hi dear,

can help me to finish this assignment with good quality and be on time please?

Please follow the instructor carefully. There are 4 Discussions ,your response to classmates should be at least one paragraph for each Discussion, address the discussion topic or question, be respectful, and add to the discussion. You may draw upon personal experience, course or scholarly references, citing appropriately. Restating the primary response, or agreeing or disagreeing without supporting statements will result in a lower grade. 

In reference to including a paragraph for both primary and peer responses, 4-5 sentences constitute a paragraph.

Discussion one, 

  Clinical-community linkages to help connect health care providers, community organizations, and public health agencies so they can improve patients’ access to preventive and chronic care services (Agency for Healthcare Research and Quality, 2013). Local communities having access to hospitals and clinics have a better chance of getting better quality health care. Hospitals having linkage to local communities allow the communities to have better communication with the hospital and they are able to provide health resources. Strategies that improve access to clinical preventive services (such as screening and counseling), community-level activities, and appropriate medical treatment have been shown to reduce and prevent disease in communities (Agency for Healthcare Research and Quality, 2013). There are numerous benefits of having linkage between hospitals and local communities. Communities have opportunities to participate in organizations that can help improve their health.

      There are some effective clinical-community linkages that help improve the health of people residing in the community. Patients get more help in changing unhealthy behaviors, clinicians get help in offering services to patients that they cannot provide themselves, and community programs get help in connecting with clients for whom their services were designed (Agency for Healthcare Research and Quality, 2013). Hospitals are able to provide important resources associated to specific health diseases. In order to provide these health benefits, hospitals are able to communicate with their local communities to help lessen the burden of unwanted health diseases. Furthermore, it is important that hospitals have the linkage with local communities to assess in medical and health concerns each individual may have.

Discussion two,

  Linkage between the community and the hospital, specifically during emergency situations is vital for many reasons including improved access to care services and improved communications during highly stressful situations. The linkage is not only important during these critical situations, but also on a day-to-day basis as hospitals can provide various programs to better influence the overall health and well-being of the community. Without a linkage the hospital will potentially suffer greatly, not only loosing funds, but also credibility when an emergency situation does occur. Additionally, hospitals have resources that are able to benefit the community in normal and crisis conditions.

Discussion three,

  When 9/11 happened I believe it showed how vulnerable our emergency management system was.  The first responders and management team didn’t have an effective communication system in place in order to make key decisions quickly (Khan, 2011). First responders also didn’t have proper equipment or training for such a large scale emergency. I believe the United States had nowhere to go but up after 9/11.

     Response times have improved since Hurricane Katrina, during the time that Hurricane Katrina happened, emergencies that giant weren’t considered a national issue but more of a local issue. Local officials had to ask for help instead of national agencies/government being proactive and lending help first. FEMA used to wait for the problem to become too big of an issue for local agencies to handle before getting involved, FEMA is now quickly engaged early on in the process (Mayer, 2008).
     Hurricane Katrina was unlike anything that the United States has ever seen, 120 mph winds & some areas flooded as high as 27 feet above ground (Mayer, 2008). About 1,300 people died because of Hurricane Katrina and an estimated $96 billion in damages (Mayer, 2008). Communication was poor on all sides, which made things even worse. 

Discussion Four,

  The federal government has improved its response posture since 911. This was an event that changed the manner in which the government approaches the entire concept of response. It has become more effective in response planning. In addition to this there is an emphasis on more of a preemptive approach as opposed to just focusing exclusively on response (Hamner, 2015). This is very important as in enables the government to actively prevent all preventable emergencies and in the instance that these emergencies do materialize respond to them as quickly and as strategically as possible.

The response posture of the federal government has improved since Katrina. It has not improved to a standard that can be deemed as ideal but it has all the same improved. There are contingency plans in place to help people affected by natural disasters. Katrina was so different because it highlighted the ineffectiveness of government agencies at the time to deal with natural emergencies of that caliber. 

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hi dear,

can help me to finish this assignment with good quality and be on time please?

 Please follow the instructor carefully.  

Signature Assignment 

Scenario:

You are applying for an internship within the Emergency Preparedness and Response department at your local county health department. The application process requires that you submit a public health disaster management plan for a natural or man-made event in the community.
The plan should adapt best practices and lessons learned from a recent event in a similar community to prepare your local community. The most comprehensive, evidence-based and realistic plans will be selected for in-person interviews which will include a presentation of the proposal. The plans should also be mindful of an all-hazards approach. Earning an internship will provide you opportunities to network with experts that can help improve your skills and provide you a competitive advantage when applying for employment and/or graduate school.

Please limit your paper to 10-15 pages.

(CLO 1-7; PLO 1-7, ILO 1-7)

• Overview of COH 440 Project Element   – Word Document (121 KB)
• COH 440 Signiture Assignment Sample Paper   – Word Document (39 KB)

Components:

2. Signature Assignment Paper

Scenario: 

You are applying for an internship within the Emergency Preparedness and Response department at your local county health department. The application process requires that you submit a public health disaster management plan for a natural or man-made event in the community. The plan should adapt best practices and lessons learned from a recent event in a similar community to prepare your local community. The most comprehensive, evidence-based and realistic plans will be selected for in-person interviews which will include a presentation of the proposal. The plans should also be mindful of an all-hazards approach. Earning an internship will provide you opportunities to network with experts that can help improve your skills and provide you a competitive advantage when applying for employment and/or graduate school.

Step 1: Pick an area with hazards that are interesting to you (e.g., San Diego)

HVA:

To write and present a disaster management plan for your chosen local jurisdiction, it is necessary to know what hazards are present. A HVA is a way to determine top hazards for an area. Choose the area on which you want to do your project, and complete the HVA worksheet for your chosen jurisdiction. 

Step 2: Identify the top threats to the jurisdiction based on results of your HVA and chose a high-ranking hazard on which you would like to focus (e.g., wildfires in San Diego)

Step 3: Complete the paper and presentation, following the rubric.

Paper:

Following the scenario above, write your paper as if you were creating a public health disaster management plan for your chosen jurisdiction, using the hazard you chose from the HVA and acknowledging the HVA process for your paper (e.g., write a plan for public health management of wildfires in San Diego).

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 hi dear,

can help me to finish this assignment with good quality and be on time please?

Please follow the instructor carefully.  You are expected to post a primary response to the 2 discussions topic. All posts should address the discussion topic/question, add to the discussion, and/or encourage others to respond. Facts and claims MUST be supported with APA format citations and references. Your primary response to the topic/questions posed should be 2 paragraphs for each question, and be thoughtful, well-written, and include appropriate APA in-text citation(s) and reference(s) when appropriate.

Discussion 1

· What is the purpose of triage?

· How do you make it effective?

Discussion 2

Why are vulnerable populations always the ones to suffer most in an emergency incident?

Thanks,

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

hi dear,

can help me to finish this assignment with good quality and be on time please?

Please follow the instructor carefully. There are 4 Discussions, your response to classmates should be at least one paragraph for each Discussion, address the discussion topic or question, be respectful, and add to the discussion. You may draw upon personal experience, course or scholarly references, citing appropriately. Restating the primary response, or agreeing or disagreeing without supporting statements will result in a lower grade. 

In reference to including a paragraph for both primary and peer responses, 4-5 sentences constitute a paragraph.

Discussion one, 

Within the United States, the triage has its purpose in serving within the emergency department (ED) by prioritizing the incoming patients and classifying patients who cannot wait to be seen. In addition, the triage nurse evaluates each patient, considering the safety of how long a patient should wait in the waiting room before being seen. Therefore, patients who are above a higher risk of having an emergency have a shorter wait time, in comparison to patients who are not at a high risk (Agency for Healthcare Research and Quality,2012).

On the other hand, a triage may seem as organized because there are staff involved in assessing who should be seen, however there are many ways a triage can be more effective for patients at high risk and low risk. Being that there are patients coming in and patients going out, the capacity level of the triage can be over than where the capacity level should be. Therefore, the patient flow in the emergency room is very important and by nurses and staff reducing time patients do spend in the ED will help reduce over capacity or overcrowding within the triage. So improving patient satisfaction and reduction, may reduce mortality and morbidity while keeping the patient flow (Jarvis, 2016).

Bottom of Form

Discussion two, 

The purpose of triage in the emergency department (ED) is to prioritize incoming patients and to identify those who cannot wait to be seen. The triage nurse performs a brief, focused assessment and assigns the patient a triage acuity level, which is a proxy measure of how long an individual patient can safely wait for a medical screening examination and treatment (Emergency Severity Index Implementation Handbook, 2012). Having an effective triage system is vital in helping those who are in emergency situations. Having implemented policies and strategies to better serve the public is a great way in having an effective triage. Triage nurses who are professionally trained is an important factor and having experience in the field is another factor in providing efficient and accurate service in need. Furthermore, having triage to provide service before coming in to hospitals or clinics is an essential asset in the medical field and gives patients information that can be used in the future.

Discussion three, 

Vulnerable populations can be described as “Any individual, group, or community whose circumstances create barriers to obtaining or understanding information, or the ability to react as the general population. … Circumstances that may create barriers include, but are not limited to age; physical, mental, emotional, or cognitive status; culture; ethnicity; religion; language; citizenship; geography; or socioeconomic status” (Emergency Preparedness for Vulnerable Populations: People with Special Health-care Needs). Knowing this definition you can see why they would be the ones to suffer in an emergency situation. Many of them have limited mobility which can cause issues when trying to evacuate an area. Those with language barriers may not necessarily understand directions that are being told to them, along with those who are hard of hearing may not be hearing instructions correclty. Furthermore, those with mental disabillities may struggle to grasp the gravity of emergency situations and either refuse to leave, or become violent with first resonders due to fear of the unknown. With the possiblity of all of these issues emergency planning must be done in great detail to ensure the safety of the vulnerable populations, along with the safety of those responding to them. 

Discussion Four, 

According to the Minnesota Public Health Emergency Training Series Module on vulnerable populations, “A vulnerable population is any individual or group of people with any physical, mental, emotional, cognitive, cultural, ethnic, socio-economic status, language, or other circumstance that creates barriers to understanding and/or barriers to the ability to act or react in the requested or anticipated manner.” (UM Public Health Staff, 2005). The key to understanding why these vulnerable populations are the ones to suffer most in an emergency incident is in the very definition of what makes them vulnerable in the first place. The fact that these individuals have a condition or lifestyle choice (sometimes not a choice) that prevents them from understanding and/or acting or reacting in the way that is expected is what makes them targets of being the most impacted from an incident to begin with. The best way that I can explain it is with an analogy that I have seen with expectations in a school setting. Imagine a teacher asking 4 students to climb the same tree, the 4 students are a monkey, a cat, a snake, and a fish. Some students simply cannot climb the tree without help. Now, imagine the same scenario, but instead of the teacher asking students, it’s an emergency worker explaining that the only way that your life will be saved is if you climb this tree. In emergency situations, the task being asked is not the problem, it’s a person’s ability to complete the task. There are some portions of every community that have differing abilities that will need help performing the tasks that need to be done.

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