NR 443 Week 1 DQ 1 Healthy People. A Graded. Chamberlain College Of Nursing.The federal government developed Healthy People as a set of national health
... [Show More] objectives that are
periodically evaluated to measure progress in the nation’s health goals and healthcare services. HP 2020
has a renewed focus on identifying, measuring, tracking, and reducing health disparities through a
determinants-of-health approach.
This week, please briefly discuss a Healthy People 2020 objective under the topic area of your choice. Go
to www.healthypeople.gov and select any one of the objectives under the topic area of your interest.
Using the local, national, or international news, describe actions you, as a community health nurse, could
take in formulating policy changes to help promote the objective you have selected. Cite references to
support your views.
Please note:
There is a helpful "Introduction to Healthy People 2020 website" document in Doc Sharing to aid you in
navigating the HP 2020 website.
Our textbook, Community/Public health nursing: Promoting the health of populations (5th ed.) was
published prior to the final version of Healthy People 2020, resulting in some of the book content
differing from the Healthy People 2020 website.
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(an instructor response)
Collapse Mark as Read Healthy People 2020 Instructor Hamilton Email this Author
2/17/2015 8:26:56 PM
Hello Class,
In the United States we have many health issues to examine. Healthy People 2020 is designed to address
these issues and reduce the disparity in health care in our nation. This week go to the Healthy People
website and find a topic area that is your passion and explore this topic of interest. Think of your
personal experiences, community-local, national, and state and formulate ideas to how we can impact
this issue as a community health nurse. My guess is you will find not one but many that interest you. I
find when I look at the topics there is truly not just one topic of interest. As a part of my practice in
community health I saw the devastating effects of many of these factors every day.
How about you? How can you relate to the current concerns and how can we make a difference as
nurses?~Dr Hamilton
Class: You may begin posting in this TD on Sunday, March 1, 2015 for credit.
Respond
Collapse Mark as Read RE: Healthy People 2020 Erica Meyerhofer Email this Author
3/1/2015 6:54:57 AM
Week 1 Main Post Healthy People 2020
Professor Hamilton and Classmates
Access to health care, I believe is the key to reducing disparity in health care in our nation. If we could
provide access to health care to all a chance at prevention of disease and disability, improved life
expectancy, and detection and treatment options could be presented and treated if applicable
(HealthyPeople.gov). The highest percent without access currently are those who are uninsured due to
cost and or availability. The lack of access causes a delay in treatment progressing the disease process,
shortcoming in preventative services, and readmissions.
With the Patient Protection and Affordable Care Act signed in March of 2010 by President Obama, one
feature is that organizations will not be reimbursed for hospital readmissions that occur within 30 days
of discharge. The Patient Protection and Affordable Care Act is intended to expand coverage to the
uninsured by controlling costs (Nies & McEwen, 2011). With less cost associated with readmissions, the
funds can be applied to increase the proportion of people without health insurance. Since the
implementation, there has been estimated 70,000 fewer admissions in 2012 (Sebelius, 2013).
Recently the organization I work for has implemented Transitional Care Management (TCM) policy to
reduce the rate of readmissions. My role in TCM as a community nurse it to review the discharge
summary, call the patient within two days to conduct an assessment for possible readmission causes,
and to verify an appointment has been achieved with his primary care provider within 7 to 10 days. My
role makes sure that patients are provided appropriate medical services in a timely manner. Many times
services are ordered at discharge and never initiated. By calling the patients if services requested are not
started, I can follow up in a timely manner and initiate the services.
Erica Meyerhofer
References:
Nies, M. A. & McEwen M. (2011). Community/Public health nursing: Promoting the health of
populations (5th ed.). St Louis, MO: Saunders/Elsevier.
HealthyPeople.gov. (2015). Determinants of health (n.d.),
http://www.healthypeople.gov/2020/about/foundations-health-measures/Dterminants-of-Health.
Sebelius, K. (2013). Good news on innovation and health care.
http://www.hhs.gov/healthcare/facts/blog/2013/05/innovation.html
Respond
(an instructor response)
Collapse Mark as Read RE: Healthy People 2020 Instructor Hamilton Email this Author
3/2/2015 5:35:22 PM
Erica
Very good topic readmission for not understanding medication administration and reconciliation is a key
topic and transitional nurses have become a popular position of late. A local pharmacy is helping people
organize current medications and dispose of expired or no longer needed medications which is an
outreach initiative started with the transitional care nurses here locally...I went to a home for a wellbeing check and of course the elderly person was fine just not too active because we are in the middle of
winter...well when I looked around in the middle of the dining room table was a lazy susan full of
prescription bottles, as I was looking at the bottles one was from 1987 and his wife's name was on the
bottle, she has been gone for several years...he was on 2 prescribed medications but had an array of
prescription bottles with pills in them and sometimes multiple varieties for his wife and himself....thanks
for the topic you reminded me of this story as I could see many safety issues or even readmission issues,
as the medications included pain medications and blood pressure medications.~Dr Hamilton
Respond
Collapse Mark as Read RE: Healthy People 2020 Anzhelika Antyasova Email this Author
3/1/2015 12:12:53 PM
Modified:3/1/2015 12:22 PM
Dr. Hamilton and class,
According to Centers for disease control and prevention Healthy people 2020 has 4 goals
Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death;
Achieve health equity, eliminate disparities, and improve the health of all groups;
Create social and physical environments that promote good health for all; and
Promote quality of life, healthy development, and healthy behaviors across all life stages
I choose Tobacco Use objectives. I believe this is the problem which involves adults and adolescents.
Cancer, Heart disease, lung diseases (emphysema, bronchitis , CODD), premature birth, low birth weight,
still birth and infant death are the risks of tobacco use. The secondhand smoke has not less effects as
heart diseases and lung diseases as severe asthma, respiratory infections, ear infections, SIDS.
443.000 Americans die from tobacco use, this number is very scary. Tobacco use costs in U.S $193 billion
in medical expanses and lost productivity.
Health People 2020 provides actions to reduce tobacco use
Fully funding tobacco control programs.
Increasing the price of tobacco products.
Enacting comprehensive smoke-free policies.
Controlling access to tobacco products.
Reducing tobacco advertising and promotion.
Implementing anti-tobacco media campaigns.
Encouraging and assisting tobacco users to quit.
I am non smoking person, but have many people around me who smoke. I am secondhand smoker since
my childhood. My father and grandfather used to smoke a lot, and I am just thinking why they never
worried that I am a child and breathing all smoke of tobacco. Probably, they were not very
knowledgeable about that. Now, I am a mom of 2 daughters and my husband do not smoke, people who
are coming to us and smoking knows that they can not smoke in front of my kids, so they do not see
that. Of course I can not isolate them form tobacco users , but we talk a lot about the problems that can
cause tobacco use. I am not afraid to show them the picture of healthy lungs and lungs of tobacco user. I
hope it will somehow help them to decide smoke or not in the future.
Retrieved from:
http://www.healthypeople.gov/2020/topics-objectives/topic/tobacco-use
http://www.cdc.gov/nchs/healthy_people/hp2020.htm
Respond
(an instructor response)
Collapse Mark as Read RE: Healthy People 2020 Instructor Hamilton Email this Author
3/2/2015 5:36:42 PM
Anzhelika
Thanks for the post and information. I was reading an article recently how not only second hand smoke
affects people but third hand smoke which is found lingering in the clothing and furniture. The main
topic was addressing children with asthma and eluded to SIDS in infants as possible consequences.
Class: Has anyone heard of this concept before?
Dr Hamilton
Respond
Collapse Mark as Read RE: Healthy People 2020 Stephanie Stalter Email this Author
3/2/2015 6:32:33 PM
Dr Hamilton and class,
I work in a labor and delivery "birthing center" and this is now an critical part of our discharge
information. Sadly, many, many, parents of neonates smoke. Mothers, fathers, and other close family
members. This education is crucial because many people simply think it is enough to not smoke around
the baby. But the effects of third hand smoke is very real. We educate family to have dedicated coats to
wear outside if they need to smoke and to make sure that they wash their hands thoroughly. Obviously,
we start with education and support to quit smoking first. But, then we educate about second hand
smoke and the detrimental effects, and SIDS.
Stephanie
Respond
(an instructor response)
Collapse Mark as Read RE: Healthy People 2020 Instructor Hamilton Email this Author
3/3/2015 4:40:54 PM
Thanks for the follow-up post Stephanie, all nurses can do is educate and hopefully the patients will
modify behaviors to enhance a positive patient outcome.~Dr Hamilton
Respond
Collapse Mark as Read RE: Healthy People 2020 Michelle King Email this Author
3/3/2015 8:39:25 PM
Doctor Hamilton and Classmates,
During NICU rotations in nursing school, I remember a patient that was born under four pounds at full
term due to maternal smoking of more than 3 packs per day. Mom would come in to see her child just
reeking of smoke. In Virginia, parental rights are rarely terminated and I can remember hearing the NICU
nurse instruct one mom to please at least roll down the windows if she would be smoking crack with
baby in the car. Given the climate, it was certain that this poor baby would soon be going home soon to
a 3 pack per d [Show Less]