Premium Writing

Details:
Your planning document should include the following sections:
Issue to be negotiated
My goal, resistance point, and BATNA
My overall strategy and key tactics
Prediction of my counterparts overall strategy and key tactics
How I will implement two concepts from the “Claiming Value” module
Guidelines:
Two full pages (and no longer than this), double-spaced, 1-inch margins and a 12-point font, with each section labeled. Upload in PDF format. See this example
Actions
for how the paper should be structured.
Section 5 is the most important, so it should be the longest section.

Cover and reference page not included in 15 pages. Abstract
2. Introduction
3. A clear and concise statement of the issue/ problem
4. Literature review to include past and present research relates to the problem.
5. Discussion on the issue/problem
6. Implications of the problem for juveniles and its impact on society.
7. Recommendations-What do you think should be done to resolve the issue/problem. Margins 1 inch

Respond on or before Day 6 on 2 different days to at least two of your colleagues who were
assigned a different patient than you. Critique your colleagues targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.

First Response ( 1 page and two references)
Discussion WK2-Main Post

The patient in this scenario is a 54-year-old Caucasian male referred to the clinic after a recent hospitalization for seizure activity related to alcohol withdrawal. His past medical history includes alcohol and cocaine abuse, and hypertension. He is living in a homeless shelter and is out of his antihypertensive medicine. He states he is currently abstaining from alcohol and cocaine use but is smoking cigarettes to calm down from not consuming alcohol.

Homelessness creates challenges for the community, healthcare providers, and patients. Living in crowded shelters or on the streets exposes an individual to many communicable diseases, violence, poor nutrition, and weather exposure. Compounded with behavioral health issues, such as substance abuse, makes the situation even more of a challenge for providers (National Health Care for the Homeless Council [NHCHC], 2019). Basic needs for survival such as nutrition, safety, and shelter often become barriers to treatments and medications for acute and chronic illnesses. Other barriers can include lack of insurance, money, and transportation to clinics (Kiser & Hulton, 2018).

A patient-centered approach to care is necessary, as it identifies the patients perspective on illness and helps to reach shared treatment goals based on the patients values and beliefs. This can be achieved by asking open-ended questions, being an active listener, and expressing empathy. Shared decision-making empowers patients and leads to better adherence to treatment regimens. In establishing primary care for the patient in this scenario, it is important to assess his ability to access care and any necessary follow-up, his perception of these needs, his desire for the care offered, and if he is committed to continuing healthy lifestyle behaviors. Nurse practitioners are in the perfect position to help patients achieve positive health behaviors (Nesbitt et al., 2014).

On this initial visit with the patient, I would first ask if he had any questions or concerns that I can address. After obtaining his past medical/surgical histories and medication, I would ask about his current living situation. Does he have access to nutritional meals? What is his overall goal for seeking primary care? Does he have a support network of family or friends that he can rely on? Does he have access to transportation to get to appointments? How will he afford prescriptions to manage his hypertension? Can he safely store his medication? Long-term goals would be to assess his motivation to continue to abstain from substance abuse to prevent a relapse. Does he have a plan in place to achieve this and how can I help? Smoking cessation is also important to his overall health. While these are important goals, I feel they are not priorities on the initial visit. Managing hypertension, obtaining medication, and ensuring he returns for continuing care need addressed initially.

Creating a mutually agreed-upon plan to improve access to primary care and managing health issues will lead to better health outcomes and quality of life. Being empathetic and nonjudgmental to the adversities this patient may be facing will foster a trusting and respectful rapport.

References

Kiser, T., & Hulton, L. (2018). Addressing health care needs in the homeless population: A new approach using participatory action research. SAGE Open, 8(3), 215824401878975. https://doi.org/10.1177/2158244018789750

National Health Care for the Homeless Council. (2019, February). Homeless & Health: What’s the connection. https://www.nhchc.org

Nesbitt, B. J., Murray, D. A., & Mensink, A. R. (2014). Teaching motivational interviewing to nurse practitioner students: A pilot study. Journal of the American Association of Nurse Practitioners, 26(3), 131135. https://doi.org/10.1002/2327-6924.12041

Second Response (1 page and 2 References)
Diversity and Health Assessments

According to American Psychological Association (2019), socioeconomic status is the social standing or class of an individual or group. It is often measured as a combination of education, income and occupation. All of these issues are not only personal to an individual, but also a touchy subject to discuss. My patient, AG the 54 year old Caucasian male with a history of alcohol and cocaine abuse, is also homeless. When interacting with this patient, we need to be conscious of his socioeconomic status (his income, his housing situation, and his education level) and his lifestyle (alcohol and cocaine abuse). Questions I would ask are:

How long have you been without your amlodipine? Asking this question lets me know about his money situation. It also lets me know what kind of resources I need to find to help make sure he is able to get his medication.
How long has it been since you have drank or used cocaine? Asking this alerts me if he will go through withdrawals. This is a question that the patient may not be honest about due to embarrassment. If the patient is at risk for detox, we would need to get him into a facility as his blood pressure would go up and likely be uncontrolled with his current prescription.
How long have you been without stable living? Again, another sensitive question. I would not call him homeless as that can be taken the wrong way by the patient and make building rapport harder.
Can you tell me about your employment status? This leads me to more questions about income. If he doesnt work, I can ask about disability or unemployment. If he works, I can ask where and how long. This question falls into the lifestyle question.
What other medical problems do you have? This gives me history on the patient. It also alerts me to more medication that the patient may not be able to afford.
When doing a health assessment we as professionals need to be as professional and as unbiased as possible. Becoming aware of your biases and respecting differences is the first step in creating a safe zone. Introspection first (Grover, Murthy, & Bedzow, 2020). When asking questions, we must understand that some questions (such as drug and alcohol use) are uncomfortable for the patient to answer but they are questions that need to be answered without judgement. Cultural sensitivity infused into the healthcare field provides a greater amount of efficiency in regards to reaching many diverse groups of people and providing a non- bias approach to care, which can promote more beneficial services and provide further outreach (Dell’Osso, 2016).
References:

American Psychological Association. (2019). Socioeconomic Status. https://www.apa.org/advocacy/socioeconomic-status

Dell’Osso, D. (2016). Cultural Sensitivity in Healthcare: The New Modern Day Medicine. https://scholar.dominican.edu/cgi/viewcontent.cgi?article=1072&context=senior-theses

Grover, V., Murthy, P., & Bedzow, I. (2020). 11 Tips for Providing Culturally Sensitive Healthcare. https://www.medbridgeeducation.com/blog/2020/06/11-tips-for-providing-culturally-sensitive-healthcare/

My discussion to be used for (Explain whether any of the questions would apply to your patient, and why. part of the answer)
Diversity and Health Assessment

The patient is an 86-year-old Asian male dependent on his daughter, a single mother, for physical and financial support. The available data reveals that the patient is from an economically disadvantaged background and belongs to an ethnic minority group. Socioeconomic disparities can negatively influence ethnic minorities’ health and medical care (Centers for Disease Control and Prevention, 2020). This aspect requires the cultural assessment to establish more information about the patient’s beliefs, practices, spiritual background, and other vital details.

Cultural Competence

Cultural competence manifests strongly in communication with the patient. As a nurse, I strive to make sense of the patient’s world to avoid misinterpretations and misperceptions. I will focus on attitude and feelings. Consistent with Ball et al. (2019), history and physical examination are essential aspects. Therefore, I will examine the patient physically and relate my observation with his experiences.

I would be concerned about the patient’s chronic prostatitis, elevated blood pressure, gastroesophageal reflux disease, visible bruises, and evidence of falls. The patient also appeared weak and malnourished. These signs could suggest physical abuse and poor nutrition, issues that are a bit sensitive to interrogate. Challenges, such as language barriers and trust issues, could make it difficult to obtain more information from this patient. Therefore, understanding the patient’s cultural perspective is critical (Wannasirikul et al., 2016). In addition, it is necessary to inquire about the support system, stressors, expectations, and the patient’s sense of control.

Targeted Questions for Building the Health History and Assessing the Health Risks

The following questions would help build the patient’s health history and assessing his health risks:

What do you think is the leading cause of your problem?
How has this problem affected your life?
Are there periods when your religion requires you to fast? If so, how does it affect your health?
Other than your daughter, do you have someone who offers support?
Do you usually take your medicine at the recommended time?
What are the most important outcomes you hope to achieve from this treatment?
References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Centers for Disease Control and Prevention. (2020, October 21). Cultural Competence In Health And Human Services. Retrieved from https://npin.cdc.gov/pages/cultural-competence

Wannasirikul, P., Termsirikulchai, L., Sujirarat, D., Benjakul, S., & Tanasugarn, C. (2016). Health literacy, medication adherence, and blood pressure level among hypertension older adults treated at primary health care centers. Southeast Asian Journal of Tropical Medicine and Public Health, 47(1), 109-120.

Introduce the organization central to your case
Briefly introduce other organizations involved in creating or managing the crisis.
Role and responsibilities of the organization central to your case as related to the trigger event,

WHEN COMPLETING THIS ASSISGNMENT YOU ARE WRITING AS YOU ARETHE ADMINSTRATOR OF THE FACILITY.

when you
are the administrator . . . critical Thinking and analysis
Case Study #1 nutrition therapy in cancer care
The National Cancer Institute at the National Institutes of
Health states, Early nutrition screening and assessment help find problems
that may affect how well the patients body can deal with the effects of cancer
treatment. Patients who are underweight or malnourished may not be able to get
through treatment as well as a well-nourished patient. Finding and treating
nutrition problems early can help the patient gain weight or prevent weight
loss, decrease problems with the treatment, and help recovery.

Source:
http://www.cancer.gov/cancertopics/pdq/supportivecare/nutrition/ Patient/page2

How would you use this advisory to create a policy in
your facility? how could this knowledge support better care for cancer patients
in active therapy at your facility? What might you direct your foodservice
manager to do?

Here is the email that Max dreads receiving from his girlfriend. Transform it into the more positive one that is actually on the way by changing the adjectives and some verbs. Note – all sentences must have some changes in order to be positive.
Angers, le 7 janvier
Max,
Je te dteste. Tu es stupide et antipathique. Tes blagues sont ennuyeuses. Tu t’habilles sans gout. Tu n’aime pas dpenser et je te trouve radin. Tous les jours (Every day) tu es nerveux, tu ne rves pas parce que tu es peu idaliste, et tu es mme (even) souvent hypocrite. En plus (Furthermore) je trouve que tu es paresseux. Je pense que nous devons nous sparer. Le temps pass avec toi est tout fait perdu. Tu me fais regretter tous les jours. Bientt je ne peux plus te supporter.
Je ne veux pas te revoir. (I dont want to see you again.)
Adieu.
Catherine

Case 2 in Chapter 24 – A Drop in the Buck

Tom is an engineering student his senior year at State
University. Tom was selected to participate in an internship at a prestigious
engineering firm. The internship provides valuable practical experience, as
well as the possibility of a job offer. While working on an assignment during
what are supposed to be his last few weeks at the firm. Tom discovers what he
believes to be an oversight on the part of the managing engineers, which, if
allowed to remain uncorrected, would have serious ramifications on the
environment. When Tom alerts his supervisor at the firm. Mr. Morie, about his
concerns, Mr. Morie tells Tom not to worry and it has been done at the
clients insistence, and the EPA has already approved the plan. Tom is
concerned that the plan, if implemented, will be destructive to the
environment, killing all acquatic life within a 20-mile radius.

1)List the main moral issue in the correct format.

2) Tell three different areas that would be
appropriate to research. In other words, if you were this
person, what resources would you look at, or explore to try to help you
figure out what you should do.

3)Create an analysis chart including options and
stakeholders. Be sure all options are in the control of the person named in
your main ethical issue. For example, if the main ethical issue is Should
Jack report Jill for stealing computers, all of your options must begin
with Jack could…-

4) Include word count

Most of the discussion should focus on Castell Coch (with its style being gothic reviva), and have to briefly refer to other buildings, such as The Houses of Parliament.
Need to go beyond simply describing what a building looks like in order to consider why it has taken this form for exmple, a building might use styles of the past to create a link between it (as a new building) and a specific historical era.

The Paper should be written in APA format.
Your APA paper does NOT require an abstract page, which is typical of a longer document.
Your paper SHOULD include a title page and should be formatted with the correct headers and page numbers.
Your paper should be a minimum of 5 pages in length, Times New Roman 10-12, double-spaced.
Your paper must include a minimum of three academic resources, properly cited in APA format.

Based on your investigation, develop a minimum two-page plan of action, not counting the title or reference page, detailing the recommendations your team makes. Your plan should answer the question “What can be done to prevent a similar incident?” Use research to develop reliable and evidence-based interventions to put into place to prevent re-occurring situation.