Arun Patel Hypertension and Type 2 Diabetes shadow health Subjective Data

May 30, | nursing, med, NURS, Paper

Arun Patel Hypertension and Type 2 Diabetes shadow health Subjective Data
Subjective Data Collection: 20 of 20 (100.0%)

Hover To Reveal…

Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

Found:
Indicates an item that you found.

Available:
Indicates an item that is available to be found.

Category

Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this patient.

Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.

Chief Complaint

Finding:
Established chief complaint

Finding:
Reports coming in for check-up
(Found)
Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.
Example Question:
What is your primary reason for this visit?

History of Present Illness

Finding:
Asked about relevant health conditions

Finding:
Reports hypertension
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Do you have high blood pressure?

Finding:
Reports type 2 diabetes
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Do you have diabetes?

Finding:
Reports generalized anxiety disorder
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Do you have anxiety?

Finding:
Asked about onset and duration of disorders

Finding:
Reports hypertension diagnosis 1 year ago
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When did your high blood pressure start?

Finding:
Reports diabetes diagnosis 5 years ago
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When did your diabetes start?

Finding:
Reports GAD diagnosis 13 years ago
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When did your anxiety start?

Finding:
Asked about associated symptoms

Finding:
Reports increased thirst
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Have you been thirsty?

Finding:
Reports increased urination
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Have you been urinating frequently?

Finding:
Reports weight gain of 15 pounds
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Have you had any weight changes?

Finding:
Reports fatigue and discomfort
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Have you been fatigued?

Finding:
Reports increased worry
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Have you been excessively worrying?

Finding:
Asked about onset and duration of associated symptoms

Finding:
Reports increased thirst began 1 month ago
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When did your thirst increase?

Finding:
Reports increased urination began 1 month ago
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When did you start urinating more frequently?

Finding:
Reports weight gain over the last 3 months
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
When did you gain weight?

Finding:
Reports fatigue and discomfort over the last 3 months
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
How long have you felt fatigued?

Finding:
Asked about non-medicational diabetes management

Finding:
Reports owning glucometer
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Do you have a blood sugar monitor?

Finding:
Reports checking blood sugar sporadically
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
How often do you check your blood sugar?

Finding:
Reports sporadic checking is because of disliking the glucometer’s pinch
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.
Example Question:
How often do you check your blood sugar?

Past Medical History

Finding:
Asked about allergies

Finding:
Denies known allergies
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
Do you have any allergies?

Finding:
Asked about previous hospitalizations

Finding:
Denies previous hospitalizations
(Found)
Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.
Example Question:
Have you ever been hospitalized?

Home Medications

Finding:
Asked about home medications

Finding:
Reports taking hydrochlorothiazide for hypertension
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
Do you take any medication for your high blood pressure?

Finding:
Reports taking metformin for type 2 diabetes
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
Do you take any medication for your diabetes?

Finding:
Reports taking escitalopram for anxiety
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
Do you take any medication for your anxiety?

Finding:
Denies taking vitamins and supplements
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
What vitamins and supplements do you take?

Finding:
Followed up on hydrochlorothiazide

Finding:
Reports hydrochlorothiazide tablets are each 50 milligrams
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
How much hydrochlorothiazide do you take?

Finding:
Reports taking one hydrochlorothiazide tablet a day
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
How often do you take hydrochlorothiazide?

Finding:
Reports taking hydrochlorothiazide with breakfast
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
How often do you take hydrochlorothiazide?

Finding:
Reports starting hydrochlorothiazide 1 year ago
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
When did you start taking hydrochlorothiazide?

Finding:
Reports taking last dose of hydrochlorothiazide this morning
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
When was your last dose of hydrochlorothiazide?

Finding:
Denies hydrochlorothiazide adverse effects
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
Do you experience any adverse effects from hydrochlorothiazide?

Finding:
Followed up on metformin

Finding:
Reports metformin tablets are each 850 milligrams
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
How much metformin do you take?

Finding:
Reports taking metformin tablet three times daily
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
How often do you take metformin?

Finding:
Reports taking one metformin tablet each with breakfast, lunch, and dinner
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
How often do you take metformin?

Finding:
Reports starting metformin 5 years ago
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
When did you start taking metformin?

Finding:
Reports taking last dose of metformin this morning
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
When was your last dose of metformin?

Finding:
Denies metformin adverse effects
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
Do you experience any adverse effects from metformin?

Finding:
Followed up on escitalopram

Finding:
Reports escitalopram tablets are each 20 milligrams
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
How much escitalopram do you take?

Finding:
Reports taking one escitalopram tablet a day
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
How often do you take escitalopram?

Finding:
Reports taking escitalopram with breakfast
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
How often do you take escitalopram?

Finding:
Reports began taking escitalopram 13 years ago
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
When did you start taking escitalopram?

Finding:
Reports taking last dose of escitalopram this morning
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
When did you take your last dose of escitalopram?

Finding:
Denies escitalopram adverse effects
(Available)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
Do you experience any adverse effects from escitalopram?

Finding:
Asked about medication regimen adherence

Finding:
Denies missing doses
(Found)
Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.
Example Question:
Have you missed any doses of your medication?

Social History

Finding:
Asked about activity

Finding:
Reports sedentary activity level
(Found)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.
Example Question:
Do you get any regular physical activity?

Finding:
Asked about diet

Finding:
Reports eating take-out frequently
(Found)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.
Example Question:
Do you eat take out?

Finding:
Reports enjoying comfort foods when stressed
(Found)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.
Example Question:
Do you eat comfort foods?

Finding:
Denies binge-eating but feels like he eats more than he should
(Found)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.
Example Question:
Do you overeat?

Finding:
Asked about substance use

Finding:
Denies tobacco and nicotine use
(Available)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.
Example Question:
Do you smoke cigarettes?

Finding:
Denies alcohol use
(Found)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.
Example Question:
Do you drink any alcohol?

Finding:
Asked about income level

Finding:
Reports moderate income from graduate student stipend
(Found)
Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.
Example Question:
What level of income do you make?

Family Medical History

Finding:
Asked about relevant family history

Finding:
Reports mother diagnosed with high cholesterol and diabetes
(Found)
Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.
Example Question:
Does your mother have health problems?

Finding:
Reports father diagnosed with hypertension
(Found)
Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.
Example Question:
Does your father have health problems?

Review of Systems

Finding:
Asked about review of systems for genitourinary

Finding:
Denies difficulty urinating
(Found)
Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.
Example Question:
Have you had any difficulty urinating?

Finding:
Denies pain during urination
(Available)
Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.
Example Question:
Have you had any pain during urination?

Finding:
Denies changes in urine characteristics
(Available)
Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.
Example Question:
Have you had any changes in your urine?

Finding:
Asked about review of systems for cardiovascular

Finding:
Denies palpitations
(Available)
Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.
Example Question:
Have you had palpitations?

Finding:
Denies chest pain
(Found)
Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.
Example Question:
Have you had chest pain?

Finding:
Denies history of blood clots
(Available)
Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.
Example Question:
Have you had blood clots?

Finding:
Denies claudication

Assessing a Healthcare Program Essay

May 30, | nursing, med, NURS, Paper

Assessing a Healthcare Program Essay
Healthcare Program/Policy Evaluation Analysis
Health programs help improve engagement and empower people to adopt quality behaviors to enhance individual and communal welfare. It targets behaviors that reduce wellness, but which can be modified through education and mentorships. Health programs reduce disease incidence, and therefore, healthcare costs. Sexual and reproductive health continues to draw the attention of medical practitioners because of the negative effects they introduce across populations. The purpose of this health program is to educate and empower young and older adults into making quality decisions that will promote their sexual and reproductive health Assessing a Healthcare Program Essay.

Healthcare Program/Policy Evaluation
 
Planned Parenthood

Description
Planned Parenthood program intends to educate young and old people men and women on sexual and reproductive health. Topics that will be handled in the program are family planning, contraception, abstinence, sexual orientation, safe sex, family life, parent-child communication, sexuality, teenage pregnancy, and women’s health education (Primrose, 2012).

How was the success of the program or policy measured?
The program’s success was measured using the following indicators

The ability of team members to provide high-quality, non-judgmental, and affordable care to all clients.
Ability to provide facts-based and dependable health information
Reduction in barriers that limited people’s access to quality reproductive and sexual health education.
Increased number of people who enrolled for reproductive and sexual health care education.

How many people were reached by the program or policy selected? How much of an impact was realized with the program or policy selected?
 
 
The program reached 125,000 people living within and outside the country.
This program’s impacts include engagement in responsible sexual behaviors, reduced premarital sex, reduced cases of teen pregnancies and STIs, improved communication between families, improved women’s health, and better familial relationships.
 

What data was used to conduct the program or policy evaluation?
 
 
The program team used the following data to evaluate the program’s success: the number of people educated on sexual and reproductive health, percentage of teens engaging in risky sexual behaviors, the number of teen pregnancies, number of couples who benefited from the family programs, women who accessed contraception and other health services, and participant attitudes towards the experts and quality of services offered. Data on the program’s sustainability (in terms of costs) and effectiveness of the outcomes was also used in the evaluations.

What specific information on unintended consequences were identified?
 
 Implementing the program might have increased the percentage of people seeking abortion services.
Cases of individuals using emergency contraceptives (morning-after pills) increased as more people tried to reduce the chances of getting pregnant after having unprotected sex

What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
 
 
The stakeholders in the program are the patients, medical service providers (doctors and nurses), youth leaders, public health experts, and local advocates (Harris, 2016).
Members of the community are the program’s biggest beneficiaries since it was introduced and designed purposefully to cater to their needs (Harris, 2016).
 
 
 

Did the program or policy meet the original intent and objectives? Why or why not?
The program met its objectives. However, it can still be modified to yield better results in the future. It was able to improve the health status of vulnerable communities and young people. The number of people who received an education, and therefore, became more conversant with sexual and reproductive health increased. More people could access information on family planning, comprehensive sexuality education, child protection education, HIV/AIDS and other STIs, safe and unsafe abortion, and stigma reduction.
Young people were empowered to make quality decisions regarding their sexual health. The abstinence and comprehensive sexual education programs yielded desirable outcomes. These were evidenced with the following results.

The percentage of teens who admitted to engaging in risk-taking behaviors after exposure to the training was reduced.
Teen pregnancies reduced as young people took precautions and protected themselves. However, these changes were slightly low.
More young people admitted to learning and understanding the value of abstinence, although a few found it very difficult to stop such behaviors. Specifically, they became conversant with the social, psychological, and physical impacts of premarital and unprotected sexual activities Assessing a Healthcare Program Essay.
Young people who took advantage of the program and its services were willing to seek treatment according to specialist recommendations. They pledged to share the information acquired from the education program with other people to improve the communities’ overall health.

The adults who participated in the program enrolled in multiple educational services.
The number of women who accessed contraceptives changed.
Most married couples enrolled in family programs. A good percentage reported having better conversations with their loved ones leading to improved sexual health and other forms of relationships.
The program implementers built networks of technical experts who delivered the services promised to stakeholders.
The program implementers partnered with other community-based organizations to make the services affordable and accessible to everyone irrespective of their backgrounds.
The program implementers hired professionals with high levels of knowledge, expertise, and good personal skills to formulate quality interpersonal relationships. These people delivered the services genuinely, honestly, and with excellent efficiency. They were also committed to the provision of quality services.

Would you recommend implementing this program or policy in your place of work? Why or why not?
 I would recommend the program in my workplace because the facility handles clients with diverse needs. The program will help young people who want to learn about their sexual health. It is also valuable for pregnant women and women in general. Families experiencing relationship challenges can also benefit from the program’s educational content.
The organization can introduce the program as part of its diversification plan. More people accessing these healthcare services leads to improved community wellbeing.

Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after one year of implementation.
Nurse advocates can champion for better services and solve persistent problems by testifying issues they observed during the program implementation process, but which limited the program’s success. These testimonies will help decision-makers make sense of the statistics and other outcomes and emphasize critical areas that need to be empowered.
Nurse advocates can also provide recommendations on how the program should be improved (Lewinski & Simmons, 2018).  For example, their contributions will help the implementation team allocate existing resources to encourage better decisions and help resolve the current problems.

General Notes/Comments
The planned parenthood program was successful because of good planning and adoption of effective management strategies.

 
Conclusion
The program was able to achieve its purpose since it empowered the target population to make better decisions. More people became conversant with sexual and reproductive health. Improved choices led to behaviors that enhanced the health status of those who participated in the program. Some of the program’s benefits include reduced risk-taking behaviors and teen pregnancies, the increased value of abstinence, and a higher number of people receiving appropriate treatment. Those who enrolled in family programs reported positive outcomes too. The program’s improvement will lead to better results in the future.
References
Lewinski, A. A., & Simmons, L. A. (2018). Nurse knowledge and engagement in health policy making: Findings from a pilot study. The Journal of Continuing Education in Nursing, 49(9), 407-415.
Primrose, S. (2012). The attack on planned parenthood: A historical analysis. UCLA Women’s LJ, 19, 165.
Harris, M. J. (2016). Evaluating public and community health programs. Hoboken: John Wiley & Sons Assessing a Healthcare Program Essay.
Assignment: Assessing a Healthcare Program/Policy Evaluation
Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.
To Prepare:

Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
Select an existing healthcare program or policy evaluation or choose one of interest to you.
Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described Assessing a Healthcare Program Essay.

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The Assignment: (2–3 pages)
Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

Describe the healthcare program or policy outcomes.
How was the success of the program or policy measured?
How many people were reached by the program or policy selected?
How much of an impact was realized with the program or policy selected?
At what point in program implementation was the program or policy evaluation conducted?
What data was used to conduct the program or policy evaluation?
What specific information on unintended consequences was identified?
What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
Did the program or policy meet the original intent and objectives? Why or why not?
Would you recommend implementing this program or policy in your place of work? Why or why not?
Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation Assessing a Healthcare Program Essay.

NURS_6050_Module05_Week10_Assignment_Rubric

Excellent
Good
Fair
Poor

Program/Policy Evaluation
Based on the program or policy evaluation you seelcted, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:
·   Describe the healthcare program or policy outcomes.

·   How was the success of the program or policy measured?

·   How many people were reached by the program or policy selected? How much of an impact was realized with the program or policy selected?

·   At what point in time in program implementation was the program or policy evaluation conducted?

32 (32%) – 35 (35%)

Response clearly and accurately describes in detail the healthcare program or policy outcomes.
Response accurately and thoroughly explains in detail how the success of the program or policy was measured.
Response clearly and accurately describes in detail how many people were reached by the program or policy and fully describes the impact of the program or policy.
Response clearly and accurately indicates the point at which time the program or policy evaluation was conducted.

28 (28%) – 31 (31%)

Response accurately describes the healthcare program or policy outcomes.
Response accurately explains how the success of the program or policy was measured.
Response accurately describes how many people were reached by the program or policy and accurately describes the impact of the program or policy.
Response accurately indicates the point at which time the program or policy evaluation was conducted.

25 (25%) – 27 (27%)

Description of the healthcare program or policy outcomes is inaccurate or incomplete.
Explanation of how the success of the program or policy was measured is inaccurate or incomplete.
Description of how many people were reached by the program or policy and the impact is vague or inaccurate.
Response vaguely describes the point at which the program or policy evaluation was conducted.

0 (0%) – 24 (24%)

Description of the healthcare program or policy outcomes is inaccurate and incomplete, or is missing.
Explanation of how the success of the program or policy was measured is inaccurate and incomplete, or is missing.
Description of how many people were reached by the program or policy and the associated impacts is vague and inaccurate, or is missing.
Response of the point at which time the program or policy was conducted is missing.

Reporting of Program/Policy Evaluations
·   What data was used to conduct the program or policy evaluation?

·   What specific information on unintended consequences was identified?

·   What stakeholders were identified in the evaluation of the program or policy? Who would benefit the most from the results and reporting of the program or policy evaluation? Be specific and provide examples.

·   Did the program or policy meet the original intent and objectives? Why or why not?

·   Would you recommend implementing this program or policy in your place of work? Why or why not?

·   Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

45 (45%) – 50 (50%)

Response clearly and accurately identifies the data used to conduct the program or policy evaluation Assessing a Healthcare Program Essay.
Response clearly and thoroughly explains in detail specific information on outcomes and unintended consequences identified through the program or policy evaluation.
Response clearly and accurately explains in detail the stakeholders involved in the program or policy evaluation.
Response clearly and accurately explains in detail who would benefit most from the results and reporting of the program or policy evaluation.
Response includes a thorough and accurate explanation of whether the program met the original intent and outcomes, including an accurate and detailed explanation of the reasons supporting why or why not.
Response includes a thorough and accurate explanation of whether the program should be implemented, including an accurate and detailed explanation of the reasons supporting why or why not.

40 (40%) – 44 (44%)

Response accurately identifies the data used to conduct the program or policy evaluation.
Response explains in detail specific information on outcomes and unintended consequences identified through the program or policy evaluation.
Response explains in detail the stakeholders involved in the program or policy evaluation.
Response explains who would benefit most from the results and reporting of the program or policy evaluation.
Response includes an accurate explanation of whether the program met the original intent and outcomes, including an accurate explanation of the reasons supporting why or why not.
Response includes an accurate explanation of whether the program should be implemented, including an accurate explanation of the reasons supporting why or why not.

35 (35%) – 39 (39%)

Response vaguely or inaccurately identifies the data used to conduct the program or policy evaluation.
Explanation of specific information on outcomes and unintended consequences identified through the program or policy evaluation is vague or incomplete.
Explanation of the stakeholders involved in the program or policy evaluation is vague or inaccurate.
Explanation of who would benefit most from the results and reporting of the program or policy evaluation is vague or inaccurate.
Explanation of whether the program/policy met the original intent and outcomes and the reasons why or why not is incomplete or inaccurate.
Explanation of whether the program or policy should be implemented, and the reasons why or why not, is incomplete or inaccurate.

0 (0%) – 34 (34%)

Identification of the data used to conduct the program or policy evaluation is vague and inaccurate, or is missing.
Explanation of specific information on outcomes and unitended consequences identified through the program or policy evaluation is vague and incomplete, or is missing.
Explanation of the stakeholders involved in the program or policy evaluation is vague and inaccurate, or is missing.
Explanation of who would benefit most from the results and reporting of the program or policy evaluation is vague and inaccurate, or is missing.
Explanation of whether the program or policy met the original intent and outcomes and the reasons why or why not is incomplete and inaccurate, or is missing.
Explanation of whether the program or policy should be implemented, and the reasons why or why not, is incomplete and inaccurate, or is missing.

Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.

5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive Assessing a Healthcare Program Essay.

3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
Purpose, introduction, and conclusion of the assignment is vague or off topic.

0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors. 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors. 0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 (5%) – 5 (5%)

Uses correct APA format with no errors.

4 (4%) – 4 (4%)

Contains a few (1-2) APA format errors.

3.5 (3.5%) – 3.5 (3.5%)

Contains several (3-4) APA format errors.

0 (0%) – 3 (3%)

Contains many (≥ 5) APA format errors.

Total Points: 100

Name: NURS_6050_Module05_Week10_Assignment_Rubric
Assessing a Healthcare Program Essay