population Affected by Disabilities.

Rural and Migrant Health 

Read chapter 21 and 23 of the class textbook and review the attached PowerPoint presentations.  Once done, answer the following questions.

  1. Mention and discuss the differentiation between the medical model and social construct definitions of disability.
  2. Identify and discuss selected health care and social issues that influence the ability of people with disabilities to live and thrive in the community.
  3. Mention and discuss the characteristics of rural community health nursing practice.
  4. Mention and describe the features of the health care system and population characteristics common to rural aggregates.

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 8 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard which is a mandatory requirement.  A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years must be used.  You must post two replies to any of your peers sustained with the proper references no older than 5 years as well and make sure the references are properly quoted in your assignment. The replies must be posted on different dates (to verify attendance), I must see different dates in the replies.  

A minimum of 700 words is required (excluding the first and reference page). Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

Please check your assignment every time you log in because I can ask questions requesting clarification or giving feedback to your assignment.

One more time all assignments posted must be in a word document in both tabs.

· Name

DQ Rubric 2019

· Description

· Rubric Detail

 

Levels of Achievement

Criteria

Proficient

Competent

Novice

Introduction and quality of discussion’s Argument

Weight 60.00%

100.00 %

It is consistent with application in research related to its context. Clarity of ideas. Comprehensive, in-depth and wide ranging.

70.00 %

The topic has a partially weak association to clarity of ideas and related topic. Relevant but not comprehensive.

15.00 %

Unable to address any part of the question and/or topic. Little relevance/some accuracy.

Objectivity of Tone, overall quality & Review of Literature in APA 6th format within past 7 years

Weight 10.00%

100.00 %

Tone is consistent, addressed professionally and objectively. Evidence in literature supports arguments.

70.00 %

The tone is not consistently objective. Some observations, some supportive evidence used.

15.00 %

No objectivity in tone. No evidence of literature review provided. Lacks evidence of critical analysis, poor to no use of supportive evidence.

Grammar / Writing Skills

Weight 7.50%

100.00 %

Excellent mechanics, sentence structure and organization with no grammatical mistakes.

70.00 %

Some grammatical lapses , uses emotional responses in lieu of relevant points.

0.00 %

Poor grammar, weak communication, lack of clarity.

Peer Reply #1

Weight 7.50%

100.00 %

Demonstrates an exceptional ability to analyze and synthesize student work, asks meaningful extending questions.

70.00 %

Some ability to meaningfully comment on other students work and ask meaningful questions.

0.00 %

No peer response

Peer Reply #2

Weight 7.50%

100.00 %

Demonstrates an exceptional ability to analyze and synthesize student work, asks meaningful extending questions.

70.00 %

Some ability to meaningfully comment on other students work and ask meaningful questions.

0.00 %

No Peer response

Overall APA Use

Chapter 21

Populations Affected by Disabilities

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

Most people whose lives do not end abruptly

will experience disability.

– Nies & McEwen (2015)

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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Doing a Self-Assessment

What comes to mind when you think of someone with a disability?

Picture yourself as a person with a disability.

Imagine yourself as a nurse with a visible disability, or a client receiving care from a nurse with a disability.

Think about living in a family affected by disability.

What is the experience of living with disability within your community?

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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Definitions for Disability

Disability is the interaction between individuals with a health condition and personal and environmental factors.

– World Health Organization, 2012

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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WHO International Classification of Functioning, Disability, and Health

Disability is an umbrella term covering impairments, activity limitations, and participation restrictions (individual level).

An impairment is a problem in body function or structure—activity limitation or participation restriction (micro level).

A handicap is a disadvantage resulting from an impairment or disability that prevents fulfillment of an expected role (macro level).

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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Table 21-1

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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Characteristic Impairment Disability Handicap
Definition Physical deviation from normal structure, function, physical organization, or development May be objective and measurable Not objective or measurable; is an experience related to the responses of others
Measurability Objective and measurable May be objective and measurable Not objective or measurable; is an experience related to the responses of others
Illustrations Spina bifida, spinal cord injury, amputation, and detached retina Cannot walk unassisted; uses crutches and/or a manual or power wheelchair; blindness Reflects physical and psychological characteristics of the person, culture, and specific ci

Chapter 23

Rural and Migrant Health

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

Rural Populations

The largest rural population in history of United States is now.

75% of counties are classified as rural; they contain only 20% of the U.S. population

Number/size of rural counties are highest …

in the South (35%)

in the Midwest and West (23%)

in the Northeast (19%)

Census data

20% of nation’s children under 18

15% of nation’s elderly

More than 50% of nation’s poor

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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Rural Populations (Cont.)

Economic base is shifting

Agriculture is the “food and fiber system”

All aspects of agriculture (core materials to wholesale and retail and food service sectors) are included

Poverty in rural areas greater than in urban areas

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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Rural Populations (Cont.)

Poverty continues to be greater in rural America than in urban areas.

Aging-in-place, out-migration of young adults, and immigration of older persons from metro areas.

Greater diversity among residents: a country of immigrants historically and today.

Health disparities exist—rural population more likely to be older, less educated, live in poverty, lack health insurance, and experience a lack of available health care providers and access to health care

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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Health Disparities Among Rural Americans

Only 10% of U.S. physicians practice in rural areas

Ratio of physicians in rural population is 36:100,000 (nearly double in urban settings)

More often assess their health as fair or poor

More disability days resulting from acute conditions

More negative health behaviors (untreated mental illness, obesity, alcohol, tobacco, and drug use) that contribute to excess deaths and chronic disease and disability rates

Higher number of unintentional injuries

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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Defining Rural Populations

Population size

Rural = towns with population of less than 2500 or in open country [farm/nonfarm]

Density

Rural = fewer than 45 persons per square mile

Frontier = less than 6 people per square mile

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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