Correctional Health Care AssignmentYou applied and were accepted in an internship program of a state-level, Female Correctional Health Care Operation in the South Eastern United States and your primary responsibility is to work on the assigned projects related to the provision of inmate health care.Associated materials: The Health and Health Care of US Prisoners: Results of a Nationwide SurveyPublic Health Behind BarsSample Tool Control PolicyInmate Sick Call Procedures-CorrectionsFor the incarcerated population in the United States, health care is a constitutionally guaranteed right under the provisions of the eight amendment which is the prohibition against cruel and unusual punishment (see Estelle v. Gamble). This particular prison can hold in excess of 1,728 offenders and routinely houses between 1,600 and 1,700 women on any given day. This institution incarcerates all custody classes to include minimum security, medium security, close custody, death row, and pretrial detainees. The health care operation provides the highest level of care for the female offender in the state. The health care facility is a 101 thousand square foot, 150 bed, three-story building that cost the taxpayers $50 million dollars to construct and is a hybrid of an ambulatory care center, long-term care center, and a behavioral care center. The health care facility also houses an assisted living dorm.The patient demographic includes women who have multiple co-morbidities including substance abuse, seriously persistent mental illnesses (SPMI), diabetes, cardiovascular disease, cancer, morbid obesity, HIV / AIDs, hepatitis, etc. On any given day there will also be 30 to 60 offenders who are pregnant, with 98% of those offenders having a history of substance abuse; all pregnant offenders are considered high-risk. The dental health of this patient population is exceptionally horrendous because of excessive drug abuse coupled with a sugary diet and poor oral hygiene practices. It is not uncommon for a 23-year-old to need all of her teeth extracted.There are approximately 300 FTEs to include correctional staff that operate the facility and provide care to the offender population. The healthcare facility is comprised of the following directorates: (a) Medical, (b) Nursing, (c) Behavioral Health, (d) Pharmacy, (e) Dental, (f) Medical Records, (g) Health Service Support, and (h) Operations and Security.Although the health care facility has a vast amount of capability, there limitations: (a) This facility does not have advanced cardiac life support capability (ACLS), (b) no surgical capability, (c) no ability to conduct telemetry, (d) no oral surgery beyond simple extractions, (e) no obstetrical capability beyond out-patient clinics, (f) MRI, (g) level 2 ultrasound, and the list goes on.Those inmates who have medical needs that cannot be addressed by the health services staff at the correctional facility will need appointments with external health care providers who have a business relationship with the prisons in this area. On any given month, there will be approximately 300 offenders who will go to outside medical appointments and making certain that these appointments take place this is where the challenge lies. Similar to many health care operations, the prison Utilization Review / Case Management Department facilitates all external appointments and form the lynchpin between the correctional facility health care providers who refer offenders for specialty appointments, and the outside organization providing that appointment. Your assignment: You are the Case Coordinator. You have 300 patients that need to be scheduled for outside specialty appointments every month. You are tasked by the Administrator to develop a strategic plan organizing the out of the facility appointments without impairing internal services.As the first step, develop a Memorandum addressing:Provide an overview of Estelle v. Gamble and how that 1976 Supreme Court ruling pertains to the provision of inmate health care.Examine the challenges of providing health care in a correctional environment.What are the challenges of providing health care to a female offender population that may not exist in a male prison?What framework would you apply to the strategic planning? Why? (HINT: Remember all the available frameworks that you learned in the previous classes as well as in this class to make a correct choice). Make sure to cite in APA format when appropriate. Support your statements with credible evidence.

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below). Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice? Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.Review the rubric for further information on how your assignment will be graded.

Week 2: Healthy People 2020 Impact Paper This paper should integrate HP2020 and CDC information into your paper. Research Topic: Injury and Violence Prevention: Older Adult Abuse. References from less than 5 yearsIdentify your target population (for instance, age or other demographic, aggregate population); this must be in your city or state. (State: FLORIDA)Discuss population-based health education interventions for your target population that is aimed at reducing morbidity and mortality for the problem. Be sure to review the research literature and HP2020 for interventions. Identify how and what data for interventions is being tracked.In a four (4) page paper, address the following. Refer to rubric for expanded details related to grading expectations.Identify the problem in the introduction section. Provide an overview of the problem in your state/national. Review of descriptive epidemiological and demographic data on mortality/morbidity and risk. HP2020: Present the goal, overview and objectives of Healthy People 2020 for the paper topic.Population level prevention and health promotion review. Describe population and/or primary health care focused interventions. Use of scholarly literature and HP2020 is required. There should be direct correlation to evidence for all strategies. Best Practices in Preparing the Project Review directions and rubric through carefully. Follow submission requirements.Make sure all elements on the grading rubric are included. Organize the paper using the rubric sections and appropriate headings to match the sections. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.Title page, running head, body of paper, and reference page must follow APA guidelines as found in the current edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used. Ideas and information that come from scholarly literature must be cited and referenced correctly. A minimum of three (3) scholarly literature references must be used. Not all references should be from scholarly web sites. You may use your textbook, but this will not count towards the three (3) scholarly literature references.Length: Papers not adhering to the page length may be returned to you for editing to meet the length guidelines. Adhere to the Chamberlain College of Nursing academic policy on integrity as it pertains to the submission of your own original work for assignments. Rubric NR503_HP2020_Sept19 NR503_HP2020_Sept19 Criteria Ratings Pts This criterion is linked to a Learning OutcomeAssignment Content Possible Points = 100 Points Introduction of the Problem (no heading) 1. Problem is clearly stated. 2. General introduction to the problem supports its importance as a population health issue with data and general statement of scope of problem. 3. Focus of the paper is stated succinctly. (3 critical elements) 5.0 pts Excellent All bullet items (content) included with depth and consistent connection, validation, by evidence. 4.0 pts V. Good All content included but limited clarity or depth OR Content is missing one critical element. 3.0 pts Satisfactory Content missing: 1. Two critical elements Or 2. Writing lacks clarity, depth 2.0 pts Needs Improvement Content missing: 1. Two critical elements 2. Clarity 3. Problem is unsupported 4. Writing is largely unsupported 0.0 pts Unsatisfactory Section missing 5.0 pts This criterion is linked to a Learning OutcomeDiscussion: Overview, Background and Significance of the Problem 1. Provide background and significance of the problem. 2. This includes risks and impact of disease. 3. Data: State and National: Incidence, prevalence, mortality, breakdown by gender/race/religion as appropriately related (3 critical elements) 25.0 pts Excellent All critical elements (content) included with depth and consistent connection, validation by evidence. 23.0 pts V. Good All content included but limited clarity or depth OR Content is missing one critical element. 21.0 pts Satisfactory Content missing: 1. Two critical elements Or 2. Writing lacks clarity, depth 12.0 pts Needs Improvement Content missing: 1. Two critical elements 2. Clarity 3. Writing is largely unsupported 0.0 pts Unsatisfactory Section missing 25.0 pts This criterion is linked to a Learning OutcomeEpidemiological Analysis of the Problem 1. Using descriptive epidemiology (provide description of term) analyze health problem 2. Include demographic and related epidemiological data 3. Include characteristics of at-risk population using HP2020 specified criteria (3 critical elements) 30.0 pts Excellent All critical elements (content) included with depth and consistent connection, validation by evidence 27.0 pts V. Good All content included but limited clarity or depth OR Content is missing one critical element. 25.0 pts Satisfactory Content missing: 1. Two critical elements Or 2. Writing lacks clarity, depth 15.0 pts Needs Improvement Content missing: 1. Two critical elements 2. Clarity 3. Writing is largely unsupported 0.0 pts Unsatisfactory Section missing 30.0 pts This criterion is linked to a Learning OutcomeApplication of HP 2020 1. Identify HP2020 goals and objectives 2. Relate HP2020 goals and objectives to health concern topic 3. Identify guidelines and a screening method related to health concern 4. Review validity (predictive power) of screening tool method to include what population the tool is applicable to use with (for instance, adult, child, culture) (4 critical elements) 20.0 pts Excellent All critical elements (content) included with depth and consistent connection, validation by evidence 18.0 pts V. Good All content included but limited clarity or depth OR Content is missing one critical element. 17.0 pts Satisfactory Content missing: 1. Two critical elements Or 2. Writing lacks clarity, depth 10.0 pts Needs Improvement Content missing: 1. Two critical elements 2. Clarity 3. Writing is largely unsupported 0.0 pts Unsatisfactory Section missing 20.0 pts This criterion is linked to a Learning OutcomePopulation Level Planning Interventions 1. Investigate what is being done at the population health level related to prevention and health promotion for the health problem at the national and state level 2. Identify what and how outcomes are being tracked related to said interventions. 3. Utilize HP2020, CDC, state public health department, research, etc. as resources for interventions and data. (3 critical elements) 20.0 pts Excellent All critical elements (content) included with depth and consistent connection, validation by evidence 18.0 pts V. Good All content included but limited clarity or depth OR Content is missing one critical element. 17.0 pts Satisfactory Content missing: 1. Two critical elements Or 2. Writing lacks clarity, depth 10.0 pts Needs Improvement Content missing: 1. Two critical elements 2. Clarity 3. Writing is largely unsupported 0.0 pts Unsatisfactory Section missing 20.0 pts This criterion is linked to a Learning OutcomeAssignment Format Possible Points = 25 Points APA 1. All content accurately utilizes APA format for citations and table formatting per APA current edition. 2. Reference list is formatted per APA current edition. Cover page, running heads, font size and type, reference list and headings per APA current ed. 15.0 pts Excellent No APA errors 14.0 pts V. Good 1-2 APA errors 12.0 pts Satisfactory 3-4 APA errors 8.0 pts Needs Improvement 5-6 APA errors 0.0 pts Unsatisfactory 7 or more APA errors 15.0 pts This criterion is linked to a Learning OutcomeGrammar, Syntax, Spelling 1. Grammar, writing voice, and spelling are in accordance with APA 6th edition. 2. Scientific prose/voice is consistent. 3. Writing has precision and clarity 4. See APA 6th edition, 3, Writing Clearly and Concisely 10.0 pts Excellent Written work is free of grammatical, spelling or punctuation errors. 9.0 pts V. Good Written work is largely free of grammatical, spelling or syntax errors.  (Approximately 1-2). 8.0 pts Satisfactory Written work includes some grammatical, spelling or syntax errors that distract the reader. (Approximately 3-4). 5.0 pts Needs Improvement Written work contains numerous grammatical, spelling or syntax errors that distract the reader (Approximately 5-6). 0.0 pts Unsatisfactory 7 or more errors 10.0 pts This criterion is linked to a Learning OutcomeLate Penalty Deductions Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy. 0.0 pts Deduction of points 0.0 pts Deduction of points 0.0 pts Total Points: 125.0 PreviousNext