Your specific vulnerable population topic should have been submitted for approval to your instructor by the end of week 2 and approved/finalized by week 3. This week you will submit your video presentation.

The Homeless vulnerable population 

Your presentation should be at least 15–20 slides, not including your cover slide or reference slides. Your reference slides should cite at least seven references. Your presentation should, at the minimum, include the following topics regarding your chosen vulnerable population and related health education program/plan:

• Clearly states population chosen
• Describes the vulnerable population
• States the current population demographics
• Discusses background of the problem, and its effect on public health
• Discusses the cultural background of the selected population and any relevant history pertaining to the population
• Discusses the psychosocial concerns and/or norms of the population
• Discusses the economic concerns of the population including, but not limited to, income levels, educational levels and occupation
• Discusses specific health concerns of the population
• Information on specific risk factors for target population is presented concisely and accurately
• Discusses prevention and control of health concerns and risk factors (primary, secondary and tertiary)
• Discusses the role of the public health nurse in caring for vulnerable populations
• States the core functions of public health and applies it to the care of the specific population
• Three local agencies/facilities delivering services to the target population are identified and accessibility and service rendered are fully described
• Additional resources needed in the community are identified.
• Information discussed is current, within the last 5 years.

Remember that your presentation will be viewed/critiqued by your classmates and your instructor, and should be professional in format/appearance.

You will submit your presentation to the assignment dropbox and the Health Education Program Presentation Blog area in the main menu on the left, so that your classmates have a chance to comment on your presentation and provide feedback.

Obesity is a complex disorder that is characterized by an excess amount of body fats with victims having an abnormally high body mass index. Researchers have proved obesity to be a risk factor for the development of other diseases. Evidence translation is a process that entails production of evidence through investigations and integration of the evidence in practice to help reach goals and produce a change of behaviors and lifestyles for better health.

Common barriers.

Translation of evidence in correcting obesity and causing change is not always smooth, but faced with challenges. Lack of resources and support, for instance, challenges the translation of any evidence on to the actual process since change of diet is a signi9ficant factor to consider individuals may not have enough money to get the recommended diet and end up not being able to correct the disorder. Insufficient knowledge and failure to clarify the ideal strategies to correct obesity may cause difficulty in the implementation of the set policies. Additionally, target individuals may not be willing to partake in the policies. For instance, people may not be willing to do exercise and that would pose a barrier to effective evidence translation (White, et al. 2016)

Inadequate evidence among the evidence translators can be a challenge when a translator faces questions from the targets and may result to unwillingness of individuals to change (White et al. 2016). Poor communication skills when teaching the audience about any evidence may result to conflicts that hinder the process of change.

Adopting strategies to be aware of new evidenceet al.

To get new ideas, I can read recent researches that have been conducted. I could also choose to follow the health organization on social media to get every single update that is posted. Moreover, I can choose to conduct research involving both health care providers and other residents to get their views and gain new knowledge. To effect any change, I need to present enough evidence why obese is bad and therefore I would gather information enough to convince the target individuals to change. Interview can be of significant help too. Interviewing healthcare practitioners as well as researches can provide me with a wide range of information that I can use as my evidence or a basis for further research.

Determination of evidence to implement.

Determining what evidence to implement is critical if anyone wants to start any change. The first thing is to determine the cause of the obesity. Some may be inherited, some drugs, others developed due to lifestyles and others because of other illnesses. Different cases may require different approaches or even combine approaches. Also, I will investigate the cost of the change and the financial status of the target group (Dang, et al. 2018). Age also matters when choosing the type of evidence to choose. For instance, obesity caused by sedentary lifestyles like drinking alcohol, eating fast foods and foods with much fat and lack of exercise can be solved by encouraging individual to take exercises. Exercises can involve walking to work instead of driving, or reducing alcohol and fast food consumption. Obesity caused by other diseases can be solved by addressing the underlying disease and adding healthy diets and exercise.

Lack of knowledge for the risks associated with obesity and possible ways of getting away with it can be addressed by educating the target group, while the one caused by certain drugs can be solved by using an alternative drug with less effect.

Ensuring continuation and sustainability of change.

To ensure continuity and sustainability of the change, I will set goals with each person and remind them how important their change is in relation to their health. I will also access them on regular bases and see whether they are doing the expected. I will also organize programs to educate them to keep them on their feet (Dang, et al. 2018). I will also check for any available motivation that can keep them on track. Asking individuals to keep a record that I should check on a regular basis can also be of help.

Please make a comment for this discussion board with at least 2 paragraphs and 2 sources no later than 5 years 

Learning Resources

Required Readings

Kaltiala-Heino, R. (2010). Involuntary commitment and detainment in adolescent psychiatric inpatient care. Social Psychiatry Epidemiology, 45(8), 785-793. doi: 10.1007/s00127-009-0116-3.

Lindsey, M. A., Joe, S., Muroff, J., & Ford, B. E. (2010). Social and clinical factors associated with psychiatric emergency service use and civil commitment among African-American youth. General Hospital Psychiatry, 32(3), 300-309. doi:10.1016/j.genhosppsych.2010.01.007

McGavey, E. L., Leon-Verdin, M., Wancheck, T. N., & Bonnie, R. J. (2013). Decisions to initiate involuntary commitment: The role of intensive community services and other factors. Psychiatric Services, 64(2), 120-126.

In this Assignment, you investigate your state’s laws concerning voluntary and involuntary commitment. You also analyze a case to determine if the client is eligible for involuntary commitment.

Scenario for Week 7 Case:

You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a “stat” consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50 Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriend’s parents felt that their daughter was too young to be “dating.” The client stated in the suicide note that he could not “live without her” and decided to take his own life. Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the clients parents (using contact information retrieved from the 14 year old’s cell phone). Unbeknown to the hospital staff, the parents are divorced, and both showed up at the hospital at approximately the same time, each offering their own perspectives on what ought to be done. The client’s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have “physical custody” of the child. The client’s mother demands that the client be discharged to home with her stating that her son’s actions were nothing more than a “stunt” and “an attempt at manipulating the situation that he didn’t like.” The client’s mother then becomes “nasty” and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child “right now” she will make you “sorry.” How would you proceed?

Learning Objectives

Students will:

• Evaluate clients for voluntary commitment
• Evaluate clients for involuntary commitment based on state laws
• Recommend actions for supporting parents of clients not eligible for involuntary commitment
• Recommend actions for treating clients not eligible for involuntary commitment

To Prepare for this Practicum:

• Review the Learning Resources concerning voluntary and involuntary commitment.
• Read the Week 7 Scenario in your Learning Resources.
• Research your state’s laws concerning voluntary and involuntary commitment.

The Assignment (2–3 pages):

• Based on the scenario, would you recommend that the client be voluntarily committed? Why or why not?

• Based on the laws in your state, would the client be eligible for involuntary commitment? Explain why or why not.

• Did understanding the state laws confirm or challenge your initial recommendation regarding involuntarily committing the client? Explain.

• If the client were not eligible for involuntary commitment, explain what actions you may be able to take to support the parents for or against voluntary commitment.

• If the client were not eligible for involuntary commitment, explain what initial actions you may be able to take to begin treating the client.

Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

• Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
  • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
• Reflect on which type of dissemination strategy you might use to communicate EBP.

By Day 3 of Week 10

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

 Select Health Policy Analysis Paper on a local, state, or federal policy that you have explored along with recommendations based upon the analysis.

 • Analyze and evaluate the Health Policy 

• Identify application of health policy into clinical practice.

 ➢ Your paper must have an Introduction and a Conclusion 

➢ Maximum of 6 pages (not including Title and Reference page).

 ➢ APA format 

➢ At least 5 references within 5 years. 

Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following:

• Treatment modality used and efficacy of approach
• Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals)
• Modification(s) of the treatment plan that were made based on progress/lack of progress
• Clinical impressions regarding diagnosis and or symptoms
• Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job)
• Safety issues
• Clinical emergencies/actions taken
• Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them
• Treatment compliance/lack of compliance
• Clinical consultations
• Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists)
• The therapist’s recommendations, including whether the client agreed to the recommendations
• Referrals made/reasons for making referrals
• Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
• Issues related to consent and/or informed consent for treatment
• Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
• Information reflecting the therapist’s exercise of clinical judgment

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.

In your progress note, address the following:

• Include items that you would not typically include in a note as part of the clinical record.
• Explain why the items you included in the privileged note would not be included in the client family’s progress note.
• Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.

Select a nurse theorist and write a paper describing the background of the theorist, the theory, and its application to nursing practice. The paper should address the following: 

1. Describe the background of the nurse theorist and the various social and professional issues that influenced the development of the theory. 

2. Identify the major concepts and relational statement of the nursing theory. Concepts common to most nursing theories include: Person, health, nursing, and environment. 

3. Describe the assumptions made by the nurse theorist. To what extent are these assumptions compatible with your personal philosophy of nursing? 

4. Apply the theory to a clinical situation and describe how its use will improve nursing care or influence the way care is given. 

The paper must be typed in APA format with a minimum of 1000 words (excluding first and references page) with a minimum of 4 evidence-based references using the required Arial 12 font. Follow the APA example paper under the folder APA tools. Make sure references are used according to APA guidelines and electronic references must be from reliable sources such as CDC. 

Plagiarism FREE

MY PICOT QUESTION IS ABOUT FALL IN HOSPITAL AND NURSING HOME.

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution
2. Nursing intervention
3. Patient care
4. Health care agency
5. Nursing practice

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Learners must develop an introduction essay with the expectations of the course using the following prompts. The essay must have a maximum of 2 pages or at least 5 paragraphs.

MUST ANSWER THESE QUESTIONS THAT ARE NUMBERED. IMAGINE THAT YOU ARE WRITING AN ESSAY WITH ALL THE INFO I GAVE YOU AND ELABORATE IS VERY BASIC NO NEED FOR REFERENCES OR RESEARCH JUST IMAGINATION FROM WHAT I GAVE YOU HERE.

** 1) What is your professional or career goal and why is this course important?

– my goal is to become an advance registered nurse practitioner and become more knowledge about Health Promotion and Disease Prevention: Transcultural Consideration (this is the name of the class)

** 2) Describe your language proficiency entering this course.

– my language proficiency is very good my first language is Spanish however I am fluent in English

**3) What is your knowledge or work experience background that prepares you for
this course?

my knowledge and work experience about this topic is basic however I do have some experiences since I used to work in a hospital and know I work in a private practice which makes me have more interactions with the patients.

4) Describe your strengths and weaknesses as a student

strength

• Creativity
• Discipline
• Patience
• Respectfulness
• Determination
• Dedication
• Honesty
• Versatility

weaknesses

• Self-criticism
• Insecure
• Extremely Introverted
• Extremely Extroverted
• Creative Writing
• Too detail oriented
• Financial Literacy
• A Particular Software
• Too sensitive
• Presentation Skills

*** 5) What are your expectations of the course based on the described objectives?

I think is a nice course to learn because it opens the door to a new work of rules, habits and ethics that we should have to be in this profesion.

extra INFORMATION ************

I am 28 years old just in case and I am hispanic

Chapter 22: School Health

The school nurse has a unique role in the provision of school health services for children with special health needs, including children with chronic illnesses and disabilities with various degrees of severity. This case describes the role of the school nurse caring for a child with type 1 diabetes.

Susan has two students with type 1 diabetes in her school, one requires blood glucose monitoring and daily insulin injections, while the other has a continuous insulin infusion pump. The incidence of type 1 diabetes presents a complex challenge to school healthcare providers. Type 1 diabetes ranks as the second most common chronic illness in childhood, second only to asthma. The American Diabetes Association (ADA, 2015) reports that about 193,000 Americans under age 20 live with diabetes and 17,900 are diagnosed with type 1 diabetes annually, and another 5,300 with type 2 diabetes. Children with diabetes are considered disabled and as such are protected under federal laws that prohibit discrimination against children with disabilities. Studies show that the majority of school personnel have an inadequate understanding of effective diabetes management. It is best for the student to monitor blood glucose and respond to the results as quickly as possible to avoid possible complications.

1. When the school nurse is unavailable, who is legally responsible for providing care to a child with diabetes? Explain your answer.