NR 511 Week 5 Barriers to Preventative Care
Chamberlain University NR 511 Week 5 Barriers to Preventative Care-Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 511 Week 5 Barriers to Preventative Care assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 511 Week 5 Barriers to Preventative Care
Whether one passes or fails an academic assignment such as the Chamberlain University NR 511 Week 5 Barriers to Preventative Care depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 511 Week 5 Barriers to Preventative Care
The introduction for the Chamberlain University NR 511 Week 5 Barriers to Preventative Care is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NR 511 Week 5 Barriers to Preventative Care
After the introduction, move into the main part of the NR 511 Week 5 Barriers to Preventative Care assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 511 Week 5 Barriers to Preventative Care
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 511 Week 5 Barriers to Preventative Care
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NR 511 Week 5 Barriers to Preventative Care
My clinical practicum site is a primary care office. We often see patients who are women and are above the age of 50. I have decided to discuss the proportion of females who get screened for breast cancer and the proportion of adults who get screened for colorectal cancer. According to Healthy People 2030 (2021), the proportion of females who got screened for breast cancer was 75.6% in 2021 and the target is 80.3%. The proportion of adults who got screened for colorectal cancer was 58.7% in 2021 and the target is 68.3%. Breast and colorectal cancers are two very prevalent diseases that when caught early can drastically improve the patient’s outcome. Mammograms are used to screen for breast cancer, and they are recommended every other year for women between the ages of 50-74. It is recommended that patients between the ages of 45-75 be screened for colon cancer. The most common methods of screening are getting a high-sensitivity guaiac fecal occult blood test yearly, a colonoscopy every 10 years, or a flexible sigmoidoscopy every 5 years (United States Preventative Services Task Force, 2023).
At my clinical practicum site, the providers use the most up-to-date guidelines posted by the U.S. Preventative Services Task Force (2023). These guidelines are very straightforward and easy to understand. So far, I have observed phenomenal preventative care. My preceptor does an excellent job at making sure she discusses it with every patient at every visit. The other providers in the office seem to have the same mindset. I have really enjoyed my site so far and feel that I have a much greater understanding of preventative care in just a short period of time. I don’t feel that I have witnessed any disparities or bias in the healthcare provided to different populations. My preceptor does a great job of bringing up the screenings in very lay terms. For example, toward the end of an appointment, she will say, “Now when did you last have your mammogram? Have you thought about a bone density scan? You will be due for them early next year.” I think she addresses health literacy and the CLAS standards by breaking topics down so they are easy to understand. She doesn’t use the full name of a test and instead relates it to the disease we are looking to prevent. She is also very respectful if a patient denies the screening but makes sure to leave the patient with a lasting thought about why the screening recommendation is important.
Some changes I would recommend in my own practice setting would be to make sure that the screenings are discussed with every patient and that we remind them that their family members need these screenings too. Another way to increase the frequency of screenings in vulnerable populations is to find other ways to educate patients on the importance of these screenings. For example, every year our county does a huge parade all through town. It has such a great turnout every year because it is a free event and people who may not be able to afford treats for their kids are able to get them for free. To help spread education resources, we could print flyers to hand out during the parade every year. This would hopefully reach more people who may not regularly see a primary care physician. In the office I am currently working in, the providers feel that the annual Medicare visits really help to keep everyone on track with preventative screenings. It’s important to make sure that these screenings don’t accidentally get missed.
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References
A & B recommendations. United States Preventive Services Taskforce. (2023). https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations
Office of Disease Prevention and Health Promotion. (2021). Increase the proportion of females who get screened for breast cancer – C05. Healthy People 2030. https://health.gov/healthypeople/objectives-and-data/browse-objectives/cancer/increase-proportion-females-who-get-screened-breast-cancer-c-05
Office of Disease Prevention and Health Promotion. (2021). Increase the proportion of adults who get screened for colorectal cancer — C07. Healthy People 2030. https://health.gov/healthypeople/objectives-and-data/browse-objectives/cancer/increase-proportion-adults-who-get-screened-colorectal-cancer-c-07
Sample Answer 2 for NR 511 Week 5 Barriers to Preventative Care
The practicum setting I am working in is a primary care clinic that is part of a safety net organization. This setting see’s adults 18 and older that are generally underserved and resource limited. The clinic cares for individuals regardless of their ability to pay. In reviewing the populations listed in Healthy People 2030, two preventative care screenings that are recommended for the population of patients seen in this clinic are:
- Increase the number of states, territories, and DC that prohibit smoking in worksites, restaurants, and bars.
- Reduce work-related assaults
Preventative care provided at my clinical practicum site by using their electronic medical record (EMR) which helps to keep track of care gaps that include colon cancer screening, vaccinations as well as mammography screening recommendations. The guidelines that the providers as well as the EMR follow are from the CDC for vaccinations, American Cancer Society for mammograms and the American College of Gastroenterology for colorectal cancer screening guidelines.
The quality of preventative care I have seen during clinic is high. Everyone is in tune with reviewing the care gaps and asking the patients if they are interested in closing those gaps during this visit. Frequent reminders are given to patients at the time of their visit as well as via their MyChart EMR application. Providers address health literacy by communicating to patients in the language of their choice at no additional cost. Language assistance is available for anyone who has limited proficiency in English. Also, their after-visit summaries are printed in their preferred language. This site also has community health advocates who often will join a visit to help advocate for the patient and ensure their needs are being appropriately met. These advocates also connect with the patient to ensure they are following through on provider recommendations and making scheduled appointments.
Changes I would recommend at the practice setting I am working at to increase preventative screening is to address the cancellation/ no-show rate. The population of patients seen in this clinic are resource restricted and transportation is often a barrier to making it to these appointments. The clinic already utilizes no-cost ride sharing options, but this does not capture everyone. Having a complex care department that can connect with the patient ahead of time and ensure that transportation has been secured is an opportunity. Appointments are made for the patients prior to leaving the clinic, it would be great if those clients with limited resources were flagged for a community health advocate to automatically follow up with them. Community health workers provide an important link between marginalized communities and the health care setting, and their work has shown how the management of chronic conditions and preventative care overall reduce healthcare costs (Knowles, et al., 2023).
References:
Healthy People 2030. Reduce work-related assaults. Office of disease prevention and health promotion.
Healthy People 2030. Increase the number of states, territories, and DC that prohibit smoking in
worksites, restaurants, and bars. Office of disease prevention and health promotion.
Knowles, M., Crowley, A., Vasan, A. and Kangovi, S. (2023). Community health worker integration with
and effectiveness in health care and public health in the United States. Annual review of public health, 44(3). https://www.annualreviews.org.
Sample Answer 3 for NR 511 Week 5 Barriers to Preventative Care
Identify your clinical practicum setting (primary care office, urgent care, etc.) and a population that you typically see (i.e., adolescents, women, older adults). Use the US Preventative Services Task ForceLinks to an external site.Links to an external site.or HealthyPeople 2030Links to an external site.Links to an external site. to describe two preventative care screenings recommended for the identified population.
My clinical site in this class is a family medicine clinic. This clinic covers all ages of lifespan, but the majority of them are mid- to older adults. The US Preventative Service Task Force (USPSTF) recommends colonoscopy for both women and men over 45 (United States Preventative Service Task Force, 2021). Colorectal cancer (CRC) is known as one of the most common cancers causing death in the United States. Out of 17,930 cases, 3,640 deaths were recorded among those younger than 50 (Sieggel et al., 2020).
Another preventative exam recommended by USPSTF and practiced in my clinical setting is a mammogram. The current guideline is to start mammograms at the age of 40. Breast cancer is one of the most common cancers that causes death in about 1 in 8 women in the United States (United States Preventative Service Task Force, 2021).
What guidelines do providers use to determine which screenings to offer?
These USPSTF standards are also followed at my family medicine practice site. Patients are typically informed about age-appropriate recommendations, including associated risks and benefits.
How would you describe the quality of the preventative care you have observed? Have you observed disparities or bias in the care provided to different members of the population?
It seems fair that my clinical site follow the USPSTF screening guidelines. I understand how crucial it is for the primary healthcare provider to follow up and educate each patient, as the majority of patients are unaware of the recommended guidelines for mammograms and colonoscopies.
How are screening recommendations presented to patients? How do providers address health literacy and the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health CareLinks to an external site.Links to an external site.when providing patient education about screenings?
Unless someone in their immediate family is impacted, the majority of patients are unaware of the significance of mammograms and colonoscopies. The physician at my clinical site is very kind in explaining the value of screening for health issues as well as how early diagnosis of malignant tumors through mammography and colonoscopy can increase a patient’s chance of life. Some Asian cultures grudgingly agree to undergo health screenings, claiming they would rather treat and live their lives naturally. The physician at my clinic respects their beliefs and views, but he also remembers to explain the dangers and benefits. In order to achieve their goal of health equity, the provider uses certified translating equipment when the patients choose to communicate in their native tongue.
Screening opportunities are often missed in vulnerable populations and those with limited access to care. Describe changes you recommend in your practice setting and community to increase the frequency of preventative screenings within vulnerable populations.
One prejudice I’m seeing is that the USPSTF guideline could lead to a binary perception of these patients. Although there is a recommended age range for colonoscopies and mammograms, cancer is largely determined by hereditary and environmental factors. However, some patients miss out on the chance to detect cancer at an early stage because their insurance does not pay for these tests when there is insufficient clinical justification for a colonoscopy or mammography. Rather than restricting the conventional colonoscopy beginning age to 45, I would want to recommend performing multiple stool tests in a month on multiple occasions, after which a colonoscopy may be performed even if the patient is under 45. Similar tactics apply to mammograms; however, rather than establishing an age range, I would advise beginning early in a woman’s 30s so that she has a baseline image to compare in subsequent years.
References
Sieggel, R., Miller, K., Sauer, A., Fedewa, S., Butterly, L., Anderson, J., Cercek, A., Smith, R., & Jemal, A. (2020). Colorectal Cancer Statistics, 2020. https://web-s-ebscohost-com.chamberlainuniversity.idm.oclc.org/ehost/pdfviewer/pdfviewer?vid=0&sid=d5c987fb-8362-4f8f-b945-29dbc522961d%40redisLinks to an external site.
United States Preventive Services Task Force. (2021). https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction#fullrecommendationstart.Links to an external site. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction#fullrecommendationstartLinks to an external site.