Discussion Question (DQ) Instructions

In 200300 words, write a response to the Discussion Question (DQ) Post Prompt posed for this week’s reading in Foreign to Familiar by Sarah Lanier. Please make sure you address each point in the DQ Post Prompt. Although there may be several question posed in the DQ Prompt, write one cohesive discussion post that integrates your thoughts in a well-written response.

Your post must follow these requirements:

• Use APA (7th ed.) formatting for citations and references.
• Check the Discussion Questions and Replies Rubric and follow the guidelines carefully to maximize your success.
• Two scholarly sources are required for your initial post:
• One scholarly source must be the textbook (Foreign to Familiar).
• The second scholarly source must be the Holy Bible or a peer-reviewed scholarly article published within the last five years.
• In-text citations should be used to support your discussion.
• A reference list should be included at the end of your post, formatted in APA (7th ed.).
• For your Replies, at least one scholarly source is required.

Guidelines for Scholarly References:

• Foreign to Familiar (Lanier, 2021).
• The Holy Bible (New International Version) OR a Peer-reviewed scholarly article 5 years or less from date of publication

Read Foreign to Familiar Chapter 5- Inclusion vs. Privacy. Answer the following prompts for your DQ Post response.

• Question 1 (Content Reflection): After reading Chapter Five of Foreign to Familiar, what stood out to you about the differences between inclusion and privacy? Identify at least one characteristic from each orientation that helped you understand this contrast more clearly.
• Question 2 (Nursing Application with Scripture): As a nurse, you will encounter patients and families who value strong inclusion and others who value privacy. Select a Scripture that you believe speaks to how you, as a nurse, can honor patients from both orientations. Explain why you chose this verse and how it could guide your practice.
• Question 3 (Personal and Cultural Reflection): Based on Laniers (2021) examples, do you see more of an inclusion or privacy orientation in your own background? How might your orientation affect the way you interact with patients who have a different cultural expectation?
• Question 4 (Self-Reflection in Communication): Is there anything you identify in your personal style of communication that may need to be adjusted when communicating with someone from a different climate, especially when using therapeutic communication to convey caring? Explain.

References

Lanier, S. B. (2021). Foreign to familiar: A guide to understanding hot- and cold-climate cultures (Rev. ed.). McDougal Publishing.

Writing Assignment: Social Determinants of Health

Assignment Instructions

Using the population group from

that you wrote about in Module 2, identify one SDOH common in the population and the goal you identified to improve health and prevent disease. Examine the ability of the current healthcare system to implement this intervention, using scholarly evidence to support your position.

Cite two sources of evidence (peer-reviewed research studies) that support an effective intervention. These sources need to be scholarly, relevant, and less than five years old.

All components of the paper must be in APA format. It is not necessary to have a title page or abstract, but you are advised to use headings to organize your paper. The outline below may be used to organize your paper and headings. Use the rubric to ensure you have addressed all the criteria.

1. Introduction
2. 1-2 paragraph, succinct introduction
3. SDOH
4. Identify one SDOH common in the population
5. Goal
6. What goal have you identified to improve health and prevent disease?
7. Evidence
8. Minimum of 2 sources that support an effective intervention
9. Examination of healthcare system
10. What is the ability of the current system to implement the intervention?
11. Conclusion
12. Summarize main points

Instructions

Over the course of the semester you will choose 10 patient encounters to document an extended SOAP note for.

It is expected that you vary the primary focus of each note to ensure you are receiving quality feedback for several types of patient encounters to include acute, chronic and wellness encounters. You are not to utilize the same type of encounter, acute/chronic health condition or wellness exam, more than once unless you have received approval to do so from your clinical faculty person.

Each SOAP note carries a 15-point value.

SOAP notes will be evaluated using a standardized rubric. Please review the evaluation criterion to ensure that your SOAP notes are constructed to address the required elements and desired level of achievement.

For planned weekly clinical experiences submission of the 10 SOAP notes would be accomplished by submitting one SOAP note weekly for weeks 4 through week 13.

For planned and approved condensed, compressed or alternate clinical experiences, submission of the 10 SOAP note would be dependent on the approved clinical schedule. This may mean that more than 1 SOAP note would need to be submitted on a weekly basis. If you are not in clinical for weeks where a SOAP note is due a 0 will be input into the Grade Center as a place holder until you have submitted the required assignment.

Patient: 50-year-old female

Date: [Insert Date]

Location: Primary Care Clinic

Chief Complaint:

Sore throat, cough, congestion, and fatigue.

S Subjective

HPI:

50-year-old female presents to clinic with complaints of sore throat, cough, nasal congestion, and fatigue for approximately 45 days. Patient reports gradual onset of symptoms. Cough is mostly dry but occasionally productive of clear mucus. She reports throat irritation with swallowing and generalized fatigue. Nasal congestion and postnasal drainage are also present.

Patient denies chest pain, severe shortness of breath, wheezing beyond baseline, hemoptysis, nausea, vomiting, or diarrhea. No recent travel reported. Patient states symptoms have not improved with over-the-counter cold medications.

Given persistence of symptoms and worsening fatigue, patient presents for evaluation and treatment.

Past Medical History:

• Hypothyroidism
• Rheumatoid arthritis
• Fibromyalgia
• Epilepsy/seizure disorder
• Asthma

Current Medications (per chart review):

Examples from medication history include:

• Albuterol sulfate inhaler PRN
• Albuterol nebulizer solution PRN
• Ipratropium-albuterol nebulizer solution
• Lamotrigine
• Levothyroxine 75 mcg daily
• Liothyronine 5 mcg daily
• Clonazepam
• Dextroamphetamine-amphetamine
• Mirtazapine

These medications appear in the patient medication record shown in the attached chart images.

SOAP meds.1

SOAP meds.2

Allergies:

Not documented

Review of Systems

Constitutional:

Fatigue present. Denies fever or chills.

HEENT:

Sore throat, nasal congestion, postnasal drainage.

Respiratory:

Cough present. Denies severe shortness of breath.

Cardiovascular:

Denies chest pain or palpitations.

GI:

Denies nausea, vomiting, diarrhea.

Neurological:

Denies dizziness or syncope.

O Objective

Vital Signs:

[Insert vitals]

General:

Alert, oriented, mildly ill appearing but in no acute distress.

HEENT

Head: Normocephalic

Eyes: PERRLA, conjunctiva clear

Nose: Nasal mucosa erythematous with congestion

Throat: Mild pharyngeal erythema, no tonsillar exudate

Neck:

Supple, mild anterior cervical lymphadenopathy

Lungs:

Clear to auscultation bilaterally

No wheezes, rales, or rhonchi noted

Cardiovascular:

Regular rate and rhythm, no murmurs

Skin:

Warm and dry

A Assessment

1. Acute upper respiratory infection
2. Acute bronchitis with cough
3. Pharyngitis
4. History of asthma
5. Hypothyroidism
6. Rheumatoid arthritis
7. Fibromyalgia
8. Epilepsy

P Plan

Medications Prescribed Today

• Prednisone 40 mg PO daily x 5 days
• Azithromycin
• Day 1: 500 mg PO once
• Day 25: 250 mg PO once daily

Supportive Care

• Increase fluid intake
• Rest
• OTC acetaminophen or ibuprofen PRN fever or throat discomfort
• Warm saltwater gargles
• Humidifier use if needed

Asthma Management

• Continue rescue inhaler as needed
• Monitor for worsening respiratory symptoms

Patient Education

• Discussed likely infectious respiratory illness
• Complete full antibiotic course
• Monitor for worsening symptoms including:
• fever
• shortness of breath
• chest pain
• persistent cough

Follow-Up

• Return if symptoms worsen or fail to improve in 57 days
• ER precautions given for respiratory distress

cite two articles from peer reviewed journals within the last 5 years. include data from CDC, U.S. census bureau, and other government agencies.

Complete a word document, APA paper reflection, on your experiences associated with the Prioritization of Care Digital Assignment. Use first person account,

Reflection

Reflects on feelings experienced as the charge nurse related to prioritization of care digital assignment .

Describes feelings experienced as the charge nurse related to prioritization of care digital assignment.

List feelings experienced as the charge nurse related to prioritization of care digital assignment.

Does not complete assignment.

Application to Practice

Reflects on 3 or more experiences can be applied to practice.

Three scholarly resources are utilized References cited appropriately and are not older than acceptable nursing program standards, unless they are considered seminal works

References are from pertinent peer reviewed articles, journals or appropriate textbooks

Web- references have authors, dates and can easily be accessed with the URL provided

Unreliable references are avoided (e.g. Wikipedi

Read each question and make sure you answer to the best of your ability. Make sure you cite any materials in your response, if applicable. You are not permitted to obtain assistance by improper means or ask for help from or give help to any other person. Do not use artificial intelligence (AI) on the assignment. Use your own words. Be sure to cite your sources using APA format. Please type this statement on your assignment submission.

Will be submitted through turn it in, to check plagiarism detection. Please do not plagirize and use simple English. Thank you.

This assignment is a continuation of the previous assignment “THE PROPOSAL”

This assignment accompanies Week 2 content. There are two topics to address in this assignment:

1. Choose one of the health care agencies discussed in Unit Two and discuss a current policy issue that involves that entity (examples: mental health, home health, women’s health, long-term care, community health centers, VA, etc.).

• Consider how the Affordable Care Act effects the agency.
• Consider any ethical or legal concerns within the health care agency.
• Propose a policy that may influence health outcomes within the agency.
• How would the needed policy be best implemented?

1. Heide, aged 72, has both Medicare A and B coverage without Medicaid or a Medigap policy. Heide is hospitalized for a cerebral vascular event (stroke) due to a deep vein thrombus of the leg with pulmonary embolus. She is in the hospital for 70 days during the acute phase for care. She is being seen by a nurse practitioner, neurologist, and pulmonary medicine. Her condition has improved somewhat and she is being transferred to the skilled nursing facility for rehabilitation. She stays in the facility for 30 days, but remains unable to care for herself at home. Heide is sent to a nursing home for custodial care where she lives for three months. Surprisingly, she experiences great improvement in functionality. Heide is released to return to her own home where she received physical therapy from a home health agency. She also has home care services provided for 4 hours a day, three times a week. This service aids in buying food, cooking, and light cleaning of the home. Heide has seven medications for maintenance care.

• What does Heide pay out-of-pocket and what does Medicare pay for the acute hospitalization phase, skilled nursing facility, rehabilitation services, nursing home care, home health services, personal care, and prescriptions? (Payment)
• What ethical dilemmas are present in Heide’s case? (Ethical)
• How do the following concepts impact the situation? (Community):
• Community-based care
• HEDIS
• Health policy needs
• Patient advocacy
• If Heide lived in a rural community, how would the concept of “critical access hospitals” impact this situation? (Rural)

Address the above content in a PowerPoint slide set. (This assignment requires only the PowerPoint slides. It does not require an accompanying recorded presentation.) Be sure to reference at least 2 current peer-reviewed sources in your slides (less than 5 years old). Your slide set should include the following elements for a total of 10 slides:

1. Title slide
2. One slide per bullet point from question one (4 slides) and two (4 slides)
3. References slide with sources listed in APA format, also be sure to include in-text citations on individual slides

Please make sure to reference the grading rubric for this assignment as well to ensure you have addressed all required components. Please also review the plagiarism statement in the course syllabus.

Grading Rubric

Healthcare Delivery and Financing PPT Rubric

Healthcare Delivery and Financing PPT Rubric

CriteriaRatingsPointsQuestion 1: ACA effect on chosen agency

Excellent

Summary of the ACA affects chosen agency is well articulated.

8.1 to 10 pts

Proficient

Lacks some articulation of how ACA affects chosen agency.

5.1 to 8 pts

Unsatisfactory

Does not include discussion of how ACA affects chosen agency.

0 to 5 pts

/10 pts

Question 1: Ethcial or legal concerns

Excellent

Thoroughly discusses ethical or legal concerns within chosen agency.

8.1 to 10 pts

Proficient

Discusses ethical or legal concerns but lacks some articulation of content.

5.1 to 8 pts

Unsatisfactory

Does not discuss ethical or legal concerns within chosen agency, or poorly articulates concerns.

0 to 5 pts

/10 pts

Question 1: Proposes Policy

Excellent

Proposed policy for chosen agency and discussion of how it affects health outcomes is well articulated.

8.1 to 10 pts

Proficient

Proposes a policy for chosen agency but lacks some articulation of how it influences health outcomes.

5.1 to 8 pts

Unsatisfactory

No policy proposed, or policy proposed for chosen agency not linked to health outcomes.

0 to 5 pts

/10 pts

Question 1: Implementation

Excellent

Thoroughly discusses implementation of proposed policy.

8.1 to 10 pts

Proficient

Discusses implementation of proposed policy but lacks some articulation of details.

5.1 to 8 pts

Unsatisfactory

Does not discuss how to best implement proposed policy.

0 to 5 pts

/10 pts

Question 2: Payment

Excellent

Addresses the question; includes both Heide’s and Medicare’s payment for all 7 of the components.

8.1 to 10 pts

Proficient

Addresses the question, but does not address Heide’s out-of-pocket for at least 2 of the 7 components; or does not address Medicare payment for at least 2 of the 7 components.

5.1 to 8 pts

Unsatisfactory

Does not address the question; does not address Heide’s out-of-pocket for services, or does not address Medicare payment for services.

0 to 5 pts

/10 pts

Question 2: Ethical

Excellent

Discussions of ethical dilemmas is well articulated.

8.1 to 10 pts

Proficient

Discussed ethical dilemmas but lacks some articulation of details.

5.1 to 8 pts

Unsatisfactory

Does not discuss ethical dilemmas.

0 to 5 pts

/10 pts

Question 2: Community

Excellent

Discusses all 4 of the concepts thoroughly with clear understanding.

8.1 to 10 pts

Proficient

Discusses how concepts affect situation, but lacks some understanding; does not address 1-2 of the concepts.

5.1 to 8 pts

Unsatisfactory

Does not address the question; does not address 3 or more of the concepts.

0 to 5 pts

/10 pts

Question 2: Rural

Excellent

Discussion of the effect of critical access hospitals on rural healthcare is well articulated.

8.1 to 10 pts

Proficient

Addresses the question, but discussion of critical access hospitals lacks some understanding.

5.1 to 8 pts

Unsatisfactory

Does not address the question; discussion of critical access hospitals is poorly articulated.

0 to 5 pts

/10 pts

Organization and Formatting

Excellent

APA guidelines consistently followed on presentation/ reference slides (0 APA errors). Includes 2 current peer-reviewed references. Presentation contains 10 slides, including a title and reference slide.

8.1 to 10 pts

Proficient

1-3 APA errors on presentation/ reference slides. Includes 2 current peer-reviewed references. Presentation contains 10 slides, including a title and reference slide.

5.1 to 8 pts

Unsatisfactory

Four or more APA errors on presentation/ reference slides. Does not include 2 current peer-reviewed references. Presentation contains greater or less than 10 slides. Does not contain a title slide.

0 to 5 pts

/10 pts

Grammar, spelling, and punctuation

Excellent

Presentation contains 0-1errors in grammar, punctuation, and spelling.

8.1 to 10 pts

Proficient

Presentation contains 2-4 grammatical, punctuation, and spelling errors.

5.1 to 8 pts

Unsatisfactory

Contains 5 or more grammatical, punctuation, and spelling errors.

0 to 5 pts

/10 pts