Vulnerable mothers and children

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two written assignments for the course will provide a beginning framework that you will utilize in the development of your
Final Project: a proposal for a community-based program in your area. For this first written assignment, you will select one of the vulnerable groups identified in the text that will serve as your target population of interest throughout the duration of your next written assignment and Final Project.
Select one among the following groups from Chapter 1:

  • Vulnerable mothers and children
  • Abused individuals
  • Chronically ill and disabled people
  • People diagnosed with mental conditions
  • Suicide- and homicide-liable people
  • People affected by alcohol and substance abuse
  • Indigent and homeless people
  • Immigrants and refugees
  • Groups for special consideration (you may propose a different vulnerable population at the consent of the instructor)

Once you have selected a group of interest, write a three page paper that covers the following:

  • Discuss the impact that at least two of the factors below have on the vulnerability of your chosen group:
    • Age
    • Gender
    • Culture/Ethnicity
    • Income
  • Analyze the intersection of social, political, and economic factors affecting vulnerability (must address all three factors).
  • Draft the design of a new model program, not currently existent within your community. Provide a two- to- three paragraph statement that introduces your proposed community program. This section is tentative and might change as you conduct more research. At a minimum, however, items to address should include:
  • An explanation of the issues and risk factors experienced by the selected population.
  • An evaluation of the health needs of the group and a proposed continuum of care level (preventive, treatment, or long-term care) based on the group’s issues, risk factors, and needs.  Justify the proposed level with supportive research/evidence.
  • A description of one to two proposed services your program will include.

Secondly,you will continue in the design of your proposed model program by demonstrating your understanding of your selected population’s challenges, which negatively impact this group’s health and well-being. Based on this week’s research, conduct an assessment of the barriers, limitations, and other distinguishing features, as they exist within your community.

  • Prepare a recap of the model program for your community that you originally shared in the week 2 written assignment.  As stated in the Week Two directions, changes to the potential program can be made as you research and develop the focus of the program.
  • Analyze and discuss at least three critical barriers that impact the health and well-being of your chosen group; one must be a micro-level (individual) barrier that is financial, one must be a macro-level (community/state) barrier that relates to access and funding for care, and  the third barrier may be one of your choosing.
  • Discuss at least one proposed solution for each barrier. Your solution for the micro barrier must include an analysis of various potential funding options (both independent and integrated). Your solution for the macro barrier must include an analysis of financing resources for health care.
  • Research and analyze the regulatory, legal, ethical, and accreditation requirements and issues for the service(s) offered in your proposed program.  Discuss how each will impact the management of the program.

Total six pages, NO plagiarism, min grammar errors

Networking Relationships

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Write a 700- to 1,050-word paper that evaluates your relationships with connections on the organizational chart. Consider the following:

  • Where do you fall on the organizational chart?
  • Where are relationships strong?
  • Where is there a breakdown?
  • What can be done to strengthen these relationships?

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

Format your assignment according to APA guidelines.

Click the Assignment Files tab to submit your assignment.

Nursing Teaching

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The learning experience I had was both good and bad. I was helping care for a 32 year old female that came into the emergency room for vomiting blood. Before getting her labs back the patient had to pee, so I put her in a wheelchair and assisted her to the bathroom. She ended up passing out while sitting on the toilet and at that point I knew she was pretty sick. She initially didn’t present that bad but things changed quickly. After getting her back in bed and settled, I was able to look at her labs. She had a very low hemoglobin and that explained it all. Not knowing the patients religion preference, I went into the room with the provider to explain what was going on and that she needed a blood transfusion. The patient then explained that she was a jehovah witness and cannot receive blood or blood products. I was so upset and kind of mad at her refusal. This patient was an alcoholic, which is forbidden in her religion, and she didn’t have a problem drinking. She explained to me that it’s an addiction she’s been trying to fight, but not receiving blood is very important to her. “Furthermore, they claim that anyone who unrepentantly accepts a blood transfusion does so at the peril of losing eternal life. Thus, faithful Jehovah’s Witnesses accept death, rather than break the Watchtower’s policy against blood transfusions” (4Jehovah, 2013 para. 2). I was initially upset about not being able to help make her better, but I honored her wishes and admitted her to the ICU with a signed refusal for blood. A few days later I learned that this patient had passed away. During her stay the patient was intubated and her family members were trying to push for blood products to be administered. However, because the patients wishes were granted by us in the emergency department she was able to pass away honoring her religion.

“Culture has a powerful effect on an organization and is recognized by many as the “glue” that holds an organization together and allows it to adapt to changing environments”

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“Culture has a powerful effect on an organization and is recognized by many as the “glue” that holds an organization together and allows it to adapt to changing environments” (Glickman, Bagget, Krubert, Peterson, & Schulman, 2007). An environment that embraces diversity and equality will help assure the standards of nursing to include cultural competency. It is important for leadership and teams to understand the practices and behaviors of other cultures. Lack of cultural competence can be a barrier to effective communication and this can flow down to patients and the families we take care of. Patients are more diverse with the increase of global travel. All levels of the nursing workforce should reflect the diversity of the population the institution serves (Coe, 2013).  “Effective nurse leaders realize that diverse groups are more likely to consider a variety of different viewpoints; therefore, they are more likely to develop better, more creative solutions to problems”

My institution is located near one of the largest military installations in the United States. We see many patients of different cultures. I also live in Texas and we see a majority of patients that represent the Mexican culture. I would most definitely incorporate someone from the Mexican culture into my team. As a nurse leader I will need to understand the cultural differences among the staff. Having someone from the Mexican culture will help the team understand the language, health practices, beliefs and customs and this will allow for more effective communication with staff, patients and families. There are many dialects spoken in Mexico. They include Spanish, English and indigenous Indian language. Verbal communication is important and understanding that someone of Mexican cultural may stand close and use a loud voice is also important. Older adults do not maintain eye contact. Knowing that this culture may show up late to appointments, it is important to stress the reasons for being on time for health care appointments. Extended family tend to be a good resource for this population (Purnell, 2014).  This person will be able to help provide insight and education to staff. Having cultural diverse team and members will help the group learn and grow and provide safe, effective, quality care to our patients