Enhancing Healthcare Policies for Homeless Patient Care

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Chamberlain College of Nursing *

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Nursing

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Nov 24, 2024

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1 Script Managing Healthcare through Policies from the lens of National Alliance to End Homelessness Name Institution Course Professor Date

2 Script Managing Healthcare through Policies from the lens of National Alliance to End Homelessness Opening Scene: Focus is on patients who are homeless and their position in care coordination. Speaker {Nurse}: Thank you very much for having me in this session. I am glad you took the time to ensure you attended the session to understand collaborative strategies associated with achieving desired health outcomes, especially for homeless patients. I believe that, despite the complexities associated with our healthcare sector, we should always look at how medical practitioners are positioned in ensuring vulnerable societal members receive appropriate care coordination concerning their health preferences. In today’s healthcare sector, we need to focus on areas such as ethical decision-making, assessment of partnerships and collaborations, the influence of change management, implications of policies, and the vital role of nurses in facilitating patient-centered care founded on high-quality outcomes, especially among homeless patients. First Slide: Implementation of Partnerships for positive Patient among Homeless People Speaker: Achieving optimal health results demand collaboration between different stakeholders in the healthcare environment. The above means effective and transparent communication between healthcare professionals, homeless patients, and their available families should be effective and transparent. In this case, Yelton et al. (2022) argues that considering capacity creation and education relating to medication administration and cultural strategies is important. An example may include tailoring medication education to improve the literacy levels of patients on how they should use medication. The same may apply to the patients aligning their drug use with their cultural beliefs to enable them to know how to comply with their drugs despite taboos relating to them.

3 Second Slide: Supporting Evidence related to the Study Speaker: The nursing professional Code of Ethics shapes the care coordination and continuum regarding the need to demonstrate culturally tailored education to patients. The main reason is its comprehensiveness in ensuring patients' health and well-being are always promoted. The nursing Code of Ethics is crucial for the healthcare sector, especially in managing issues affecting vulnerable populations such as homeless people in the United States. Therefore, it is tailored to ensure that it specifically benefits the vulnerable. In connection to homeless patients, nurses ensure medication adherence to patients administered in the hospital for complex conditions such as heart failure. Patients with complex conditions require significant assistance, considering that they may find themselves in positions exposing them to the dangers of losing their lives in severe levels of their conditions. In this case, emergency treatment focused on their health preferences is important. In connection with the above, the key principle is to embed patient-centered care into people's health, such as people experiencing homelessness (Yelton et al., 2022). The Code guides nurses to focus on the well-being of patients at all times. Slide 3: Focusing on Change Management in Patient Care associated with the Homeless Speaker: Change management has a direct influence on the experiences affecting the health and well-being of patients. Therefore, it is essential to establish clear communication with them to understand their position in receiving the required assistance. Patients have to be involved in decisions focused on ensuring effective decision-making. They have to make significant decisions in matters surrounding their well-being. Clear communications mean they should participate in sessions that allow them to become free and independent in choosing the intervention type required to ensure positive health and well-being. The above is essential since it addresses concerns about providing patient-centered care. In the case of problems associated

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4 with a transient environment, creating flexibility in a policy such as HIPAA makes it possible to collect and maintain the correct data to initiate quality care among patients who are homeless. Insurance Portability and Accountability Act (HIPAA) f ocuses on vulnerable populations, such as people experiencing homelessness, in care coordination. It safeguards patient privacy even when it challenges care coordination (Sorathia, 2022). The lack of a permanent address among people experiencing homelessness makes communicating their health information problematic. Their reliance on public spaces and shelters makes it challenging to maintain their confidentiality. Assessing the application of the policies creates an opportunity to overcome resistance to change. The above is instrumental in ensuring patients can participate in their self- management initiatives. This is one way to empower them to actively participate in their care while focusing on their needs and preferences. Fourth Slide focusing on Coordinated Care Plans Ethical Decision-Making Speaker: The nursing professional Code of Ethics shapes the care coordination and continuum. The main reason is its comprehensiveness in ensuring patients' health and well-being are always promoted. The nursing Code of Ethics is crucial for the healthcare sector, especially in managing issues affecting vulnerable populations such as homeless people in the United States. Therefore, it is tailored to ensure that it explicitly benefits the vulnerable. These include people who experience health disparities, mainly associated with healthcare service access. In connection with the above, the fundamental principle is to embed patient-centered care into people's health, such as people experiencing homelessness (Yelton et al., 2022). The Code guides nurses to focus on the well-being of patients at all times. Healthy People 2030 focuses on ensuring the Code appropriately manages the health of the homeless and vulnerable. This is done through emphasis on respect, advocacy, and cultural competencies. There is a recognition of socioeconomic status,

5 housing status, and education to ensure nurses develop the best plans for these factors (Yelton et al., 2022). The Code also fosters collaboration to ensure adequate care coordination. It provides community resources and promotes holistic healthcare provision. While focusing on this, ethical decision-making is essential in ensuring patients make their decisions. Coordinated care plans should prioritize patient autonomy. It also evaluates the patient's well-being in promoting equitable care. The design of the plans is founded on the benefits of decisions by patients while respecting values and preferences. The above eliminates stress in healthcare decision-making, especially concerning patient-centered care. Fifth Slide: Policy Implications on Homeless Patient Care Speaker: Policies play a crucial role in determining the health and well-being of patients, especially among vulnerable communities such as the homeless people in the United States. An example may comprise the Affordable Care Act. The policy expanded access to people experiencing homelessness among many other Americans. It also improved healthcare by allocating Medicaid expansion to many states. In this case, more homeless people have had access to quality healthcare services (Behr et al., 2022). Therefore, it is evident that it improves healthcare access for homeless people to receive preventive care. Regarding the McKinney-Vento Homeless Assistance Act, it is crucial to note that it funds shelter and other supportive services involving people experiencing homelessness. It has also ensured that students have equality in educational services by creating opportunities focused on accessing education. It also shelters homeless students, enrolment in schools, and social services. Students have access to healthcare services through the policy. The policies are important, considering they ensure comprehensive care relating to positive health and well-being while focusing on inclusivity when influencing access to healthcare.

6 Sixth Slide: Homeless Care and Nurse’s Vital Role Speaker: The nurse's role is vital in ensuring a successful continuum of care, especially for homeless patients. The main reason is that nurses advocate for equitable policies. They play a vital role in bridging gaps associated with patients’ care (Karim et al., 2022). Therefore, enabling patients to have a voice on issues surrounding their health and well-being is crucial. In these cases, nurses should be committed to promoting patient-centered care with a holistic background to improve the well-being and health of the patients they meet and care about within their practice. Seventh Slide: Conclusion Speaker: As I conclude, I am thankful for your participation and hope you remain committed to ensuring patient-centered care becomes the foundation of your practice. I am happy to have presented the need to ensure homeless patient care coordination is founded on effective change management initiatives, enhancement of ethical decision-making, and collaboration, among other approaches.

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7 References Behr, C. L., Hull, P., Hsu, J., Newhouse, J. P., & Fung, V. (2022). Geographic access to federally qualified health centers before and after the affordable care act. BMC Health Services Research, 22 (1), 385. http://dx.doi.org/10.1186/s12913-022-07685-0. Karim, M. A., Kum, H. C., & Schmit, C. D. (2022). A study of publicly available resources addressing legal data-sharing barriers: Systematic assessment . Journal of Medical Internet Research, 24 (9), e39333. https://doi.org/10.2196%2F39333. Sorathia, R. (2022). The Lasting Impact of Deinstitutionalization: Policing and the Mental Health Crisis. Themis: Research Journal of Justice Studies and Forensic Science , 10 (1), 4. Yelton, B., Friedman, D. B., Noblet, S., Lohman, M. C., Arent, M. A., Macauda, M. M., ... & Leith, K. H. (2022). Social determinants of health and depression among African American adults: a scoping review of current research. International journal of environmental research and public health, 19 (3), 1498. https://doi.org/10.3390%2Fijerph19031498.

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