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NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care And Affordable Solutions

Student Name

Capella University

NURS-FPX 6616 Ethical and Legal Considerations in Care Coordination

Prof. Name

Date

Summary Report on Rural Health Care and Affordable Solutions

The paper delves into an analysis of inter-professional team providers and available resources in Potter County, Pennsylvania, focusing on addressing high mortality rates due to opium overdose. Cultural competencies necessary for evidence-based data support are examined, alongside ethical considerations to navigate legal issues in organizational steps.

Specific Population Needs and Community

Potter County, with a population of fewer than 17 thousand people, predominantly comprises non-Hispanic whites, accounting for 97% of the population (Pew Research Center, 2018). Approximately 22% of the population is over 65 years old, and 14% live below the poverty line. The prevalent health issue in the county is opium use disorder (OUD), with high rates persisting for two decades. Access to medication treatment and reversal medications for opioid overdose is emphasized in international literature. The Pennsylvania Overdose Information Network (ODIN) analyzed drug overdose incidents, revealing victims primarily aged 20-39 (Barboza & Angulski, 2020).

Factors Contributing to Drug Overdose

Various factors contribute to drug overdose, including poverty, illiteracy, and resource availability. Opium is used in different forms, such as prescription drugs and injections, often in combination with other medications. Accessibility issues stem from the unavailability of clinics, physicians, or mediation treatments in the area. Studies indicate that increased availability leads to higher treatment utilization. Both consumer-based and provider-based factors impact accessibility, availability, and acceptability, contributing to the prevailing issue of opioid misuse.

Current Available Inter-professional Team Providers and Resources

Avera Gettysburg Hospital, a facility in Potter County, adopts an interdisciplinary approach to healthcare, integrating expert specialists, primary care providers, advanced technology, and research. Community Health Needs Assessment (CHNA) findings informed the expansion of services and inclusion of wellness programs, addressing consumer and provider-based barriers. Inter-professional Education and Collaborative Practice (IPECP) further supports improved healthcare outcomes (Martin et al., 2021).

Interventions and Strategies

Interventions for opioid overdose encompass micro, meso, and macro levels, focusing on attitude change, resource utilization, and policy implementation (Qudah et al., 2022). Cultural competency is vital for the interdisciplinary team to effectively address diverse community needs.

Technology-Based Outreach Strategies

Telehealth emerges as a crucial strategy to overcome accessibility barriers for both consumers and providers, particularly in rural areas. Telehealth services offer remote monitoring, diagnosis, and care delivery, enhancing healthcare access and delivery efficiency.

Possible Telehealth Legal Issues

Legal considerations in Telehealth include licensing, patient-physician relationships, tele-prescribing, fraud, abuse, and data privacy. Adhering to state and federal regulations is crucial to avoid legal repercussions.

Continuation of Ethical Care

Despite technological advancements, ethical principles remain paramount in healthcare delivery. Telehealth services should prioritize ethical norms, ensuring patient autonomy, beneficence, non-maleficence, and justice.

Conclusion

Potter County faces significant challenges related to opioid misuse, compounded by accessibility, availability, and acceptability issues. Interdisciplinary approaches and Telehealth strategies offer promising solutions, although legal and ethical considerations must be diligently addressed to ensure effective and ethical healthcare delivery.

References

Barboza, G. E., & Angulski, K. (2020). A descriptive study of racial and ethnic differences of drug overdoses and naloxone administration in Pennsylvania. International Journal of Drug Policy, 78, 102718.

https://doi.org/10.1016/j.drugpo.2020.102718

Butzner, M., & Cuffee, Y. (2021). Telehealth interventions and outcomes across rural communities in the united states: Narrative review. Journal of Medical Internet Research, 23(8), e29575.

https://doi.org/10.2196/29575

Hilty, D. M., Gentry, M. T., McKean, A. J., Cowan, K. E., Lim, R. F., & Lu, F. G. (2020). Telehealth for diverse rural populations: Telebehavioral and cultural competencies, clinical outcomes and administrative approaches. MHealth, 6(6), 20–20. https://doi.org/10.21037/mhealth.2019.10.04

Martin, P., Pighills, A., Burge, V., Argus, G., & Sinclair, L. (2021). Promoting interprofessional education and collaborative practice in rural health settings: Learnings from a state-wide multi-methods study. International Journal of Environmental Research and Public Health, 18(10), 5162.

https://doi.org/10.3390/ijerph18105162

Opioid Epidemic. (2019). Department of Health. https://www.health.pa.gov/topics/disease/Opioids/Pages/Opioids.aspx

NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care And Affordable Solutions

Panter, M. (2021, January 25). Potential Legal Implications of Telemedicine and Telehealth. Law Technology Today.

https://www.lawtechnologytoday.org/2021/01/implications-of-telemedicine-and-telehealth/

Pew Research Center. (2018, May 22). Demographic and economic trends in urban, suburban and rural communities. Pew Research Center’s Social & Demographic Trends Project. https://www.pewresearch.org/social-trends/2018/05/22/demographic-and-economic-trends-in-urban-suburban-and-rural-communities/

Qudah, B., Maurer, M. A., Mott, D. A., & Chui, M. A. (2022). Discordance in addressing opioid crisis in rural communities: Patient and provider perspectives. Pharmacy, 10(4), 91. https://doi.org/10.3390/pharmacy10040091

Solimini, R., Busardò, F. P., Gibelli, F., Sirignano, A., & Ricci, G. (2021). Ethical and legal challenges of telemedicine in the era of the COVID-19 pandemic. Medicina, 57(12), 1314.

https://doi.org/10.3390/medicina57121314

NURS FPX 6616 Assessment 2 Summary Report on Rural Health Care And Affordable Solutions