Case Report: Application of Public Health Concepts for the Uninsured

Case Report: Application of Public Health Concepts for the Uninsured

In this assignment, learners are required to write a case report addressing the personal knowledge and skills gained in this course and potentially solving an identified practice problem.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Directions:

Review “Key Facts About the Uninsured Population” and “America’s Uninsured Crisis: Consequences for Health and Health Care” to develop a case report that identifies a clinical or health care problem and proposes methods of intervention, implementation, and evaluation using an appropriate research instrument.

Construct a 2,500-3,000 word (approximately 10-12 pages) case report that includes a problem or situation consistent with a area of DNP practice. Your case report should include the following components:

  1. Introduction with a problem statement
  2. Brief literature review
  3. Description of the case, situation, and conditions as explained from a theoretical perspective
  4. Synthesis of literature findings
  5. Summary of the case
  6. Identification of gaps or inefficiencies in the research and a proposal for evidence-based solutions to remedy each
  7. Evaluation of the selected research instrument used and an explanation of the rationale or empirical evidence to support its selection
  8. Explanation of how this case report advocates for social justice, equity, and ethical health care policies for uninsured populations.
  9. Conclusion

Portfolio Practice Immersion Hours:

Practice immersion assignments are based on your current course objectives and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours and are indicated in the assignment by a Portfolio Practice Immersion Hours statement that reminds you, the learner, to enter a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.

"Is this question part of your assignment? We can help"

ORDER NOW

Review a recent RCT conducted on the blood concentrations of active ingredients in sunscreen or the COVID antiviral therapy RCT and let me know your thought

Review a recent RCT conducted on the blood concentrations of active ingredients in sunscreen or the COVID antiviral therapy RCT and let me know your thoughts. I came across subsequent studies on these topics recently!
Resources

NIH. (2020). Severe 2019-nCoV Remdesivir RCT. https://clinicaltrials.gov/ct2/show/NCT04257656

Matta MK, Zusterzeel R, Pilli NR, et al. (2019). Effect of Sunscreen Application Under Maximal Use Conditions on Plasma Concentration of Sunscreen Active Ingredients: A Randomized Clinical Trial. JAMA. Published online May 06, 2019. doi:10.1001/jama.2019.5586 Retrieved from https://jamanetwork.com/journals/jama/fullarticle/2733085

"Is this question part of your assignment? We can help"

ORDER NOW

How can you, as a registered nurse,  impact older adults to encourage routine vaccinatio

The CDC and Healthy People 2020 continue to educate on the  importance, the improved ease of access and insurance coverage for  screenings and vaccinations. It is the responsibility of nurses to  engage our ageing adults in self-advocating for services that benefit  the individual and community health. How can you, as a registered nurse,  impact older adults to encourage routine vaccination? What impact does  this have on the community as a whole?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

"Is this question part of your assignment? We can help"

ORDER NOW

Select one policy brief from the Robert Wood Johnson Foundation website

Health Policy Briefs provide succinct overviews of health policy topics. The intended audience is policymakers, journalists, and others concerned about improving health care in the United States. The briefs explore arguments made on various sides of a policy proposal. They provide guidance on available research behind each perspective. Health policy briefs are created by experts in the field through funding from public and private grants.

Select one policy brief from the Robert Wood Johnson Foundation website https://www.rwjf.org/en/library/collections/health-affairs-briefs.html

In your role as an advanced practice nurse, how would you advocate for or against the policy implementation?

In your paper you may take the position either for or against the policy proposal, or both.

Page length: 3-4 pages exclusive of cover page and references.

Support your paper with a minimum of three scholarly references.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary;
  • utilize spelling and grammar check to minimize errors; and
  • review APA formatting and citation information found in the Academic Success Center, online, or elsewhere in the course.

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.)
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th edition formatting and citation style.

"Is this question part of your assignment? We can help"

ORDER NOW

Select two clients you observed or counseled this week during a family therapy session

Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session.

Then, address in your Practicum Journal the following:

  • Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
  • Describe (without violating HIPAA regulations) each client, and  identify any pertinent history or medical information, including  prescribed medications.
  • Using the Diagnostic and Statistical Manual of Mental Health  Disorders, Fifth Edition (DSM-5), explain and justify your diagnosis for  each client.
  • Explain any legal and/or ethical implications related to counseling each client.
  • Support your approach with evidence-based literature.

"Is this question part of your assignment? We can help"

ORDER NOW

Personal Moral Theory

Personal Moral Theory

In my personal ethical theory, I base it off of the utilitarian approach and Kant’s ethics. “The utilitarian view is that principle requires us, in all circumstances, to “maximize happiness”—in other words, to produce the greatest total balance of happiness over unhappiness, or of pleasure over suffering” (Rachels, 2020). Although we want to maximize happiness should be moral rules such as honesty, trust, and gaining your happiness by not using malicious ways. We all want to reduce suffering, but we shouldn’t make others suffer for our own gain. I believe the utilitarian has a great approach but there are moral limits that should not be crossed. Kant’s ethics provide some limitation to our own moral gain. “Kant characterized the Categorical Imperative as an objective, rationally necessary and unconditional principle that we must always follow despite any natural desires or inclinations we may have to the contrary” (Johnson, 2019). This meaning that we should respect humanity and that we should all act according to the rules that we hold for everyone. Such as lying, stealing, or cheating is viewed as immoral so we should hold everyone to the same standard that we hold ourselves. This gives limitation to the utilitarian approach that could possibly lead to disaster. When using these two together we can maximize happiness for everyone but still maintain a balance without being immoral. Without conducting a moral code everyone who use each other for personal gain and become deceitful. This would fuel hate and untrustworthiness in the world which would ultimately be a disaster. So, by Kant’s categoric imperative we can see that by adding moral conducts we would see happiness.

In Jane Doe’s case she is being deceitful to the teacher by copying work done by other students. This is using his kindness of not using turn it in and abusing the system for personal gain. She copied work and paid other people to write her papers as well as self-plagiarized. She feels morally justified because her economic situation requires her to work more and not give enough time for school. Other students in her same situation manage to give a fair amount of time to school. She also states that her religion approves of her action since this will benefit her whole family by earning a degree. She notices that other students’ religions forbid such acts. This is immoral when I compare it with my own moral philosophy. She is intentionally taking advantage of the teacher’s kindness. He does not use the turn it in method or deducts points when she “accidentally” submitted a blank paper. This is lying when she gives in a blank paper intentionally to give herself time to do and turn in the correct paper. Which when looking at the utilitarian and Kant ethics is immoral. We want to maximize our happiness which she can do but taking advantage of people is a line that the Kant’s categorical imperative cannot cross. She is also using excuses to justify her actions which I think is immoral in itself. She wants to say her socioeconomic status doesn’t allow her to have enough time to study because she has to work but, she pays for people to write her paper. Her fellow classmates do what she does and has enough time to do their own work which makes her excuse eliminated. Which in terms is not fair to her other students that she makes the same grades with little effort put in. I believe plagiarism is a pretty big ethical transgression as well as using other people to get what you want. Technically this is lying, cheating, and using other people to your advantage and that is immoral. It is essentially hurting others for personal gain and I believe that is one of the most immoral things a person can do.

Social Action and Solution

If Jane were to get caught in the matter of the immoral things she did as well as use the excuses, her fate would look at the different ethical beliefs. Looking at the utilitarianism she is maximizing happiness for herself but causing suffering for others, such as them having to put in more work while still obtaining the same grades. This therefore contraindicated the utilitarian belief of maximizing happiness. “The “veil of ignorance” is a moral reasoning device designed to promote impartial decision making by denying decision makers access to potentially biasing information about who will benefit most or least from the available options” (Huang, 2019). By using this method, we can take out her religious beliefs and socioeconomic status. This leaves her with no excuses of why she acted upon these immoral values. A deontological principle can be seen such as the divine command theory. “Actions that God commands us to do are morally required; actions that God forbids us to do are morally wrong; and all other actions are morally neutral” (Rachels, 2019). God does not condone lying, cheating, or harming others in any way. I don’t know of a religion that condones cheating or using others for personal gain. John Rawls was an American philosopher who introduced the theory of justice as fairness. “His theory of justice as fairness describes a society of free citizens holding equal basic rights and cooperating within an egalitarian economic system” (Wenar, 2017). This meaning that everyone is treated fair and there is no discrimination. If someone were to do an immoral act against their basic rights of their economic system, then they shall have consequences. Therefore, Jane Doe should have consequences to her immoral actions. Whether it be to have her retake the entire class or maybe just redo all her assignments that were plagiarized. If her actions go unpunished, she may graduate but she will have immoral values that may catch up to her after repeatedly doing things. For instance, if she takes credit for someone else’s work again it may get her fired and a bad reputation. Which could ultimately lead to her not being able to get a job she went to school for.

 

 

 

References

Huang, K., Greene, J., Bazerman. M., (November 26, 2019). Veil-of-ignorance reasoning favors the greater good. Retrieved June 24, 2020. From: https://www.pnas.org/content/116/48/23989

Johnson, Robert and Cureton, Adam, “Kant’s Moral Philosophy”, The Stanford Encyclopedia of Philosophy (Spring 2019 Edition), Edward N. Zalta (ed.), URL = <https://plato.stanford.edu/archives/spr2019/entries/kant-moral/>.

Rachels, J. (2019). The Elements of Moral Philosophy (9th ed.). New York: NY, McGraw Hill Education.

Wenar, Leif, “John Rawls”, The Stanford Encyclopedia of Philosophy (Spring 2017 Edition), Edward N. Zalta (ed.), URL = <https://plato.stanford.edu/archives/spr2017/entries/rawls/>.

"Is this question part of your assignment? We can help"

ORDER NOW

explain your diagnosis for the patient, including your rationale for the diagnosis

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:
• Synthroid 100 mcg daily
• Nifedipine 30 mg daily
• Prednisone 10 mg daily
• Explain your diagnosis for the patient, including your rationale for the diagnosis.
• Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
• Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

"Is this question part of your assignment? We can help"

ORDER NOW

Briefly summarize Antoinette Pratsinakis, Ali Lowry and YoLanda Mention’s stories

Maternal Morbidity and Mortality

 

The U.S. has unacceptable rates of maternal morbidity and mortality, especially when compared to other developed nations. Women in America continue to experience sickness and death throughout the perinatal period – during pregnancy, birth, and in the postpartum period.

 

This activity provides resources and educational stories from National Public Radio (NPR), USA Today, the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN), the March of Dimes, and the Illinois Department of Public Health. Please work through the activities and respond to the prompts after each section directly on this document. Place your responses on this document in a different color ink or font. Submit this assignment to clinical Absences Assignment Dropbox.

 

 

Student Name: _________________________________________

 

1. NPR maternal mortality series (2017): https://www.npr.org/series/543928389/lost-mothers

 

· Watch To Keep Women from Dying in Childbirth, Look to California (14:07)

· Watch Focus on Infants During Childbirth Leaves U.S. Moms in Danger (12:11)

· Watch Black mothers keep dying after giving birth: Shalon Irving’s story explains why (12:11)

· Watch For every woman who dies in childbirth in the U.S., 70 more come close (10:42)

· Read Redesigning Maternal Care: OB-GYNs Are Urged to See New Mothers Sooner and More Often (4/23/2018)

· Read Nearly Dying in Childbirth: Why Preventable Complications Are Growing in the U.S. (12/22/2017)

· Watch Many Nurses Lack Knowledge of Health Risks to Mothers After Childbirth (6:54)

· Read If You Hemorrhage, Don’t Clean Up: Advice From Mothers Who Almost Died (8/3/2017)

· Read U.S. has the worst rate of maternal deaths in the developed world (5/12/2017)

 

Prompt #1: Choose two of the video stories and two of the article stories that captured your attention the most. Provide a brief summary for each of the four pieces. Include your reaction, and if anything surprised you. Each commentary should be a separate paragraph, 4-5 sentences for each.

 

 

2. USA Today videos and stories (2018)

 

Deadly Deliveries: (9 minutes)

https://www.usatoday.com/in-depth/news/investigations/deadly-deliveries/2018/09/19/maternal-death-rate-state-medical-deadly-deliveries/547050002/

 

Prompt #2: Briefly summarize Antoinette Pratsinakis, Ali Lowry and YoLanda Mention’s stories. What were their complications? What did the health care team do right? What did they do wrong?

 

 

How Hospitals Are Failing New Moms, in Graphics:

https://www.usatoday.com/deadly-deliveries/interactive/how-hospitals-are-failing-new-moms-in-graphics/

 

Prompt #3: Define maternal mortality. Rank the maternal mortality rate from lowest to highest for the following developed nations: U.S., Canada, Germany, Japan, France, England. Approximately how many women die in childbirth in America every year? How many suffer severe complications?

 

 

 

3. AWHONN: Read the article “Saving Women’s Lives” https://awhonnconnections.org/category/post-pregnancy/postpartum-care/

Prompt #4: What does the acronym POSTBIRTH stand for? How can we use this to better educate our new mothers on postpartum risks?

 

 

 

4. March of Dimes – Read position statement:

https://www.marchofdimes.org/materials/March-of-Dimes-Maternal-Mortality-and-SMM-Position-Statement-FINAL-June-2018.pdf

 

Prompt #5: According to the CDC, what are “pregnancy-related deaths”? What are the top causes of maternal deaths? What is the role of the March of Dimes in efforts to reduce maternal mortality?

 

 

5. Read about House Resolution (HR) 1318:

https://www.congress.gov/bill/115th-congress/house-bill/1318

 

Prompt #6: What is the name of HR 1318? In your own words, summarize HR 1318. What and when was the outcome of HR 1318? Do you think this will help to reduce the problem of maternal M&M? Why?

 

6. March of Dimes – Take this 6-question quiz to test your knowledge: https://quiz.marchofdimes.org/quiz/maternal-health-quiz/?utm_medium=email&utm_source=marchdimes&utm_content=2%20-%20Take%20this%20quiz%20You%20may%20be%20surprised%20by%20s&utm_campaign=20180913_MaternalMortality_quiz_SenderA&source=20180913_MaternalMortality_quiz_SenderA

Take a screen shot of your results and submit with this document.

 

 

7. Read article: Illinois Releases First Maternal Morbidity and Mortality Report

http://www.dph.illinois.gov/news/illinois-releases-first-maternal-morbidity-and-mortality-report

 

Prompt #7: What were the highlights of what the committee found? Summarize the 6 key recommendations from the report.

 

 

8. Final reflection

 

Prompt #8:

· What reaction did you have to these resources? What was the most impactful story, article, or new information you learned? Why?

· What solutions have been suggested to address the growing problem of preventable complications? What is our responsibility, as health care professionals?

· What do you think are the barriers that nurses face which prevent the delivery of quality care and education?

"Is this question part of your assignment? We can help"

ORDER NOW

Part 1 Identifying Research Methodologies

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
  • Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

  • The full citation of each peer-reviewed article in APA format.
  • A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
  • A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
  • A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
  • A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Submit your Evidence-Based Project.

"Is this question part of your assignment? We can help"

ORDER NOW

Identify a personality test used by marketers

Personality tests are used quite frequently today for a variety of purposes. These range from the human resources department identifying the candidate who is the most likely to fit in and succeed within the organization to marketers identifying certain personality characteristics of customers who might be the most interested in its product(s). This would be considered the primary target market. Google personality tests relating to consumer buying. Using concepts discussed in this unit’s lesson, compile a paper that addresses how personality tests conducted by marketers aid them in understanding their target market. Make sure to address the topics below.

1. Identify a personality test used by marketers, describe how it works, and identify the type of information that might be provided to a marketer by this test.

2. Explain how consumers interpret information about products and people through their perceptions, learning, and memory.

3. Describe how self-perception influences consumers’ buying decisions.

4. Explore how the intricacies of consumers’ personalities affect their buying decisions and, ultimately, their lifestyle choices.

Your response should be a minimum of two pages in length-not counting the reference page-and should be double-spaced. A minimum of two supporting references should be used. All sources used must be referenced; paraphrased and quoted material must have accompanying citations and be cited per APA guidelines.

"Is this question part of your assignment? We can help"

ORDER NOW