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Posted: September 4th, 2022

Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief

Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief

It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.

Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.
Yes, you are correct. Healthcare has been a controversial and hotly debated issue in the United States for a very long time. In fact, the issue of healthcare has been at the forefront of political debates for decades and has played a significant role in the agendas of many presidential administrations.

Throughout U.S. history, there have been many significant developments and milestones in healthcare policy, including the creation of Medicare and Medicaid in the 1960s, the passage of the Affordable Care Act (ACA) in 2010, and the ongoing debates around issues such as access to healthcare, the cost of healthcare, and the role of the government in providing healthcare.

Healthcare is a complex and multifaceted issue that affects every person in the country, and it is important for individuals and organizations, including nurses, to stay informed about current debates and developments in healthcare policy so that they can be active participants in shaping the future of the healthcare system.
As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.

In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.

To Prepare:

Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations.
Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.

The Assignment: (1-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:

Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.
Describe the administrative agenda focus related to the issue you selected.
Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
Explain how each of the presidential administrations approached the issue.

Part 2: Agenda Comparison Grid Analysis

Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:

Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?
Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?
At least 2 outside and 2-3 course resources are used.

Part 3: Narrative

Using the information recorded on the template in Parts 1 and 2, develop a 1-page narrative that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following:

Summarize why this healthcare issue is important and should be included in the agenda for legislation.
Justify the role of the nurse in agenda setting for healthcare issues.
At least 3 resources are used.

The opioid crisis is a significant population health concern that is characterized by the increasing number of deaths related to drug overdose in the United States. According to CDC reports, over 700,000 deaths occurred between 1999 and 2017, with 130 people dying daily due to opioid overdose. The addictive nature of opioids and the increase in opioid prescription contribute to the opioid crisis.

President Trump, President Obama, and President Bush have all addressed the opioid crisis as part of their administrative agenda. President Trump declared the opioid crisis a healthcare emergency in 2017 and implemented a Safer Prescribing Plan to reduce the prescription of opioids and increase access to treatment for addicts. In 2018, he signed $6 billion in funding to combat the opioid crisis. President Obama initiated a Comprehensive Addiction and Recovery Act in 2016, which focused on six pillars including prevention, treatment, criminal justice reforms, recovery, law enforcement, and overdose reversal. President Bush provided funding for schools to test individuals for opioid addiction and to establish community support programs.

To address the opioid crisis, the Department of Health and Human Services and the Substance Abuse and Mental Health Services Administration would likely be the most responsible agencies. These agencies have the authority to expand access to care, prevent diversion, and support services for all citizens. Potential strategies for addressing the opioid crisis include increasing access to treatment and recovery services, promoting the use of overdose reversal drugs, and implementing policies to reduce the overprescription of opioids.

Fact Sheet or Talking Points Brief

The opioid crisis is a significant population health concern that is characterized by the increasing number of deaths related to drug overdose in the United States.
Over 700,000 deaths have occurred due to opioid overdose between 1999 and 2017, with 130 people dying daily.
The addictive nature of opioids and the increase in opioid prescription contribute to the opioid crisis.
President Trump, President Obama, and President Bush have all addressed the opioid crisis as part of their administrative agenda.
To address the opioid crisis, the Department of Health and Human Services and the Substance Abuse and Mental Health Services Administration are likely the most responsible agencies.
Potential strategies for addressing the opioid crisis include increasing access to treatment and recovery services, promoting the use of overdose reversal drugs, and implementing policies to reduce the overprescription of opioids.

Policy and Advocacy for Improving Population Health
NURS 6050

(Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment)

Assignment for Part 1 and Part 2
Part 1: Agenda Comparison Grid
Identify the Population Health concern you selected.
Opioid crisis
Describe the Population Health concern you selected and the factors that contribute to it. Deaths related to drug overdose are on the rise in America according to a 2017 health report. According to CDC reports, over 700,000 deaths occurred between 1999 and 2017 (Sederer & Marino, 2018). Statistics show that 130 people die daily due to opioids overdose. According to the U.S. Department of Human and Health Services, an increase in opioid prescription leads to an opioid crisis (Sederer & Marino, 2018). The addictive nature of opioids increases the risk of the crisis.
Administration (President Name) President Trump President Obama President Bush
Describe the administrative agenda focus related to this issue for the current and two previous presidents.
In 2017, President Trump declared the opioid crisis as a healthcare emergency. In 2018, the president developed an initiative called Safer Prescribing Plan to stop the prescription of opioids to people thus exposing people to the risk of addiction (Ogawa, 2018).
President Obama initiated plans to stop the opioid crisis. The programs and initiatives involved prevention of prescription, monitoring the prescription, and treatments to assist the addicted people (Congress, 2019).
President George Bush initiate programs to fund schools to test individuals to identify and help people with opioid addiction. The funding was crucial in developing community support programs (Ogawa, 2018).
Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. In 2018, President Trump signed a $6 billion funding to combat opioid crisis (White House, 2018). In 2016, President Obama signed a $1.1 billion funding to fight the opioid crisis (Congress, 2019). In 2000, President Bush initiated plans to provide 600 million for drug vouchers to the addicts. He signed $23 million to schools to supply drug testing kits to save the lives of students (White House, 2018).
Explain how each of the presidential administrations approached the issue.
President Trump approached the issue using three strategies.
Part 1. Educate the addicts and vulnerable people and reduce demand of opioids (White House, 2018).

Part 2. Cut the supply of opioid from local and international suppliers (White House, 2018).

Part 3. Assist those with addiction through evidence-based treatment.

President Trump initiated Safer Prescribing Plan to cut the prescription of opioids by a third in three years (White House, 2018).

The president initiated programs to educate people about dangers of opioids and provided treatment to the addicts (White House, 2018).
President Obama initiated a Comprehensive Addiction and Recovery Act 2016 (Congress, 2019).

The regulation comprises six pillars including, prevention, treatment, criminal justice reforms, recovery, law enforcement, and overdose reversal.
President Bush initiated programs to channel funds to communities to prevent addiction and provide solutions to the addicts such as supportive strategies (Christie et al., 2017).

Part 2: Agenda Comparison Grid Analysis
Administration (President Name) President Trump President Obama President Bush
Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?

The Department of Health and Human Services and the Substance Abuse and Mental Health Services Administration (White House, 2018). The agencies are crucial in expanding access to care, prevent diversion, and support services for every U.S. citizen (Ogawa, 2018).
The Department of Health and Human Services and the Substance Abuse and Mental Health Services Administration. The agencies are crucial in expanding access to care, prevent diversion, and support services for every U.S. citizen (Congress, 2019).

The Department of Health and Human Services and the Substance Abuse and Mental Health Services Administration. The agencies are crucial in expanding access to care, prevent diversion, and support services for every U.S. citizen (Congress, 2019).

How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there? Opioid crisis can get into the agenda of President Trump since he is passionate about closing the borders and cutting the supplies of the opioids (Ogawa, 2018). It will be sustained through the funding and programs initiated by the president. President Trump declared the opioid crisis as a health emergency thus calling for a heads-on approach to fight the issue (Ogawa, 2018). The initiative would match with Obama’s Comprehensive Addiction and Recovery Act 2016. The agenda of the president was to develop a comprehensive approach to support and empower stakeholders in the opioid crisis (Congress, 2019). The program would get into President Bush’s agenda since it focuses on community support. Communities are crucial in the fight against the opioid crisis. Provision of funding to schools would be crucial in preventing new addicts (Ogawa, 2018).
Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents? President Trump is the best sponsor or champion since he was calling for efforts to cut down supply chains of the drugs (White House, 2018). President Obama’s comprehensive approach makes him second best sponsor to address the opioid crisis (Congress, 2019). President Bush’s approach of fighting the crisis from the grassroots including communities and schools is a prudent approach to adders the opioid crisis (Christie et al., 2017).

Narrative with the Facts
The efforts made by the various presidents are crucial in ending the opioid crisis in the country. Starting with former President Bush who was seeking to eliminate the risk from the grassroots to President Trump was seeking to cut the supply chains (White House, 2018). The effort by former President Obama is crucial since it comprises stakeholders such as law enforcement, prevention, treatment, criminal justice reforms, recovery, and overdose reversal. The efforts are crucial and they can help the country to overcome the opioid crisis. One of the efforts the presidents have missed is to change the behavior or perception of drugs (Christie et al., 2017). President Obama made efforts to show that various parties were crucial in alleviating the risk of opioids. The opioid crisis requires a comprehensive and multi-layered approach since other drugs such as alcohol and marijuana play a role in the addiction of opioids (Christie et al., 2017). It is the responsibility of future governments to design quality, reliable, and sustainable approaches to address the addiction of opioids.
The health issue is important since it would eliminate several risks to the deterioration of risks and deaths. The discussion is crucial since it would help the policy makers to develop policies that will ensure quality response to the opioid crisis. A discussion with a policy maker would be essential in evaluating the policies made by the former presidents and the measures needed in the future.
The role of a nurse in the healthcare issue is to educate the patients about the risks of opioid abuse. Another role is to treat the patients with quality care. For example, treating addiction among the patients is crucial in reducing the negative effects of the disease. Nurses have a role to ensure they advocate for better policies to reduce the negative effects of the opioid crisis in the country.
Conclusion
The opioid crisis is a major issue affecting communities through deaths and poor health. The crisis increases the rate of crime and poor work performance. Three presidents including Trump, Obama, and Bush have made efforts to over the issue. Deaths related to drug overdose are on the rise in America according to a 2017 health report. According to CDC reports, over 700,000 deaths occurred between 1999 and 2017. Statistics show that 130 people die daily due to opioids overdose. The massive death is a representation of the gravity of the problem. One of the important agencies in the fight against the opioid crisis is the U.S. Department of Human and Health Services. The three presidents have initiated different programs to curb the crisis. The deployment of the workforce and the provision of funds is crucial in eliminating the obstacles to the escalating opioid crisis. Behavior change is another important factor that community workers and government officials should cultivate to change the mindset about drugs. Governments should eliminate the supply chains that expose innocent children who take the drugs for the first time and later become regular customers.

References
Christie, C., Baker, C., Cooper, R., Kennedy, P. J., Madras, B., & Bondi, P. (2017). The president’s commission on combating drug addiction and the opioid crisis. Washington, DC, US Government Printing Office, Nov, 1.
Congress, U. S. (2019). Comprehensive Addiction and Recovery Act of 2016. In US Congress.
Corrigan, P. W., & Nieweglowski, K. (2018). Stigma and the public health agenda for the opioid crisis in America. International Journal of Drug Policy, 59, 44-49.
Ogawa, L. M. (2018). Focus: Sensory Biology and Pain: On the Opioid Crisis and the Future of Pain Treatment: An Interview with Bertha K. Madras, PhD. The Yale Journal of Biology and Medicine, 91(1), 73.
Sederer, L. I., & Marino, L. A. (2018). Ending the opioid epidemic by changing the culture. Psychiatric quarterly, 89(4), 891-895.
White House. (2018). Ending America’s Opioid Crisis. White House. Retrieved from https://www.whitehouse.gov/opioids/

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