Phillip October 5, 2023 No Comments

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

NURS FPX 6218 Assessment 4 Advocating for Lasting Change Student Name Capella University NURS-FPX 6218 Leading the Future of Health Care Prof. Name Date Advocating for Lasting Change Hello everyone, welcome to this presentation on Advocating for Lasting Change, where I will discuss the significant health issues faced by the Jordan community, deteriorating their health badly. The health issues comprised mental health irregularities among school-going youngsters, lack of health insurance, and ill management of chronic health conditions.  In this presentation, I highlight the pressing need for a healthcare change proposal based on substantial data that can address these health concerns. This change proposal will improve mental health among children and young adolescents, enhance health insurance coverage, and manage chronic diseases for low-income people by utilizing governmental policy on free treatment for people with pre-existing conditions like chronic health diseases.  Target Role Groups or Stakeholders This presentation targets specific stakeholders and role groups that can contribute towards this cause of improving the Jordan community’s health outcomes: Policymakers: Your contributions in advocating this change proposal plan can support us in achieving our goal through developing and implementing fruitful health policies. Governmental Organizations and Non-Profit Organizations: Your expanded health policy programs, resources, and services can effectively almiliorate the community’s health and help us accomplish our objectives. Healthcare professionals: Your constant efforts to improve patients’ health will be highly demanding in providing mental health support and managing chronic diseases and relevant health problems. Community Leaders and Advocates for Change: Your unwavering support and advocacy for improved health within the community is crucial in driving the change proposal program and turning it into reality through consistent efforts. School Institutions: Your collaboration and support in promoting mental well-being among students will be highly valued to foster an institution where youngsters are mentally safeguarded from evil thoughts that can take a toll on their health. Through unions for similar causes, we can cultivate a community where priority is population’s health. Therefore, the contributions of each role group are essential to implement our change proposal plan effectively. Brief Overview of Environmental Analysis of Jordan Community Through Windshield Survey Through a windshield and environmental analysis, we analyzed the environmental condition of the Jordan community, which enhanced our understanding of its positive features and the lacking areas where further improvements are required. Positive Features of Jordan Community: The small town has basic amenities where children and young adolescents can go to school, community dwellers can shop around, go to recreational places, and acquire healthcare services from hospitals. The community members were resilient and eager to tackle health issues collaboratively as they showed an amicable bond with the neighborhood. All members were willing to stand for a change that ensured a sound and healthy community. Areas for Improvements: The Jordan community lacked in certain areas that jeopardized their overall health and impacted their quality of life. The prevailing mental health issues among school students caused havoc as a student committed suicide. Moreover, the scarcity of maximum coverage of health insurance among community members and financial issues in procuring medication for managing chronic conditions were significant health challenges. These areas required intricate attention, which our change proposal is keenly addressing and has the potential to improve these lacking areas. Social Determinants Impacting Community Health Several social determinants of health impact community health, the major factors being education and economic instability. While several school institutions were established for the community’s growing kids and youth, the educational systems lacked health literacy, which impacted students’ mental health. Moreover, the economic instability in most of the population hindered them from acquiring essential health services as they could not get full health insurance coverage and needed to rely on self-financing for treatments. Additionally, the financial constraints burdened populations with chronic diseases who could not manage them as they could not purchase prescribed medications. These social determinants of health are adequately touched upon through our change proposal through appropriate resource allocation and support from local health advocates. Change Proposal Framework  Our change proposal was built on the following framework that could improve the lacking areas of the Jordan community where health was profoundly impacted. Conducting interaction-based mental health programs in schools to provide mental health support to affected students and manage their thinking patterns. Creating health insurance improvement plans where expanded access to Medicaid and Medicare services is advocated by community leaders and health advocates. Empowering the population to acquire health insurance coverage by enrolling into ACA’s policy for treatment care in patients with pre-existing and chronic health conditions. The goals and objectives include reduced suicide attempts among children and young adolescents, an increased population with complete health insurance coverage, and an enhanced number of community members with adequate knowledge of ACA policy for chronic diseases to improve their health outcomes. Rationale for Policy and Financial Support The Jordan community requires a comprehensive change proposal with its emerging health issues, including mental health, insufficient health insurance coverage, and poor management of chronic conditions. The accomplishment of proposed changes is possible with governmental policies and financial assistance from external sources to ensure positive and systemic changes are produced. The governmental Affordable Care Act (ACA) policy with expanded Medicaid and Medicare access to cover health insurance of community members is needed to address this health concern. Through this policy, a maximum number of community members with complete health insurance coverage will acquire adequate healthcare services when required and can have improved health outcomes. This will solve the problem of lack of health insurance among deserving community populations and promote equitable health access to all community members (Castle et al., 2023). Furthermore, the policy by ACA prohibiting insurance companies from denying health insurance coverage or charging high premium rates to patients with pre-existing conditions such as chronic diseases must be procured for Jordan’s community, as this can lead them to obtain health insurance without experiencing discrimination or relevant factors. By acquiring access to these facilities, the people of Jordan can manage their chronic conditions in terms of care treatments and

Phillip October 5, 2023 No Comments

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change Student Name Capella University NURS-FPX 6218 Leading the Future of Health Care Prof. Name Date Planning for Community and Organizational Change This assessment focuses on the health challenges that the community of Jordan has been facing for a long time. In our previous assessment, we scrutinized Jordan’s community health. Jordan is a small town located in Minnesota. Through an intricate health analysis, several health challenges were observed, such as mental health problems leading to suicide among adolescents, worsening health insurance situation, and ill management of chronic diseases due to financial constraints. Therefore, this draft of the change proposal provides several strategies and measures to address these health challenges that the community of Jordan has to endure consistently. Summary Benefits and Implications To tackle the health challenges of the Jordan community, the proposed healthcare system changes can include the following strategies:  Interaction-Based Mental Health Programs in Schools: Establishing mental health programs within schools where counselors, psychologists, and social workers provide mental health support for students in collaboration with school authorities. In interaction-based interventions in mental health programs, adolescents and children can share their concerns, and mental health professionals can guide them to promote their emotional well-being. This change strategy aims to build resilience, coping skills, stress management, and emotional intelligence in young minds. This strategy will directly safeguard young students in school from suicidal thoughts, reducing suicide attempts (García-Carrión et al., 2019). Thus, overall health improvements will be evident as the young population of the community will have healthy minds and reduce parental stress due to these behaviors. Health Insurance Improvement Plan: Health insurance can be improved in the community of Jordan by collaborating with policymakers and advocacy teams to support policy changes in providing affordable health insurance to low-income populations. Moreover, advocating for Medicare and Medicaid expanded access in community individuals where health insurance is adequately granted to resource-deprived individuals. By expanding access to Medicaid and Medicare services in providing health insurance to deserving populations, the direct benefits will be on the population’s health as their health needs will be satisfied and fulfilled. Moreover, this will lead to a sustained healthy community where equitable care treatment is provided to low-income individuals (Martin et al., 2021). NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change Managing Chronic Health Conditions: Promoting knowledge among the older community in gaining eligibility for Affordable Care Act policy on providing full health coverage for people with chronic diseases so they do not suffer from chronic health conditions like diabetes and hypertension due to financial constraints. This will directly benefit the older population in the community as they can enroll in health insurance coverage for the treatment and management of chronic health problems. Moreover, reduced mortality and morbidity rates fortifying community health will positively affect overall health (Myerson & Crawford, 2020). Through these proposed healthcare system changes, the health challenges can be adequately addressed, and improve the health condition of Jordan’s community members. These suggested strategies can potentially enhance the mental health of young kids at school, ameliorate health outcomes due to adequate health insurance, and better manage chronic health conditions in older groups leading to an overall improved and healthy community. Potential Barriers to Change Various potential barriers can prevail when the proposed healthcare system changes are employed in the community of Jordan. These barriers will hinder the successful accomplishment of proposed health strategies and must be considered while implementing these strategies. Some of these potential barriers are as follows: Mental Health Program Barriers: The social stigma on mental health and cultural attitudes and beliefs can impede the implementation of mental health programs. These mental health programs are considered inappropriate and cause resistance from parents, students, and school staff. This eventually refrains students to contact mental health specialists when there is a formal need for mental health support (Bracke et al., 2019). Moreover, the resource constraint can be a significant challenge to establishing mental health programs in schools requiring mental specialists’ expertise and equipment to convey mental health support through materials. NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change Accessing Adequate Healthcare Insurance Barriers: To promote advocacy for demanding expanded access to health insurance, the possible barriers can include insufficient understanding of the health insurance process due to language barriers and low access to the internet for digital information on health insurance. Another significant potential barrier to obtaining access to health insurance is the need for more financial and human resources to promote advocacy for demanding enhanced access through governmental policies. Time constraints and resistance to change can be significant barriers to collaborating with policymakers and change authorities.  Chronic Health Management Barriers: There is a considerable likelihood of a need for more awareness among community members on ameliorating their health conditions through provided health benefits from governmental health policies due to various factors. For instance, social stigma to take external assistance can be challenging in persuading the population to acquire healthcare access for free treatment of chronic diseases. Moreover, the community members may resist change due to a lack of motivation to change their lifestyle, personal beliefs, and understanding. Community members may feel overwhelmed and resist change strategies as they must take valuable moves toward changing their health (Repovš et al., 2019).  Strategies for Changing Barriers into Opportunities and Resolving Conflict Changing the barriers mentioned above into opportunities requires implementing specific strategies that promise resolved conflicts. For this purpose, it is essential to understand the barriers keenly and brainstorm to tackle them with innovative and radical ideas. Addressing the barriers mentioned above, some strategies that can help turn them into opportunities are as follows: Educational Campaigns: The community groups advocating for mental health programs must initiate educational campaigns to address stigma, cultural attitudes, and beliefs. This can enhance cognizance of the significance of mental health programs and promote mental and emotional well-being (Schroeder et al., 2020).  Collaboration with External Organizations: To overcome the resource constraint barrier, the community authorities

Phillip October 5, 2023 No Comments

NURS FPX 6218 Assessment 2 Assessing Community Health Care Needs

NURS FPX 6218 Assessment 2 Assessing Community Health Care Needs Student Name Capella University NURS-FPX 6218 Leading the Future of Health Care Prof. Name Date Community Healthcare Needs Assessment This executive summary analyzes community health needs in Jordan, located in Minnesota. By conducting a virtual windshield survey, we explored different areas of this small town in Minnesota, including general conditions, public health needs, and environmental analysis.  This executive summary will provide a concise and structured analysis of the community health state in Jordan and the health needs that require further attention for the well-being of community health. Executive Summary General Condition and Public Health Needs  The virtual windshield tool identified various aspects of the City of Jordan, encompassing educational systems, libraries, health services, recreation centers, churches as sanctuary places, parks, residential areas, shopping plazas, and grocery stores. This showed that the city of Jordan was projected to thrive every day as it significantly supported education within the community by developing elementary and high schools. Moreover, the presence of St. Francis Health Services, merely a ten-minute drive away, in coordination with two of the most extensive health services, Fairview Hospital, and Clinics, being fifteen minutes away, covers the health needs of Jordan’s whole population while fulfilling safety concerns. Middle and high schools for growing kids were also seen in the City of Jordan, along with a library open to all students and citizens. Furthermore, the facilities of fire departments and police departments ensure that the population is effectively protected from any disastrous event that questions their security and safety. The city is beautified with recreational parks, lagoons, tourist areas, and shopping centers. As the town grows steadily, there is a continuous demand for more educational, healthcare, and public utility systems due to prospective population growth, as city staff expect. Due to the enhanced access to restaurants and dine-in areas, public health was vulnerable to various diseases such as obesity, diabetes, and cardiovascular problems. NURS FPX 6218 Assessment 2 Assessing Community Health Care Needs The limitations of this survey included inadequate resources to conduct a thorough windshield analysis, time constraints, and the reluctance of community members to communicate openly due to safety concerns. Therefore, it requires further research through ancillary data to identify the critical aspects of health needs and available facilities to promote sustainable and continuous improvement in the community by planning its infrastructure, adequate resource allocation, and facilitating expanded services. Environmental Analysis  Social Determinants of Health Environmental factors, such as population, educational facilities, healthcare facilities, recreational facilities, and parks, impact population health, and the community’s overall well-being. In the case of Jordan, our windshield analysis revealed that Jordan was a small town with 7,000 native people, and its expanded growth was expected to rise by 150 individuals annually. Moreover, the City of Jordan had a robust educational system that the natives of Jordan could easily access and improve their knowledge of health and wellness through adequate education right from the beginning. With a prosperous educational system in the City of Jordan, health literacy among the community members is enhanced as almost 70% of ISD #717 graduates seek post-secondary education. This will result in better health of the overall community as the educated community population will adhere to healthy behaviors and habits (Nutbeam & Lloyd, 2020). Moreover, adequate access to various healthcare organizations also affects population health and increases life expectancy (Hao et al., 2020). Considering the existence of renowned hospitals in Jordan that are ten to fifteen minutes away ensures that health needs are timely and appropriately addressed and population health is improved. The prospective opportunities lie in enhancing Jordan’s infrastructure by utilizing 30 acres of available industrial park space. This can be used up to satisfy the community’s health needs for adequate delivery of health services and education (City of Jordan, Minnesota, 2015). Health-promoting environments such as parks and gyms, as social determinants of health, promote healthy habits through regular physical activity in the community population of Jordan (Wang et al., 2021).  NURS FPX 6218 Assessment 2 Assessing Community Health Care Needs Moreover, the recreational places in Jordan, such as Minnesota River Valley, with 25 miles of trails for hiking and other physical activities, positively impact the physical and mental health of the population. Moreover, adequate water and sewer services promote a hygienic, safe lifestyle and improve health (Morante-García et al., 2022). Churches present in the city of Jordan reflect the religious concerns of the community, which indirectly impact their spiritual and mental health of the community. The health issue identified in the community of Jordan is the steady growth of the population with limited health and educational amenities that pose a severe health issue to the community population. Lack of adequate transportation to commute within the community of Jordan poses a health threat in emergency cases where prompt care treatment is required. The underlying assumption includes that social determinants of health play a significant role in the overall health status of the community. Additionally, the uncertainty includes the lack of knowledge of the population’s socioeconomic status and social norms contributing to health behaviors.  Conclusion The survey findings for the community of Jordan reveal that the City of Jordan is a small but adequately nourished town in Minnesota. Basic facilities such as education, healthcare services, recreational parks, grocery store, plazas, and parks make it a fine stable community. However, the continuously growing population with limited resources for health and education poses several health issues to the community, requiring further opportunities to expand its services through enhanced infrastructure and sustainable management growth.  References  City of Jordan, Minnesota. (2015, November 30). Economic Development. . https://jordanmn.gov/city-departments/economic-development/  Hao, L., Xu, X., Dupre, M. E., Guo, A., Zhang, X., Qiu, L., Zhao, Y., & Gu, D. (2020). Adequate access to healthcare and added life expectancy among older adults in China. BMC Geriatrics, 20(1). https://doi.org/10.1186/s12877-020-01524-9  Morante-García, W., Zapata-Boluda, R. M., García-González, J., Campuzano-Cuadrado, P., Calvillo, C., & Alarcón-Rodríguez, R. (2022). Influence of social determinants of health on COVID-19 infection in socially vulnerable groups. International

Phillip October 5, 2023 No Comments

NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change

NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change Student Name Capella University NURS-FPX 6218 Leading the Future of Health Care Prof. Name Date Change Proposal Summary Report The main goal of this executive summary report is to propose a change in the management of peripheral neuropathy in diabetic patients in healthcare organizations within Colorado. For this purpose, intricate research on peripheral neuropathy is conducted, followed by a comparative analysis of its management in non-U.S. healthcare systems to find effective measures and strategies in change proposals so that the quality of health in people with diabetes is improved by reducing diabetes-associated complications of peripheral neuropathy. Executive Summary Proposed Change Peripheral neuropathy is a challenging complication for patients with diabetes. It affects peripheral nerves, causing pain, sensory loss, and paraesthesia. Diabetic peripheral neuropathy (DPN) impacts 50% of diabetics resulting in pain with a risk of foot ulcers 25%, which can lead to leg amputation (Hicks & Selvin, 2019). Considering these consequences of poor care, strenuous efforts are required to promote aggressive screening and management of diabetes through regular HbA1c monitoring, foot examination, and pain management. The local healthcare systems in Colorado have been facing peripheral neuropathy as an emerging problem for diabetics, where many patients suffer from numbness in their feet, pain, foot ulcers, and leg amputations. Considering this overwhelming condition of diabetic peripheral neuropathy impacting patients’ quality of life, it is essential to focus on changing this particular care area so people with diabetes can have improved health and quality of life. By addressing this specific issue and improving diabetes management through adequate foot examination at least once annually, as recommended by American Diabetes Association, peripheral neuropathy can be controlled (American Diabetes Association Professional Practice Committee, 2021). Furthermore, improving glycemic levels through lifestyle modification and pharmacotherapy can reduce the risk of peripheral neuropathy and its progression. Additionally, educating the patients on foot care and self-care behaviors to regulate glycemic levels will enable the delayed onset of peripheral neuropathy (Alahakoon et al., 2020). Desired Outcomes This proposal for improvement in diabetes patients with peripheral neuropathy through adequate foot examination, foot care and patient education will result in several desired outcomes that we aim to achieve through this proposal for change and improvement. These desired outcomes are as follows Prevention of neuropathy complications: By timely managing diabetes and peripheral neuropathy, one can prevent complications such as infections, delayed healing, foot ulcerations, and leg amputations in advanced cases of peripheral neuropathy (Selvarajah et al., 2019) Enhanced sensation: In peripheral neuropathy, the sensory peripheral nerves are damaged, affecting sensation to temperature, pain and pressure, causing numbness and tingling. By improving glycemic levels and preventing peripheral neuropathy, diabetics can have enhanced sensation to changes in physical stimuli that facilitate preventing injuries (Agarwal et al., 2019).  Improved mobility and preservation of limb function: Managing and preventing peripheral neuropathy through lifestyle modification and dietary changes to regulate glycemic levels promote mobility in people with diabetes and helps them balance and coordinate their gait while walking, which can be hindered by lower nerve power. Improved mobility will prevent risks of patient falls and helps people with diabetes stay active in their lifetime (Zilliox & Russell, 2019). NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change Achieving these outcomes requires stakeholders to pay for care and implement desired changes. For this purpose, healthcare organizations must have adequate resources to provide attentive care to people with diabetes regarding peripheral neuropathy, where adequate foot examinations are conducted, and nurses guide patients to self-care for their feet by regulating their blood glucose levels. Moreover, external resources such as Medicare and Medicaid programs of the Affordable Care Act that provide health insurance coverage for older people with chronic diseases and promote care delivery in low-income individuals are also potential sources (Duru et al., 2020). Some factors that limit the achievement of these outcomes are the need for more human and financial resources, lack of adequate inter-professional collaboration and patient compliance. The optimal healthcare solutions to achieve these desirable outcomes include implementing inter-professional collaboration in delivering patient-centered care to manage diabetes in patients and training physicians and nurses on performing foot examinations properly. Additionally, providing effective foot care to avoid long-term complications of peripheral neuropathy is imperative (Aalaa et al., 2022).  Health Care System Comparative Analysis We have conducted a comparative analysis on managing and preventing peripheral neuropathy in two non-U.S. healthcare systems to gain broader knowledge and find a better approach. The National Health Service (NHS) healthcare system in the United Kingdom follows the guidelines provided by the National Institute for Health and Care Excellence (NICE), specifically about managing diabetes and associated complications of peripheral neuropathy. NICE recommends that healthcare organizations conduct regular foot examinations and promote patient education in people with diabetes on self-management and self-care feet to prevent peripheral neuropathy and the associated complications (NICE, 2019). NICE provides guidelines on the frequency of foot assessment for all age groups with diabetes, mainly focusing on adults with diabetes to assess feet on diagnosis and annual checkups or when foot problems arise. NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change Furthermore, it guides the investigation and treatment of foot ulcers, infections, and Charcot arthropathy. Another valuable healthcare system based in Australia follows the guidelines from the Australian Diabetes Society (ADS) which has a particular division on Diabetes Feet Australia (DFA). It provides comprehensive guidelines and strategies to manage foot care in diabetic patients. DFA offers educational webinars and events on foot care and preventive measures to delay peripheral neuropathy. Furthermore, it has recently launched digital DFA guidelines platforms where patients with diabetes can take guidelines for foot care digitally and daily foot care checklists (Diabetes Feet Australia, n.d.). These two non-US-based health approaches towards peripheral neuropathy can guide the US healthcare system in implementing similar strategies to prevent foot complications due to peripheral neuropathy. In the local healthcare systems of Colorado, annual foot examinations for diabetics must be conducted, and physicians must be trained on evaluating and assessing foot diseases to provide appropriate and

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