For this Discussion, your instructor will assign you your case number.
| Case 1 | Case 2 | Case 3 | |
| Cases |
J.G. is a nurse practitioner working in a health clinic. Her clinic provides care to a majority of Hispanic migrant farmworkers during the summer months. Farmworkers in the area are susceptible to health problems because they are in a low-income bracket and may be exposed to unsanitary working and housing conditions. The workers do not tend to seek preventive care because of finances, transportation, and fear of deportation in many instances. She struggles with the delivery of fragmented services within the migrant community because individuals move around frequently. In her encounters with the patients she serves, she has to stress early the importance of screening and follow-up care. She must also carefully assess the level of health literacy when providing education. In addition, She remains culturally sensitive to the beliefs and practices of the population she serves. |
K.Y. is an employee-health nurse practitioner for a large corporation. Her role is to advocate for her clients by helping them improve their quality of life, both for the present and the future, through the identification of risk factors, health promotion, and other nursing interventions. The majority of the employees She sees are middle-age adults. Her clients come to see her for a variety of reasons, including stress, mental illness, and on-the-job injuries. K.Y. assists her clients by providing education about healthy lifestyle choices, referrals to community resources, and counseling. |
R.K. is a home health nurse practitioner who delivers primary care to a predominantly Medicare population. The role of the home health nurse practitioner is to provide assessments to individuals inclusive of the environment, provide direct skilled care and treatment, and provide education and referrals as needed. He must work closely with the patient and his or her caregiver in trying to prevent complications of illness. R.K. specializes in providing wound care services in the home. He visits many diabetic patients living in a senior community. These patients are considered to be homebound and use wheelchairs or walkers to reach the common dining room where meals are served every evening. He is interested in assessing the nutritional content of the meals that are served. |
| Questions for the case |
Create a list of health hazards associated with the migrant population in general and the one referred on the case. Which would be your recommendations to the migrant population to prevent injuries related to those hazards and how to improve their health. |
Make a summary of the typical biological changes in the middle-age adult. |
Create a list of recommendations of major activities older adults can engage in to promote health and prevent frailty. |
Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:
Submission Instructions:

Grading Rubric
Your assignment will be graded according to the grading rubric.
| Discussion Rubric | |||||
|---|---|---|---|---|---|
| Criteria | Ratings | Points | |||
|
Identification of Main Issues, Problems, and Concepts |
5 points Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts. |
4 points Identifies and demonstrates an accomplished understanding of most of the issues, problems, and concepts. |
2 points Identifies and demonstrates an acceptable understanding of most of the issues, problems, and concepts. |
1 point Identifies and demonstrates an unacceptable understanding of most issues, problems, and concepts. |
5 points |
|
Use of Citations, Writing Mechanics and APA Formatting Guidelines |
3 points Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors. |
2 points Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors. |
1 point Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail. |
0 point Ineffectively uses the literature and other resources to inform their work. Unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention. |
3 points |
| Response to Posts of Peers |
2 points The student constructively responded to two other posts and either extended, expanded, or provided a rebuttal to each. |
1 point The student constructively responded to one other post and either extended, expanded, or provided a rebuttal. |
0 point The student provided no response to a peer’s post.
|
2 points | |
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