NR 602 Week 2 Submission iHuman Case 2NR 602 Week 2 Submission iHuman Case 2Once you have completed

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NR 602 Week 2 Submission iHuman Case 2

NR 602 Week 2 Submission iHuman Case 2

Once you have completed the iHuman Case on STI, submit your Case Study completion score sheet here. You may resubmit your completion score sheet as needed.

If you have not completed the iHuman Activity yet, please go to the NR 602 Week 2 Submission iHuman Case 2 assignment, for assignment requirement and access to iHuman.

In NR602, iHuman assignments will be assessed in the following areas: History Taking, Physical Exam, Differential Diagnoses, Rank diagnoses, MNM (must not miss) Diagnoses, Order tests, Final Diagnosis, and Management Plan.

Each of these sections must be completed, including the EMR section, for the assignment to be considered complete.

A score of 80% or better is your target with this NR 602 Week 2 Submission iHuman Case 2 assignment. You will have (2) two attempts; the highest score of two attempts will be taken as the final grade.

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NR 602 Week 2 Submission iHuman Case 2 Rubric

iHuman AssignmentiHuman AssignmentCriteriaRatingsPts

This criterion is linked to a Learning Outcome

Assignment Content

Virtual Patient Encounter

75.0 pts

ExcellentStudent achieves a score of 80-100% on the assigned iHuman activity.

68.0 pts

Very GoodStudent achieves a score of 70-79% on the assigned iHuman activity.

62.0 pts

SatisfactoryStudent achieves a score of 55-69% on the assigned iHuman activity NR 602 Week 2 Submission iHuman Case 2.

38.0 pts

Needs ImprovementStudent achieves a score of 30-54% on the assigned iHuman activity.

0.0 pts

UnsatisfactoryStudent achieves a score of 0-29% on the assigned iHuman activity.75.0 pts

This criterion is linked to a Learning Outcome

Late Penalty Deductions

Students are expected to submit assignments by the time they are due. NR602 Week 2 Submission iHuman Case 2 Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.

0.0 pts

Manual Deduction

0.0 pts

Manual Deduction0.0 ptsTotal Points: 75.0NR 602 Discussion 1

Include the following sections (detailed criteria listed below and in the Grading Rubric):Read the following article from the Chamberlain library and address the questions below.

Sacks, & Peca, E. (2020). Confronting the culture of care: A call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere. BMC Pregnancy and Childbirth,?20(1), 249–249. https://doi.org/10.1186/s12884-020-02894-z

1. Application?of?Course?Knowledge:
   1. Identify and describe three actions you can take as an NP to mitigate the social impacts on marginalized women and/or children.
   2. Discuss the role of federal, state, and local health policy in the marginalization of women, children, and childbearing families.
   3. Identify one policy that impacts marginalized groups (include whether the policy is at the federal, state, or local level).
   4. Discuss how the selected policy impacts marginalized groups either positively or negatively.
2. Integration of Evidence:?Integrate relevant scholarly sources as defined by program expectations:

1. Cite a scholarly 2 source in the initial post.
2. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
3. Include a minimum of two different scholarly sources of less than 5 yrs. Cite all references and provide references for all citations.

Sacks, E., & Peca, E. (2020). Confronting the culture of care: a call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere. BMC Pregnancy and Childbirth, 20(1), 249–249. https://doi.org/10.1186/s12884-020-02894-z

NR 602 Discussion 1 Example – Marginalized People

Mitigating Social Impacts on Marginalized Women and Children as an NP

• Advocate for Comprehensive Health Education

NPs can play a pivotal role in advocating for and participating in comprehensive health education initiatives. This involves collaborating with schools, community organizations, and healthcare institutions to implement educational programs that address the specific needs of marginalized women and children (Baah et al., 2020). Topics include reproductive health, preventive care, nutrition, and mental health awareness. By promoting health education, NPs empower marginalized women with knowledge, enabling them to make informed decisions about their health. Education serves as a preventive measure, reducing the incidence of health problems and contributing to the overall well-being of women and their children.

• Establish Community Outreach Programs

NPs should take the initiative to develop and participate in community outreach programs that target marginalized populations. The outreach programs must focus on providing accessible healthcare services, including vaccinations, prenatal care, and health screenings. Collaborating with local organizations and community leaders is crucial to reaching those who face barriers to accessing healthcare (Baah et al., 2020). Community outreach programs address the social determinants of health by bringing healthcare services directly to marginalized communities. By fostering relationships with community members, NPs help build trust and bridge gaps in healthcare access, leading to early intervention and improved health outcomes.

• Promote Cultural Competence in Healthcare Practice

NPs can actively engage in ongoing cultural competence training to enhance their understanding of diverse cultural practices, beliefs, and values. This involves staying informed about the cultural backgrounds of patients, respecting diversity, and tailoring healthcare services accordingly. Additionally, NPs can advocate for the integration of cultural competence training within healthcare institutions and educational programs (Sacks & Peca, 2020). Cultural competence is essential in providing patient-centered care. By acknowledging and respecting the cultural diversity of marginalized women and children, NPs can establish effective communication, build rapport, and ensure that healthcare services are culturally sensitive. This, in turn, contributes to a more positive healthcare experience and outcomes.

Role of Federal, State, and Local Health Policy in Marginalization

Health policies at various levels can either contribute to or alleviate the marginalization of women, children, and childbearing families. For example, policies related to funding for maternal and child health programs, accessibility of healthcare services, and support for vulnerable populations play a crucial role in shaping health outcomes. The role of federal, state and local health policy is instrumental in shaping the healthcare landscape and, unfortunately, can contribute to the marginalization of women, children, and childbearing families.

Understanding these policy dynamics is crucial for addressing health disparities and promoting equitable access to care. For example, at the federal level, policies related to funding, insurance coverage, and program implementation have a substantial impact on marginalized populations. For instance, the Affordable Care Act (ACA) brought about significant changes, including Medicaid expansion, which positively affected many low-income individuals, including pregnant women and children. However, politics can also result in policy changes that adversely affect marginalized groups. Reductions in funding for maternal and child health programs or alterations to Medicaid eligibility criteria can limit access to essential services, exacerbating health disparities (Sacks & Peca, 2020).

States have autonomy in healthcare policymaking, leading to variations in services and coverage. State decisions regarding Medicaid expansion, family planning programs, and reproductive health services significantly influence the well-being of marginalized women and childbearing families. States that choose not to expand Medicaid, for example, may leave vulnerable populations without access to crucial prenatal care and maternity services (Sacks & Peca, 2020). Additionally, state-level restrictions on family planning services and reproductive rights can disproportionately affect low-income women.

Local health policies, including those established by municipalities or healthcare institutions, play a role in shaping the day-to-day experiences of marginalized populations. Accessibility to healthcare facilities, community health programs, and the availability of culturally competent care are influenced by local policies. Limited resources in certain areas may result in inadequate infrastructure, leading to disparities in healthcare access for women, children, and families in underserved communities.

The impact of these policies on marginalized groups can be multifaceted. Positive policies that enhance access to prenatal care, maternal health services, and childhood vaccinations contribute to better health outcomes (Sacks & Peca, 2020). However, negative policies, such as restrictive reproductive rights or cuts to public health programs, can perpetuate health disparities. Marginalized women and children may face barriers such as limited access to affordable healthcare, inadequate educational resources, and a lack of preventive services, resulting in poorer health outcomes and perpetuating cycles of disadvantage.

Identifying a Relevant Policy

One policy that impacts marginalized groups at the federal level is the Title X family planning program. Title X, enacted in 1970, provides federal funding for family planning services to help ensure access to comprehensive reproductive health care, including contraception, screening for sexually transmitted infections (STIs), and preventive health services.

Title X has a significant impact on marginalized groups, including low-income individuals and communities with limited access to healthcare services. The program aims to provide affordable and confidential family planning services, with a focus on those who may not otherwise have access to such care. Title X positively impacts marginalized women and families by offering essential reproductive health services, enabling family planning decision-making, and supporting preventive care (HHS, 2021). It helps reduce unintended pregnancies and contributes to better maternal and child health outcomes. However, changes in Title X funding and policies, such as the imposition of the gag rule in 2019, have posed challenges. This rule prohibits healthcare providers receiving Title X funds from providing information or referrals for abortion services, limiting comprehensive reproductive health counseling.

Impact of the Selected Policy

The Title X family planning program impacts marginalized groups both positively and negatively, with its intended goals of providing affordable reproductive health services, but also facing challenges and controversies that affect access to comprehensive care.

Positive Impact on Marginalized Groups

1. Access to Affordable Reproductive Health Services: Title X positively impacts marginalized groups by providing access to essential reproductive health services. This includes family planning counseling, contraception, screening for STIs, and preventive healthcare. For individuals with limited financial resources, Title X clinics serve as a crucial source of affordable and confidential reproductive health care.
2. Reduction of Unintended Pregnancies: By offering family planning services, including contraception, Title X contributes to the reduction of unintended pregnancies. This is particularly important for marginalized women and families who may face barriers to accessing contraceptive methods through other means. Access to effective family planning supports individuals in making informed decisions about their reproductive health and family size.
3. Support for Maternal and Child Health: Title X plays a role in promoting maternal and child health by offering services that support preconception and prenatal care. Marginalized women, who may face challenges in accessing healthcare, benefit from the preventive care provided by Title X clinics, leading to improved health outcomes for both mothers and children.

Negative Impact on Marginalized Groups

1. Implementation of the Gag Rule: The imposition of the gag rule in 2019 hurt Title X and its ability to provide comprehensive care. This rule prohibits healthcare providers receiving Title X funds from providing information or referrals for abortion services, even if requested by the patient. This restriction limits the ability of healthcare professionals to offer complete and unbiased counseling, negatively impacting women’s reproductive autonomy.
2. Reduced Access to Services: Changes in funding and policy restrictions have led to the withdrawal of some healthcare providers from the Title X program. This has resulted in reduced access to services for marginalized individuals, particularly in areas where Title X clinics were a primary source of reproductive health care. Limited access can lead to delays in care, missed opportunities for preventive services, and potentially negative health outcomes.
3. Impact on Comprehensive Reproductive Health Education: The controversy surrounding Title X has also impacted the provision of comprehensive reproductive health education. Restrictions on discussing abortion can hinder healthcare providers from offering comprehensive information to patients, limiting their ability to make fully informed decisions about their reproductive health.

References

Baah, F. O., Teitelman, A. M., & Riegel, B. (2020). Marginalization: Conceptualizing patient vulnerabilities in the framework of social determinants of health—An integrative review. Nursing Inquiry, 26(1), e12268. https://doi.org/10.1111/nin.12268

HHS. (2021). Title X service grants. HHS Office of Population Affairs. https://opa.hhs.gov/grant-programs/title-x-service-grants

Sacks, E., & Peca, E. (2020). Confronting the culture of care: a call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere. BMC Pregnancy and Childbirth, 20(1). https://doi.org/10.1186/s12884-020-02894-z

NR 602 Week 5 Ihuman Reflection

Address the following questions:

What resources are available in your community to assist with concerns such as those faced by your virtual patient? (Roanoke,Va.) see below

What are the reporting requirements for your state, and to whom would you report??Abuse

Include the following components:

• Write 150-300 words in a Microsoft Word document
• Demonstrate clinical judgment appropriate to the patient scenario
• Cite at least two relevant scholarly sources as defined by program expectations.

Pt. scenario:

H.K. is a 2-year-old male with a medical history significant for Down syndrome and atrial-septal defect that was repaired who was brought into the clinic by his mother for abdominal pain for 2 days and one episode of vomiting last night. Mother states that he has been lethargic, has fewer wet diapers and no bowel movement for one day due to his decrease in appetite.

Mother states that the patient had fallen off the bed while napping. No medications have been given for the pain.

Problem Statement: H.K. is a 2-year-old male with a medical history significant for Down syndrome and atrial-septal defect that was repaired who was brought into the clinic by his mother for abdominal pain for 2 days with 1 episode of vomiting last night. Mother states that symptoms began after the patient fell from the bed while taking a nap. 

She states that he has been lethargic, has decreased wet diapers daily with dark and strong-smelling urine and no bowel movement for one day and has had a decrease in appetite. Upon assessment, the patient is listless and has poor eye contact. Skin is pale, cool, and slightly mottled. Diffuse diaper rash noted. Faint circumferential macular discoloration at wrists consistent with aging ligature marks.

Ecchymoses overlying epigastrium measuring 10cm in diameter in an oval shape. Hypoactive BS x 3. Distended, firm abdomen. Diffuse tenderness on palpation with associated guarding. 2cm, reducible umbilical hernia. No medications have been given to the patient.

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Solution: