Here is the outline for my presentation: I have attached my public issue problem which is Access to healthcare for elderly and also 4 levels of educated citizen that you can use.
SS 465: Capstone
Capstone presentation Outline
I. Introduction
a. Hi, my name is…. The public health issue I will be discussing today is Access to Healthcare for the Elderly.
i. Teen pregnancy can cause many health disparities. Health disparities are preventable differences in the burden of disease such as injury, violence or barriers that are experienced with social disadvantaged populations.
ii. Teen pregnancy is defined as a pregnancy to an adolescent young woman of the ages 15-19 years.
II. Brief information on your public issue
a. My WHY: I chose to conduct research and health disparities teen mothers experience. Working as a medical assistant in an OBGYN clinic I encountered this population of patients on a regular basis. My passion is working with pregnant women and prompted me to look further into the public health issue.
b. According to the CDC, in 2017, a total of 194,377 babies were born to teen mothers.
c. Teen pregnancy and birth are significant contributors to teen mothers dropping out of high school. Only about 50% of teen mothers will receive their high school diploma by the age of 22.
d. Socioeconomic disparities
-Low education level
-Low income
-High unemployment rate
e. Teen pregnancy increases the risk of health conditions directly affecting young women and their fetus negatively and can lead to mortality.
f. Health conditions include anemia, gestational hypertension, low infant birth weight, poor infant feeding or breathing difficulties and sudden infant death syndrome (SIDS). Lack of prenatal care has been found to be the direct link to these health conditions.
g. Higher rates of mental illness have been found in relation to teen pregnancy and include depression, postpartum depression and suicidal ideation.
III. Educated Citizen
a. Effective Communicator
i. Experience 1
1. What happened? A patient came into labor as a teen mother. She had experienced abuse, was pregnant with an unwanted pregnancy, and did not speak English. Her support system was a foster family she had been residing with for a short while. One must be culturally competent in caring for patients with other cultural practices. Verbal communication was a barrier in addition to gaining the patients trust in an unfamiliar setting and people.
2. What I learned? Effective communication comes in other forms of communication not just verbal. Holding the patient’s hand throughout her labor was an effective communication method to ensure the patient was physically, mentally and emotionally supported.
3. My tie back: It will be important as a future nurse to communicate to patients in culturally sensitive ways and ask questions to understand, use a variety of verbal and non-verbal communication styles and be present and supportive as patients work through teen pregnancy, which can be difficult for anyone, but especially for patients from minority populations.
ii. Effective Communicator 2
1. What happened? While visiting a middle school in Fremont, NE, my fellow classmates and I were assigned a significant population-based project. We were able to pick the content of our project and chose to design a project significant to the teen population and vaping. Vaping has become a national public health issue with the rise in deaths that are being seen across the world. With the content of our project and the importance of educating high school students, my fellow classmates and I had the opportunity to meet with the students during their lunch hour to provide them with information regarding the issue. When addressing students about the issue some were very receptive to the importance of the topic and some laughed as if the topic was a joke.
2. What I learned? To be an effective communicator one must adapt to the different settings that may arise especially in all health care settings. This specific encounter taught me to become an effective communicator in the community one must adapt to the different cultures, languages, age groups and genders to ensure successful care for those who differ from us.
3. Tie back: This experience will help me address my public issue of teen pregnancy by understand that apprehension to discuss the issue may arise. Being an effective communicator means being able to practice in unfamiliar settings and adapting with a positive attitude, using my voice tone to communicate empathy, my actions to be present and my wording
b. Reflective Individual r/t public issue
i. Experience 1
1. What happened? The first course of my junior year, I struggled significantly following the third test in NRS 340. I failed the first of two tests I had studied so hard for. I had the feeling of defeat in my first semester of nursing classes due to extreme anxiety. From that semester on I put a lot of pressure on myself to succeed and be perfect.
2. What I learned? I learned that it is okay to fail. I also, learned that I do not have to be perfect or fit into the criteria of what I think or anyone else thinks I need to be. I am just trying to be the best person and future nurse I can be, and my best is the best I can give whether I come out on top or not.
3. Tie back: This experience will help me address my public health issue of teen pregnancy by prompting the conversation of mental well-being through the rollercoaster of emotions women experience during pregnancy. As a role model to these young women it would be important to educate on how to cope with the feelings that arise. Educate the young ladies on healthy and unhealthy coping mechanisms, also on when to seek help.
ii. Experience 2
1. What happened? The semester did not start off the greatest. Reflecting back to my first exam in NRS 240, it became a great learning experience to change my way of thinking. I expected to do much better than I did. Afterall, I have many years of experience. I did not realize how much more I needed to learn in addition to what I already knew coming in.
2. What I learned? I learned that nursing school or courses is of nothing any of us as students can expect. As a reflective individual it is important to reflect on my successes and failures in order to become a better caregiver to all. During the course of the class I was constantly looking for ways to improve the way I was learning and interpreting new information.
3. This experience will help me address my public issue of teen pregnancy by building a trusting relationship with every patient to ensure they feel comfortable asking questions about pregnancy or birth control. I think teens feel misunderstood therefore, building the relationship over time and acknowledging their natural being of curiosity is normal and can be discussed openly will impact the change to prevent teen pregnancy.
c. Change Agent
i. Experience 1
1. What happened? An experience I had where I demonstrated characteristics of one who is a change agent, was at my previous employment as a medical assistant. Starting a new job can cause anxiety and fear. There is fear of the unknown, wondering if you will fit in being the new person, or doubting your abilities to adapt to change. On multiple occasions, it was brought to the attention of my supervisor, how new nursing staff were not being treated very kindly during their training by other coworkers. I wanted to help and make every new person felt comfortable in a new place. After a couple years, I was promoted to lead medical assistant with the duty to train all new nursing staff.
2. What I learned? I learned a change agent is one who uses the disciplines of the liberal arts and sciences to analyze historical and contemporary situations and systems, to develop cultural competence, and to take appropriate initiative to effect change. I was able to implement change and retain nursing staff with my ambition to improve the quality of treatment new nursing staff received with my one on one training.
3. To address the public health issue of teen pregnancy the characteristics of a change agent are those of one who becomes culturally competent to address change. Too promote change to the teen population a nurse may educate teens about resources available such as Women, Infant and Children (WIC), Children’s Health Insurance Program (CHIP), Supplemental Nutritional Assistance Program (SNAP) and Medicaid.
ii. Experience 2
1. What happened? A specific experience with a gentleman who I helped care for during this clinical experience made a significant impact to changing the client’s perception of his health and decision to seek professional medical care for his condition. The client was homeless with foot and leg wounds from frost bite after sleeping outside during the winter.
2. What I learned? The important lesson I learned in becoming a change agent is no matter how big or small of an impact you make on someone, the importance is that an impact was made. A change agent is one who impacts a change.
3. This experience will help me address my public health issue of teen pregnancy by maintaining the skills of a change agent to impact teen pregnancy prevention by providing education to this population. Also, being able to provide them with pertinent information of their rights and responsibilities. Ultimately, if the teen feels supported, they are more likely to seek answers to questions.
Conclusion
As a student at Nebraska Methodist College, I have grown in many ways, but in particular, my ability to effectively communicate, reflect and be an agent of change in the healthcare profession. I want to thank all of my instructors, classmates and the entire NMC community for fostering my development as an educated citizen and a well prepared nurse.
References
• About Teen Pregnancy. (2019, March 01). Retrieved from https://www.cdc.gov/teenpregnancy/about/index.htm
• Basch, C. (2011, September 16). Teen Pregnancy and the Achievement Gap Among Urban Minority Youth. Retrieved July 02, 2020, from https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1746-1561.2011.00635.x
• Enroll in Medicaid or CHIP any time of year. (n.d.). Retrieved June 24, 2020, from https://www.healthcare.gov/medicaid-chip/
• Is Abortion Legal in Nebraska? – Assure Women’s Center – Omaha, NE. (2019, August 01). Retrieved June 24, 2020, from https://assureomaha.com/abortion-and-nebraska-what-the-law-says
• Kelbach, J. (n.d.). 17 Solid Resources for Pregnant Teens. Retrieved from https://pregnancy.lovetoknow.com/wiki/Resources_for_Pregnant_Teens
• Nall, R. (2020, January 06). Effects of Teenage Pregnancy: Mental Health. Retrieved from https://www.healthline.com/health/pregnancy/teenage-pregnancy-effects
• WIC Frequently Asked Questions (FAQs). (2019, July 1). Retrieved June 24, 2020, from https://www.fns.usda.gov/wic/frequently-asked-questions-about-wic
