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The comprehensive assessment includes more than just exploring the patient’s physical and mental well-being. As an advanced practice nurse, you must learn to assess the social and physical determinants of health and how they affect the patient. To do so, you must focus on the social and physical environments that promote health. These environmental determinants include places of birth, neighborhoods, life, experiences, work environments, recreational activities, and worship practices. These determinants affect health, daily functions, and quality-of-life risks and outcomes. Resources that can affect access to quality healthcare include safe and affordable housing, access to education and emerging technologies, public safety, the availability of healthy foods, and local health and emergency services. The purpose of this task is to reflect on how such outside factors affect your patient’s access to quality healthcare. REQUIREMENTS Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide. You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course. A. Reflect on the comprehensive health assessment you performed in task 1 by doing the following: 1. Discuss four evidence-based interview techniques you used to assess your patient’s social determinants. Include a scholarly source in your discussion. a. Justify the questions you used to assess each of the five social determinants of your patient and include his or her responses. b. Explain how the patient’s answers to the questions will inform the patient’s nursing plan of care. 2. Explain how your patient’s economic stability affects his or her access to healthcare, including the three following factors: • socioeconomic status • employment status • housing stability 3. Analyze how your patient’s educational status affects his or her health. Include a scholarly source to support your analysis. a. Discuss the healthcare barriers and opportunities the patient might face because of his or her educational status. 4. Analyze how the patient’s health and healthcare status affect his or her quality of life. a. Analyze how an understanding of health literacy affects health. Include a scholarly source to support your analysis. 5. Explain how the patient’s neighborhood and environment affect his or her access to health. a. Compare the healthcare (e.g., quality, access, outcomes) received by a patient living in a low-income area to the healthcare received by a patient living in a high-income area. b. Discuss how access to healthcare differs for patients living in rural versus urban areas. Include a scholarly source to support your discussion. c. Discuss how your patient’s neighborhood affects his or her access to healthy food options. B. Discuss why social determinants need to be addressed in your comprehensive health assessment. Include a scholarly source to support your discussion. 1. Based on the comprehensive health assessment, identify the three highest priority social determinants that affect your patient. 2. Based upon the three chosen social determinants from part B1, develop a nursing plan of care. a. Explain how you would implement your nursing plan of care based upon each of the identified social determinants from part B1. b. Discuss barriers to implementing the nursing plan of care from part B2 for each social determinant identified in part B1. c. Discuss who needs to be involved in the nursing plan of care (e.g., healthcare practitioners, community members, family) for each social determinant identified in part B1. 3. Explain how you would evaluate the effectiveness of your patient’s nursing plan of care. Include a scholarly source. 4. Summarize the impact of social determinants on your patient’s overall well-being.

This essay is related to Media Ethics, Policy and Law The main arguments and topics are tightly related to the ethics principles What I need from the essay: 1. You must write an essay relying on arguments made by Scanlon, Mill, etc (I will explain it later). So, you need to ethically analyse the health bloggers but through the prism of arguments of other academics. Their argumentations are not straightforward and mostly related to the broader ethical issues like: – Mill (On Liberty chapter1,2) – Scanlon (A Theory of Freedom of Expression) -Hugh LaFollette (Ethics in Practice) here he explains the basics of deontology and consequentialism -Paul Gomberg (Autonomy and Expression) – Alan Haworth (Freedom of Speech) – Robert Ambdur (Scanclon on Freedom of Expression) – Joel Feinberg (Profound Offence) Sometimes one academic writes a response on others and it is also appropriate to use. Overall, do not write your attitude on health blogging, instead, while analysing it use only thoughts and principles of academics and philosophers. How would they analyse this topic? 2. The introduction should serve as an Abstract. By this I mean, I should understand what do you want to say in the essay and what your final idea on that topic only by reading the introduction. No vague description, no mentioning who are these people (I’m speaking about the academics), do not write a lot about consequentialism and deontology (because the reader is aware of it). Embed these concepts appropriate in your analysis. 3. You do not have to argue in a manner “health logging is good/bad” in the conclusion. Leave this question open, rhetorical (ethical pluralism). 4. I will attach doc document where I described for you the main case study on health logger and what was the issue. The example in Russian, but don’t worry I translated and included everything that you need to know, so please do not ignore this step and read what I included in the word document. Thee name is “Main document!”. Also, there is one example from the Guardian website about English speaking health blogger. You can also use this example. 5. To ethically analyse this problem is not enough, you also need to understand what are the policies of Instagram and why this platform allows health bloggers to propagate a ‘bad’ way of treating people (Elena Kornilova case). 6. The final point is to include different opinions on this topic from ordinary people. I included 3 opinions on Kornilova case on the word doc. You can use direct quotation (everything is translated). 7. You need to include the law (Article 8). I will include the pdf doc it is translated in English. !Be direct, no irrelevant information, no vague descriptions, no explanations of the basic ethical concepts! Rubric (important): – you need to be able to identify different perspectives about why regulation might (might not) be needed discuss the issues in terms of the essential readings, and required readings on the topic. These should be introduced as appropriate (showing that you have an understanding of the main concepts and how they are applied). Use quotations for different perspectives you will discuss. Always discuss any quotation – do not let it speak for you. This means that you might have only four or five quotes in the assignment, including definitions. Critique the perspectives using evidence, the criticisms raised in the reading, and your own thinking. Emphasis should be on explaining and assessing different perspectives about an issue rather than developing an argument of your own. Your opinion should be an ‘informed opinion’ that takes account of the evidence and the different perspectives.

Description of the group (general characteristics, membership, statistics, relevant issues etc.) (50 points):

Description of the assigned group such as statistics (# of people from the selected population in the Central Valley, California, the U.S., and internationally/globally) and general demographic (gender, income, education level), and cultural characteristics of the selected group. b. Major Health Issues-(50 points): Description and analysis of at least four (4) major health issues of the selected population (morbidity, mortality, health statistics, analysis of health issues from a local and global perspectives)c.

Implications for Multicultural and Global Health-(50 points): Description and analysis of the student’s ideas validated by her/his scientific research on how culture affects the health of the selected population and what recommendations are given/needed to improve the 5health of the selected population.

Describe how health promotion and health education programs may be designed and implemented for the assigned selected population (For this item it will be useful for you to consult the book by Perez & Luquis)d. Word Count – (10 points): A word count should be included on the last page of the paper (exclude the reference pages). This paper should be at least 2,000 words to comply with G.E. requirements.e. Reference Page (Use APA style for reference page and for the citation of references in the paper itself) (15 points): This paper should include at least 6-10 references cited properly in APA style Grammar and spelling will also be graded for this paper