Option #2: The Community Action Plan: Written Report and HandoutYour Portfolio Project for this class is a Community Action Plan designed to alleviate or correct a public-health issue in your community. Your community can be your business, school, neighborhood, town or city of residence or birth, or county. For option 2, your Community Action Plan will be a professional portfolio that includes a written report and a handout. Below are some useful sites where you can find examples of the elements of an action plan.https://www.epa.gov/community-port-collaboration/community-action-roadmap-overview (Links to an external site.)http://www.cityofchicago.org/dam/city/depts/cdph/tobacco_alchohol_and_drug_abuse/LGBTCommunityActionPlanHC.pdf (Links to an external site.)https://smartgrowthamerica.org/program/national-complete-streets-coalition/ (Links to an external site.)https://www.aecf.org/m/e2s/e2s-action-plan-template.pdf (Links to an external site.)https://sanpabloca.gov/DocumentCenter/View/5537/CAP-only-22-pages?bidId= (Links to an external site.)https://uknowledge.uky.edu/cgi/viewcontent.cgi?referer=https://www.google.com/&httpsredir=1&article=1018&context=ced_reports (Links to an external site.)Preliminary Deliverables: These deliverables must be submitted in the assigned week:Week 2: Written Response and Project Selection (10 points): Provide a brief one-paragraph response indicating which assignment option and public-health issue you have selected and why. This will help your instructor to be aware of your plans and support you with development of this project. Upload your response as a Word document.Week 7: Preliminary Written Report (50 points) and Peer Review Feedback (25 points) Submit a preliminary (rough) draft of the written portion of your Portfolio Project as well as proof of peer review. Remember to include the following sections in your report: introduction, symptoms, diagnosis, prevention, cure, timeline, and summary. Peer review feedback is also required this assignment. Create a post that includes your written report as an attachment using the Portfolio Project Milestone discussion forum for peer review feedback. Then provide feedback to at least one of your classmates. Choose a classmate with no other feedback first, to ensure that everyone receives some feedback from their peers. In this preliminary draft submission, indicate which project you responded to.Final Paper Instructions:The case study, with five sections (Symptoms, Diagnosis, Cure, Timeline, and Prevention). Each section should be about a page in length. Your entire paper must be 4-5 pages in length not counting the title or reference pages, which must be included. Your paper must follow the CSU Global Writing Center (Links to an external site.)In the Symptoms section, describe the public-health issue that you have observed in your community. What “symptoms” does it exhibit? Think about whom it affects, where it affects them, and how (Refer back to module 5 CT 1).In the Diagnosis section, discuss the causes of the issue, and give examples of other communities that have suffered the same problem. How did those communities solve or attempt to address the issue?In the Cure section, discuss possible options for a cure for this public-health issue. How can you get rid of it, or reduce its occurrence in your community?In the prevention section, discuss possible options for prevention of the public-health issue that you have selected. How can you reduce the chance of people being impacted by your issue in the future?In the Timeline section, discuss the time needed for campaigning, education, funding, building, and implementation.You must back up your sections using at least two scholarly articles. You may use readings other than the textbook to meet this requirement. The paper should be based on references to scholarly materials (rather than on introductory textbooks, popular website writings, or musings, for example) and should support your claims with evidence.Incorporate into this final plan any classmates’ critiques that you found useful as well as your instructor’s feedback. The key community members or partners that you plan on contacting, with an explanation why these individuals or organizations make sense as potential partners. This could include partners from your list of potential partners created in week 4 Critical Thinking Assignment Option #1, or your interview of one key partner completed in week 4 Critical Thinking Option #2. Incorporate them into a discussion of your plan, do not just list them.A special emphasis on either the demographics of the affected population or the economic implications, depending on what Critical Thinking assignment you completed for week 5.A realistic timeline for your plan. Discuss the time needed for campaigning, education, funding, building, and implementation. Use ideas created during week 6 Critical Thinking Assignments, either the option for annotated bibliography or that for the brainstorming draft feedback.Final Instructions for the Handout:The handout that you will distribute to audience members describes the problem in your community and your action plan.You may design this as an outline of your presentation or as a brochure to accompany your presentation with highlighted key points.The purpose of this handout is both to educate the audience about the issue and to help them follow along with you as you speak. Keep in mind that in real life you will have limited time to convince people of the gravity of the situation a

Write an executive summary, 4–5 pages in length, of existing outcome measures related to a performance issue uncovered in your gap analysis that you intend to address.Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.SHOW LESSAs a nurse leader, you must be able to access, identify, and describe outcome measures as they relate to safety and quality problems in your organization.This assessment provides an opportunity to examine existing outcome measures, assess their strategic value, and present your findings to executive leaders in a manner that will help you gain their support.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:Competency 1: Analyze quality and safety outcomes from an administrative and systems perspective. Explain key quality and safety outcomes.Analyze the relationships between a systemic problem in an organization and specific quality and safety outcomes.Competency 2: Determine how outcome measures promote quality and safety processes within an organization. Determine how specific outcome measures support strategic initiatives related to a quality and safety culture.Competency 3: Determine how specific organizational functions, policies, processes, procedures, norms, and behaviors can be used to build reliability and high-performing organizations. Determine the strategic value to an organization of specific outcome measures.Competency 4: Synthesize the various aspects of the nurse leader's role in developing, promoting, and sustaining a culture of quality and safety. Determine how a leadership team would support the implementation and adoption of proposed practice changes affecting specific outcomes.Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. Write clearly and concisely, using correct grammar and mechanics.Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.Competency MapCHECK YOUR PROGRESSUse this online tool to track your performance and progress through your course.Toggle DrawerContextIt has been said that time is money. In planning change to positively influence outcomes, it is important that you be able to quickly and concisely articulate your ideas. An executive summary is a short document that summarizes a more in-depth report. Think of it in terms of a public service announcement or commercial in which you must grab the attention of the stakeholders in order for your project to become a priority.An executive summary enables you to provide the executive-level leaders with a brief but effective overview of what you have determined is a need, a change, or an enhancement for the organization. A succinct, informative summary linked to the organization’s strategic plan will improve your chances of obtaining stakeholder support.Toggle DrawerQuestions to ConsiderAs you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.Building stakeholder support is crucial to fostering and sustaining change. Therefore, as you approach this assessment, think about the stakeholders whose support you will need for the change you want to bring about.What information is most essential for both the formal and informal stakeholders to understand about the proposed change?How might you communicate the need for change using just a few sentences (this is often referred to as an "elevator speech").Toggle DrawerResourcesRequired ResourcesThe following resources are required to complete the assessment.APA Style Paper Template [DOCX]. Use this template for your executive summary.SHOW LESSSuggested ResourcesThe resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6212 Health Care Quality and Safety Management Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.Writing Executive SummariesThe following resources will help you in writing your executive summary.Carroll, S. V. (2013). The executive summary: An advance organizer for the reader. The Journal of Neuroscience Nursing, 45(1), 1. doi:10.1097/JNN.0b013e31827de8c1 This article will help you organize your executive summary.Markowitz, E. (n.d.). How to write an executive summary. Inc. Retrieved from https://www.inc.com/guides/2010/09/how-to-write-an... This article provides tips on writing executive summaries and offers links to additional resources that show you examples of using executive summaries for benchmarks and branding.Vila Health: Quality and Safety Gap Analysis | Transcript. This interactive exercise introduces best practices for writing an executive summary, which may help you with the assessment.Executive Summary ExamplesThe following documents provide examples of how various executive summaries are written.Beal, B. (2014). "Executive summary of "Healthcare branding: developing emotionally based consumer brand relationships." The Journal of Services Marketing, 28(2). Retrieved from http://www.emeraldinsight.com/doi/full/10.1108/JSM...Centers for Medicare & Medicaid Services. (2015). CMS quality measure development plan: Supporting the transition to the merit-based incentive payment system (MIPS) and alternative payment models (APMs) [draft]. Retrieved from https://www.cms.gov/Medicare/Quality-Initiatives-P...Miller, D., Pearsall, E., Johnston, D., Frecea, M., & McKenzie, M. (2017). Executive summary: Enhanced recovery after surgery: best practice guideline for care of patients with a fecal diversion. Journal of Wound, Ostomy and Continence Nursing, 44(1), 74–77. This example shows guidelines for best practice.Strategic PlanningThe following resources will help you in addressing the strategic value of existing outcome measures.Health Research & Educational Trust. (2014). Hospital-based strategies for creating a culture of health. Retrieved from http://www.hpoe.org/Reports-HPOE/hospital_based_st...Ishfaq, R., & Raja, U. (2015). Bridging the healthcare access divide: A strategic planning model for rural telemedicine network. Decision Sciences, 46(4), 755–790. doi:10.1111/deci.12165Suggested Writing ResourcesYou can use the following additional resources to improve your writing skills and as source materials for seeking answers to specific questions.APA Module.Academic Honesty & APA Style and Formatting.APA Style Paper Tutorial [DOCX].Capella ResourcesGuiding Questions: Executive Summary. This document includes questions to consider and additional guidance on how to successfully complete the assessment.ePortfolio. This resource provides information about ePortfolio, including how to use the product's different features.Assessment InstructionsYour summary of relevant outcome measures is based on your findings from the quality and safety gap analysis you completed in the previous assessment.PreparationYour analysis of the gap between current and desired performance was the first step toward improving outcomes. You now have the information you need to move forward with proposed changes. Your next step is to focus on existing outcome measures and their relationship to the systemic problem you are addressing. For this assessment, you have been asked to draft a summary of existing outcome measures for your organization's executive team to raise awareness of the problem and the strategic value of existing measures.Note: Remember that you can submit all or a portion of your draft summary to Smarthinking for feedback before you submit the final version of this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.RequirementsNote: The requirements outlined below correspond to the grading criteria in the Executive Summary Scoring Guide. Be sure that your written analysis addresses each point, at a minimum. You may also want to read the Executive Summary Scoring Guide and Guiding Questions: Executive Summary (linked in the Resources) to better understand how each criterion will be assessed.Composing the Executive SummaryExplain key quality and safety outcomes.Determine the strategic value to an organization of specific outcome measures.Analyze the relationships between a systemic problem in your organization or practice setting and specific quality and safety outcomes.Determine how specific outcome measures support strategic initiatives related to a quality and safety culture.Determine how the leadership team would support the implementation and adoption of proposed practice changes affecting specific outcomes.Writing and Supporting EvidenceWrite clearly and concisely, using correct grammar and mechanics.Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.Additional RequirementsFormat your document using APA style.Use the APA Paper Template linked in the resources. Be sure to include: A title page and reference page. An abstract is not required.A running head on all pages.Appropriate section headings.Properly-formatted citations and references.Your summary should be 4–5 pages in length, not including the title page and reference page.Portfolio Prompt: You may choose to save your executive summary to your ePortfolio

Comprehensive Health Assessment Form (50 points) Health History(5 pts total) Biographical data: (1 pts) No name or initial required Age:________Marital status: ____M_____ S_____Sep. ____Cohab. Birth date: _____________________Number of dependents: ___________________ Educational level: ________________________Gender: _____F _____ M _____Other Occupation (current or, if retired, past): ___________________________________­­­­___ Ethnicity/nationality: _____________________ Source of history (who gave you the information and how reliable is that person): _______________________________________________________________________ Present health history: (4 pts) Current medical conditions/chronic illnesses: Current medications: Medication/food/environmental allergies: Past health history: (10 pts total) Childhood illnesses: Ask about history of mumps, chickenpox, rubella, ear infections, throat infections, pertussis, and asthma. Hospitalizations/Surgeries: Include reason for hospitalization, year, and surgical procedures. Accidents/injuries: Include head injuries with loss of consciousness, fractures, motor vehicle accidents, burns, and severe lacerations. Major diseases or illnesses: Include heart problems, cancer, seizures, and any significant adult illnesses. Immunizations (dates if known): Tetanus _______ Diphtheria ________Pertussis ________ Mumps ________ Rubella _______ Polio _____________ Hepatitis B ______Influenza _______ Varicella ______ Other ____________________________________________ Recent travel/military services: Include travel within past year and recent and past military service. Date of last examinations: Physical examination _________Vision ___________Dental ___________ Family History (Genogram) (10 points) Mother/Father/Siblings/Grandparents: include age (date of birth, if known), any major health issues, and, if indicated, cause and age at death Present as a genogram. Review of Systems (12 points total) Be sure to ask about symptoms specifically. General health status (1 pt): Ask about fatigue, pain, unexplained fever, night sweats, weakness, problems sleeping, and unexplained changes in weight. Integumentary (1 pt): Skin: Ask about change in skin color/texture, excessive bruising, itching, skin lesions, sores that do not heal, change in mole. Do you use sun screen? How much sun exposure do you experience? Hair: Ask about changes in hair texture and recent hair loss. Nails: Ask about changes in nail color and texture, splitting, and cracking. HEENT (2 pts): Head: Ask about headaches, recent head trauma, injury or surgery, history of concussion, dizziness, and loss of consciousness. Neck: Ask about neck stiffness, neck pain, lymph node enlargement, and swelling or mass in the neck. Eyes: Ask about change in vision, eye injury, itching, excessive tearing, discharge, pain, floaters, halos around lights, flashing lights, light sensitivity, and difficulty reading. Do you use corrective lenses (glasses or contact lenses)? Ears: Ask about last hearing test, changes in hearing, ear pain, drainage, vertigo, recurrent ear infections, ringing in ears, excessive wax problems, use of hearing aids. Nose, Nasopharynx, Sinuses: Ask about nasal discharge, frequent nosebleeds, nasal obstruction, snoring, postnasal drip, sneezing, allergies, use of recreational drugs, change in smell, sinus pain, sinus infections. Mouth/Oropharynx: Ask about sore throats, mouth sores, bleeding gums, hoarseness, change voice quality, difficulty chewing or swallowing, change in taste, dentures and bridges. Respiratory (1 pt): Ask about frequent colds, pain with breathing, cough, coughing up blood, shortness of breath, wheezing, night sweats, last chest x-ray, PPD and results, and history of smoking. Cardiovascular (1 pt.): Ask about chest pain, palpitations, shortness of breath, edema, coldness of extremities, color changes in hands and feet, hair loss on legs, leg pain with activity, paresthesia, sores that do not heal, and EKG and results. Breasts (1 pt.): (Remember men have breasts too) Ask about breast masses or lumps, pain, nipple discharge, swelling, changes in appearance, cystic breast disease, breast cancer, breast surgery, and reduction/enlargement. Do you perform BSE (when and how)? Date of last clinical breast examination, and mammograms and results. Gastrointestinal (1 pt.): Ask about changes in appetite, heartburn, gastroesophageal reflux disease, pain, nausea/vomiting, vomiting blood, jaundice, change in bowel habits, diarrhea, constipation, flatus, last fecal occult blood test and colonoscopy and results. Genitourinary (1 pt.): Ask about pain on urination, burning, frequency, urgency, incontinence, hesitancy, changes in urine stream, flank pain, excessive urinary volume, decreased urinary volume, nocturia, and blood in urine. Female/male reproductive (1 pt.): Both: Ask about lesions, discharge, pain or masses, change in sex drive, infertility problems, history of STDs, knowledge of STD prevention, safe sex practices, and painful intercourse. Are you current involved in a sexual relationship? If yes, heterosexual, homosexual,, bisexual? Number of sexual partners in the last 3 months. Do you use birth control? If yes, method(s) used. Female: Ask about menarche, description of cycle, LMP, painful menses, excessive bleeding, irregular menses, bleeding between periods, last Pap test and results, painful intercourse, pregnancies, live births, miscarriages, and abortions. Male: Ask about prostate or scrotal problems, impotence or sterility, satisfaction with sexual performance, frequency and technique for TSE, and last prostate examination and results. Musculoskeletal (1 pt.): Ask about fractures, muscle pain, weakness, joint swelling, joint pain, stiffness, limitations in mobility, back pain, loss of height, and bone density scan and results. Neurological (1 pt.): Ask about pain, fainting, seizures, changes in cognition, changes in memory, sensory deficits such as numbness, tingling and loss of sensation, problems with gait, balance, and coordination, tremor, and spasm. Psychosocial Profile (10 pts) Health practices and beliefs/self-care activities:Ask about type and frequency of exercise, type and frequency of self examination, oral hygiene practice (frequency of brushing/flossing), screening examinations (blood pressure, prostate, breast, glucose, etc.) Nutritional patterns: Ask about daily intake (24 hour recall) and appetite. Functional Ability: Ask if able to perform activities of daily living such as dressing, bathing, eating, toileting and instrumental activities of daily living like shopping, driving, cooking. Sleep/rest patterns: Ask about number of hours of sleep per night, whether sleep is restful, naps, and use of sleep aids. Personal habits (tobacco, alcohol, caffeine, and drugs): Ask about type, amount, and years used. Environmental history: Identify environment as urban/rural, type of home (apartment, own home, condo) Family/social relationships: Ask about significant others, individuals in home Cultural/religious influences: Identify any cultural and religious influences on health. Mental Health: Ask about anxiety, depression, irritability, stressful events, and personal coping strategies. Now answer the question below: (3 pts) Using the instructions below, identify 1 physical strength, 1 psychosocial/cognitive strength, and 1 weakness in either category. State why you think this to be true. With the information you collected, you can begin developing an idea of a client’s weakness and strengths. What is a strength? This might be that a person’s nutritional status appears to be excellent. It may be that there is no impairment of mobility. They may have lots of friends with them so be socially active. What is a weakness? This might be that a person does have impaired mobility or perhaps imbalanced nutrition – more than or less than body requirements. It might be that they have a communication issue that you note or perhaps seem to have a depressed mood, seem alone/isolated.2.Title of Assignment: Comprehensive Health HistoryPurpose of Assignment: The first part of a health assessment is the history. It is contains critical information about the client. It is important for the nurse to feel comfortable asking all types of questions and to be able to identify the pertinent information for that client. This assignment is a comprehensive health history which would normally be done for a new client to a practice or admission.Course Competency(s): Identify the foundations of health assessment.Instructions: Using the provided form to guide the interview, collect as much information as the client is willing to divulge. In a combination of bulleted and narrative formatting, document the information gathered. Try not to be too wordy but, at the same time, be comprehensive in your documentation. Remember this is subjective information and should only be what the client tells you. Avoid making judgments until you determine what the strengths and weaknesses are. Submit this as a word documentGrading Rubric:See history form.