NURS 6050 Week 8 Discussion - Sample Essay

NURS 6050 Week 8 Discussion – Sample Essay

Initial post question

In considering the needs of those military members and their families after returning from combat it is easy to determine the obvious. The impact of injuries, whether physical or not, has a potential for a far more negative outcome than what seems at first glance. Two of the most obvious injuries often seen with returning Veterans are Post Traumatic Stress Disorder, and musculoskeletal injury with chronic pain. The latter is said to be the most common health concern with those soldiers returning from deployments post 9-11 (Spelman et al.). Traumatic brain injury and post-concussive disorder are also noted as the “signature injuries of current conflicts”. Regardless, all three health issues are significant and they also share several of the same symptoms.

CLICK HERE TO ORDER NURS 6050 Week 8 Discussion – Sample Essay

Due to the stigma associated with accessing mental health resources such as counseling, activities, and even vocational rehab services at times, many military veterans do not access these services outside of the VA. Furthermore, it was interesting to discover that military actions profoundly impacting outcomes into civilian institutions after “prompt removal of problematic wounded soldiers” (Seamone, et al., 2014) has become a trend. Without going into detail about processes of discharge status in the military, attention has been drawn to this very issue resulting in loss of eligibility VA services for thousands. According to Seamone, VA services, more specifically the health care coverage itself, is likely one of the most important health needs of returning veterans and families. Lack of health care resulting in further devastating exacerbating and chronic symptoms including domestic violence and intergenerational transmission of mental illnesses can alter a family in devastating ways. NURS 6050 Week 8 Discussion – Sample Essay

According to O’Mahoney Paquin, author of “Social Justice Advocacy in Nursing: What is it?”, the social justice advocacy model could be employed as a perfect tool here. In advocating to challenge such a reality we as nurses must make assessments in the upstream approach relating to discharges from the military. In researching this briefly, I found that the military has discharged soldiers who have difficulty and/or suffer from the new onset of mental health disorders resulting from service i.e. PTSD, anger problems, anxiety, and misconduct. Self-confidence, self-worth, ability to find and secure a job and risk for depression and suicide become significant factors to many of the veterans who have been to battle or around it (Allen et al., 2013).

And, with further investigations, it is clear that the military often criminalizes these behaviors resulting in discharge rather than addressing the mental health needs prior to discharge (Allen et al., 2013). For the military, this is a much more expedient resolution to problematic military personnel than lengthy treatment. Here is where advocating for mental health assessments, diagnosing, and implementing treatment such as medication and therapy before any discharge from the military can occur. The collection of evidence based-data from the downstream end, where ED visits and jail-house nursing can provide critical information regarding veterans, both honorably and dishonorably discharged. This is part of our evidence and ammunition. Calling on our comrades including organizations, nurse-leaders, nursing researchers, educators, and front line nurses to play a role in addressing our state and federal government roles in caring for our veterans suffering from both physical and mental illnesses during, and post-discharge.

Nurses have a responsibility to not only care for and advocate for the patients we see as front line nurses, but to also advocate for those we do not see every day. Veterans serve our country whether during wartime or not. In the very least, their health care should be part of the benefits package until the end of life…Hmmm, another advocacy project to think about?

References

Allen, P. E., Armstrong, M. L., Conard, P. L., Saladiner, J. E., & Hamilton, M. J. (2013). Veterans’ health care considerations for today’s nursing curricula. Journal of Nursing Education, 52(11), 634-640. doi:http://dx.doi.org/10.3928/01484834-20131017-01

Bakameier, B. (2008)”Upstream nursing practice and research. Applied nursing research, 21(1), 5052.

Seamone, E. R., McGuire, J., Sreenivasan, S., Clark, S., Smee, D., & Dow, D. (2014). Moving upstream: Why rehabilitative justice in military discharge proceedings serves a public health interest. American Journal of Public Health, 104(10), 1805-11. Retrieved from http://search.proquest.com.ezp.waldenulibrary.org/docview/1564433185?accountid=14872

Spelman, J. F., Hunt, S. C., Seal, K. H., & Burgo-black, A. (2012). Post deployment care for returning combat veterans. Journal of General Internal Medicine, 27(9), 1200-9. doi:http://dx.doi.org/10.1007/s11606-012-2061-1

Social Justice Advocacy in Nursing: What Is It? How Do We Get There?. (2011). Creative Nursing, 17(2), 63-67. doi:10.1891/1078-4535.17.2.63

Evaluation Criteria for Applications and Formal Papers

	Levels of Achievement
Criteria	Outstanding Performance	Excellent Performance	Competent Performance	Proficient Performance	Room for Improvement
QUALITY OF WORK SUBMITTED – 1. The extent to which work meets the assigned criteria and work reflects graduate level critical and analytic thinking (0-30 Points)	30 to 30 points Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics	25 to 29 points Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics	20 to 24 points Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.	16 to 19 points Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed.	0 to 15 points Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.
QUALITY OF WORK SUBMITTED: Purpose of the paper is clear (0-5 Points)	5 to 5 points A clear and comprehensive purpose statement is provided which delineates all required criteria.	5 to 5 points A clear and comprehensive purpose statement is provided which delineates all required criteria.	4 to 4 points Purpose of the assignment is stated, yet is brief and not descriptive.	1 to 3 points Purpose of the assignment is vague.	0 to 0 points No purpose statement was provided.
ASSIMILATION AND SYNTHESIS OF IDEAS The extent to which the work reflects the student’s ability to- 1. Understand and interpret the assignment’s key concepts (0-10 Points)	10 to 10 points Demonstrates the ability to critically appraise and intellectually explore key concepts.	9 to 9 points Demonstrates the ability to critically appraise and intellectually explore key concepts.	8 to 8 points Demonstrates a clear understanding of key concepts.	5 to 7 points Shows some degree of understanding of key concepts.	0 to 4 points Shows a lack of understanding of key concepts, deviates from topics.

ASSIMILATION AND SYNTHESIS OF IDEAS 2. Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources (0-20 Points)	20 to 20 points Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.	15 to 19 points Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.	10 to 14 points Integrates specific information from 1 credible outside resource and 3 to 4 course resources to support major points and point of view.	3 to 9 points Minimally includes and integrates specific information from 2-3 resources to support major points and point of view.	0 to 2 points Includes and integrates specific information from 0 to 1 resource to support major points and point of view.
ASSIMILATION AND SYNTHESIS OF IDEAS 3. Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, and textbook) by comparing different points of view and highlighting similarities, differences, and connections. (0-20 Points)	20 to 20 points Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.	18 to 19 points Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.	16 to 17 points Summarizes information gleaned from sources to support major points, but does not synthesize.	14 to 15 points Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped.	0 to 13 points Rarely or does not interpret, apply, and synthesize concepts, and/or strategies.
WRITTEN EXPRESSION AND FORMATTING 1. Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance. (0-5 Points)	5 to 5 points Paragraphs and sentences follow writing standards.	5 to 5 points Paragraphs and sentences follow writing standards.	4 to 4 points Paragraphs and sentences follow writing standards 80% of the time.	3 to 3 points Paragraphs and sentences follow writing standards 70% of the time.	0 to 2 points Paragraphs and sentences follow writing standards < 70% of the time.

WRITTEN EXPRESSION AND FORMATTING 2. English writing standards: Correct grammar, mechanics, and proper punctuation (0-5 Points)	5 to 5 points Uses correct grammar, spelling, and punctuation with no errors.	5 to 5 points Uses correct grammar, spelling, and punctuation with no errors.	4 to 4 points Contains a few (1-2) grammar, spelling, and punctuation errors.	3 to 3 points Contains several (3-4) grammar, spelling, and punctuation errors. 3	0 to 2 points Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
WRITTEN EXPRESSION AND FORMATTING 3. The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list (0-5 Points)	5 to 5 points Uses correct APA format with no errors.	5 to 5 points Uses correct APA format with no errors.	4 to 4 points Contains a few (1-2) APA format errors.	3 to 3 points Contains several (3-4) APA format errors.	0 to 2 points Contains many (≥ 5) APA format errors.