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A thoughtful reflective narrative no longer than two (2) pages for each BSN program outcome that validates how the three artifacts selected for each outcome helped you meet that outcome.1. Effective Communication Strategies (please use NUR-443_nu003 paper attached)2. Health Policies (please use Policy Analysis paper)3. technology (NUR-531 paper)4. Life long learning (research into practice paper) Please Answer all the questions separatly
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COMMUNITY HEALTH
Community Health
Arvind K Deol
Prof: Dr. Kimberly Helms
Public Health Nursing (NUR-443-NU003)
Date: 11/02/2018
COMMUNITY HEALTH
Introduction
A community is a group of people linked by social ties, which share a common perspective or
interests and may or may not share a geographical location. Such community members have
characteristics such a common culture or ethnic heritage, where the people live, similar ages,
speak the same language or share the same religion.
Topic: How to prevent sexually transmitted diseases among the youth.
The target population: The target population for this teaching plan is the youth who engage in
a very risk sexual behavior that may lead to adverse health outcomes. The target teenagers will
be primarily grade 9-10.
Planning before teaching:
Below is a summary of the teaching plan that will take place.
The supplies, equipment and materials required.
For a successful teaching, the following materials must be supplied.





A laptop that will be used by the instructor.
Overhead screen for displaying the contents.
Condoms for demonstration.
DVDs that will also be used for demonstration.
Chalk, pens and paper for general use by both the instructor and the learners.
Time – the teaching activity is estimated to take 45-60 minutes approximately.
Cost – The estimated cost for the learning activity will include the following.


The laptop will already be owned by the instructor.
The other additional materials will cost an approximate of 80-100 ddollars.
COMMUNITY HEALTH
Completing the educational template.
Your Name
Arvind K Deol
Agency / Target Population
People with STDs
Overall Educational Goal
Address health needs
Needs
Assessment
People with
STDs serve
as a bridge
for
transmission
of
the
diseases.
Special
Considerations
The causes of
the certain
disease.
The highest
population with
the named
disorder.
Objectives
The main
objectives
for
the
teaching
How conversant
plan
are they with
include
this disorder?
Is it possible to the
following.
address this
disorder in the
community?
Content
The
teaching
plan is
about the
prevention
of the
infection
and
spread of
STDs.
Teaching
Strategies
(estimated
time if
applicable )
The
teaching
strategies
that will
be used as
stipulated
in
this
teaching
plan
Written
material
Evaluation
Some of
the
written
materials
will
include
the
following.
This
section
will
explain
how the
learners
will
be
gauged
Needs assessment.
People with STDs serve as a bridge for transmission of the diseases and hence a need
assessment has to be included in this document plan.
The needs assessment method will involve the following.

Administering an anonymous self-questionnaire to the learners to answer some
questions which will help the instructor gauge the past knowledge of the learners about
STDs.
COMMUNITY HEALTH


Conducting a survey – a survey will be conducted before the actual teaching by
collecting relevant information from the population such as the number of people who
might have been infected with STDS.
Conducting community meetings – community meetings will be administered so that
the instructor will obtain adequate feedback from the learners.
Objective.
The main objectives for the teaching plan include the following.
1. The population should be able to identify the paths that STDs transmit in relation to
multi- sex partners.
2. The learners should be able to understand different prevention strategies for the STDs.
3. The learners should be able to able to list the most common STDs along with their sign
and symptoms.
Content.
The teaching plan is about the prevention of the infection and spread of STDs. The learners will
be introduced to different types of STDS and their signs and symptoms . They will also be
taught different measures that can be taken to prevent the spread of these diseases. Finally in
case there is some among the target population that is infected they will be guided on how to
seek medication. The presentation will be divided in to sessions of around 10 minutes per
session.
Teaching strategies.
The teaching strategies that will be used as stipulated in this teaching plan will include the
following.



Use of questions and answers – using questions and answers will ensure that the
target population is actively engaged in the teaching process.
Use of charts – charts with diagrams will be used to provide clarity to the learners.
Such diagrams will illustrate different aspects such as showing different sign and
symptoms of different STDs.
Lecturing – The instructor will use lecturing methods to ensure that the content that
is being communicated is effectively passed to the learners.
COMMUNITY HEALTH


Use of the internet – the learners will be given time to do further research on the
internet for further understanding.
Use of videos – use of videos will allow the learners to understand the contents
being taught without much memorization.
Written material.
Some of the written materials will include the following.

A handbook that will contain details information about STDS.
Evaluation.
This section will explain how the learners will be gauged and how the extent to which
the objectives were achieved will be measured. The evaluation techniques that will be
used include the following.
1. Use of questionnaires – questionnaires will be developed which the learners can answer
at the end of the session. Example of questions in the questionnaire will include the
following.
• Was the demonstration provided by the instructor useful ?.
• Was the spread of the STDs identified by the visual effects ?.
2. Pre-test and post-test – This is achieved through the analysis of the contents the
learners had before the teaching activity and comparing with contents of the students
after the learning activity.
3. Open dialogue – some aspects tend to be ineffective when presented INA open dialogue
hence the effectiveness of open dialogue must be gauged.
4. Pre-assessment and post-assessment – the learners will be actively involved in the
demonstration and hence the effectiveness of the demonstration should too be
evaluated. For example, before the video demonstration the learners will be asked to
explain how a condom is placed and then after the video they will be asked whether
there would be something new they would have learned.
COMMUNITY HEALTH
References
Thrall, G. (2017). Methods for conducting a training assessment.
Kaplan, R. (2018). Toolkit for making written materials.
Allard, E. (2015). School health to prevent AIDS and STDS.
Policy Analysis
Arvind K Deol
Thomas Edison State University
Date– 03/17/2018
COMPREHENSIVE ADDICTION AND RECOVERY ACT
The Senate passed the comprehensive addiction and recovery act (CARA) on July 13, 2016. The
house also passed the same bill on July 8 and now is awaiting presidential consent. The bill
comprises of inputs from a collection of parties that makes it alarming. It provides full extensive
care and support including pulling efforts to access addiction treatment and reversal of overdose
medications. The bill also provides issues based on law enforcement and criminal justice.
Nurses and practitioners are important stakeholders during an epidemic of the opioid and heroin
abuse. These parties excise a direct administration to the abuse agonist buprenorphine since high
mitigations are usually carried out by nurses and related agencies. This is the change American
nurses association among other millions of people is pushing for regarding amendment of CARA
bill. Moreover, an increase in channeled grants regarding the two drug epidemics has called for
collaboration between all practitioners and the government to fight for abuse prescriptions. This
paper will help understand the role of CARA bill in improving the wellbeing of American public
safety and health of the society as well as addressing the role of nurses in this epidemic (Tracey,
2011).
Background
Section 303 of the CARA ACT was signed into law in 2016 that made several changes regarding
treatment of heroin abuse using buprenorphine. One of the changes has been expanded to nurse
and practitioners and health assistants up to 2021.
Some issues have been highlighted below;
Section 107 includes a change of policies regarding access to overdose treatment. This part
authorizes the department of health to fund health practitioners which are federally chosen, all
opioid program facilitated and any nurse and practitioner who prescribes buprenorphine. The
section also requires training of healthcare providers about the prescription, co-prescribing and
connecting patients to the appropriate treatment. Section 110 covers overdose reversal,
medication access and access to grants from a department of health to be able to access to pursue
their plans especially regarding training the public on matters concerning heroin and opioid.
Section 301 is an evidence-based treatment of heroin- opioid, treatments and interventions
allowing practitioners to receive grants. Those who receive grants are stated care organizations,
local governments, and non-profit making organizations which exist in areas facing an opioid
epidemic in high rates in order to expand their medical and treatment standards.
Section 303 is the most important provision; the part provides medication based treatment to
addiction. The section relates changing the law regarding addiction treatment using
buprenorphine. First, the policy outlines that nurses and medical practitioners must complete the
required training period to be able to work with a physician provided by the state of law. This
includes setting specific laws and regulations regarding this practice in every state. Second, the
department is given the power to administer patients based on severity to which medication and
care are to be administered directly. Moreover, the secretary of the department of use is equipped
with a task to search about opioid treatment and submit the report to the Congress. Lastly, ‘the
state warns practitioners concerning reducing patient limits to critical levels lower than 30.
Lastly, Section 601 focuses on making changes towards allocation of grants and allows the
health department to plan for any opioid and heroin epidemic. These plans include; education,
maintaining prescription, expanding availability, implementing direct efforts and advancing
awareness.
CARA implementation will minimize social, economic, political, cultural and environmental
issues associated with an opium-heroin epidemic. According to the attorney heroin and opium
are fetal threats to public health and law enforcement agencies. Addiction to heroin compromises
the goal of the health department and law enforcement agencies. Addiction gives rise to crimes
as well chronic such as cancer. Surprisingly, in 2015, $180 was allocated to fight this particulate
epidemic fight which could have been used for other development projects. According to reports
from Centre of disease control of 2015, increasingly high death rate resulting from heroin and
opium abuse a number higher than that resulting from road accidents. Statistic indicates the
youth as direct victims of the epidemic; the society loses the potential and energy to move
towards the next goal.
Plan for implementation
Nurses and practitioners in this expanded waiver of five years have to compete for 24 hours of
eligible training to be eligible to prescribe and supervise other physicians as required by law. The
American Association of nurse practitioners has created an interactive forum with other
organizations to create comprehensive laws and regulations specific to each state to deal with the
epidemic. The policy also requires practitioners to obey practice regulations by maintaining
patient levels at thirty. General other requirements include clinical tools and provider clinical
support. Once the two policies have been met, any practitioner or nurse can start prescribing
buprenorphine and applying for grants. CARA modification plan .has been established under
evaluation plans before 2021. Nurse practitioner organization has created an additional 16 hours
to officers operating a department of psychiatry and osteopathic departments. Moreover, CARA
modification would allow nurses to independently ad mister buprenorphine alongside other
medicines.
This bill is essential while solving critical problems arising from drug abuse. Thanks to the
government for passing CARA bill of 2016. The incarceration of affected persons has not been
addressed to the later. Nurses’ provisions in CARA exploits the bill top its full potential.
Practitioners are the direct parties that deal with strategies based on opium and heroin epidemic.
CARA has a promising future for US citizens that guarantee public safety. An appropriate plan
has been established regarding criminal justice, safety, and public health. Moreover, the mutually
peaceful atmosphere has been created between young citizens, sheriffs, and medical personnel.
This is the reason why the bill is our choice.
State of the bill
Practitioners have described the bill as a link between medical disorders and health care needs.
This has promised treatment of disorders with efficiency without detox. The bill gained the
popularity that aroused 23 senators to send a proposal to a department of health to consider an
advanced role in buprenorphine treatment. Moreover, the policy has gained support from other
diverse groups both pro-life and pro-choice. Association of a nurse, health administrators,
judiciary and the attorney, as well as law enforcement agencies, have been on the first line. No
doubt, the bill will graduate to law.
Role of nurses
Nurses and medical practitioners are in the first line to mitigate heroin and opioid epidemic and
reducing discrepancies government channeled grants and resources. CARA is established under
six pillars as established by the attorney to address the issue of opioid and heroin abuse. What
seem to be basic roles of practitioners includes; overdose reversal, reforms to criminal justice,
treatment and prevention to the affected forms part of CASA six pillars. After implementation,
nurses will have advanced powers to administer buprenorphine for treatment of opioid and
detoxication as well medication where the pain is being experienced. This will give nurses
independent powers to counter patients and mitigate effects brought by the epidemic.
Detecting substance is another role to nurse and practitioners. If the medical officer detects the
substance, NIDA (national institute on drug abuse) has provided a fast method of screening that
enables the nurse give the appropriate medication and referral while remaining non-judgmental
(Okie, 2010). A nurse should carefully assess patients’ in order to match their pain with
medication. Assessing starts with asking about the history of the substance, psychiatric statuses
such as family background, past and current medications. Lastly, the most important role is to
education. Oral and written instructions should be given to nurses to give patients proper
dosages, prescriptions, names and durations of taking the drug (Tarantine, 2017). For instance,
an internal medicine publication JANA revealed most of the patients keep medicine to use in the
future. This calls for the necessity to install knowledge to dispose of unused drugs.
Conclusion
Patients need an opioid prescription and any policy change should never distract prescription of
these drugs in any situation. The new policy should not change health operations of the past but
add collaborative feature among parties in fighting opioid and heroin epidemic in the United
States for the better of the nation.
References
Baird, C. (2015). Role of Medication in the Treatment of Opioid Use Disorders. Journal
of Addictions Nursing. 26(4), 214-216. doi: 10.1097/JAN.0000000000000101
Griffiths, D. (2017). Preventing Opioid Abuse: The Role of the Nurse. Retrieved from
https://www.wsna.org/news/2017/preventing-opioid-abuse-the-role-of-the-nurse
Bingel, U., Wanigasekera, V., Wiech, K., Mhuircheartaigh, R. N., Lee, M. C., Ploner, M.,
& Tracey, I. (2011). The effect of treatment expectation on drug efficacy: imaging the analgesic
benefit of the opioid remifentanil. Science translational medicine, 3(70), 70ra14-70ra14.
Raisch, D. W., Fye, C. L., Boardman, K. D., & Sather, M. R. (2002). Opioid dependence
treatment, including buprenorphine/naloxone. Annals of Pharmacotherapy, 36(2), 312-321.
Baird, C. (2015). Role of Medication in the Treatment of Opioid Use Disorders. Journal of
Addictions Nursing. 26(4), 214-216. doi: 10.1097/JAN.0000000000000101
Griffiths, D. (2017). Preventing Opioid Abuse: The Role of the Nurse. Retrieved from
https://www.wsna.org/news/2017/preventing-opioid-abuse-the-role-of-the-nurse
Manworren, R & Gilson, A,. (2015). Nurses’ Role in Preventing Prescription Opioid Diversion.
2hours Continuing Education, 115(8), 37-39.
McDaid, C. (2016). Why Is The Comprehensive Addiction & Recovery Act So Important?
Retrieved from https://www.huffingtonpost.com/carol-mcdaid/why-is-thecomprehensive-_b_8210918.html
Okie, S. (2010). A flood of opioids, a rising tide of deaths. New England Journal of Medicine,
363(21), 1981-1985.
Tarantine, R. (2017). How Nursing Is Helping To Combat The Opioid Epidemic. Retrieved from
https://www.huffingtonpost.com/ruth-tarantine-dnp-rn/how-nursing-is-helpingto_b_10637130.html
Nursing Informatics: Telemedicine/ Telehealth
Nursing Informatics: Telemedicine/ Telehealth
Name: Arvind K Deol
Thomas Edison State University
Date: 06/24/2018
Nursing Informatics: Telemedicine/ Telehealth
NURSING INFORMATICS: TELEMEDICINE/ TELEHEALTH
Abstract
For better decision making and quality internal nursing practice, information becomes a key
factor. The work environment is intense when it comes to details since a lot of their activities
involve information, diagnosis, and assessment of the healthcare needs of their clients.
Information is also needed to develop care plans; other healthcare professionals also have to
know the healthcare information about the patient; budget reports and staffing also need to be
analyzed by the nurses. Over the years especially in the 21st century, there have been
tremendous technological advancements especially when it comes to information. This presents
an opportunity as well as a challenge for the nurses to stay updated with the current information
and should use or consider it whenever they are making decisions. Data processing has been
eased through faster computers, data analysis and decoding has become even simpler through the
invention of sophisticated software that can do the same., then there is the rise of the internet
which has elevated information transmission to an all different level, health professionals as
well as organizations can easily connect and communicate on issues concerning them. The
healthcare system has not been left behind in terms of invention of more effective software and
applications that could ease their operations. There has been an increased pace to implement the
Electronic Health Record System which provides an effective way of storing all medical
information related to a patient’s interaction with any medical institution. This information is
secure and can easily be retrieved by the patient or any authorized medical personnel whenever
needed. Nursing informatics is greatly popular among the nurses as an area of specialization that
gives rise to nursing informaticians. However, nursing informatics capabilities should be
Nursing Informatics: Telemedicine/ Telehealth
incorporated by all nurses in their practice. According to the 1999 National Nursing Informatics
Project, “Nursing informatics (NI) is the application of computer science and information
science to nursing. NI promotes the generation, management, and processing of relevant da …
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