In a 4 to 5 page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency
Assignment: In a 4 to 5 page project proposal written to the leadership of your healthcare organization In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined? Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency. To Prepare: Review the concepts of technology application as presented in the Resources. Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies. The Assignment: (4-5 pages) In a 4 to 5 page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following: Describe the project you propose. Identify the stakeholders impacted by this project. Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples. Identify the technologies required to implement this project and explain why. Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team. Nursing Informatics Project – Sample Answer The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Among the ways that informatics has helped to transform care is improved documentation systems, where care providers can easily access important patient and staff information that leads to coordinated care. The introduction of nurse informatics also helps to improve the processes in care and hence to generate improved care outcomes (Robert, 2019). Also, with informatics, healthcare givers can identify at-risk patients in a timely fashion and give them more priority to care. Description of Proposed Project: The Integration of Artificial Intelligence in Nurse Informatics Artificial intelligence, commonly known as AI, is the simulation of intelligence of humans to machines to make these machines adopt human functions. Over the years, there have been improvement of the AI functions as technologies continue improving. Today AI applications include but are not limited to speech recognition, machine vision, natural language processing, and expert systems. Healthcare implements AI by using complex software and algorithms to interpret and comprehend complex medical data (Clancy, 2020). The fact that AI uses technologies that can gain information and process it to refined outputs means that it can have limitless applications in healthcare. In this project, the implementation of AI in the field of nurse informatics is closely examined. Stakeholders Impacted by the Project There are several stakeholders who are impacted by the project, with the patients being on the first line. Most of the actions in the project involve patient care, as the objective of the project is to improve the patient care outcomes. The second most impacted stakeholders are the healthcare givers and specifically the nurses, who also play a crucial role in coordinating patient care with other healthcare givers. Nurses are the individuals who are in contact with the patients for the longest periods hence it becomes easy to monitor them. Patient families are also influential stakeholders in this project as much of the actions will require their consent as well as their opinion output on the options available. Regulators will also take a primary position in the project, especially because machine learning and other elements of artificial intelligence can also have drastic patient outcomes if reckless researchers or healthcare providers are allowed to take the center-stage in implementing non-proven measures. Lastly, the healthcare financiers will be part of the stakeholders since AI is an expensive field that requires strategic financing. Patient Outcomes or Patient Care Efficiencies that the Project is aimed at Improving The first patient outcome that the project is aimed at improving is the diagnostic procedures of care. Through application of AI in nursing informatics, nurses can efficiently perform nursing diagnoses to improve the detection of the presence of absence of disease and determine the best care operations for specific patents. Among the diseases that can be efficiently diagnosed using AI is cardiovascular disease and diabetes, which are among the leading causes of mortality worldwide. AI is also expected to help in the integration of telehealth in the care of patients. Telemedicine or telehealth helps in monitoring of patient information using strategic and remote techniques, and using automated means. It allows patients with chronic conditions to have long contact with the healthcare providers regardless of the physical barriers (Erikson & Salzmann-Erikson, 2016). Using AI in telehealth improves the efficiency of administration of drugs, as patients can consult physicians at their convenience of their homes. Also, these programs allow the education and advice of patients, remote admissions, as well as constant monitoring. The project is also aimed at showing the relevant drug interactions that could help the patients achieve synergy of the drugs and improve the effects. Also, in the same way, AI technology can help to identify lethal interactions that could lead to risking of the patients’ lives. Specifically, the project helps patients to identify the most suitable options when it comes to drug administration. It is easy to find that most chronic disease patients experience polypharmacy, and they are confused whether taking an additional drug would lead to improved outcomes. With AI, healthcare givers do not have to take multiple lab tests to determine the suitability of an additional medication for the patient. The project is aimed at boosting the interaction of the patients as well as the healthcare givers with electronic health records. The digitization of information in facilities has often been cited to have some drawbacks such as having burnout among users and also cognitive overloads.
Based on the YMH Boston Vignette 5 video, post answers to the following questions
Assignment: Based on the YMH Boston Vignette 5 video, post answers to the following questions Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans. Some children/adolescents may be more difficult to assess than adults, as they can be less psychologically minded. That is, they have less insights into themselves and their motivations than adults (although this is not universally true). The PMHNP must also take into consideration the child’s culture and environmental context. Additionally, with children/adolescents, there are lower rates of neurocognitive disorders superimposed on other clinical conditions, such as depression or anxiety, which create additional diagnostic challenges. In this Discussion, you review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. You also identify rating scales and treatment options that are specifically appropriate for children/adolescents. To Prepare Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the Mental Status Examination B-6 and Simulation Scenario-Adolescent Risk Assessment videos. Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post. By Day 3 of Week 1 Based on the YMH Boston Vignette 5 video, post answers to the following questions: What did the practitioner do well? In what areas can the practitioner improve? At this point in the clinical interview, do you have any compelling concerns? If so, what are they? What would be your next question, and why? Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video. Explain why a thorough psychiatric assessment of a child/adolescent is important. Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent. Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults. Explain the role parents/guardians play in assessment. Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources. Read a selection of your colleagues’ responses. By Day 6 of Week 1 Respond to at least two of your colleagues on 2 different days by offering additional insights or alternative perspectives on their analysis of the video, other rating scales that may be used with children, or other treatment options for children not yet mentioned. Be specific and provide a rationale with evidence. YMH Boston Vignette 5 video: Sample Answer What was Done well and what to Improve One of the things the practitioner did well is suspending judgment. She did not judge the patient based on his answers. Patients, especially adolescents might avoid being open if the practitioner engaging them is judgmental. The practitioner also did well by avoiding making assumptions without claims. She was also so engaging and maintained eye contact with the patient. Her communication skills were unremarkable. She showed empathy by seeking out and understanding the adolescent reasons for her behaviors. However, the practitioner should have improved her understanding of the adolescent’s beliefs and thoughts of some depression symptoms. Concerns My only concern at this point of the interview is that the practitioner’s questions are too open-ended. I think the practitioner should have used closed-ended questions to allow the patient to give a longer explanation about his feeling. Overall, the assessment was great. Next Question My next question would be what made you think about hurting yourself. This question would help me understand why the patient is depressed and why he thought of committing suicide. After getting answers to this question, it would be easy for me to work with the patient and plan his treatment plan. Importance of Psychiatric Assessment A thorough psychiatric assessment of adolescents or children is vital due to the following reasons. First, a thorough assessment will help the practitioner understand the cause of the patient’s presenting symptoms. The practitioner will get the full detail of what is happening to the patient after an exhaustive psychiatric assessment. Second, a thorough psychiatric assessment will help the practitioner make an accurate diagnosis of diseases affecting the patient. Assessment will also give the practitioner an idea of what psychiatric series and types of treatment therapies can help recover back to normal health. Rating Scales One of the rating scales that can be used to diagnose adolescents or children is the Adolescent Depression Rating Scale (Krause et al., 2019). This scale rating scale has 10 items that the practitioner will look for in the patient. According to Krause et al. (2019), ADRS is a short, applicable, self-report and clinical report scale that can be used to evaluate adolescent depression levels. Another scale is the Children’s Depression Rating Scale. This scale was developed to rate the level of depression among children aged 6-12 years (Pakpour et al., 2019). It has seventeen items rated by a psychiatric interview with the kid and their parents. Treatment Methods One of the treatment methods that can only be used in the teen residential treatment. This treatment therapy is exclusively made for adolescents. de Andrade et al. (2019) note that residential programs are effective in treating depressive adolescents. The second treatment method is inpatient teen mental health treatment. This teen treatment program is also focused on helping teens with mental problems. This program should not take more than thirty days. In the inpatient program, the patient will be closely monitored by practitioners to ensure that they
Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness for each of these six articles on why
Topic 3 DQ 1 Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness for each of these six articles on why the article may or may not provide sufficient evidence for your practice change. Topic 3 DQ 2 Name two different methods for evaluating evidence. Compare and contrast these two methods. Topic 3 DQ 1 – Sample Answer Summary of Six Articles The review by Dugani et al. (2018) found that various healthcare facilities in low and middle-income countries report high rate of burnout. The strength of this study is that the authors clearly showed the inclusion and exclusion criteria. However, few articles were used as the sample of the study making it hard to generalize findings. The strength of the paper by Griffiths et al. (2016) is that it has clearly highlighted what is know and what the paper aimed to achieve, and this can give the reader a clear picture of the focus of the paper. However, the weakness of the paper is that it experienced some level of bias with estimates from personal studies. Gyllensten, et al. (2017)’s strength is that the semi-structured data collection method allowed them to gather a lot of information. However, the weakness of the paper is that it had lower response rate of about 10%. The strength of Hart et al. (2018)’s study was that the authors used credible and reliable databases to extract articles for review. Also, the authors explained how they excluded and included articles so well. However, the researchers had problem with originality of the study. The strength of the article by Kurnat-Thoma et al. (2017) is that they used sophisticated method to collect data and also, the data gathered was correct and accurate. However, some elements of biasness were detected in the study, and this affected findings. Lastly, the strength of the article by Souders et al. (2017) is that data analysis showed that the results were statistically significant. However, the researchers had limited time and resources to make the study larger and more accurate. References Dugani, S., Afari, H., Hirschhorn, L. R., Ratcliffe, H., Veillard, J., Martin, G., … & Bitton, A. (2018). Prevalence and factors associated with burnout among frontline primary health care providers in low-and middle-income countries: a systematic review. Gates open research, 2. doi: 10.12688/gatesopenres.12779.2 Griffiths, P., Ball, J., Drennan, J., Dall’Ora, C., Jones, J., Maruotti, A., … & Simon, M. (2016). Nurse staffing and patient outcomes: Strengths and limitations of the evidence to inform policy and practice. A review and discussion paper based on evidence reviewed for the National Institute for Health and Care Excellence Safe Staffing guideline development. International Journal of Nursing Studies, 63, 213-225. https://doi.org/10.1016/j.ijnurstu.2016.03.012 Gyllensten, K., Andersson, G., & Muller, H. (2017). Experiences of reduced work hours for nurses and assistant nurses at a surgical department: a qualitative study. BMC nursing, 16(1), 16. https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-017-0210-x Hart, T., Samways, J. W., Kukendrarajah, K., Keenan, M., & Chaudhri, S. (2018). Improving out-of-hours surgical patient care. International journal of health care quality assurance. Retrieved from https://www.emerald.com/insight/content/doi/10.1108/IJHCQA-08-2017-0148 Kurnat-Thoma, E., Ganger, M., Peterson, K., & Channell, L. (2017). Reducing annual hospital and registered nurse staff turnover—A 10-element onboarding program intervention. SAGE Open Nursing, 3, 2377960817697712. DOI: 10.1177/2377960817697712 Souders, C. P., Catchpole, K. R., Wood, L. N., Solnik, J. M., Avenido, R. M., Strauss, P. L., … & Anger, J. T. (2017). Reducing operating room turnover time for robotic surgery using a motor racing pit stop model. World journal of surgery, 41(8), 1943-1949. https://link.springer.com/article/10.1007/s00268-017-3936-4 Topic 3 DQ 2 – Sample Answer Methods for Evaluating Evidence There are many approaches researchers can use to evaluate evidence. However, researchers should select the best methods that can work for them. That said, the key approaches that will be used to analyze evidence in this project are interviews and surveys. According to J. Phillips and P. Phillips (2016), survey is an evidence evaluation method where one is allowed to use series of questionnaires to gather information about the evidence. Through surveys, researchers are at liberty to use the open-ended or free-response inquiries to gather data. Apart from questionnaires, researchers can also use checklists as instruments to collect information about the evidence being evaluated. Järvelin and Kekäläinen (2017) define interview as the approach that can allow the evaluator to structure questions in a way that provides the interviewees the environment to respond to the questions freely. Interviews require that the structured or semi-structured questions are responded to in a documented form. The following are the differences between the approaches. Järvelin and Kekäläinen (2017) report that through survey, researchers can cover many topics at a time while interviews can hinder the scholar from collecting much data because it takes a lot of time. Another significant difference is that surveys are conducted through instruments, such as checklists and questionnaires. However, interviews require that the researcher meets the participants fac-to-face. Though the two approaches are different, they are similar in the following ways. First, they can be used to evaluate the objectives, goals, and the findings of evidences. Second, the two methods can provide the researchers with opportunity to create a relationship with their respondents. Lastly, data collected using the two methods are easy to analyze. References Phillips, J. J., & Phillips, P. P. (2016). Handbook of training evaluation and measurement methods. Routledge. Järvelin, K., & Kekäläinen, J. (2017, August). IR evaluation methods for retrieving highly relevant documents. In ACM SIGIR Forum (Vol. 51, No. 2, pp. 243-250). New York, NY, USA: ACM. https://doi.org/10.1145/3130348.3130374 Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level assignment writers. How to Summarize and Critique Six Articles for a Discussion Board Introduction If you’ve been asked to “submit a summary of six of your articles on the discussion board and discuss one strength and one weakness for each,” you might feel overwhelmed. How do you summarize effectively? What makes a strong critique? This guide provides a step-by-step method and real-world
Explain the strategic position and action evaluation (SPACE) matrix. How may adaptive strategic alternatives be developed using SPACE?
Assignment Exercises: Why should program evaluation be used for public health and not-for-profit institutions in the development of adaptive strategies? Explain the strategic position and action evaluation (SPACE) matrix. How may adaptive strategic alternatives be developed using SPACE? Professional Development: Case Study #8: “Dr. Louis Mickael: The Physician as Strategic Manager” Develop an environmental assessment and an internal capabilities analysis using decision support tools that have been introduced in this module (such as PLC analysis, BCG portfolio analysis, SPACE analysis and so on). Analyze alternative strategies to include pros and cons of each alternative, then conclude with a recommended strategy and brief implementation plan. Strategic Alternatives – Expert Answer and Explanation Program Evaluation According to Ginter et al. (2013), program evaluation is a strategic analysis technique used mainly by public and not-for-profit organizations to assess their programs and develop strategic alternatives in cases where gaining a competitive edge or market share is not relevant. In most cases, the other tools for developing strategic alternatives, such as SWOT analysis, an organization is usually compared with other competing firms or products. However, in program evaluation, the analysis is mainly used for internal and external assessment to evaluate whether the various programs are meeting the mission and vision of the organization (Strang, 2018). Other than that, program evaluation is useful in identifying whether the resources allocated to the various programs are sufficient to fulfill the strategic goals of the organization. In program evaluation, a needs assessment is also conducted to ensure that both public and not-for-profit organizations meet the needs of the communities they are supposed to serve and to identify the best strategic alternatives to fulfill those needs. SPACE Matrix A strategic position and action evaluation matrix, also known by the acronym SPACE matrix is a decision support tool that can be used to formulate strategic alternatives (Ginter et al., 2013). The tool expands on the BCG analysis to develop an appropriate strategic profile of the organization. The SPACE matrix uses graphical charts to depict how strategic alternatives can be applied based on various organizational factors (Ginter et al., 2013). Using the SPACE matrix, adaptive strategic alternatives can be developed by assessing the environmental stability, the competitive position of the organization, the financial and service category strength, after which an examination of the most appropriate adaptive strategic alternative can be done. Professional Development One of the challenging aspects of operating an organization is coming up with effective strategies that can assist the organization to navigate the changing business environment mired with stiff competition For organizations to remain relevant, they have to assess both their internal and external environment, evaluating their strengths and opportunities for growth, eliminating their threats and working on their weaknesses. This paper will develop an environmental assessment using the case study dubbed: “Dr. Louis Mickael: The Physician as Strategic Manager.” Various decision support tools will be used to assess the strategic positioning of Dr. Louis Mickael amidst the changing business environment. Environmental Assessment and an Internal Capabilities Analysis of the Business SWOT Analysis Using the SWOT analysis tool, there are several internal strengths that were observed in Dr. Lou’s practice. One of the strengths was a good reputation with his clients which enabled the business to have a strong footing within the market space. According to Ginter et al. (2013), a healthy business-client relationship is one of the strengths that can act as a stable foothold in maintaining strategic advantage, and this can be seen by the over 800 patients served by the facility which was fairly higher in comparison to other individual practices. The aspect of a good client relationship can be attributed to the skilled employees Dr. Lou had employed, who had a good rapport with the clients served in the practice. Dr. Lou also invested some finances, though on a need to basis to enhance the skills and competencies of personnel to deliver better services, and also the application of technology that was relevant at the onset of the business, which acted as a strategic tool in gaining a competitive edge (Aithal, 2019). Another strength was the fact that Dr. Lou’s practice was linked with most of the third-party payors, which meant that patients served in the facility had a relatively easy time to process their payments. Concerning opportunities, the growing market was one of the considerable opportunities that Dr. Louis’s practice could capitalize on. While at the onset of the business, Dr. Lou’s main client base consisted of mainly young clients, but with the rapidly expanding populations with new businesses being developed, means that there are substantially more types of market bases that could be tapped. The development of a university within the business neighborhood also meant that there is an opportunity to capitalize on a joint venture that will provide residence to the young upcoming physicians and office assistants, thus increasing the number of patients tended to, and at the same time, save on some of the work and staff expenses encountered in Dr. Lou’s practice. Some of the weaknesses that were observed include low financial strength, which is an issue that affected Dr. Lou’s ability to expand and acclimatize to the changing business environment. It can be seen from the financial reports that indicated the firm had yet to have a stable footing in terms of the asset base and the profits generated which could be used to improve the firm’s operations. However, it can be established that the financial strength was steadily improving. This made Dr. Lou have less than enough time to serve his patients. Another weakness was that the technology he was using was outdated as compared to what the competitors were using. Healthcare information technology is a major component that an organization should possess to improve the efficiency of its services, such as processing of client reimbursements (Aithal, 2019). The size of Dr. Lou’s practice was also considered a weakness. This can be seen from when Dr. Lou found it difficult to introduce a new partner to his practice
Describe the differences between a board of nursing and a professional nurse association
Assignment: Describe the differences between a board of nursing and a professional nurse association Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each. Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing. To Prepare: Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency. Review the NCSBN and ANA websites to prepare for your presentation. The Assignment: (9- to 10-slide PowerPoint presentation) Develop a 9- to 10-slide PowerPoint Presentation that addresses the following: Describe the differences between a board of nursing and a professional nurse association. Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area. Who is on the board? How does one become a member of the board? Describe at least one federal regulation for healthcare. How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)? Has there been any change to the regulation within the past 5 years? Explain. Describe at least one state regulation related to general nurse scope of practice. How does this regulation influence the nurse’s role? How does this regulation influence delivery, cost, and access to healthcare? Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs). How does this regulation influence the nurse’s role? How does this regulation influence delivery, cost, and access to healthcare? Required Referances Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 4, “Government Response: Regulation” (pp. 57–84) American Nurses Association. (n.d.). ANA enterprise. Retrieved September 20, 2018, from http://www.nursingworld.org Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. Halm, M. A. (2018). Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing. Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291 National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. doi:10.1016/j.outlook.2018.03.001 Sample Expert Answer Understanding regulation of nursing profession is important given the nature of the field. There are different organizations which participate in regulating and advancing the nursing practice, knowing each of the organizations and their roles is important. In the US, there are over 100 boards of nursing (BONs) and professional nursing associations. Understanding their roles will help nurses enjoy the full benefits offered by the organizations. The purpose of this presentation is to provide details on how the nursing practice is regulated and the roles of both BONs and professional nursing associations in regulating and advancing the nursing practice. With the vast number of both board of nursing (BONs) and nursing associations, one can get confused about their respective roles in governing nursing practice. Both of these organizations have clear differences in terms of their mandate which are outlined as follows. Board of Nursing BONs are responsible for regulating nursing practice and protecting the public from unqualified or rogue nurses and ensuring that licensed nurses provide safe and competent care. BONs also do not participate in legislation making including lobbying , instead they only implement the formulated legislation as pertains to nursing practice. BONs are government entities formed by the different state governments and one national board having membership picked from the other state BONs (59 state BONs and one national), Professional Nurse Associations Nursing associations are responsible for advocating for nurses interests and advancing the nursing profession (Benton et al., 2017). Nursing association play an active role in representing their members in legislative process, including lobbying political players to support the interests of the nurses and the nursing practice (Milstead & Short, 2019). Nursing associations are private entities with membership requiring annual subscriptions. The Mississippi board of nursing, currently headed by Alton Shaw (FNP), is a thirteen member board comprising of 2 nurse educators, 3 registered nurses in clinical practice, two of which should have as basic nursing preparation an associate degree or diploma and 1 to have at least baccalaureate nursing degree. Another board member is 1 registered nurse at large,1 Registered nursing practitioner, 4 licensed practical nurse, 1 licensed physician who shall always be a member of the State Board of Medical Licensure, 1 representative of consumers of health services The membership should come from each congressional districts in the State of Mississippi. These rules are as outline in the Mississippi Nursing Practice Act amended in 2016. According to the Mississippi Nurse and practice Act, under the establishment of the board guidelines, for one to become a board member in the Mississippi Board of Nursing, other than the member from the State Board of Medical Licensure have to be appointed by the governor with the advice and consent of the senate. The list of nominees forwarded to the governor for consideration are usually submitted by the relevant nursing associations in Mississippi with each slot in list containing three names for consideration. If such a list is not submitted to the governor, then he/she can make the appointments without nomination The term for members in the board is four years with the term
Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group? Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group. In a paper of 1000-1250 words, compare and contrast the health status of your selected minority group to the national average. Include the following: Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group? What are the health disparities that exist for this group? What are the nutritional challenges for this group? Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors. What health promotion activities are often practiced by this group? Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why? Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance. Expert Answer and Explanation Health Disparity in Arizona’s American Indian Population The unequal nature of the United States (U.S.) as a country is noticeable in the country’s social problems including the health gap, and this gap takes on different forms. The rates of mortality incidences, for instance, differ across the country’s minority and non-minority populations. The former tends to experience higher rates compared to the latter, and one can attribute this to a wide spectrum of factors including the low social and economic empowerment opportunities in minority communities. However, the degree of the health disparity for a state may differ from that of the entire country, and one can notice this when comparing Arizona’s health gap rates to the country’s rates (Isaac et al., 2018). It is important to examine the health of American Indian Population in Arizona in terms of disparities, the barriers, promotion activities, and cultural considerations. Profile of the Minority Group Each U.S. state is diverse, and this is a case with Arizona which has white as well as minority populations including the Native Americans. Compared to other minorities including Hispanics, however, the American Indians are fewer. A high population of this minority population is found in Arizona, California and Oklahoma. These states host 31% of the country’s American Indian population. Based on the statistical data, this group consists of 1.7% of the U.S. population. 1.6 million Teenage Americans who are part of this group are below the adult age. Arizona recognize this group as part of the state’s tribes. This group speak different native languages ranging from the Ponca to Sioux. This together with the education-based barriers can be impediments to access to the care for this group. Currently, the state has a number of American Indian tribes (Liddell et al., 2018). Examples include the Navajo, Hopi and Apache. Most of these tribes engage in spiritual and cultural activities which sometimes may contradict practices of the modern medicine. The Health Gap for the Minority The American Indians face health concerns which other minority groups struggle with. This group is socially and economically disadvantaged. The mortality rates for this population exceeds that of the U.S. by approximately 40%. One can attribute this to the high rates of mortality for this group to the prevalence of the cases of chronic diseases in this group. The Center for Disease Control (CDC) prepares and publishes reports on health, and according to this agency, the life expectancy for this group is below the national level (Adakai et al., 2018). Equally, the quality of life for this group in Arizona is low compared to the national average. Individuals who are part of this group in the state of Arizona are likely to adopt poor nutritional health behaviors compared to the national population. For example, the rates of consumption of the sweetened beverages for this group reached 33%. Averagely, 28% of Americans use sweetened products. Health Barriers for the Minority People who identify as American Indians face various health obstacles which take on different forms. From the cultural perspective, the American Indians have an intrinsic view concerning the relationship between spirituality and health. For example, they would attach certain cultural meanings to the mental health issues, and this may cause a scenario where they do not seek medical care but rather resort to spiritual intervention. This population is socially and economically disadvantaged, and there are high rates of unemployment among members of this group. Equally, the group struggles with high rates of illiteracy (Wille et al., 2017). Due to these social and economic barriers, Native Americans residing in Arizona are struggling with access to care, and because of lack of education, some may not get to learn about the appropriate health behaviors. Equally, there is low political representation for this group, and this poses the problem of lack of advocacy for this group. Health Promotion Activities Native Americans’ health practices intertwine with their spiritual and cultural practices, and
Post a description of your views on whether or not digital inclusion or broad band access should be added as a key area to the social determinants of health
Post a description of your views on whether or not digital inclusion or broad band access should be added as a key area to the social determinants of health Post a description of your views on whether or not digital inclusion or broad band access should be added as a key area to the social determinants of health. Be specific and provide examples that support your position. Explain how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health. Support your explanation with the required or optional resources. Expert Answer Digital Access as Social Determinants of Health The evolution of the Social Determinants of Health (SDOH) concept reflects the shift in population health needs, and the recognition of the role access to information plays in terms of supplementing preventive care. Unfortunately, only a segment of the world’s population has access to devices of communication, limiting their access to meaningful health information (Benda et al., 2020). This has in turn led to disparity in population health outcomes. However, the inclusion of digital access into the SDOH is contested, with proponents of this idea citing the lack of adequate evidence that shows its actual impact on hampering or facilitating health access. Analysis of the Need for Digital Inclusion in Social Determinants of Health The inclusion of the broadband or digital access as one of the SDOH is crucial because it will compel the individuals tasked with addressing the SDOH to focus on empowering and supporting populations to access health services using the contemporary healthcare technologies. Currently, some of these technologies supplement the traditional care, allowing patients to access health services delivered virtually. For instance, a patient discharge from the hospital may have virtual consultation with their provider, providing them with the opportunity to receive new recommendations on how to manage their health. Including access to the digital technologies into SDOH is equally critical in the sense that it supports the preparation of the populations for a potential disaster (Sieck, et al., 2021). This implies that it helps address the disadvantages tied to the divide in access to pertinent information during public health emergencies. A recent study showed that digital exclusion was associated with higher incidences of Covid-19, with digitally excluded counties recording higher rates of Covid-19 including Covid-19-based mortality compared to counties with established digital infrastructure (Li, 2022). The results of this study highlight the need to expand access to digital technologies, which essentially sustains access to information. Impact of the Social Determinants of Health on EHRs, Mobile Health, Patient Portals or Telemedicine and Vice Versa The usefulness or the impact of the digital technologies on population health depends on education and income, which are some of the SDOH. For one to benefit from these technologies, for instance, they have to be literate and computer literate because ability to read is a prerequisite for successful or effective interaction with communication devices. Conversely, the informatics technologies impact the SDOH in the sense that it addresses the impediments tied to the individuals’ income status. The lack of transport to health facilities, and living in underserved communities are some of the disadvantages that people from low-income families are likely to experience. Additionally, lack of adequate funds may limit individuals from purchasing mobile health devices like wearable devices that take vital data like blood pressure. If patients have access to digital technologies, they would less likely to worry about missing out on essential health services delivered virtually (McGonigle & Mastrian, 2022). Conclusion Reflecting on how access to or lack of access to digital technologies is impacting the delivery of health services, there is need to adopt it as one of the social factors that determine health outcomes among populations. Digital access is tied to other SDOH, and it is imperative that it is considered as a SDOH because it affects other determinants. This implies that even if the other SDOH were to be addressed, divide in access to digital technologies may exacerbate the disparity in access to health services. References Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). Broadband Internet Access is a Social Determinant of Health!. American Journal of Public Health, 110(8), 1123-1125. Https://Doi.Org/10.2105/AJPH.2020.305784. Li, F. (2022). Disconnected in A Pandemic: COVID-19 Outcomes and The Digital Divide in the United States. Health & Place, 77, 102867. https://doi.org/10.1016/j.healthplace.2022.102867. Mcgonigle, D., & Mastrian, K. G. (2022). Nursing Informatics and the Foundation of Knowledge (5th Ed.). Jones & Bartlett Learning. Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). Digital Inclusion as A Social Determinant Of Health. NPJ Digital Medicine, 4(1), 52. Https://Doi.Org/10.1038/S41746-021-00413-8. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order Social Determinants of Health When we talk about health, it’s not just about our physical well-being or the absence of illness. It’s a complex interplay of various factors that influence our overall quality of life. These factors are what we refer to as determinants of health, and among them, the social determinants of health (SDoH) play a particularly significant role. In this article, we will delve into the world of determinants of health, with a specific focus on the social determinants of health and the impact they have on our well-being. Understanding Determinants of Health Determinants of health are the wide array of factors that affect our physical, mental, and social well-being. They encompass everything from our access to healthcare services to our lifestyle choices. These determinants can be categorized into two broad categories: social determinants and health determinants. Social Determinants of Health (SDoH) Social determinants of health (SDoH) refer to the conditions in which people are born, grow, live, work, and age. These conditions are shaped by various socioeconomic and environmental factors and have a profound influence on our health. SDoH encompass a wide range of elements, including: Economic Stability: Our income, employment status, and economic opportunities
Clearly diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols
Assignment: Workplace Environment Assessment Clearly diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it. In this modules Discussion you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment. To Prepare: Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015). Review the Work Environment Assessment Template. Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues. Select and review one or more of the following articles found in the Resources: Clark, Olender, Cardoni, and Kenski (2011) Clark (2018) Clark (2015) Griffin and Clark (2014) The Assignment (3-6 pages total): Part 1: Work Environment Assessment (1-2 pages) Review the Work Environment Assessment Template you completed for this Module’s Discussion. Describe the results of the Work Environment Assessment you completed on your workplace. Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed. Explain what the results of the Assessment suggest about the health and civility of your workplace. Part 2: Reviewing the Literature (1-2 pages) Briefly describe the theory or concept presented in the article(s) you selected. Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment. Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples. Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages) Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment. Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment. Expert Answer and Explanation Work Environment Assessment Summary of Results – Clark Healthy Workplace Inventory From the Clarks healthy workplace inventory, the results indicated that my workplace is very healthy with a score of 81 according to the inventory ratings (Clark, 2015). Some of the key features that ranked highly included appreciation of collective achievement, teamwork and collaboration, fair and respectful treatment of employees to list a few. The attributes that seemed lacking according to the inventory were improvement of organization culture, a comprehensive mentoring program for all employees, and allocation of adequate resources for professional growth and development. The results from the inventory had most of the items reviewed in the 4 scores (somewhat true). Identify two things that surprised you about the results. Also, identify one idea that you believed prior to conducting the Assessment that was confirmed. Before taking the inventory, I was quite sure that my workplace environment was quite healthy but on carrying out the inventory, I found it surprising that some key areas were seemingly lacking which I never considered in my earlier assumption. I also found it surprising that. I was also surprised to find several key areas that could be improved from an organizational standpoint that I would have otherwise overlooked, which are essential in the development of a healthy work environment. what might seemingly seem as a flawless workplace environment may actually have some areas that stain the health of the workplace environment. However, the results confirmed my belief in the health status of my workplace environment which I considered as being favorable. What do the results of the Assessment suggest about the health and civility of your workplace? The results indicate that the environment I work in is quite favorable and civil but with some room for improvement. It also shows that the civility experienced is a result of mutual respect for one another and the organizational policies in place that do not tolerate incivility Briefly describe the theory or concept presented in the article(s) you selected. Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment. The theory highlighted in an article by Clark (2015) highlights the aspect of encouraging open communication and conversations within the workplace as a way of developing a healthy and civil environment. The article reiterates that many nurses often fail to engage with uncivil colleagues at times when candid conversations are needed. Others often fail to express their concern of incivility especially when expressed by someone with a higher authority, and such cases at times can prove detrimental to patient outcomes. Therefore, the article provides different models that can be used to promote such candid conversations in a civil and respectful manner and one such model is the DESC model. This model focuses on describing the situation, explaining the concerns, stating the available alternative solutions and indicating the consequences. The model facilitates nurse engagement in a professional and civil manner. The theory focuses on the aspect of collaboration and respectful interprofessional engagement. These are some of the features which I considered to be strongly embraced in my workplace. Having a workplace culture that embraces high collaboration between teams requires employees to constantly engage with one another, even amidst their disagreements (Marshall & Broome, 2017). Such a workplace goes in accordance with the article’s view on the importance of healthy and respectful conversations in promoting a civil and safe workplace environment Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples. The organization can use the DESC model to solve differences in opinions on the best patient interventions that will improve their outcomes or improve the organizational processes. For example, the model can be applied when considering the right therapy
Post an episodic focused note about the patient in the case study to which you were assigned using the episodic/focused note
Post an episodic focused note about the patient in the case study to which you were assigned using the Assessing Musculoskeletal Pain Case 3: Knee Pain A 15-year-old male reports dull pain in both knees. Sometimes one or both knees click, and the patient describes a catching sensation under the patella. In determining the causes of the knee pain, what additional history do you need? What categories can you use to differentiate knee pain? What are your specific differential diagnoses for knee pain? What physical examination will you perform? What anatomic structures are you assessing as part of the physical examination? What special maneuvers will you perform? With regard to the case study you were assigned: Review this week’s Learning Resources, and consider the insights they provide about the case study. Consider what history would be necessary to collect from the patient in the case study you were assigned. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. Post an episodic focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each. Expert Answer and Explanation Knee Pain Episodic/Focused SOAP Note Patient Information: JD is a 15-year-old African American Male. S. CC “Dull pain in both knees for four days.” HPI: JD is a 15-year-old African American Male who came to the hospital with complaints of dull pain in his both knees for the three days. He reports that he sometimes feels catching sensation under the patella and both knees often click. The pain started after playing basketball tournament three days ago. He has not applied any medication. The severity of the pain I 8/10. Current Medications: No medications Allergies: No allergies. PMHx: No history of major medical conditions. Pneumonia and influenza vaccines are up to date. Soc Hx: Denies tobacco or alcohol use. He is the only child in a middle-class family. He loves playing basketball. Fam Hx: He is the only child in a family of three. Both parents are alive and healthy. Grandfather died of depression. He committed suicide. Grandmother is alive as has type II diabetes. ROS: GENERAL: No fatigue, weight loss, or fever. HEENT: Eyes: No vision problems. Ears, Nose, Throat: No hearing problem, sneezing, runny nose, congestion, or sore throat. SKIN: No rash or itching. CARDIOVASCULAR: No heart problems. RESPIRATORY: No breathing problems. MUSCULOSKELETAL: Knee pain. HEMATOLOGIC: No anemia or bleeding. O. Physical exam: Constitutional: General Appearance: Healthy adult with moderate distress. A+O+3, mucous membranes moist, flushed, answers questions properly. Vitals: BP 122/90; P 57; R 20; T 36.3; W 58kgs; H 157cm. HEENT: Head: NC/AT. Eyes: Pupils are PERRL, extraocular movements intact; conjunctivae pink. Ears: Hearing intact, normal external appearance. Nose: Appears normal, clear mucus. Mouth: The are in good shape. Throat: No lesions or inflammation of the tonsils. Skin: Normal color for ethnicity, dry, warm, with no rashes or lesions. Cardiovascular: S1, S2 with regular rhythm and rate. No heart sounds. Lungs: Chest walls symmetric. Lungs clear and bilateral. Regular respirations. Knee: MRI shows ACL tear in both knees. Diagnostic results: Diagnosis for knee musculoskeletal can be done using MRI or X-ray (Ball et al., 2019). The authors note that X-ray cannot see the ligaments, and in this case, MRI is recommended. X-ray: Pending MRI: Pending A. Differential Diagnoses Anterior Cruciate Ligament (ACL) Injury. The primary diagnosis for this ACL injury. ACL injury is a sprain or tear ACL, one of the major ligaments in the knee (Korakakis et al., 2019). The injury occurs mostly in sportspersons. The disease causes pain in the knee. It has been included as the primary diagnosis because the patient is a sportsperson and recently got injured during a game. Knee locking: Characteristics of knee locking include catching sensation, swelling of the affected knee, and pain with extension (Lee, Nixion, Chandratreya & Murray, 2017). The disease is not a primary diagnosis because the patient is no swelling in the knee. Osteochondritis Dissecans: OCD is a joint condition that occurs when blood is not enough in the end of the bone. It also causes pain in the knee, and that is why it has been included in the diagnosis. Juvenile idiopathic arthritis: JIA is the swelling of the joints. The disease occurs before a kid reaches 16 years (Ramanan et al., 2017). It causes joint pain, and that is why it has been included in the diagnosis. Repeated kneecap dislocation: Repeated patellar subluxation is the continued instability of the patellar, which causes knee pain. References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel\’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Korakakis, V., Saretsky, M., Whiteley, R., Azzopardi, M. C., Klauznicer, J., Itani, A., … & Malliaropoulos, N. (2019). Translation into modern standard Arabic, cross-cultural adaptation and psychometric properties’ evaluation of the Lower Extremity Functional Scale (LEFS) in Arabic-speaking athletes with Anterior Cruciate Ligament (ACL) injury. PloS one, 14(6), e0217791. https://doi.org/10.1371/journal.pone.0217791 Lee, P. Y. F., Nixion, A., Chandratreya, A., & Murray, J. M. (2017). Synovial plica syndrome of the knee: a commonly overlooked cause of anterior knee pain. The Surgery Journal, 3(1), e9. doi: 10.1055/s-0037-1598047 Ramanan, A. V., Dick, A. D., Jones, A. P., McKay, A., Williamson, P. R., Compeyrot-Lacassagne, S., … & Beresford, M. W. (2017). Adalimumab plus methotrexate for uveitis in juvenile idiopathic arthritis. New England Journal of Medicine, 376(17), 1637-1646. https://www.nejm.org/doi/full/10.1056/NEJMoa1614160 Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon Code: NEW30 to Get 30% OFF Your First Order FAQs Osgood-schlatter
Research the health-illness continuum and its relevance to patient care. In a 750-1,000-word paper, discuss the relevance of the continuum to
Research the health-illness continuum and its relevance to patient care. In a 750-1,000-word paper, discuss the relevance of the continuum Research the health-illness continuum and its relevance to patient care. In a 750-1,000-word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following: Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients. Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing and are consistent with the Christian worldview. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellnReflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuumess (managing a chronic disease, recovering from an illness, self-actualization, etc.). You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Expert Answer and Explanation Benchmark – Human Experience Across the Health-Illness Continuum Introduction Very often, individuals fail to show the presence of disease but still have depression, anxiety, and unhappiness. In some situations, people could complain of feeling unwell, but they do not have external symptoms or evidence to justify the same. The health-illness continuum can help examine these characteristic levels of wellness based on a paradigm ranging from premature death and high wellness levels (Kishan, 2020). This essay examines the application of the health-illness continuum in improving the wellness of healthcare givers. The Health-Illness Continuum Perspective and its Importance in the Health and the Human Experience when Caring for Patients The Health-Illness continuum perspective represents a graphical or diagrammatic illustration of the concept of human well-being on their emotional and mental states. For some people, wellness is the direct opposite of illness, where the absence of disease conditions shows they are well (Swanson et al., 2019). Other individuals believe that having a healthy lifestyle or the potential to lead a healthy lifestyle is the real definition of wellness (Kishan, 2020). A pictorial illustration of the illness-wellness continuum is as follows. Fig 1: An illustration of the illness-wellness continuum. The right side of the graph in Fig 1 shows the different degrees of wellness, while the left side shows illness levels. In this continuum, wellness is explained to be dynamic, in that it is not static, and that the patient is often changing in their present states. Individuals’ outlook is what contributes to their states of wellness for the positive vision of a person who has a disability or a disease, and such a person is likely to face the right side of the continuum (Ow & Poon, 2020). This is unlike a healthy individual who has a negative outlook, feels anxiety, complains a lot, and is depressed. The latter would face the left side of the continuum, and their emotional and mental growth and wellness are hindered to the point that they experience the real state of wellness. How Understanding the Health-Illness Continuum Could Enable Healthcare Providers to Better-Promote the Value and Dignity of Individuals or Groups and Serve others in Ways that Promote Human Flourishing In caring for patients, understanding the health-illness continuum helps to improve the patients’ mental and emotional development. Healthcare givers can use this continuum to motivate the patients’ healthcare and have better health systems including but not limited to, preventing emotional and physical diseases (Sajnani, Marxen, & Zarate, 2017). This continuum is also essential in patient care as it helps to analyze the different developments and evaluate the patient progress. A Reflection of My Overall State of Health and the Behaviors that Support or Detract from Health and Well-Being Several behaviors support my overall state of health, and these include but are not limited to workouts, exercises, and healthy eating. I believe what I eat and my behaviors determine how I will show wellness. I have to continually keep my weight in check, where a negative shift in my BMI prompts me to change my diet and my workout strategies. Besides hitting the gym at least thrice a week, I do regular jogging in the morning before embarking on my daily activities, which I believe serves a long way in improving my emotional well-being. I also walk for 30 minutes to the gym instead of using other less engaging means of transport. I have recently started consuming plenty of water and many greens, which I believe will help me improve my immunity from diseases. Among the negative behaviors that could be distracting me from wellness is smoking, which I did not know its detrimental effects until a recent webinar on lung cancer. Also, I think I barely have enough time to have a healthy sleep. Lastly, I believe I spend too little time with my loved ones due to excessive engagement in my workplace. Options and Resources that Could Help Me to Move toward Wellness on the Health-Illness Spectrum Among the essential resources to help me improve wellness on the spectrum are programs to stop my smoking