emotional, physical, social, and spiritual health) of a community that could affect health. These communities are based out of specific groups in the San Jose neighborhoods who reside in close areas and sometimes even share the same cultural and historical backgrounds. In the public health sector of this area, we are concerned with the evaluation and enhancement of the well-being of the population, as well as, its application and community health nursing education and practices. One main health indicator that we have observed is the responsibility of sexual behavior. Therefore, this windshield survey below will address each of the components we have listed as they relate to the people of San Jose, California.
Housing & Zoning:
Notes: new homes constructed in 2010 were 74 built with avg. cost…
Community Health Project for Pregnant Women
Healthcare is the fundamental necessity for every individual living in any state, regardless of religion, race, sex, color, etc. The population chosen for this paper is that of JMJ Pregnancy Center, which is a catholic pro-life crisis pregnancy management base. The reason for selecting this center is that it often resides with low socio-economic status women without health insurance. This paper aims to identify and prioritize community diagnosis for the women of this center so that a plan is developed to address their healthcare needs.
Part 1: Literature Review
Crisis pregnancy centers (CPCs) are pro-life organizations that are non-profit and work for women who experience unplanned pregnancies and are considering abortions (Holtzman, 2017). These centers are more religious to mentor and convince pregnant women to reconsider their abortion and contemplate adoption or parenting. Unwanted pregnancies are most commonly seen among adolescents, and that too…
Brown, T.R. (2018). Crisis at the pregnancy center: Regulating pseudo-clinics and reclaiming informed consent. Yale Journal of Law and Feminism, 30(2), 221-274.
Esquillo, J. (2017, January 19). NCLEX: Health promotion and maintenance, nursing care of the childbearing family. Brilliant Nurse. Retrieved from https://brilliantnurse.com/nclex-health-promotion-and-maintenance-nursing-care-of-the-childbearing-family-iv/
Holtzman, B. (2017). Have crisis pregnancy centers finally met their match: California’s Reproductive FACT Act. Northwestern Journal of Law and Social Policy, 12(3), 78-110.
Iseyemi, A., Zhao, Q., McNicholas, C. & Peipert, J.F. (2018). Socio-economic status as a risk factor for unintended pregnancy in the contraceptive CHOICE project. Obstetrics and gynecology, 130(3), 609-615. DOI: 10.1097/AOG.0000000000002189
Medoff, M.H. (2012). Unintended pregnancy and abortion access in the United States. Hindawi: International Journal of Population Research, 2012, 254315. https://doi.org/10.1155/2012/254315
Rosen, J.D. (2012). The public health risks of crisis pregnancy centers. Perspectives on Sexual and Reproductive Health: A Journal of Peer-Reviewed Research, 44(3), 201-205. DOI: https://doi.org/10.1363/4420112
Society for Adolescent Health and Medicine (SAHM) and North American Society for Pediatric and Adolescent Gynecology (NASPAG). (2019). Crisis pregnancy centers in the US: Lack of adherence to medical and ethical practice standards. Journal of Adolescent Health, 65, 821-824. https://doi.org/10.1016/j.jadohealth.2019.08.008
Taylor, D. & James, E.A. (2012). An evidence-based guideline for unintended pregnancy prevention. Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN, 40(6), 782-793. DOI: 10.1111/j.1552-6909.2011.01296.x
Caregivers of Alzheimer's Patients
Community Health Promotion Project Design
As we have discovered in the first part of the study, Alzheimer's is a major health issue for the population of seniors 65 years and older. Alzheimers costs taxpayers and individuals billions of dollars for the provision of care for those who can no longer care for themselves. Alzheimer's is an expensive disease and many times it is the family who must bear much of the expense. We found that the financial strain of caring for someone who has Alzheimer's creates an incredible amount of stress on family members. However, we also found that perhaps even greater than the financial strain, Alzheimer's places in incredible load on the family as they are usually the ones who must care for their family member.
The aggregate for this study consists of family members who must care for other members of the family who…
Belle SH, Czaja SJ, & Schulz R, (2003). "Using a new taxonomy to combine the uncombinable: Integrating results across diverse interventions." Psychology and Aging. 18:396 -- 405
Gitlin LN, Belle SH, & Burgio LD, et al. (2003). "Effect of multicomponent interventions on caregiver burden and depression: The REACH multisite initiative at 6-month follow-up." Psychology and Aging. 2003;18:361 -- 374.
Wisniewski, S., Belle, S. & Marcus, S. et al. (2003). The resources for enhancing old climbers caregiver health (REACH): project design and baseline characteristics. Psychological Aging. 18 (3), 375-384.
Healthy People 2020
The author of this report is asked to offer a brief summary of the role of a community nurse and the interventions that are meant to meet or exceed the four main goals of the Healthy People 2020 initiative. For each of the four main goals, the author of this report will describe at least one intervention that meets the goal in question. After that, the author will offer an example of an intervention that is already in full swing in the community of the author. While the goals of the Healthy People 2020 initiative are lofty and far-reaching, they are noble and just goals and should be achieved in any reasonable and ethical way possible.
The first goal of the Healthy People 2020 initiative is to "attain high-quality, longer lives free of preventable disease, disability, injury and premature death" (Healthy People 2020, 2015). Of course, the…
Brown, E., & Shapiro, T. (2015). Schools face new challenges as poverty grows in inner suburbs. Washington Post. Retrieved 20 June 2015, from http://www.washingtonpost.com/local/education/as-poverty-shifts-to-the-suburbs-schools-face-new-challenges/2015/02/27/e1900cd4-bdef-11e4-8668-4e7ba8439ca6_story.html
CDC. (2015). CDC | Aging | Healthy Aging for Older Adults. CDC.gov. Retrieved 20 June 2015, from http://www.cdc.gov/aging/index.html
Healthcare.gov. (2015). Where to Receive Low Cost Health Care in Your Community. HealthCare.gov. Retrieved 20 June 2015, from https://www.healthcare.gov/lower-costs/low-cost-community-care/
Healthy People 2020. (2015). Healthy People 2020. Healthypeople.gov. Retrieved 20 June 2015, from http://www.healthypeople.gov/
Community Needs Assessment
Recent obsevations in the ti-county aea of ual Iowa have shown a distubing tend of a constant incease in women and young childen in the emegency depatments and sheltes. These women and young childen visits emegency depatments and sheltes with diffeent healthcae concens including undetected female cances, miscaiages, pediatic pediculosis, and symptoms of malnouishment. The county's health executive, Susan, has convened a meeting on behalf of the thee counties to discuss this distubing tend. The emegency sevices diecto noted that most of the women and childen visiting the emegency depatments have no addesses, which is an indicato of them being homeless. While the healthcae executives ecognize the need to addess the healthcae concens of this population, the county's healthcae system has limited esouces and schedule to even help 5% of this population. By the end of the meeting, the attendees agee that thee is need to involve…
reference: A Descriptive Evaluation of Billings, Montana Mothers. Journal of Management and Marketing Research, 1-22.
The Community Tool Box. (2016). Section 4: Segmenting the Market to Reach the Targeted Population. Retrieved from University of Kansas website: http://ctb.ku.edu/en/table-of-contents/sustain/social-marketing/reach-targeted-populations/main
Moreover, nurses are in a position to identify cases of poor oral health among patients visiting the primary care unit of a healthcare center. For this reason, Kaylor et al. (2011) recommend nurses as an intervention measure in improving oral health in the community, since they can identify women at risk of poor oral health. They identify that nurses can work with low-income women in the community and educate the population on oral health. The review of literature advocates that oral health can be improved in the community by mobilizing community resources like local government, healthcare providers, and primary care providers like nurses in educating the population on the importance of oral health. This is through making contact with at risk populations in the healthcare set up and providing education on oral health. Nurses also can reach out to at risk populations through community-based programs that promote public health. Lastly,…
Formicola, a.J., Ro, M., Marshall, S., Derksen, D., Powell, W., Hartsock, L., & Treadwell, H.M. (2004). Strengthening the Oral Health Safety Net: Delivery Models That Improve Access to Oral Health Care for Uninsured and Underserved Populations. American Journal of Public Health, 94(5), 702-704.
Kaylor, M., Polivka, B.J., Chaudry, R., Salsberry, P., & Wee, a.G. (2011). Dental Insurance and Dental Service Use by U.S. Women of Childbearing Age. Public Health Nursing, 28(3), 213-222.
Krisberg, K. (2004). Prevention key to rural oral health outreach programs. Nation's Health, 34(4), 11-12.
Zabos, G.P., Northridge, M.E., Ro, M.J., Trinh, C., Vaughan, R., Howard, J., & ... Cohall, a.T. (2008). Lack of Oral Health Care for Adults in Harlem: A Hidden Crisis. American Journal of Public Health, 98, S102-S105.
" (Rosen, 1) in a regard, community health falls within this purview and is a subset to the broader topic of public health.
c. Differences in roles of public and community health nurse and nurse in an acute care setting
The role which is given to the nurse in the public or community health context should be essentially similar to that which is seen in an acute care context. Ethical, practical and medical conditions remain unchanged from one context to the next. However, the nurse will be required to prepare for certain distinctions which do denote a difference. Particularly, nurses in public health settings are less likely to possess the resources and facilities which are afforded those in the acute care setting. This means that in many instances, public health nurses can only function as the front line for consultation, diagnosis and basic treatment. here more serious concerns become apparent,…
Health Disaster OC. (HDOC). (2008). Health Disaster Management Division. Oraange County Health Care Agency.
Orange County Health Care Agency (OCHCA). (2009). Epidemiology & Assessment. County of Orange California. Online at http://ochealthinfo.com/epi/
Rosen, G. (1993). A History of Public Health. JHU Press.
Client Autonomy in Community Health & Nurse Safety in Community Practice
Nurses involved in community nursing often face ethical and practical dilemmas, particularly with regard to the issue of patient autonomy. Community practice differs for nursing in more formal settings in that there are many complex variables that can intervene in nursing care.
they are made more complex because of the influence of the setting (isolation from nursing colleagues, role ambiguity, the shift in control, family dynamics, and the increased need to collaborate). Even something as simple as access to patients in the community cannot be assumed in the same way it can be in acute care.
(Ethical Awareness for Community Care Nurses)
Examples of this complexity are cases where access is refused by the client, even when the client is in need of urgent assistance. This presents an acute problem on an ethical level for the community nurse. As…
Aulisio M. The Home Setting: Posing Ethical Challenges to Clients and Caregivers. Retrieved may 16, 2005 fropm Community Ethics. Web site:
Ellis. J. ( 2003) The Client's Right to Know Their Nurse and Question Care vs. The Nurse's Right to be Protected from Harm. Retrieved May 15, 2005 from RNABC. Web site: http://www.rnabc.bc.ca/registrants/nursing_practice/articles/Client_Right_to_Know.htm
Ethical Awareness for Community. Retrieved 15 May 2005 from Care Nurses. Volume 3, Issue 11 - January 2001 web site: http://www.phen.ab.ca/materials/intouch/vol3/intouch3-11.html
Elderly individuals are also "more likely to take prescription medicines that impair the body's ability to regulate its temperature or that inhibit perspiration" (Heat stress in the elderly, 2009, CDC).
hat levels of prevention are warranted in the situation? hat might a community health nurse do to intervene?
The immediate concern is removing the residents to a safer area during oppressively hot days with bad air quality. For residents who wish to exercise, arranging for transport to a local cooling center where they can exercise is one option. For round-the-clock care, however, the unit overall must be maintained with a proper air conditioning and ventilation unit. The community health nurse must stress that this is to be done ASAP, otherwise the nurse will report the facility for health code violations. Until the unit is repaired, the nurse can provide supportive instruction to help residents deal with the heat, such as…
Asthma and the elderly. (2009). therubins.com. Retrieved March 24, 2009 at http://www.therubins.com/illness/asthma.htm
Heat stress in the elderly. (2009). Center for Disease Control (CDC). Retrieved March 24, 2009 at http://www.bt.cdc.gov/disasters/extremeheat/elderlyheat.asp
Heatstroke and the elderly. (2009). North Shore - Long Island Jewish Health System.
Retrieved March 24, 2009 at http://www.nslij.com/body.cfm?id=1231
As a result, it becomes more difficult to ascertain exactly what mode of intervention would best be suited for helping children overcome health matters that are at least to some degree beyond their control.
That said, a defining strength of the research is its chosen method of intervention. The perspective that the health of the children at the center of this study cannot be improved without effectively improving the health habits of their respective families is a centering position and one that endows the study with a significant value to the public health. As the study finds in its conclusion, "social and structural environments in which Hispanic children are reared may play an important role in determining their risk for obesity and related behaviors." (Arredondo et al., p. 30) Even lacking any empirical validity and lacking the capacity to be replicated, it does offer an array of correlations that can…
Arredondo, E.M.; Elder, J.P.; Campbell, N.; Baquero, B.; Duerksen, S.; Ayala, G.; Crespo, MPH, Slymen, D. & McKenzie, T. (2010). Individual, Family, and Community Environmental Correlates of Obesity in Latino Elementary School Children. Journal of School Health, 80, No.1, pp. 20-30.
Arroyo Fresco Community Health Center Case Study
Organization Strategy for Arroyo Fresco Community Health Center
This paper analyzes the major strategic challenges that are confronted by Arroyo Fresco Community Health Center. In addition to that, this paper also develops a new strategy for the organization and puts light on the action plans that would be followed for the attainment of the new strategic goals.
Arroyo Fresco Community Health Center Case Study
Arroyo Fresco community health center is a community healthcare center. The organization operates in western Arizona, where it has 11 clinics and 4 mobile service vans. In the year 2005, the organization generated total revenues of around 29.7 million dollars. The organization has a total of 254,137 visits. Out of these 254,137 visits 192,403 were medical visits, whereas, the remaining 61,734 were dental visits. (Staff Members of…
Staff Members of the Community Clinics Health Network, (2008). Strategic Plan -- Arroyo Fresco Community Health Center (1st ed., p. 1). San Diego: Community Clinics Health Network.
Staff Members of the National Institute of Standards and Technology, Technology Administration, Department of Commerce, Baldrige National Quality Program,. (2006). Arroyo Fresco Community Health Center Case Study (1st ed., pp. 1-48). Gaithersburg: National Institute of Standards and Technology, Technology Administration, Department of Commerce, Baldrige National Quality Program.
Staff Members of the National Institute of Standards and Technology, Technology Administration, Department of Commerce, Baldrige National Quality Program,. (2006). Arroyo Fresco Community Health Center Feedback Report (1st ed., pp. 2-44). Gaithersburg: National Institute of Standards and Technology, Technology Administration, Department of Commerce, Baldrige National Quality Program.
Toyin Babalola, B., Diallo, I., & Gund, S. (2010). Arroyo Fresco _Community Health Center: Enhancing the FOCUS model (1st ed., pp. 3-25). Retrieved from http://s3.amazonaws.com/ppt-download/finalppafpresentation11202011-13218364460251-phpapp01-111120184846-phpapp01.pptx-response-content-disposition=attachment&Signature=SHUt%2FhmZJMiDXlaW%2B1zATNd9W7s%3D&Expires=1405754773&AWSAccessKeyId=AKIAI6DXMWX6TBWAHQCQ
Encouraging people to report violations for the sake of their health is a final service that nurses can perform to support the ban. People often do not like to report violations, because they feel like 'busybodies' but there is no way that state health inspectors alone can constantly police restaurant owners who illegally look the other way when customers light up. Nurses can remind the public that this legislation was the result of a voter-generated, rather than a politician-generated effort. It must be supported by the public to succeed.
One final criticism of the bill was that smokers will simply go across the border to smoke (Steinberg, 2007). However, proponents point out that, for smokers, there are other options, like patios, personal residences, and other places where they can smoke and not put hospitality workers' lives at risk. And once again, nurses can act as advocates, asking smokers to ask…
The Basics: Smoke Free Arizona" (2007). Smoke Free Arizona. Retrieved 19 May 2007 at: http://www.smokefreearizona.org/
Exemptions." (2007). Smoke Free Arizona. Smoke Free Arizona. Retrieved 19 May, 2007 at
Things like the Health eform Bill are designed to support organizations like Mental Health America, and if repealed it may prevent many people from getting the help they so desperately need. By raising awareness about various political agendas, politicians and newsworthy events that impact the health of Mental Health America, they help to maintain and increase their funding. Through making awareness of things like the Health eform Bill, Mental Health America also puts their own name out there, making it easier than ever before for them to raise the money they need to continue operations.
There are so many benefits to having an organization of this caliber in the United States. People don't realize how important mental health is until it hits close to home. The Mental Health America website defines mental health as a person's ability to cope with whatever life brings their way (2010). For some people, the…
Mental Health America, . (2010). Mental health america -- about us. Retrieved from http://www.nmha.org/go/about-us
New-Hire orientation process for a home health agency in La Mesa. CA
A needs assessment survey is "a way of asking group or community members what they see as the most important needs of that group or community" ("Section 7," 2015). The purpose of my needs assessment is to improve the screening process required for new hires at my home health agency. I want to know what skills and professional qualifications are required to function at an optimal level. I also would like to know what aspects of the training and orientation process were most useful for current nurses and what need to be improved.
I will submit a questionnaire to the registered nurses currently working at the organization to determine the proficiencies they deem to be most useful on a day-to-day basis. The assessment will be quantitative in nature and include a checklist of different specific tangible skills, like…
Section 7: Conducting needs assessment surveys. (2015). Community Tool Box. Retrieved from:
Stoto, M. (2013). Community health needs assessment. improvingpopulationhealth.org.
Retrieved from: http://www.improvingpopulationhealth.org/blog/2013/04/community-health-needs-assessments-an-opportunity-to-bring-public-health-and-the-healthcare-delivery.html
The Toronto Strong Neighbourhoods Strategy exists to support "healthy communities across Toronto by partnering with residents, businesses and agencies to invest in people, services, programs and facilities in specific neighbourhoods" (Toronto.ca, 2015). The objective of this program is to "strengthen the social, economic and physical conditions and deliver local impact for city-wide change" (Toronto.ca). The methodology is that the City Council selects neighbourhoods that will become Neighbourhood Improvement Areas. There are 140 of these that have been designated within the City of Toronto. The goal is to identify the needs of these neighbourhoods, and by providing targeted resources to key areas of weakness, to improve these neighbourhoods with respect to programs and services. One of the key aspects is that program will get feedback from each community about what its needs are, and how well the city has performed under this program to meet those needs.
Shepherd, L. (2014). Toronto researchers adapt World Health Organization tool to measure the health and well-being of the city's neighbourhoods. St. Michael's Hospital. Retrieved March 13, 2015 from http://www.stmichaelshospital.com/media/detail.php?source=hospital_news/2014/20140226a_hn
Toronto.ca (2015). Website, various pages. Retrieved March 13, 2015 from http://www1.toronto.ca/wps/portal/contentonly?vgnextoid=42653745ba9a9410VgnVCM10000071d60f89RCRD
WHO. (2015). Urban health equity assessment and response tool (UrbanHEART). World Health Organization. Retrieved March 18, 2015 from http://www.who.int/kobe_centre/measuring/urbanheart/en/
Pages referenced within Toronto.ca:
acial and Ethnic Approaches to Community Health (EACH 2010 Program)
The health objectives for the United States for the 21st century have been described in The Federal Initiative to Eliminate acial and Ethnic Health Disparities and Healthy People 2010. The national interest in the areas of racial and ethnic disparities has been renewed with the public health initiatives with the leadership for the discussion being taken by the Center for Disease Control and Prevention. The overall health of the nation has improved a lot, but the members of the minority groups in the ethnic and racial areas have not been benefited. This includes the African-Americans, Alaska Natives, American Indians, Asian-Americans, Hispanic-Americans and Pacific Islanders.
This segment of our population is more likely to have poor health and premature deaths than the white Americans. During 1992 to 1998, the deaths from breast cancer have come down noticeably, but there are more…
Author Unknown) (n.d) Chronic Diseases, Risk Factors, and Preventive Services, Alabama. Retrieved at http://www.4woman.gov/owh/reg/4/overview.htm. Accessed on 15/10/2003
Author Unknown) (n.d) Health Disparities and Non-insulin Type 2 Diabetes. Retrieved at http://www.medicalnewsservice.com . Accessed on 15/10/2003
Author Unknown) (n.d) HHS Awards more than 65 Million to eliminate health disparities. Retrieved at http://apps.nccd.cdc.gov/BurdenBook/DeathCause.asp?state=alAccessed on 15/10/2003
Author Unknown) (n.d) Overview of Region lV. Retrieved at http://www.cdc.gov/nccdphp/exemplary/racial.htm . Accessed on 15/10/2003
Health Promotion Lesson Plan
The concept of health promotion is thought of as "the science and art of helping people change their lifestyle to move toward a state of optimal health" (Dunphy et al., 2011, p 25). Serious heart conditions can be prevented, which is why it is so important to utilize community education techniques in order to help try to warn community members of the complications before they occur. This current lesson plan works to create three separate community lesson plans, based on specific age ranges. The age 18-29 focuses primarily on the use of social media and health advocacy efforts in association with the American Heart Association. For ages 30-49, there is also a focus on these two, combined with more community oriented issues, and for 50-60, there is much more of a focus on financial training along with community organized workshops.
Prevention has become a major issue…
References McLeod, Saul. (2010). Erik Erikson. Developmental Psychology. Simply Psychology. Web. http://www.simplypsychology.org/Erik-Erikson.html
Health Structures in Government Levels
Health at different Government Levels
Health Structures at Government Levels
Health at Government Levels
A national government has a task in ensuring quality health assurance standards across its region are up-to-date. Similarly, increased rates of unexpected epidemics have put governments under the surge of dealing accordingly with factors that can affect the nation directly and indirectly. Different governmental levels of health are identified and objectified in various agency websites. In this context, I have identified with a state level website; Illinois Public Health Institute website. Information presented to the website articles prioritizes in reducing and preventive, curative diseases, complementing health policies and championing for environmental changes.
Website Article eview
The Illinois Public Health institute articulates its review and implication to health quality through partnership programs. The website has supported state-oriented health involvement in ameliorating health levels, in Illinois. The institution has show-cased partnering programs with…
Baum, F and Kahssay, H.M. Health development structures: an untapped resource. World Health Organization. Vol 1 Issue 1. Pg 96-114.
Ladeia, M.L., Jacob, P., Borges, M.C., Rogero, M. M and Ferreira, S.R.G. (2011). Studies of Gene variants related to Inflammation, Oxidative, Stress, Dyslipidemia and Obesity: Implications for a nutrigenetic approach. Journal of Obesity. Vol 1, Issue 1. Pg 1-31.
5th March 2012. Illinois Public Health Institute. Retrieved from URL http://www.iphionline.org / Accessed on 27th March, 2012.
Nursing homes, residential care facilities, and home health care will be core issues on the agenda for representatives in that area. In areas with substantial populations of non-native English speakers, a nurse might need to lobby for a greater wealth of bilingual health care services.
Community nurses are also becoming increasingly aware of the issues related to health care access including the growing number of underinsured or underinsured citizens. When communicating with lawmakers who have little first-hand knowledge of what health care costs are like or how health care integrates with the community, nurses need to focus on the issues that legislators understand. Policies related to access to health care can be framed in ways that achieve direct and immediate results. For example, a nurse might propose a strong network of community health and outreach centers that provide information on preventative care in multiple languages. Similarly, a nurse might work…
Community Teaching Proposal for Primary Prevention/Health Promotion
The objective of this study is to create a community teaching proposal for primary prevention and health promotion. The work of Kulbok, wet al (2012) reports that public health nursing practice is "population focused and requires unique knowledge, competencies, and skills." (p.1) Public health nursing makes the requirement of working with communities and populations "as equal partner and focusing on primary prevention and health promotion." (Kulbok, et al., 2012, p.1)
Community teaching for primary prevention and health promotion involves educating community members about what is required to address primary prevention and promotion of health. This can be accomplished through community-wide meetings held at a central location in the community. As noted by Kulbok et al. (2012) "In the 21st century, public health nurses practice in diverse settings including, but not limited to, community nursing centers; home health agencies; housing developments; local…
Anderson, DR, et al. (2012) Primary Care Nursing Role and Care Coordination: An Observational Study of Nursing Work in a Community Health Center, The Online Journal of Issues in Nursing. Vol. 17 No. 2. Retrieved from: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Primary-Care-Nursing-Role-and-Care-Coordination.html
Connor, N. et al. (2012) Healthy People 2020 from Theory to Practice in a Nursing Program. The University of Central Florida. Retrieved from: http://c.ymcdn.com/sites/www.aptrweb.org/resource/resmgr/tp2012_presentations/conner_aptr_tp12.pdf
Kulbock, PA, et al. (2012) Evolving Public Health Nursing Roles: Focus on Community Participatory Health Promotion and Prevention. The Online Journal of Issues in Nursing. Vol. 17. No. 2. Retrieved from: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Evolving-Public-Health-Nursing-Roles.html
Community/Organization of Interest:
Health and medical services in Bella Vista, PA, a South Philadelphia neighborhood
The cultural perspective
Bella Vista, PA, a South Philadelphia neighborhood, is a largely Italian-American ethnic enclave dominated by white, working-class residents. Although recent scholarly literature has focused upon the deficit of healthcare knowledge and services in lower-income nonwhite populations, deficits in knowledge and willingness and ability to access vital resources to improve their health still persist across population groups. For example, one study of non-Hispanic and Hispanics found that there were high levels of systemic barriers to obtain colorectal screening, including: scheduling and financial barriers; fear of diagnosis and pain; and lack of motivation amongst all study participants (Green et al. 2008). Culturally and psychologically in many communities, there is often an unwillingness to seek medical treatment in the form of screening. Even though Bella Vista is not a poor community cultural attitudes towards healthcare…
Breen, T. (2013). Overview of the 2013-2014 Medicaid payment increase for primary care services. The Advisory Board Company. Retrieved:
Brown, E.R. (et al2004). Effects of community factors on access to ambulatory care for lower-
income adults in large urban communities. Inquiry - Excellus Health Plan, 41(1), 39-56.
Healthcare Partnership in the Community
Discuss an example of healthcare partnership in your community and specifically cite examples that show how nurses, both individually and collectively, influenced the care provided. What obstacles were confronted and what strategies were employed in order to effectively overcome them.
One community healthcare partnership that is salient in my mind is Texas Department of State Health Services' program on tuberculosis or TB. This group of projects is specifically handled by the Office of Border Health, specifically because communicable diseases transmitted over the Texas-Mexico border will inadvertently affect the state of community health of both countries (i.e., the U.S. And Mexico). Under the program, two projects have been successful and known for its accomplishment in helping decrease TB prevalence in communities near the Texas-Mexico border: Proyecto Juntos and TBNet.
Proyecto Juntos specifically centers on "bilateral TB control," centering its efforts to curbing TB prevalence by monitoring…
Texas Department of Health Services, Office of Border Health. Available at: http://www.dshs.state.tx.us/borderhealth/
Texas Organization of Nurse Executives. Available at: http://www.texasnurse.org/
Health Care -- Strategic Planning and Marketing
Strategic planning and marketing often wed customer-oriented issues with broader issues of public health, morality and survival in a highly competitive market. Consequently, a key issue set forth by the American Hospital Association and an issue of strategic planning/marketing are often two sides of the same coin. This work addresses the customer-oriented issues of Diversity and Emergency Planning that are mirrored in two key issues advanced by the AHA. These two issues are articulated in the first part of this work and answered in the second part of this work.
Customer-Oriented Strategic Plan
American society is increasingly ethnically diverse due to immigration, relocation, birth rates and other factors. Consequently, a 250-bed community hospital must hone its sensitivity to resulting changes in community health needs. n addition, there is a high level of competition among hospitals that requires sensitive, targeted marketing to attract…
Issues or Opportunities
Eliminating Racial and Ethnic Disparities
As the American Hospital Association states, "Addressing disparities is no longer just about morality, ethics and social justice: It is essential for performance excellence and improved community health" (American Hospital Association, 2012). A multi-faceted approach to discerning, accommodating and marketing for diversity would certainly include the thoughtful collection and examination of diversity data to define target ethnic markets and specific steps tailored to those markets, as described in Noonan's and Savolaine's article. Studying obstetrical discharge data for ethnicity and outright asking physicians for specific information about the ethnicity of their patients is a sensible approach to determining the community's ethnic composition. In addition, the hospital zip code's CNI data for "five factors long known to contribute to health need - income, culture/language, education, housing status, and insurance coverage" (Anonymous, 2011) should be defined and collected. After that data is collected, it should be studied to define the community's major ethnic target groups. After determining the target groups, the hospital's services should be marketed directly
Health Care Communication
Background- Within the modern nursing paradigm, there must be a clear link between a health outcome and the process that helps ensure those outcomes. Typically, outcomes are classified in terms of preventability, impact, severity and an overall holistic view of the client's safety issues. Positive behaviors that impact individuals either rescue or protect patients from potential or actual events. This is also part of the issue with modern communication and dissemination of information to patients, stakeholders, and the community (Burns and Grove, 2005).
At the heart of healthcare as an institution is, of course, the need to care for the sick and the injured. However, in the contemporary model of healthcare, effective communication during a crisis is not only important, but also vital. Communication by healthcare professionals takes the concern and worry out of the situation; offers a quicker resolution, makes better control of information possible, earns…
Alligood, et.al. (2002). Nursing Theorists and their Work. Philadelphia: Mosby.
Burns, N. And Grove, S. (2004). The Practice of Nursing Research. St. Louis:
D'Antonio, P., et al., eds., (2007). Nurses Work: Issues Across Time and Place. New York:
As a result, the Govt. has been eager to encourage self-medication, where probable, in an endeavor to save money and time as optimizing convenience for the consumer. (the UK OTC Pharmaceuticals Market: UK pharmaceutical market report)
E) Is there any one burning issue related to health care in this country that is undergoing extensive debate? What do you know about it?
Although Britain NHS has been a model for the rest of the world to emulate, however over the years, a persistent concern with cost constraints and market-defined efficiencies since the bygone twenty years has radically battered the core principles of universal healthcare in UK. The discouragement of proceeds of central taxation as the funding base has been coupled with Govt. passing the costs and dangers to patients and their families. The internal market launched by the Thatcher Govt. In 1980s showed the most prominent features of these modifications, however,…
Bad Medicine. New Internationalist. Vol: 355. April 2003.
Retrieved at http://www.newint.org/issue355/bad.htm . Accessed on 21 March, 2005
Bio-Pharmaceutical Study Finds Significant Link between Innovation and Market-based Drug Pricing. May 9, 2002. Retrieved at http://www.tiax.biz/aboutus/pdfs/press_releases/pharma_may.htm. Accessed on 21 March, 2005
Donelan, Karen; Blendon, Robert J; Schoen, Cathy; Davis, Karen; Binns, Katherine.
Health Care Access Ethical Dilemma
Access to health care services is not equitable in the United States. The 15% of Americans without health insurance coverage find it extremely difficult to access health care services (Trotochaud, 2006). This is an injustice that should be addressed. Patients going to rural health care facilities face myriad challenges that are occasioned by stigmatization. Stigmatization of illnesses that patients grapple with occasions ethical conflicts. In the process, patients' right to privacy and confidentiality are often violated. There are practical guidelines that can be used to minimize ethical conflicts. It is imperative that confidentiality and trust be made paramount under circumstances where healthcare professionals deal with patients with stigmatizing illnesses.
A typical example of confidentiality, overlapping relationships and lack of willingness to seek care can be attested to in a situation where a woman working at a local store finds out that her partner is HIV-positive…
Trotochaud, K. (2006). Ethical Issues and Access to Healthcare. Journal of Infusion Nursing,
Tummala, A. & Roberts, L.W., (2009). Ethics Conflicts in Rural Communities: Stigma and Illness. Hanover, NH: University Press of New England.
Furthermore, and despite its popularity as a tourist destination because of its natural beauty, the Appalachians are not a sterile environment by any means and the people who live there have higher risks for certain types of conditions than their counterparts elsewhere. According to Bauer and Growick (2003), "Americans who live in Appalachia experience unique and different ways of life than most Americans. Appalachian culture runs from the bottom half of the State of New York through the mountains of West Virginia and Southeast Ohio to the flatlands of Alabama. This area of the country offers different perspectives and challenges to life. Because of the geographical vastness and uniqueness of the Appalachian culture, many people with disabilities who live in Appalachia are unable to access rehabilitative services and agencies" (emphasis added) (p. 18).
Likewise, many rural residents throughout Appalachia may have septic tanks and will lack access to other…
Anguiano, R.P., & Harrison, S.M. (2002). Teaching cultural diversity to college students majoring in helping professions: The use of an eco-strengths perspective. College Student Journal, 36(1), 152.
Barrett, E., Hackler, R., Highfill, K.A., Huang, P., Jiang, X., Monti, M.M., & Peipins, Lucy. (2002). A Norwalk-like virus outbreak on the Appalachian Trail. Journal of Environmental Health, 64(9), 18.
Bauer, W., & Growick, B.M. (2003). Rehabilitation counseling in Appalachian America. The Journal of Rehabilitation, 69(3), 18.
Brown, J.W., & May, B.A. (2005, April). Rural Appalachian women's formal patterns of care. Southern Online Journal of Nursing Research, (2)6, 1-21.
Nurses, who have first hand knowledge and understanding of how to live healthy and how to take proper care of themselves, are far better equipped to teach others about these concepts. Certain populations can benefit greatly from prevention, especially those who are prone to specific types of diseases or conditions.
One of the most common behaviors that leads to many chronic and often very damaging health conditions is smoking. Smoking can cause a multitude of diseases and conditions from emphysema to heart disease to lung cancer (Chapman, 2007). The list goes on and on. But smoking is 100% preventable and nurses need to understand not only how to treat these smoking-related diseases but how to more importantly discourage and prevent people from smoking in the first place. Many nurses agree that this behavior leads to many of the worst case scenarios for people with pre-existing chronic conditions. It is therefore…
Chapman, Simon. (2007). Public Health Advocacy and Tobacco Control: Making Smoking
History. Blackwell Publishing, New York, NY. Pp. 55-56.
Chung, Daniel C. (2008). "Stool DNA Testing and Colon Cancer Prevention: Another Step
Forward." Annals of Internal Medicine, Vol. 149, No. 7. pp. 509-510.
" (AAF, nd)
The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAF, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAF, nd)
One example of the community healthcare organization is the CCO model is reported as a community cancer screening center model and is stated to be an effective mechanism for facilitating the linkage of investigators and their institutions with the clinical trials network. It is reported that the minority-based CCO was approved initially by the NCI, Division of Cancer revention Board of Scientific Counselors in January 1989. The implementation began in the fall of 1990 and the program was…
Principles for Improving Cultural Proficiency and Care to Minority and Medically-Underserved Communities (Position Paper) (2008) AAFP -- American Academy of Family Physicians http://www.aafp.org/online/en/home/policy/policies/p/princcultuproficcare.html
Volpp, Kevin G.M. (2004) The Effect of Increases in HMO Penetration and Changes in Payer Mix on In-Hospital Mortality and Treatment Patterns for Acute Myocardial Infarction" The American Journal of Managed Care. 30 June 2004. Issue 10 Number 7 Part 2. Onlineavaialble at: http://www.ajmc.com/issue/managed-care/2004/2004-07-vol10-n7Pt2/Jul04-1816p505-512
Darby, Roland B. (2008) Managed Care: Sacruificing Your Health Care for Insurance Industry Profits: Questions You must ask before joning an HMO. Online available at: http://www.rolanddarby.com/br_managedhealth.html
Health Disparities in Louisville KY
Health inequities have become a major problem in the United States. Hofrichter stresses in Tackling Health Inequities Through Public Health Practice:
A Handbook for Action ( 2006) that, "The awareness of the existence of inequities in health, health status and health outcomes between racial and ethnic groups in America is as old as the nation itself" (Hofrichter, 2006,P. vii). As will be discussed in this paper, these inequalities have a wide range of repercussions, including social and psychological implications. A definition of health disparity is: "... The difference in the incidence, prevalence, morbidity, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups" ( Samuels, 2005).
There is also a consensus in the literature that inequalities in health and healthcare throughout the world are on the increase. This is largely due to the increasing gap between rich…
Eliminating social and economic barriers to good health and safety: Louisville
Center for Health Equity. Retrieved from http://www.preventioninstitute.org/component/jlibrary/article/id-278/127.html?tmpl=component&print=1
Galvin, J.R. (2006) Diabetes. Ebony, 61 p. 157.
GradNation - Making the Connection: Health & Student Achievement. Retrieved from http://www.silentepidemic.net/Our-Work/Dropout-Prevention/~/media/Files/Our%20Work/Dropout%20Prevention/Grad%20Nation%20Action%20Forum/Steve%20Tarver%20working%20sess%20PPT.ashx
The Tuskegee Syphilis Study still remains as one of the most outrageous examples of disregard of basic ethical principles of conduct not to mention violation of standards for ethical research. The suspicion and fear produced by the Tuskegee Syphilis Study are still evident today. Community workers often report mistrust of public health institutions within the African-American community. ecently Alpha Thomas of the Dallas Urban League testified before the National Commission on AIDS saying that many African-American people do not trust hospitals or any of the other community health care service providers because of that Tuskegee Experiment (esearch Ethics: The Tuskegee Syphilis Study, 2010).
In 1990, the Southern Christian Leadership Conference (SCLC), which is one of the country's major civil rights organizations, conducted a survey among 1056 African-American Church members in five cities. They found that 34% of the respondents believed that AIDS was an artificial virus, 35% believed that AIDS…
Bad Blood: The Tuskegee Syphilis Study. (2009). Retrieved March 9, 2010, from University of Virginia Health System Web site:
Boskey, Elizabeth. (2007). What Is the Tuskegee Syphilis Study? Retrieved March 10, 2010,
from About.com Web site: http://std.about.com/od/stdsinthemedia/f/tuskegeefaq.htm
Figure 1 portrays the state of Maryland, the location for the focus of this DR.
Figure 1: Map of Maryland, the State (Google Maps, 2009)
1.3 Study Structure
Organization of the Study
The following five chapters constitute the body of Chapter I: Introduction
Chapter II: Review of the Literature
Chapter III: Methods and Results
Chapter IV: Chapter V: Conclusions, Recommendations, and Implications
Chapter I: Introduction
During Chapter I, the researcher presents this study's focus, as it relates to the background of the study's focus, the area of study, the four research questions, the significance of the study, and the research methodology the researcher utilized to complete this study.
Chapter II: Review of the Literature in Chapter II, the researcher explores information accessed from researched Web sites; articles; books; newspaper excerpts; etc., relevant to considerations of the disparity in access to health care services between rural and urban residence in Maryland…
Potter, S. (2002) Doing Postgraduate Research. London: Sage.
Qualitative research: Approaches, methods, and rigour, (2008, Nov. 7). Microsoft PowerPoint Qualitative Research AdvC08 RS.PPT. Retrieved March 10, 2009 from www.unimaas.nl/bestand.asp?id=11629
Wolvovsky, Jay. (2008). Health disparities: Impact on Business and Economics Summit. Maryland's healthcare at a glance. The Heart of Community Health Baltimore Medical Syste. Retrieved March 10, 2009 at http://dhmh.maryland.gov/hd/pdf/2008/oct08/Jay_Wolvovsky.pdf
Based upon the fact the baby boomers are all approaching retirement age, it would be a good idea for the organization to pursue programs that are geared towards seniors. Programs that are geared towards seniors are a great way to produce quality comprehensive health care for those in the community that need it. The organization might pursue the idea of opening a PACE program. " The Program of All-Inclusive Care for the Elderly (PACE) is a capitated benefit authorized by the Balanced Budget Act of 1997 (BBA) that features a comprehensive service delivery system and integrated Medicare and Medicaid financing" (Program of All Inclusive Care for the Elderly (PACE), 2009). The PACE program features complete medical and social services that rely on an interdisciplinary team approach in an adult day health center that includes in-home and referral services depending on the person's needs (Program of All Inclusive Care for the…
Baker, J. Judith & Baker, R.W. (2006). Healthcare Finance, Basic Tools for Nonfinancial
Managers. Maryland: Aspen Publications, Inc.
Bury, Elizabeth, Carter, Kara S., Feigelman, Masha and Grant, Jennifer M. (n.d.). Retrieved June
2, 2009, from Web site:
The research thus concludes the essence of having quality and effective legislation addressing the aspects of overall oral health of the people.
Additionally, the Canadian Dental Association also relates several issues of the overall body health to the oral health of the individual. In view of the article on the relation "oral health -- good life," the article gives information on the essence of good oral health, indicating some of the illnesses of ill oral health (Chattopadhyay, 2011). In this article, the relation between the ill oral health and the overall health of the body is that the mouth is the ingress to the body. Therefore, an individual with ill oral health is at the highest risk of having infection that affects the whole body system severely. According to this article, it emphasizes the need for dentists-patient relation as the dentists is the only person with the skill, expertise and…
Chattopadhyay, a. (2011). Oral health epidemiology: Principles and practice. Sudbury, Mass:
Jones and Bartlett Publishers.
Ramseier, C.A., & Suvan, J.E. (2010). Health behavior change in the dental practice. Ames,
ather than treating their problems, the community attempts to punish them for their behaviors, placing them in systems where they rarely have access to the type of treatment that will teach them how to avoid engaging in further antisocial behaviors (Thomas & Penn, 2002). In fact, the overrepresentation of mental illness in the juvenile delinquent population as compared to the normal population suggests that the shifting of ill kids to the criminal justice system is commonplace.
Even more troubling is the idea that juveniles who are not involved in the criminal justice system but who experience significant mental health issues may not have access to mental health care. Out-of-pocket expenses for residential mental health treatment for adolescents are exorbitant, even for parents with health insurance. Copays can literally be thousands of dollars a week. However, parents who cannot afford those costs may find the state unwilling to help them; parents…
Texas Department of State Health Services. (2010, December 21). Mental health. Retrieved May 15, 2013 from State of Texas website: http://www.dshs.state.tx.us/mentalhealth.shtm
Thomas, C.R. & Penn, J.V. (2002). Juvenile justice mental health services. Child Adolesc
Psychiatr Clin N. Am, 11(4), 731-48.
Healthcare Disparity in Georgia
HIV infection continues to be a substantial trouble in Bibb County, Georgia. This illness substantially impacts lots of areas and Bibb County shares among the greatest HIV rates in America. One reason Bibb County deals with greater rates of infection is due to the high minority populace. Likewise, high levels of poverty and joblessness can make it tough for an individual to keep his/her health plan and access their primary-care service provider and acquire the required therapy for HIV. Social preconception likewise extends unfavorable mindsets of the community and can force the individual from looking for therapy or even testing for HIV.
The very best protection against HIV is enlightening the general public about the illness. outine testing for HIV is vital too. The first intervention would be to associate with a regional testing center and have the ability to check people as well as inform…
Centers for Disease Control and Prevention (CDC). (2008). HIV / AIDS among youth. Centers for Disease Control and Prevention. Retrieved July 24, 2011, from http://www.cdc.gov/hiv/resources/factsheets/PDF/youth.pdf
Hamilton, D. (2011). What constitutes best practice in healthcare design? The Health Environments Research and Design Journal 4(2), 121-126. Retrieved from http://www.herdjournal.com/ME2/Default.asp
Maurer, F.A., & Smith, C.M. (2009). Community/public health nursing practice: Health for families and populations (4th ed.). St. Louis: Elsevier Saunders.
Bachanas, P., Morris, M., Lewis-Gess, J., Sarett-Cuasay, E., Flores, A., Sirl, K., et al. (2002). Psychological adjustment, substance use, HIV knowledge, and risky sexual behavior in at-risk minority females: developmental differences during adolescence. Journal Of Pediatric Psychology, 27(4), 373-384. Retrieved from MEDLINE with Full Text Database.
working of operating room nurses as a result of the nursing shortage and the general strain and intensity of the health care arena in general. Nurses in general fulfill a truly crucial role within the arena of patient care, these are the individuals who engage with patients and their relatives for the longest amounts of time, and are the ones who detect and evaluate all changes in their health status: this means that nurses are generally the ones who are the first to react to such changes and the first to initiate dialogue with other medical team members on the necessary intervention that needs to be made. The nurses are the ones who are capable of delivering the bulk of the pharmacological, physical and emotional interventions: thus, if they're fatigued or unable to work at the highest level of their abilities because of exhaustion, in the integrity of the healthcare…
McMillan, D. (2011, November). Benefits of napping . Retrieved from nursingtimes.net:
Rogers, A. (2008). Chapter 40 The Effects of Fatigue and Sleepiness on Nurse Performance and Patient Safety. Retrieved from nih.gov: http://www.ncbi.nlm.nih.gov/books/NBK2645/
Healthcare: Social Vulnerability to Disease
Health care has as its immediate concern the welfare of clients and patients. However this pressing concern is often influenced by multiple factors many of which have a distinct social dimension. Consequently, care of individuals and the delivery of quality care is not only a medical problem but also a social problem. Vulnerable populations generally require direct external interventions to assist in the reduction of the levels of risk the group experiences.
There is a fundamental difference between at risk groups and vulnerable populations. The difference is as a result of the role of political, environmental and other social factors in amplifying an already existing risk. At risk groups are populations for whom the relative risk of acquiring a disease is increased beyond that of the general population. There are groups who have a higher probability of contracting malaria and dying from this disease. An…
Weiss, Helen A.; Quigley, Maria A.; Hayes, Richard J. Male circumcision and risk of HIV
infection in sub-Saharan Africa: a systematic review and meta-analysis. AIDS 14(15):
World Health Organization: High Risk Groups (2002) Retrieved from http://www.who.int/malaria/high_risk_groups/en/
Healthcare for Mentally Impaired Patients
Probing what information is available about the current status of placement or accommodation and level of personal healthcare available to mentally impaired and emotionally disturbed individuals, it is clear that the analysis is as diverse as there are different mental illnesses. While statistics on managed care treatment for people with severe and disabling mental illnesses are sparse, it is evident that the financial responsibility to care for and house these patients is enormous.
According to Dr. David Satcher, the Surgeon General (1999), approximately 20% of the U.S. adult population has a mental illness. He says, "These illnesses include anxiety disorders, mood disorders, anorexia nervosa, and severe cognitive impairment. More serious mental illnesses include ipolar disorder and schizophrenia. Mental illness accounts for 15% of overall burden of disease -- more than malignant cancer and respiratory diseases -- and as far back as 1996 the direct cost…
Boulard, G. (2000, April). Forgotten Patients the Mentally Ill. State Legislatures, 26, 12. Retrieved February 13, 2004, from Questia database, http://www.questia.com .
Callahan, D. (1993, October) Minds and hearts: priorities in mental health services.
The Hastings Center Report.
Fox, M. & Kim, K. (2004, January) Evaluating a Medicaid Home and Community-based Physical Disability Waiver. Family and Community Health. Vol 27: 37.
Health, Culture & Globalization
Health, Culture and Globalization
Culture plays an integral role in the lives of societies and individuals all over the world. Across countries and societies, different kinds of culture exist and govern the daily lives of people. Defined technically, culture is the system of beliefs, norms, values, and traditions that a specific group of people perceives and considers as their worldview. Countries have different cultures, and within each culture exists sub-cultures, created because of the diversity/differences existing from even the same group of people with the same nationality, race, or ethnic membership.
Culture inadvertently affects every aspect of an individual's life. Its influence could be as mundane as deciding what to wear and eat for the day, or as critical and important not only to the individual but also to the society, such as deciding who to vote for depending on the candidate's similarities in beliefs and…
Eckersley, R. (2007). "Culture, spirituality, religion and health: looking at the big picture." The Medical Journal of Australia, (186)10 Suppl.
The Global Fund to Fight AIDS, TB and Malaria. Available at: http://www.theglobalfund.org/en/
Huynen, M., P. Martens and H. Hilderink. (2005). "The health impacts of globalization: a conceptual framework." Globalization and Health, (1)14.
health care profession is undergoing fundamental change due in part to new laws and regulations. These laws and regulations, although well intended may result in unintended consequences for the nursing profession overall. In the future, the role of a nurse will be fundamentally altered. For one, regulation such as the Affordable Care Act will result in an entire population of insured patients needing care. As such, the role of a nurse will ultimately be predicated on a more individualized basis with specialization in certain aspects. Caring for diabetes is no different in this regard. The public is particularly prone to diabetes primarily due to dietary and lifestyle considerations. As such, the topic of proper care and prevention of this issue is paramount to community health. The population at risk, due in part to regulation, is now society as a whole. This presents interesting challenges and opportunities for the overall health…
1) Mahan LK, Escott-Stump S (2000). Krause's Food, Nutrition & Diet Therapy. 10th Ed., WB Saunders Co. Philadelphia; Reuters (2010)
2) Polonsky, K.S. (2012). "The Past 200 Years in Diabetes." New England Journal of Medicine 367 (14): 1332 -- 1340
3) Stewart WF, Ricci JA, Chee E, Hirsch AG, Brandenburg NA (June 2007). "Lost productive time and costs due to diabetes and diabetic neuropathic pain in the U.S. workforce." J. Occup. Environ. Med. 49 (6): 672 -- 9