discussion rosewood – www.savvyessaywriters.net

Assuming Rosewood decides to go ahead with the corporate brand strategy, recommend some initiatives aimed at: (a) building consumer awareness perception of the Rosewood Brand (b) improving booking including cross-property stays and (c) ensuring service quality across properties. (max 250 words single space)

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Explain how personal affiliations and networking are important for nursing leaders. Why are these important? How will they benefit you in your career future? – Savvy Essay Writers | savvyessaywriters.net

Explain how personal affiliations and networking are important for nursing leaders. Why are these important? How will they benefit you in your career future? – Savvy Essay Writers | savvyessaywriters.net

Explain how personal affiliations and networking are important for nursing leaders. Why are these important? How will they benefit you in your career future?

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Rural and Migrant Health

Week 8 lecture and discussion questions

Population Affected by Disabilities.

Rural and Migrant Health

Review the attached PowerPoint presentations. Once done, answer the following questions.

Mention and discuss the differentiation between the medical model and social construct definitions of disability.
Identify and discuss selected health care and social issues that influence the ability of people with disabilities to live and thrive in the community.
Mention and discuss the characteristics of rural community health nursing practice.
Mention and describe the features of the health care system and population characteristics common to rural aggregates.
As stated in the syllabus present your assignment in an APA format word document, APA required A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years must be used.

A minimum of 800 words is required and not exceeding 1,000 words (excluding the first and reference page). Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

Chapter 23

Rural and Migrant Health

Rural Populations

The largest rural population in history of United States is now.

75% of counties are classified as rural; they contain only 20% of the U.S. population

Number/size of rural counties are highest …

in the South (35%)

in the Midwest and West (23%)

in the Northeast (19%)

Census data

20% of nation’s children under 18

15% of nation’s elderly

More than 50% of nation’s poor

2

Rural Populations (Cont.)

Economic base is shifting

Agriculture is the “food and fiber system”

All aspects of agriculture (core materials to wholesale and retail and food service sectors) are included

Poverty in rural areas greater than in urban areas

3

Rural Populations (Cont.)

Poverty continues to be greater in rural America than in urban areas.

Aging-in-place, out-migration of young adults, and immigration of older persons from metro areas.

Greater diversity among residents: a country of immigrants historically and today.

Health disparities exist—rural population more likely to be older, less educated, live in poverty, lack health insurance, and experience a lack of available health care providers and access to health care

4

Health Disparities Among Rural Americans

Only 10% of U.S. physicians practice in rural areas

Ratio of physicians in rural population is 36:100,000 (nearly double in urban settings)

More often assess their health as fair or poor

More disability days resulting from acute conditions

More negative health behaviors (untreated mental illness, obesity, alcohol, tobacco, and drug use) that contribute to excess deaths and chronic disease and disability rates

Higher number of unintentional injuries

5

Defining Rural Populations

Population size

Rural = towns with population of less than 2500 or in open country [farm/nonfarm]

Density

Rural = fewer than 45 persons per square mile

Frontier = less than 6 people per square mile

6

Defining Rural Populations (Cont.)

The Rural-Urban Continuum uses population and adjacency to metropolitan areas

Core Based Statistical Areas (CBSAs)

Metropolitan areas = county with at least one urbanized area of 50,000 or more people

Micropolitan area = area contains a cluster of 10,000 to 50,000 persons

Outside CBSAs = noncare areas

7

Describing Rural Health and Populations

Differ in complex geographical, social, and economic areas

Disparities include key indicators of health:

Employment

Income

Education

Health insurance

Mortality

Morbidity

Access to care

8

Rural Health Disparities: Context and Composition

Context: characteristics of places of residence

Geography, environment, political, social, and economic institutions

Composition: collective health effects that result from a concentration of persons with certain characteristics

Age, education, income, ethnicity, and health behaviors

– Braveman (2010)

9

Context: Health Disparities Related to Place

A downward spiral may exist:

people leave  services are lost  tax base becomes insufficient  fewer services are provided  long distances to get health care  jobs become scarce and more people leave  the cycle continues

10

Context: Health Disparities Related to Place (Cont.)

Access to health care (#1 priority)

Fewer primary care physicians

General health services lacking

Health insurance coverage …

Varies according to race and ethnicity; age and residence (rural or urban)

Influences health patterns

May create financial barriers to health care

11

Composition: Health Disparities Related to Persons

Income and Poverty

One of the most important indicators of the health and well-being of all Americans, regardless of where they live.

Regional differences—highest in the South

Racial and ethnic minorities—rates among rural racial minorities two to three times higher than for rural whites

Family composition—female-headed families have highest rates

Children—among the poorest citizens in rural America

12

Composition: Health Disparities Related to Persons (Cont.)

Health risk, injury, and death

Higher rates of obesity, smoking, sedentary lifestyles, alcohol use, firearms usage, suicide, vehicular accidents; lower rates of seat belt use

Risk factors

Age, education, gender, race, ethnicity, language, and culture

Education and employment

Occupational health risks

Perceptions of health (gender, race, ethnicity)

13

Agricultural Workers

Accidents and injuries caused by:

Environmental conditions

Geographic isolation and working alone

Use of agricultural machinery

Delayed access to emergency or trauma care

Acute and chronic illnesses:

Musculoskeletal discomfort, acute and chronic respiratory conditions, hearing loss, hypertension

Chemical exposure (pesticides, herbicides, etc.)

Secondary conditions related to demanding farm work

14

Migrant and Seasonal Farm Workers (MSFW)

Health Disparities

Poorest health and the least access

Low income and migratory status

Cultural, linguistic, economic, and mobility barriers

Minimal or no preventive care

Mobile clinic sites form a central link to health services

Migrant Health Program (MHP) bases services on enumeration of MSFW

Migrant and Seasonal Farm Worker Enumeration Profile Study (MSFWEPS) (2000)

15

“Thinking Upstream” Concepts applied to Rural Health

Attack community-based problems at their roots

Emphasize the “doing” aspects of health

Maximize the use of informal networks

16

Rural Health Care Delivery System

Health care provider shortages

Rural shortages likely to become worse

Need to “grow their own”

Telemedicine

Cost-effective alternative to face-to-face care

Telehealth includes telephones, fax machines, email, and remote monitoring

Telemedicine permits two-way, real-time, interactive communication between patient and provider

17

Rural Health Care Delivery System (Cont.)

Managed care in the rural environment

Possible benefits:

Potential to lower primary care costs

Improve the quality of care

Help stabilize the local rural health care system

Risks

Probable high start-up and administrative costs

Volatile effect of large, urban-based, for-profit managed care companies

18

Community-Based Care

A myriad of services provided outside the walls of an institution

Home health and hospice care, occupation health programs, community mental health programs, ambulatory care services, school health programs, faith-based care, elder services (adult day care)

Community participation in decisions about health care services

Focus on all three levels of prevention

An understanding that the hospital is no longer the exclusive health care provider

19

Home Care and Hospice

Nurse case management and development of local resources

Often hospital based in rural areas

Use county extension services as a bridge for outreach services

Improve home care for these patients and provide support for their families

A partnership between the public health nurse and county extension service could provide support, as well as information groups and caregiving classes, for the important informal provider network.

20

Faith Communities and Parish Nursing

A strong sense of community, family life, and religious faith

Integrating nursing expertise and…

Java Hw help

#JAVA

1. Use a two-dimensional array to solve the following problem: A company has four salespeople (1 to 4) who sell five different products (1 to 5). Once a day, each salesperson passes in a slip for each type of product sold. Each slip contains the following:

a) The salesperson number

b) The product number

c) The total dollar value of that product sold that day

Thus, each salesperson passes in between 0 and 5 sales slips per day. Assume that the information from all the slips for last month is available. Write an application that will read all this information for last month’s sales and summarize the total sales by salesperson and by product. All totals should be stored in the two-dimensional array sales. After processing all the information for last month, display the results in tabular format, with each column representing a salesperson and each row representing a particular product. Cross-total each row to get the total sales of each product for last month.

Cross-total each column to get the total sales by salesperson for last month. Your output should include these cross-totals to the right of the totaled rows and to the bottom of the totaled columns.

Test your answer using:

{

{1, 4, 20},

{1, 5, 30},

{2, 5, 25},

{3, 3, 50},

{4, 2, 80},

{1, 4, 30},

{2, 3, 25},

{3, 4, 20},

{4, 3, 45},

{1, 1, 10},

}

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background-color: #4CAF50;
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padding: 10px 20px;
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Explain how personal affiliations and networking are important for nursing leaders. Why are these important? How will they benefit you in your career future?

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“Get 15% discount on your first 3 orders with us” Use the following coupon FIRST15

“Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!
Use Discount Code “Newclient”for a 15% Discount!”

“Get 15% discount on your first 3 orders with us”
Use the following coupon
FIRST15