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FinalProject(Paper)Student willsearchandwriteapaperthataddresstherequirementsofthepaperlistedbelow.Responsestothequestions(inthetablebelow) areto bebasedon yournursing educatorroleatthehospital.Eachstudent shouldaddressthequestionsusingtheirowncreativeplan,includingrationalesandsupportingdataneedtobegiven asappropriate.Write a paper that include:1.Titlepage2.Abstractpage3.Content (7 pages)4.Referencepage ...... so, the total pages are (10 pages)ScenarioYour(health educator)positionhasjustbeendownsizedby alargehealthcarecorporationwhosemissionandstatementhas beenredefinedas aresultof3 years ofsignificantfinancial losses.Yourparentsareincreasinglyfailinginhealthand youhavegottenseveralphonecallsfromtheirneighborsconcernedforyourparent’s safety.Youmakethe decisiontorelocatetoassisttheminLawrenceburg,Indiana (IN), USA.Youwillbeabletosuperviseyourparentsandthelocalhospitalhas apositionthathasbeenopenforover 18monthsforaMaster’spreparednurse.Youhave beenawardedtheposition.AmajorconstructionboomisoccurringinLawrenceburg.Alargecasinocorporationisbuildinganotherresort/casinocomplex.Thisbuildingboomhas broughtadditionalNativeAmericanstotheareaastheywillbebenefitingfromthecasinoprofits.Theconstructionofthecomplexhasbeenawardedto acompanywithcontractedlaborersfromMexico.Thecompanyestimates500-1000workerswithamajorityofthemfromMexicoCity,Mexico.Asmallportionofthecomplexhasalreadybeenbuiltforuseintrainingthecasinostaff.Thecasinocompanyhas beensuccessfulinrecruitingEasternEuropeanworkerstomanageandoperatethecasinogames.Thealsorelyonalargeportionofimmigrantworkersinhospitality.Currently,thereareapproximately250workerstrainingforthefacilityoperations.Uponthefirstweekofyouremploymentyou arerequestedtogo to acommunityplanningcommitteeregardingthehospitalrolein thedeveloping/changingLawerenceburgeconomy.Yourassessmentis the group isoverwhelmedby thechangesoccurringinthearea.Theyhaveconcernsthatasmalllocallyownedgrocerystoremightclosingbecausealargechainstorehasbuiltoutsideoftownand salesatthestoreareveryweak.Thestore’simportancewasa programprovidingfreediabetic medicationsfromtheirpharmacy.The storeprovidesfreeGlucophage,Glyburide,GlucovanceandregularInsulin.Manyresidentsareworriedtheywillnotbe abletoaffordtheirmedicationsto keeptheir diabetesundercontrol.Diabetes andCOPDarecommonchronicdiseasesintheareaas25%ofthepopulationsmokescomparedto 20% inthenation.Thecommitteealsorecognizeswiththeinfluxofworkers,thetwoprimarycareprovidersintownare notable toschedulereturnappointmentsbecausetheyareoverwhelmedwithacutevisits.Manydiabeticshavenot beenseen inover9months.PrimaryCarePhysiciansareconcernedaboutthemanyuniqueconditions theyareseeingwiththeEasternEuropean,MexicanandNative Americanpopulations.OneMDwho isapproachinghis 78thbirthdaysaysby theendofyear hewillbe
retiringtoFloridabecausetheofficepaceandincreasingdocumentationdemandsfromMedicareand otherinsurancesaretoomuchto keep upwithat hisage.Asa sidenote,adissidenton thecommitteekeepstalkingaboutthe“Swimout oftheWeeds”Fund.ThisfundwasestablishedtoteachLawrenceburgchildrenhowtoswim.In theearly1940’smultiplechildrendrownedinOhioRiver.Atrustfundwasset uptoassureeachchildwastaughttoswimin the 1stand2ndgrade.Thefundhasgrowntoaprincipleof$1.5milliondollars.Thelocalschoolis nolonger teachingswimmingin this agecategorybecauseofstatemandatededucationalrequirements.Theschoolhas notaskedforfundingfromthis sourceforthepast2years.Thefundhas had nowithdrawalsfromitsprincipleinthepast 2years.Thereareveryelderlygrandchildrentothe benefactorfamilystillinthearea.Thegrandchildrenhavesomedirectionon thefund,but thefundismanagedby thelocalFarmer’sStateBank.Themeetingwasinterruptedby thenews twosiblings werefoundto havedrownin theriver.Thehospitalis acriticalaccesshospitalandisseeinganincreaseincensusand inthe numberofpatientsbeingtransferredoutforhigherlevelofcare.Anewambulanceservicehasaddedthreeparamedicstaffedambulancesresponsiblejustforinter-facilitytransfers.Afor-profitairambulanceserviceisnegotiatingwiththe countyairportauthorityonplacinga baseforamedicalhelicopterinoperation.Youreturntothehospitaltorecoverfromthemassinformationgatheredat themeeting,and gothroughyourvoicemail.Youhave an angryvoicemailfromtheERmanagerwhosaysherstaffisthreateningtoleavebecausetheyfeeloverwhelmedwiththeincreasednumbersofpatientsseen,theunfamiliaritywiththenewdiversitytotheareaandtherecurrenceofcritical traumasincluding1-2constructionaccidents,2-3alcohol relatedaccidentsdailyandalargeincreaseindomesticviolencewith1-2 casesaweekascomparedto 1amontha year ago.Themostrecentdomesticviolence incidentwasafatherthatshothiswifeinfrontoftwokids, thenshotat andkilledonechildwhiletheotherwasable toescape.ThenextvoicemailisarequestfromthemanagerofWomen’sServicesthatinthepast12monthstherehas been alargeincreaseinteenagepregnancy,a4-foldincreaseindeliveries withco-morbidgestationaldiabetes.ShestatestheCountyChildProtectionServicesDirectorwantsameetingwithyou and herbecauseofareportfromtwoofyourL&Dnurseswhostatetheincreasedteenagepregnancyrateisrelatedtoadolescentgirls’infatuationwithguyswithaccentsand can betracedbacktothe newresortcomplex.Youskip therest ofyourvoicemailandreceiveanemailreminderon yourI-Phoneofanupcominghealthfairinoneweek.Thishadslippedyourmind,and youhadcommittedstafftoattendthecommunityhealthfairtobeheld inconjunctionwithahiringeventfortheresortatthetrainingfacility.Youmustdevelopateachingplanforyour nurses sotheywillbeculturallyawareandsensitivetothenewestmembersofthecommunity,aswellasdevelopinga hand outthatappealstoanareaofhealthconcernforthepopulation.Asyou headforlunch,theHR directornotifiesyoutheNursingEducator whohas been onextendedmaternityleavehasdecidedto notreturntowork.Youare nowresponsiblefordevelopingareportregardingthechallengesofprimary,secondaryandtertiarypreventioninthehospital’sservicearea.
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