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Alverno College *

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Nursing

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Nov 24, 2024

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1) Overall, my impression of both of the videos, Health Wagon Internship and Escape Fire was amazing as it they both focus on opposite ends of one another. Health Wagon internship video is very heart touching video as how The Health Wagon’s mission is to provide compassionate, quality health care to the medically underserved people. Their values are inclusiveness, community outreach, collaboration, spirituality, and empowerment. I found it amazing to know that the Health Wagon provides medical services to people in need, whether they are in-line at a food back or at their job, as most of the people that it serves make less than $20,000 annually. Escape fire on the other hand, talks about the loopholes that we have in our current healthcare system. It proposes numerous options for changing the system– getting Medicare to cover healthy lifestyle counseling programs, incentivizing doctors to spend time with patients, and patients to empower their own health. I found it most interesting that the video discusses how people should spend the time to take care of each other. So many of the patients in the film look like they just need to talk to someone, and a moment where a meditation teacher takes a hand, or a doctor really listens to someone who is scared and stressed out, that’s where you can see the healing happen onscreen. I also found it shocking to know how Dr. Martin in the video is expected to deal with everything from suicidal outbursts to advanced diabetes in her patients in 10-15 minutes or less, and this is the classic example of the overloaded health care system where the amount of patients being seen is considered more important than the actual care being provided. 3) Family physicians are the first contact with health services, facilitates entry to the rest of the health system. This role comes with family physicians’ ability to recognize individual risk factors of patients and intervene, paralleled with their growing awareness of the social, environmental, and community determinants of health . Population health also includes the health status and outcomes of the larger communities in which the physician and patient belong. It is essential when caring for their patients that family physicians consider the factors beyond the walls of their practice that influence their patients’ health. The family physician must consider the social and physical environments in which their patients live and work in order to effectively improve health outcomes. 4) In my future role as a nurse practitioner, I would use the upstream approach to get to the depth of the problem to eradicate it from its roots rather than treating the problem superficially, What I mean by this is, if the patient is overweight, I would work with them to get them to be more physically active, eating healthy foods and watching their weight rather than on just putting them on weight loss medications. 5) Nurses are positioned to contribute to and lead the transformative changes that are occurring in healthcare by being a fully contributing member of the interprofessional team as we shift from episodic, provider-based, fee-for-service care to team-based, patient-centered care across the continuum that provides seamless, affordable, and

quality care. These shifts require a new or an enhanced set of knowledge, skills, and attitudes around wellness and population care with a renewed focus on patient- centered care, care coordination, data analytics, and quality improvement. With the inception of Affordable care act, nurses can manage clinics along with nurse practitioners to work in underserved communities. Advanced Practice Registered Nurses (including nurse practitioners) are permitted to practice to the full extent of their education and training, this could build the necessary workforce to satisfy the health care needs of an increasing number of people, especially those living in medically underserved regions. 6) For population strategy, I would say the local acute care facility where I shadow. Where I saw a patient who did not have insurance at a set price, I saw a patient who presented with a fracture who did not have money to pay for the services provided, so the facility worked with the patient in reducing the price as well as starting monthly payments for his visit. I would say this intervention helps not only those without insurance but those too who may not have enough funds to pay for their medical treatment. Reference: 2. https://www.indiewire.com/2012/10/review-escape-fire-paints-a-portrait-of-a-broken- system-a-hopeful-humanist-solution-105166/ 3. https://www.aafp.org/about/policies/all/integration-primary-care.html 5.. https://journals.lww.com/aenjournal/fulltext/2012/11000/affordable_care_act__implications_f or_aprns.1.aspx Ortiz, J., Hofler, R., Bushy, A., Lin, Y. L., Khanijahani, A., & Bitney, A. (2018). Impact of Nurse Practitioner Practice Regulations on Rural Population Health Outcomes. Healthcare (Basel, Switzerland) , 6 (2), 65. https://doi.org/10.3390/healthcare6020065 Salmond, S. W., & Echevarria, M. (2017). Healthcare Transformation and Changing Roles for Nursing. Orthopedic nursing , 36 (1), 12–25. https://doi.org/10.1097/NOR.0000000000000308

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