...Neighborhood Public Policy This paper is regarding a scenario involving Marcus Young in an automobile accident and Angie Young, Marcus’ mother and her attempt to change public safety for children in her residential area. The paper will also discuss the Legislative process, the different approaches of the Neighborhood Council and Angie Young’s ability to refute the opponent’s claims and propositions. Public safety and public health cannot be separated. Anywhere there are safety issues, it affects the people around the unsafe zone. Neighborhood scenarios represent both public safety and public health. Marcus Young was playing around the neighborhood and got into a car accident where he was struck and suffered a pelvic fracture, a right leg fracture, and multiple lacerations to the body. He is now in stable condition at an intensive care unit. Marcus’ mother, Angie Young wants to prevent these incidents from happening in the future to other families in the community. She wants to put speed bumps in her residential area. She is planning to take this matter to the state and local Neighborhood Council. This scenario exemplified the legislative process and how it influences public health in the Neighborhood community. Angie Young discovered a problem for public safety and is planning to take this matter to state and local Neighborhood Council. She wrote a letter to a congresswoman and made phone calls to city officials. While waiting for the meeting, she organized a Neighborhood...
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...Comparison Paper NUR 408/ Instructor: Amy Reagan University of Phoenix Sharo V. Dennis October 11, 2010 Introduction The demand for public health nursing and community health nursing is currently on the rise. However many people do not know how to utilize the abundant amount of information and knowledge available throughout this nursing specialty. There are some people that don’t know that it exists, or they are unaware of the services that PHN provides. This paper focuses on the history of public health nursing, local public health information, the differences between public health nursing and community health nursing. As a result, the author wants the reader to be able to differentiate between the two nursing specialties. Local public health information The Memphis/Shelby County Health Department is the ideal place to find public health information in Memphis, TN. It is there that one can find information on current health facts i.e., H1N1 (symptoms and side effects) west nile virus and other illnesses, public announcements, updates, recalls, general wellness checkups, health concerns and vaccinations (for children and adults). The Memphis/Shelby County Health Department is the best place to encounter the workings of the public health nurse. In addition to the above information, The Memphis/County Health Department can provide information on encountering disasters, readiness and preparations for those disasters (MSCHD, 2010). History of Public Health ...
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...COMPARISON OF PUBLIC AND COMMUNITY HEALTH Comparison of Public and Community Health University of Phoenix NUR/408 Michelle Hogsed July 7, 2014 . Comparison of Public and Community Health Public and community health work simultaneously as well as separately to protect the populations of the world. Public health focuses on the health of an entire nation and community health focuses on health and wellness of various communities. The World Health Organization (WHO) believes that the primary health care setting within communities should be the first point of contact when looking at the health of the world (2014). This paper will research information about county, state, and national public health resources, describe the history of public health, discuss the differences between public and community health. Information about county, state, and national public resources County, state, and national resources play an important role in the resources available to the public health system. It is crucial for these agencies to work together for all areas to have access to the resources, financial, and personnel, and to address the health of populations (Stanhope & Lancaster, 2012). Resources at the national level operate under the supervision of the Environmental Protection Agency (EPA), and the U.S. Department of Health and Human Services (USDHHS). The USDHHS supervises the Health Resources and Services Administration (HRSA), the Center...
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...Paper Michele Zager, RN Nur/408 November 4th, 2013 Felita J. Patterson 2 Public Health Comparison Paper Public health is defined as “an organized activity of society to promote, protect, improve, and when necessary, restore the health of inficiduals, specified groups, or the enite population” (Scutchfield & Keck, 2009, p. 3). Public health has helped millions of people in the United States achieve the higest level of health possible. Through the efforts of county, state and national public health systems, community nursing and public health nursing have been able to effectively utilize resourses available to ensure the health of communities and the individuals living in those communities. In the United States, Public Health sprouted out of the needs of society to reduce poverty linked diseased, immigrats and industraial linked health problems (Buhler-Wilkerson, 1985). At the beginning of the 20th century, visiting nurses were already engaged in a campaign of teaching healthy habits to individuals. Soon, the realization “that individual helth depended to some extent on the health of the population generally, the hazareds of infectious diseases become an increasingly tangible concern” (Buhler-Wilderson, 1985, p.1155). The population began to view public health as a concern for everyone. One of the early pioneres in public health nursing was Florence Nightengale. She saw the difference between sick nursing and health nursing. She emphasized that nurses should...
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...Patient safety: The first interventions for positive outcome Outline of the Article I. Backgound II. Objective III. Errors due to fatigue of nursing personnel IV. Healthcare Associated Infections V. Personal Protective equipments VI. Hand Hygiene VII. Transitions of care and Patient Handoffs VIII. Conclusion IX. References Hospital Workplace and Patient safety: The first interventions for positive outcome Background Safety of any workplace is very important in optimizing productivity and preventing the incidences of accidents and casualties. Hospitals are one of the significant areas where safety is of prime concern not only for the employees and care givers, but also for the patients who are admitted for receiving health care. A compromise on safety jeopardizes the goodwill of the hospital and delays health outcome in patients and prolongs their stay in the hospital. Apart from that if safe methods and interventions are not followed it ca impact the nursing personnel, other health care providers and administrative staff, that will lead to the economical and financial burden of the hospital. Hence ensuring safety in hospitals is of prime importance (ISMP,2010). The present article will discuss some of the avenues which can jeopardize...
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...Community Emergency Preparedness and Response Paper NUR/408 April 2, 2012 University of Phoenix Community Emergency Preparedness and Response Paper Firefighters cannot contain a forest fire that has been blazing for five days. The risk of the fire is not life-threaten but citizens are encouraged to remain indoors unless necessary to leave home because of the smoky winds. The smoke from the fire is affecting many of the residents in the community, especially those with preexisting lung diseases. The local hospital is full and the emergency room is over crowed. Patients are in need of beds in the hospital. The entire staff is stressed and pressed to discharge patients quickly to make room for patients holding in the emergency room. In addition nursing staff is required to work overtime to meet the needs of the community. Next, the Neighborhood Senior Nursing Clinic has seen more seniors than usual this week because of the smoky winds. Many of the seniors have needed to use their oxygen more often than usual this week. The seniors have been advised by the nurse Karen at the Neighborhood Senior Nursing Clinic to stay indoors to avoid respiratory irritants. Unfortunately, there had been an increase in seniors coming to the clinic in the past couple of years related to lack of extracurricular activities available to seniors in the community. After that a second grade student at the neighborhood school was sent to the school nurse because of difficulty breathing. She was noted...
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...AACN Statement of Support for Clinical Nurse Specialists The American Association of Colleges of Nursing (AACN) is committed to advancing professional nursing roles and highlighting the connection between well-educated nurses and quality health care. As a leading supporter of academic institutions that educate advanced practice registered nurses (APRNs), AACN is keenly aware of the direct link between graduate-prepared nurses and both patient safety and positive outcomes. Within the APRN community, Clinical Nurse Specialists (CNSs) play a unique role in the delivery of high quality nursing care. These clinicians are experts in evidence-based nursing and practice in a range of specialty areas, such as oncology, pediatrics, geriatrics, psychiatric/mental health, adult health, acute/critical care, and community health among others. In addition to direct patient care, CNSs also engage in teaching, mentoring, consulting, research, management and systems improvement. Able to adapt their practice across settings, these clinicians greatly influence outcomes by providing expert consultation to all care providers and by implementing improvements in health care delivery systems. AACN supports the full definition of the Clinical Nurse Specialist outlined in the American Nurses Association’s 2004 publication titled Nursing: Scope & Standards of Practice. (See Attachment A). Further, the growing body of research on CNS outcomes shows a strong correlation between CNS interventions and safe...
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...WORD COUNT 1648 1 Law, Accountability and Ethics in prescribing During my supervised practice in an outpatient clinic the non-medical prescriber I was with was asked by a colleague to prescribe for a patient on her behalf. In my role as a vascular clinical nurse specialist, I run nurse led clinics working alongside other nonprescribing colleagues seeing patients with peripheral vascular disease, this can range from patients with leg ulcers or diabetic foot ulceration with wound infections to patients with intermittent claudication, Abdominal Aortic Aneurysm or varicose veins, all of whom may or may not need medications or wound management treatments prescribed. It is very likely that during these clinics once I qualify as a non-medical prescriber I will be asked the same. In this essay I will explore the issues of law, accountability and ethics raised by prescribing on behalf of others. The legal system of England and Wales has two branches of law; criminal and civil Criminal Law: Statues are acts of parliament which are presented via the House of Commons moves to the House of Lords where amendments are made, returns to House of Commons, for final discussion when complete the Bill is given Royal Assent and passes into law. Criminal law involves offences against the state, it is usually the Crown that brings the action against the defendant (Gagan 2010 cited by Courtnay & Griffin). In terms of non-medical prescribing there are two important statues ...
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...Introduction In line with the preparation of mentors, this assignment will aim to look at mentorship in depth. A variety of aspects around mentorship will be discussed, the first being the emergence of mentorship. This will explore what emphasis was placed on learning prior to Project 2000, and then moving to present day and the different documents that were implemented and the benefit these had on the mentoring process. Several definitions of mentorship will be addressed due to the lack of consensus regarding this. As a result, a clear distinction will be made between the differences of clinical supervision, perceptorship and the mentoring process. This will lead onto the role of the mentor, focusing upon relationships and the different theoretical perspectives around the formation of these. Also being explored in this section will be characteristics needed by the mentor as well as their responsibilities. The following topic to be explored will be learning styles and the environment. A definition of learning will be offered leading onto the learning environment and audits that are in place to ensure placements are up to scratch. This is followed by a description of learning models, looking at research that displays deficits with these. Also being looked at are the individual learning styles and characteristics. The final topic will be assessment; the author will offer a definition of assessment. This will lead onto formative and summative assessment, looking at the...
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...References 26 Appendix 27 Glossary of terms CPR: Cardiopulmonary Resuscitation. DNACPR: Do Not Attempt Cardiopulmonary Resuscitation. NMC: Nursing & Midwifery Council. GMC: General Medical Council. BMA: British Medical Association. GP: General Practitioner Introduction The Aim of this module is to encourage me to enhance my personal and professional skills, to increase the efficacy of patient care and interaction. Also to make me more aware of the legal, professional and ethical implications of practice. The module allowed me to further develop my knowledge of these topics: Ethics & Accountability, Legal Aspects of Practice, finally Accountability & Professional Practice. I was then asked to submit an essay of 4500 words based on the following: “Critically analyse an aspect of care from your practice setting that encompasses the ethical, professional & legal role of the nurse. Issues of accountability should be incorporated into this essay”. Aspect of care The aspect of care I have chosen to include in my essay is the “Do Not Attempt Cardiopulmonary Resuscitation (DNACPR)” Adult Policy 2010 (please see Appendix 1). I decided to choose this topic as there was a situation on my ward recently where a patient discovered a DNACPR form in the front of her nursing notes. The patient was very upset as she was not aware of this decision. She was an elderly lady with end stage Chronic Obstructive Pulmonary Disease. It came...
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...to change at a micro level. The definition of a micro-change is an intervention of change aimed at the individual or the way small teams work. The micro-level change is not to be confused with a service change (Walsh, 2009). When considering a change in practice we need to firstly understand why we need to make a change? Secondly when making a change, we need to justify a decision. This can be achieved by exploring the components which encompass decision making within nursing practice. Cullum et al (2007) identifies four requirements:-Clinical experience, valid researched evidence, available resources and lastly but no less important the patient preferences and experiences. The area of clinical practice to be studied is within a community district nursing team consisting of 7 qualified nurses and 3 health care assistants. The location is situated within a seaside town with a large population of over 65 year olds. Through clinical experience, the author has found a flaw in quality of care when nursing staff are using the overview assessment document which has been adapted from the single assessment process produced by the Department of Health (DOH, 2002). When assessing nutrition there is a series of six questions and an asterisk to consider the “Malnutrition Universal Screening Tool” (MUST, 2003) however experience in practice would suggest the tool (MUST, 2003) isn't used and a local unknown screening tool is used on some rare occasions. The author feels management of...
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...“How can nurses ensure that older people are treated with respect and dignity whilst being cared for in a hospital or in the community?” Providing dignified care is at the very heart of nursing and is the responsibility of everyone (Royal College of Nursing (RCN) 2008). Nurses play an important part in the care of older people and quality nursing care can make a substantial difference to physical and emotional well-being (Nursing and Midwifery Council (NMC) 2008). 'Dignity' as defined by the Social Care Institute for Excellence (SCIE) (2009) is ‘A state, quality or manner worthy of esteem or respect; and (by extension) self-respect’. Adopting dignity in practice should generate an environment that supports and promotes self-respect, allowing it to flourish by the maintenance of autonomy and informed choice, NMC (2008). The 2006 Commission for Social Care Inspection (CSCI) publication ‘Living well in later life’ highlighted the lack of dignity and respect for older people in acute hospitals as a major area of concern citing that 45% of NHS resources are spent on older people and this accounts for the greatest use of acute hospital services This discussion will identify the specific needs of the older person from a bio-psychosocial perspective incorporating complicit ethical issues. The role of the nurse in the provision of quality and comprehensive care delivery will of course be examined, integrating theory and practice and exploring the implications for inter-professional...
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...incorporated and collaborative team working addressed. The Department of health (2002) describes discharge planning as a pathway used to decide patient needs, for a smooth move from one level of care to another (Hunt 1996) and is the process through which patient’s needs are identified and plans are written, facilitating continuity of health care (Jackson 1994). According to the department of health (2000) discharge planning illustrates well, the role of the nurse within the inter-professional team the balance between goals set, care delivered and evaluation of care from a nurse and team perspective. Nurse involvement is considered integral and, aims to provide effective discharge plans (Department of Health 2000). The Royal College of Nursing (RCN 2002) supports the concept of nurses taking the lead and recommends the development of nurse led protocols in discharge planning. However the NMC (2004) highlights the importance of nurses being able to integrate within the team, seeking advice and sharing knowledge where appropriate. Effective and ineffective communication will be addressed, using the Victoria Climbie Report (Laming 2003) to highlight poor team communication. Effective discharge planning seeks to maintain the benefits of rehabilitation after the patient has been discharged from hospital (Department of Health 2003)....
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...prisoner-patients. Five registered nurses, employed in correctional centres in Southeast Queensland were interviewed to illuminate the experience of caring for prisoner-patients. Data was analyzed using Colaizzi’s (1978) method of phenomenology. Textual analysis revealed two themes with five corresponding sub-themes that depicted the meaning of nurses’ caring for prisonerpatients. The experience of nurses caring for prisoner-patients was described by nurse participants as ‘obstructive practices’ from the custodial officers, ‘decreased standards of care’ by nursing staff, ‘prejudice’ towards to prisoners, ‘increased level of mentally ill prisoners’ and a ‘lack of recognition’ for nurses working in the prisons. Amidst all these difficulties, nurses who cared for prisoner-patients demonstrated courage in the work they did and persevered for the sake of the their prisoner-patients and the specialty that is correctional health nursing. Communication must continue between prison and health care administrators in order to identify conflicting issues that impact on the autonomy of nurses delivering health care to prisoner-patients. Further research must also be conducted into the level of mental illness in the prisoners and...
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...Company Introduction: Assured & Associates offers a unique combination of premier home health care and community-based social services to the Atlanta, GA metro area. Market research indicates that there is a significant need for quality home health care and social services within this region and we believe that by employing competent and well-educated staff and providing them with organized and responsive management, we can become the home health care/social service agency of choice in Orlando, FL. Assured & Associates will be created as a Limited Liability Company based in Orange County. owned by its principal investors and principal operators. The initial office will be established in quality office space at 1800 Pembrook Drive in Orlando, FL which is the heart of Orlando. Pembrook Commons is located close to a hospital facility, which will serve as referral bases for our agency. Consumers of our services will be those individuals and families in need of home health care and/or social services. These patients are usually referred by other health care professionals such as physicians, attorneys, insurance companies and health care facilities. Our agency has already developed an excellent reputation with many of these professionals, through the work of our Registered Nurse, who has been providing home health care services for the past twenty years. Our agency must be licensed by the State of Florida and our services reimbursed by Medicare, Medicaid and other private...
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