Explain whether you believe there is an evidence base to support the proposed policy and explain why.

Prepare:
Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.
Review the health policy you identified and reflect on the background and development of this health policy.

Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.

Please write a short response, to these two posts below, NO MORE than 250 words with 2 APA references please

The following 2 students posted the following regarding this assignment:

Ester wrote:

The maternal CARE Act or the Maternal Care Access and Reducing Emergencies Act requires the Department of Health and Human services to pay for training that addresses implicit bias in the field of obstetrics and gynecology.  The HHS must also provide grants to up to 10 states for pregnancy medical-home programs in order to decrease negative maternal health outcomes and reduce racial disparities.  These programs must prioritize uninsured individuals and Medicaid patients (Congress.gov, n.d.).  Although our nation has taken strides to reduce racial disparities, black pregnant and birthing women are still 3 times more likely to die from pregnancy related causes than white women (The Commonwealth Fund, 2021).  As well as maternal mortality, infant mortality in the United States is high.  Two-thirds of infant deaths occur in premature infants (Burris et al., 2019). This is a cause that is close to my heart as my youngest child was born at 31 weeks and spent a number of weeks in the NICU. Reflecting racial disparities, preterm birth rate is 52% higher for black women than white women (Burris et al., 2019).  Preterm births are many times linked to inadequate or lack of prenatal care.  This bill seeks to reduce racial disparities so that all pregnant and birthing women get access to the health care they need.

References
Burris, H. H., Lorch, S. A., Kirpalani, H., Pursley, D. M., Elovitz, M. A., Clougherty, J. E. (2019). Racial disparities in preterm birth in USA: A biosensor of physical and social environmental exposure. Archives of disease in childhood, 104(10), 931-93.  http://dx.doi.org/10.1136/archdischild-2018-316486
Congress.gov. (n.d.). H.R.2556-117th Congress (2021-2022). Retrieved January 12, from https
The Commonwealth fund. (2021, November 16). Policies for reducing maternal morbidity and mortality and enhancing equity in maternal health. Commonwealthfund.org.

Solomon wrote this:

According to Regitz-Zagrosek (2018), Sex and gender that is being a male or a female has an influence on disease development and also how severe the disease can be. The writer stated that women stand many disadvantages of developing risk factors of cardiovascular disease compared to men and also among women, young women also have many advantages of not contracting this cardiovascular disease compared to older women. At higher age, at times men develop cardiovascular disease risk factors as older women but more rampant in older women. The writer also pointed out that Cardiovascular prevention goals are all the time less achieved in women than men and the risk of women developing risk factors of acute coronary syndrome before the age of 55 as a result of smoking is twice of that of men and all these and others show that women are susceptible to cardiovascular diseases than men ( Regitz-Zagrosek, 2018).
Mosca, Barrett-Connor, Wenger (2011), stated that over the past year, policymakers, scientists and health workers, and the general public made effort to make people understand the differences in sex and gender regarding cardiovascular disease and for the general public to understand the importance of paying attention to heart disease in women. In 1997, it was recorded that the leading cause of death among women is a cardiovascular disease but in the year 2009 when attention was paid to these health issues among women, the death rate has drastically reduced and all these are evidence showing that cardiovascular disease has been a blow to women and for that matter, extra measures must be taken to avoid these incidents or health issues among women (Mosca et al, 2011)
Based on the above evidence and others that Representative  Herrera Beutler and Jaime proposed a policy, “H.Res.88 H.Res.88, which is “Recognizing women’s cardiovascular health as a critical health care priority that affects every State and contributes to increased health care costs, and promoting the necessity of increased awareness of and education on the symptoms for heart disease among women, gender-specific cardiovascular disease research, and policy action to alleviate the risks of heart disease among women”. This policy was introduced on Introduced 02/02/2021, it is in the introduction stage and the latest action was on 02/03/2021. Because this policy was very important, it has 20 Cosponsors, the support was huge because is very touching health issues on mankind especially women. And we all know the importance of women in our lives, building our country, childbirth and child upbringing and for this reason,s and others this policy needs much support to be enacted soon to safe life (Congress.gov, n.d.)

What changes have been made as we approach the end of the year, and what changes are still necessary.Discuss

Prepare a presentation for the class that reviews the IOM recommendation, your personal interpretation of how this will positively impact the nursing profession (supported by evidence), what changes have been made as we approach the end of the year, and what changes are still necessary. Please include a minimum of three scholarly sources in your paper. The presentation may be in whatever format you prefer but you must upload the presentation with an outline to Canvas. Please see the rubric for specific details on completion.

Describe the distinctions among wrongful birth, wrongful life, and wrongful conception. Discuss the moral dilemmas of these concepts.

-Describe why there is such a struggle when addressing end-of-life issues
What are the differences between allowing a patient to die and physician-assisted suicide?
-Discuss the controversy that can occur when considering a patient’s right to know whether a caregiver has AIDS and the caregiver’s right to privacy and confidentiality.
-Describe the distinctions among wrongful birth, wrongful life, and wrongful conception. Discuss the moral dilemmas of these concepts
-Discuss the arguments for and against partial birth abortions
-Discuss why there is controversy over genetic markers and stem cell research

Describe the barriers to implementing research utilization and evidence-based practice? What are some strategies to overcome these barriers?

What is the difference between research utilization and evidence-based practice?
Describe the barriers to implementing research utilization and evidence-based practice? What are some strategies to overcome these barriers?
Describe several methods researchers can use to communicate research findings. Which methods would you use to communicate the findings from your strategic plan?
How has your view of nursing research changed? Explain your answer.

Identify the Weaknesses of the strategic plan for the implementation of evidence-based practice.

Watch the video: How to Conduct a SWOT Analysis.
Prepare to discuss the following prompts:
Reply to your classmates’ presentations addressing the following prompts:
Identify the Strengths of the strategic plan for the implementation of evidence-based practice.
Identify the Weaknesses of the strategic plan for the implementation of evidence-based practice.
Give feedback on Opportunities such as possible strategies for implementing change, overcoming barriers, evaluation, or communicating findings.
Identify possible Threats to a smooth implementation of the strategic plan for implementation of evidence-based practice.

Should criminal charges be considered in this case, if accurately reported? Discuss

Respond to one of the current “news clippings” related to virtue ethics , Write a 2 page essay addressing the discussion questions posed for the one you selected. Be sure to clearly identify the news clipping you selected.

1. Discuss the issues of integrity in this case.

2. Should criminal charges be considered in this case, if accurately reported? Discuss your answer.

3. Why did you choose to respond to this story?

4. How is integrity displayed in your clinical setting?

Identify the competency or essential you need to address. Discuss

1. In the second column, identify the competency or essential you need to address.
2. In the third column, identify specific knowledge, skills, or attitudes (KSAs) you need to develop, and cite your source.
a. QSEN citation hint: Per the QSEN Competencies web page, the competencies were taken from another source, which is cited in footnote 2. The page number in the example below was taken from the primary source.
3. In the fourth column, describe how you will develop yourself and give yourself a timeframe.
4. In the fifth column, explain why this improvement is important to your development as a nurse.

Which medications on her list may you call into the pharmacy and which would you need a written script or electronic order?

You are a new FNP in a restricted state and you have your DEA license and state furnishing for schedule II-V controlled substances. You are working at a busy family practice group and you have a patient, ML, that is establishing care for the first time with your practice, and comes to you with the following scenario:

ML is a 54 y.o. Hispanic female with hx of chronic shoulder and back pain that began 10 years ago when she was in a boating accident

She lives in both US and Mexico, making regular visits across the border; lately, she has stayed in US due to Covid border crossing constraints, living with her daughter’s family

She had rotator cuff surgery in 2011 and reports to you that due to a long operation and poor positioning, she has suffered from not only pain, but also chronic numbness and tingling in her R shoulder

As “la abuela” (grandma) she is the primary caregiver of the children and homemaker for her family and her pain is exacerbated with housework, and especially with the prolonged carrying of her grandchildren; one of which is 10 m.o.

Currently, her med list is as follows

Losartan 50 mg BID for HTN

Gabapentin 300 mg po BID for pain

Atorvastatin 40 mg daily for cholesterol

Diazepam 5 mg po up to TID prn pain

Norco 5/325 mg – takes up to two, sometimes up to 4-5x a day, prn pain

She is a smoker, only smokes outside the house, and drinks 2-3 cans of beer on the weekends, but more on family celebrations

Denies recreational drugs and denies past overdoses

Recently moved to CA more permanently to stay to take care of children during Covid/school closures

She asks you to refill all her meds for 6 months like her doctor in Mexico did so she doesn’t have to make another co-pay and come back and see you so often; it’s hard for her to get an appointment, and with Covid her daughter has to take off of work to watch the kids just so she can come to you by bus since there is only one family car

Here VS are 135/75, 80, 97.5, 20 and PE unremarkable other than R shoulder exam with pain with ROM, but full ROM, no tenderness, otherwise normal, back exam including SLR are normal/neg

In 600 or fewer words, but a minimum of 250, please describe your approach with this patient. In your paragraphs, include the following:

What concerns do you have about her current regimen, and what alternatives will you discuss and offer? What other screenings might you apply? What are your own ethical standards on this case that you might consider in addition to legal standards?

Provide a sample of an appropriate pain contract that would suit this patient and address her specific safety concerns (cite it and attach the actual contract you found – you do not have to make your own – there are plenty online)

Include your steps to ensure safe prescribing. Include the registry you will search prior to any prescribing; name the CA registry and if you are in a different state, you should name that registry also.

If you were to keep her current list, what are the laws surrounding refills and the amounts you are allowed to dispense with the schedule II and III medications in the state of CA? In your own state?

Which medications on her list may you call into the pharmacy and which would you need a written script or electronic order? What are some elements required to include on the prescription form (paper or electronic signature) for the scheduled medications?

After you prescribe, how, when, and where would you (or your staff) go about making a report of your scheduled prescription in the state registry so that other prescribers and pharmacies could be aware?

Explain the impact of the DNP-prepared nurse in social change.

Describe personal strengths, skills, and aptitudes that will contribute to your success in a DNP program.
• Explore the alignment of your professional career goals and the DNP program outcomes.
• Discuss DNP practice-based project ideas or topics and your current or past experiences that make the topic relevant in
practice today.
• Identify challenges you anticipate in meeting the program outcomes and address how you will manage these challenges.
• Explain the impact of the DNP-prepared nurse in social change.
• Provide an example of how the DNP degree can transform your current or future practice.
• Reflect on how your DNP project will commit to equity and inclusion in health care and working toward eliminating
disparities in health care for all populations.
• Identify information about past achievements in nursing including professional organization memberships, nominations,
certifications, and scholarly publications that support the nursing profession.