Fluent Essays

Overview Develop a 4–6-page position about a specific health care issue as it relates to a target vulnerable population. Include an analysis of existing evidence and position papers to help support your position. Your analysis should also present and respond to one or more opposing viewpoints. Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented. Position papers are a method to evaluate the most current evidence and policies related to health care issues. They offer a way for researchers to explore the views of any number of organizations around a topic. This can help you to develop your own position and approach to care around a topic or issue. This assessment will focus on analyzing position papers about an issue related to addiction, chronicity, emotional and mental health, genetics and genomics, or immunity. Many of these topics are quickly evolving as technology advances, or as we attempt to push past stigmas. For example, technology advances and DNA sequencing provide comprehensive information to allow treatment to become more targeted and effective for the individual. However as a result, nurses must be able to understand and teach patients about the impact of this information. With this great power comes concerns that patient conditions are protected in an ethical and compassionate manner. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Design evidence-based advanced nursing care for achieving high-quality population outcomes. Evaluate the evidence and positions of others that could support a teams approach to improving the quality and outcomes of care for a specific issue in a target population. Evaluate the evidence and positions of others that are contrary to a teams approach to improving the quality and outcomes of care for a specific issue in a target population. Competency 2: Evaluate the efficiency and effectiveness of interprofessional interventions in achieving desired population health outcomes. Explain the role of the interprofessional team in facilitating improvements for a specific issue in a target population. Competency 3: Analyze population health outcomes in terms of their implications for health policy advocacy. Explain a position with regard to health outcomes for a specific issue in a target population. Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards. Communicate an initial viewpoint regarding a specific issue in a target population and a synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling. Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.   Position papers are a way for individuals, groups, and organizations to express their views and intentions toward a specific issue. In health care, many position papers address specific policies, regulations, or other approaches to care. As a masters-prepared nurse, you should feel empowered to express and advocate for your own views on policy and care matters. This is especially important when it comes to populations you or your organization cares for that are not receiving the quality, type, or amount of care that they require. An important skill in creating a position paper or policy proposal is the ability to analyze and synthesize others views about the population or issue of interest to you. By synthesizing the positive and negative views of an issue, you can become better equipped to strengthen your own arguments and to respond to opposing views in an informed and convincing way. QUESTIONS TO CONSIDER   As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment. SHOW LESS Assessment 1 will be based on an analysis of position papers that are relevant to a health care issue related to a vulnerable population. Think about your experience working with vulnerable populations, and the issues related to health care you have observed for those populations, or reflect on the two Vila Health simulations in the Resources. What is the vulnerable population that most interests you? What is the health issue that is most prevalent or severe in the population? How does the health issue impact the daily lives of members of the population? How does the care environment in your chosen context impact both the population and the level of care related to the health issue? What are the biggest challenges that you would need to overcome to improve the outcomes for the population related to the health issue? What is your position on how to best work to improve the care and outcomes that the population is receiving? What previously published position papers support your position, or the need to work to improve care and outcomes in general for the population? How do these position papers support your assertions? How could one or more of the position papers help you to form a treatment plan? What previously published position papers contradict your position? What, if any, of these differences would make your position stronger if you incorporated them? How could you respond to any irreconcilable differences in such a way as to encourage buy-in for your position from those opposed?   Assessment Instructions Scenario Pretend you are a member of an interprofessional team that is attempting to improve the quality of health care and the outcomes in a vulnerable population. For the first step in your teams work, you have decided to conduct an analysis of current position papers that address the issue and population you are considering. In your analysis you will note the teams initial views on the issue in the population as well as the views across a variety of relevant position papers. You have been tasked with finding the most current standard of care or evidenced-based practice and evaluating both the pros and cons of the issue. For the opposing viewpoints, it is important to discuss how the team could respond to encourage support. This paper will be presented to a committee of relevant stakeholders from your care setting and the community. If it receives enough support, you will be asked to create a new policy that could be enacted to improve the outcomes related to your chosen issue and target population. The care setting, population, and health care issue that you use for this assessment will be used in the other assessments in this course. Consider your choice carefully. There are two main approaches for you to take in selecting the scenario for this assessment: You may use one of the issues and populations presented in the Vila Health: Health Challenges in Different Populations and Vila Health: Resources for Topical Research media pieces. For this approach, you may consider the population in the context of the Vila Health care setting, or translate it into the context in which you currently practice or have had recent experience. You may select a population and issue that is of interest to you and set them in the context of your current or desired future care setting. While you are free to choose any population of interest, the issue you choose should fall within one of the following broad categories: Genetics and genomics. Sickle cell, asthma, multiple sclerosis, myasthenia gravis. Immunity. Type 1 diabetes, systemic lupus erythematosus (SLE), congenital neutropenia syndrome. Chronicity. Arthritis, any type of cancer or lung or heart disease, obesity. Addiction. Abuse of alcohol, prescription drugs, tobacco, illegal substances. Emotion and mental health. Post-traumatic stress disorder (PTSD), depression, eating disorders, psychosis. Note: If you choose the second option, contact the FlexPath faculty for your section to make sure that your chosen issue and population will fit within the topic areas for this course. Instructions For this assessment you will develop a position summary and an analysis of relevant position papers on a health care issue in a chosen population. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your submission addresses all of them. You may also want to read the Analysis of Position Papers for Vulnerable Populations Scoring Guide and Guiding Questions: Analysis of Position Papers for Vulnerable Populations to better understand how each grading criterion will be assessed. Explain a position with regard to health outcomes for a specific issue in a target population. Explain the role of the interprofessional team in facilitating improvements for a specific issue in a target population. Evaluate the evidence and positions of others that could support a teams approach to improving the quality and outcomes of care for a specific issue in a target population. Evaluate the evidence and positions of others that are contrary to a teams approach to improving the quality and outcomes of care for a specific issue in a target population. Communicate an initial viewpoint regarding a specific issue in a target population and a synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling. Integrate relevant sources to support assertions, correctly formatting citations and references using APA style. Example Assessment: You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like. Additional Requirements Length of submission: 4–6 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive. No abstract is required. Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that support your initial position on the issue, as well as a minimum of 2–3 sources of scholarly or professional evidence that express contrary views or opinions. Resources should be no more than five years old. APA formatting: Use the APA Style Paper Template linked in the Resources. An APA Style Paper Tutorial is also provided to help you in writing and formatting your analysis. GRADING RUBRIC: 1- Explain a position with regard to health outcomes for a specific issue in a target population.  Passing Grade:  Explains a position with regard to health outcomes for a specific issue in a target population, and identifies assumptions on which the plan is based.  2-  Explain the role of the interprofessional team in facilitating improvements for a specific issue in a target population.  Passing Grade:  Explains the role of the interprofessional team in facilitating improvements for a specific issue in a target population. Acknowledges challenges that the team may face in working together or in facilitating improvements.  3-  Evaluate the evidence and positions of others that could support a teams approach to improving the quality and outcomes of care for a specific issue in a target population.  Passing Grade:  Evaluates the evidence and positions of others that could support a teams approach to improving the quality and outcomes of care for a specific issue in a target population. Identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the evaluation).  4-  Evaluate the evidence and positions of others that are contrary to a teams approach for improving the quality and outcomes of care for a specific issue in a target population.  Passing Grade:  Evaluates the evidence and positions of others that are contrary to a teams approach to improving the quality and outcomes of care for a specific issue in a target population. Impartially responds to conflicting data and other perspectives in a way that creates buy-in.  5-  Communicate an initial viewpoint regarding a specific issue in a target population and a synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.  Passing Grade:  Communicates an initial viewpoint regarding a specific issue in a target population and synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling. Identifies specific strategies or approaches used to ensure clear communication.   6-  Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.  Passing Grade:  Integrates relevant sources to support assertions, correctly formatting citations and references using current APA style. Citations are free from all errors.Running head: ANALYSIS OF POSITION PAPERS 1 Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Analysis of Position Papers for Vulnerable Populations Learner’s Name Capella University Biopsychosocial Concepts for Advanced Nursing Practice II Analysis of Position Papers for Vulnerable Populations October, 2018 ANALYSIS OF POSITION PAPERS 2 Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Analysis of Position Papers for Vulnerable Populations As a group, veterans present a complicated, vulnerable population for the health care industry. Reports show that more than half of the U.S. Department of Veterans Affairs’ primary care patients state that they have pain, several of whom report chronic pain. Patients suffering from chronic pain often have higher levels of medical utilization, more disability claims, diminished productivity at work, and a poorer quality of life compared to patients who do not suffer from chronic pain. Further, it has been observed that the latter present with higher rates of alcohol and substance use disorders (Lovejoy, Dobscha, Turk, Weimer, & Morasco, 2016). The need for pain management was advocated and discussed in the 1980s and 1990s. Groups such as the WHO took a stand on how to address pain as a health care issue, particularly with reference to how cancer and cancer treatment affects patient lives. It was argued that it is unethical for any patient to be dying in pain, even if the treatment hastens death. This mandate was initially meant for cancer patients with chronic pain; however, over time, it has been extended to include chronic noncancer pain as well (Sullivan & Howe, 2013). One of the treatments recommended at the time was using opioids to manage pain. However, studies have since confirmed that a significant link exists between prescription opioid treatment and opioid addiction (Compton, Jones, & Baldwin, 2016; Kolodny, Courtwright, Hwang, Kreiner, Eadie, Clark, & Alexander, 2015; Volkow & McLellan, 2016). Veterans as a population are particularly vulnerable in this situation given that many of them deal with both physiological pain and psychological issues including post-traumatic stress disorder and substance abuse disorder (Sullivan & Howe, 2013). It is then necessary to look for a solution that allows veterans dealing with pain to manage it effectively and, further, to regulate and control the use of opioids to minimize the risk of addiction as well as the potentially dangerous side effects of opioid use. ANALYSIS OF POSITION PAPERS 3 Copyright ©2018 Capella University. Copy and distribution of this document are prohibited. Pain Relief Management and the Opioid Crisis The guidelines issued by the WHO and the Declaration of Montreal Running head: ANALYSIS OF PAPER POSITION 1 ANALYSIS OF PAPER POSITION 6 Analysis of Paper Position Capella University Alexander Ruche March, 2021 The elderly is the most affected population in this country. People are expecting to live a longer life. Living for a longer life comes with opportunities not only to the families and society but to the older people. Staying for additional years is a chance to pursue activities with good opportunities including the advancement of technology. (Wanget al 2020). However, aging is associated with cellular and molecular damage leading to a decrease in capacity on physical and mental states. Therefore, the health risk vulnerability is high at this stage and conditions of health associated with aging are diabetes, osteopathy, depression, arthritis, and different type of cancer. The elderly tends to experience some health complex states and neither do they fall to any category of discrete state. These are delirium, falls, incontinence of urinary and associative ulcers. Comment by Dr. Loftus: Are – not is Comment by Dr. Loftus: Incorrect – (Wang, et al., 2020) – spaciing and punctuation! Comment by Dr. Loftus: Need citation for the source of this information. Comment by Dr. Loftus: Again, what is the source of this information? Various factors are resulting in elderly diseases, some are related to genetics, some areas the results of the social and physical environment. Maintaining health behaviors has a great impact on the environment. Eating a balanced diet could be a result of some diseases because an inadequate intake of nutrients required by the body will lower immunity. A supportive environment is also good when it comes to maintaining. Globalization and development in technology could be affecting the elderly in one way or another. Comment by Dr. Loftus: All good information but what is the specific health issue for this population? You mentioned many issues but I would recommend focusing on just one and developing a specific position on what is needed to improve outcomes. The interprofessional team in facilitating improvements The interprofessional team is looking forward to providing efficient, quality, and improved care for elderly health. In this category, the health of the family is ideally designed to provide care to the elderly. (Martinet al 2018). Primary practitioners provide the necessary care to this population however there are challenges associated with this including insufficient facilities for the cancer patients. Due to the rising number of older people with difficulties in hospitals, the interdisciplinary approach is necessary to address their social and psychological issues. elderly require close attention, so the collaboration of family and the healthcare team is needed. The World Health Organization proposed integrated health care for the elderly. This includes an introduction, provision management, and organizing of health services like treating, diagnosing promotioRunning head: ANALYSIS OF PAPER POSITION 1 ANALYSIS OF PAPER POSITION 5 Analysis of Paper Position Capella University Alexander Ruche March, 2021 The elderly people are the most affected population in this country. Aging-related problems, Diabetes arthritis, mental health different type of cancer are some of the health issues facing the elderly when it comes to living a longer life. Living longer comes with its troubles, not only to the families and society but to the older people as well. Staying for additional years is a chance to pursue activities with good opportunities including the advancement of technology. (Wanget al 2020). However, aging is associated with cellular and molecular damage leading to a decrease in capacity on physical and mental states. According to the Department of Elderly People, the health risk vulnerability of the elderly is high at this stage. Diabetes is a result of long-term effects from resistance to insulin and impaired functioning of the pancreases. The elderly tend to experience some complex health problems as they are usually connected with other issues and are hardly singled out. These can be delirium, falls, incontinence of urinary and associative ulcers. Various factors are resulting in elderly diseases, some are related to genetics, and in some areas the results of the social and physical environment. Maintaining health behaviors has a great impact on the environment. Eating a balanced diet could be a result of some diseases because an inadequate intake of nutrients required by the body will lower immunity. Diabetes is a result of long-term effects from the resistance of insulin and impaired functioning of the pancreas. In this context, we are going to discuss the health outcomes for a specific issue in a target population, the role of the interprofessional team for improvements for this issue, and evaluating evidence and positions that would support a team approach in improving this issue. Health Outcomes for Elderly with Diabetes and Depression Elderly people with diabetes are very common in the U.S. rural areas. Thanks to the advance of technology and treatments, solutions have been found that allow them live their normal lives. However, most people who are diagnosed with Diabetes also end up suffering from some form of depression. This of course will affect their mental health and general physical fitness. Subsequently, the introduction of home testing kits for diabetes and antidiabetic medication to decrease the effects is Skyrocketing throughout the country. One of the solutions is Semaglutide prescriptions for the diabetic elderly. This is not a miracle drug unfortunately, therefore insulin is also recommended. Half of the population of the elderly people were diagnosed with diabetes type 2 in 2019 with some of the elderly having other mental challenges such as depression, according to the Department of Social Service report in 2021. Gregory is an elderly person who has been s