Author: Joyce

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals. Write an informal presentation to educate nurses about how the practice of nursing is expected to grow and change.

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.

Discuss the historical context of the 1918-19 influenza pandemic and the risks that might result from a modern pandemic of similar impact. Describe the pre-event planning strategies for event mitigation and response and their utility in execution when the pandemic occurred.

Discuss the historical context of the 1918-19 influenza pandemic and the risks that might result from a modern pandemic of similar impact. Describe the pre-event planning strategies for event mitigation and response and their utility in execution when the pandemic occurred. Using 2009 H1N1 influenza pandemic as an example, discuss the potential risks of the healthcare and public health sectors failing to prepare for a pandemic. Discuss why commonality in the approach to planning is so important across the operational spectrum of response. Describe how issues such as surge capacity, medical logistics and supply, mass-fatality management, and managing special-needs populations will play such a critical role in the way we address incidents of national significance. Examine future measures of preparedness that will be required for major disease events.

Impacts of Health and Social Services Location and history of community or population chosen (e.g., when did the parish program or clinic or homeless shelter start, and who started it?) Determine what geographical area your community assessment should consider. It should be census track (very small) or zip code level or (large) at the county and city levels.

Impacts of Health and Social Services Location and history of community or population chosen (e.g., when did the parish program or clinic or homeless shelter start, and who started it?) Determine what geographical area your community assessment should consider. It should be census track (very small) or zip code level or (large) at the county and city levels. Vital and demographic statistics of the community in general Population density Population composition (gender, age, and race distribution and ethnic origin) Population characteristics (marital status and family types) Mortality characteristics (infant and maternal mortality rates, leading cause of death) Morbidity characteristics (incidence and prevalence rates of specific diseases) Values, beliefs, and religious practices Identify the underlying beliefs and values of the population chosen. Section 2: Impacts of Economics and Physical Environment Describing the community and whether it is predominately residential, commercial, or a combination. Include a windshield survey of the area. Describe the community and include the following physical elements. Physical elements (windshield survey of the community – this requires physically going into your community) Natural resources including geography, climate, terrain Housing and zoning Open spaces and parks Boundaries: may also want to use a map, including major roads Commons or hangouts Shopping areas for meeting basic needs Churches or places of worship Environmental inspection report Describe the physical layout of the chosen agency or organization. What is the water report for the community? What hazardous materials are within the community? Financial indicators of the area Financial characteristics of households Business and industries Labor force (employment status, occupations) Major banks, savings and loans, and credit unions Section 3: Safety and Transportation on Community Health Safety and transportation Fire and police protection Sanitation, which includes water sources and treatment, solid waste Air quality Private and public transportation Roads Air and rail service Section 4: Politics and Government on Community Health Politics and government Type of government Elected officials, terms, office location, house, availability Community leaders Politically active community organizations

How would your communication and interview techniques for building a health history differ with the patient? How might you target your questions for building a health history based on the patient’s age, gender, ethnicity, or environment?

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting.
For this Discussion, you will take on the role of a clinician who is building a health history for the following new patient

55-year-old Asian female living in a high-density poverty housing complex
To prepare:
consider the following:

How would your communication and interview techniques for building a health history differ with the patient?
How might you target your questions for building a health history based on the patient’s age, gender, ethnicity, or environment?
What risk assessment instruments would be appropriate to use with each patient?
What questions would you ask each patient to assess his or her health risks?
Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
Select one of the risk assessment instruments tool with which you are familiar, related to your selected patient.
Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
description of the interview and communication techniques you would use with your selected patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.