The Proposed Covid-19 Prevention Interventions At Healthcare.

Community-based delivery of essential health services
To meet ongoing population health needs and mitigate the negative impacts of the COVID-19 outbreak,
nationally agreed primary care programmes need to ensure capacity for preventing morbidity and mortality
through the community-based delivery of essential services (4), including:The Proposed Covid-19 Prevention Interventions At Healthcare.ORDER  HERE A PLAGIARISM-FREE PAPER HERE
• preventing communicable disease through delivery of vaccines, chemoprevention, vector control and
treatment;
• avoiding acute exacerbations and treatment failures by maintaining established treatment regimens for
people living with chronic conditions;
• taking specific measures to protect vulnerable populations, including pregnant and lactating women, young
children and older adults;
• managing emergency conditions that require time-sensitive intervention and maintaining functioning
referral systems.
National and subnational processes for identifying essential services, coordinating with COVID-19 response
planning and optimizing the health care workforce and service delivery should incorporate relevant
community-based activities and include consultation with relevant community health workforce representatives.The Proposed Covid-19 Prevention Interventions At Healthcare.
Populations across the life course
There are distinct considerations for people at different stages in the life course with regard to the risks
associated with COVID-19 infection, overall health service priorities and the implications of public health
measures and other social changes associated with the pandemic. Specific considerations examined by stage
of the life course are addressed in a dedicated section in Part 2.The Proposed Covid-19 Prevention Interventions At Healthcare.
Outreach and campaign-based prevention services
Community-based prevention activities include outreach services (an extension of facility-based primary care
services used to reach the underserved), campaigns (supplementary activities to routine services used to
achieve high population coverage) and outbreak responses (used to curb an emerging health threat). While
these activities are life-saving, they may also increase the risk of COVID-19 transmission within communities and
between health workers and communities. The decision to continue, modify or postpone these activities
should take into account the impact on COVID-19 transmission, the speed of disease resurgence and the
consequences of withholding the intervention. The Proposed Covid-19 Prevention Interventions At Healthcare.For example, if insecticide-treated net (ITN) distribution
campaigns are discontinued in areas where malaria is highly endemic, there will likely be a near-term increase
in cases and deaths; the COVID-19 transmission risks associated with ITN distribution can be minimized by
switching from group distribution to door-to-door delivery and then leaving ITNs at the door to a house. The Proposed Covid-19 Prevention Interventions At Healthcare.If ITNs
are to be delivered at sites such as health facilities, large gatherings should be avoided, and all physical
distancing measures should be applied. Activities that rely on large-scale gatherings, such as mass vaccination
campaigns, will need to be suspended where COVID-19 transmission is established, although oral vaccines
delivered in monodose vials, such as for cholera and polio, could be safely self-administered or administered
by a caregiver during a home visit while a health worker monitors from 1 m away.The Proposed Covid-19 Prevention Interventions At Healthcare. However, outbreaks of
vaccine-preventable diseases (VPDs) create immediate health needs and require a risk−benefit assessment on
an event-by-event basis (see Part 2).
Maintaining therapies for chronic disease
While face-to-face routine monitoring visits for people with a stable chronic disease can likely be temporarily
suspended, ensuring the continuity of treatment regimens through alternative provision methods is essential to
mitigate the risk of life-threatening acute exacerbations, such as diabetic crisis, heart attack, psychosis or the
emergence or re-emergence of clinical symptoms and treatment resistance in the case of chronic infectious
diseases such as tuberculosis (TB) or HIV infection (see Part 2). Replenishment procedures should be adapted
Community-based health care, including outreach and campaigns, in the context of the COVID-19 pandemic 7
to avoid medicine and supply shortages and to allow people to obtain needed resources without undue risk to
themselves or others. Where supply levels permit, consider dispensing multiple months of treatment for
patients with chronic conditions (see Part 2).The Proposed Covid-19 Prevention Interventions At Healthcare.
Time-sensitive conditions and community-based acute care
Most acute and emergency care services will need to continue throughout the COVID-19 pandemic because of
their highly time-sensitive nature and potential to avert death and disability across all phases of the life course.
Ensuring that the community health workforce is trained and equipped to address acute conditions is critical,
as restrictions on movement, recommendations to limit in-person encounters in facilities and fears about the
safety of facility-based care will increasingly shift acute care to the community setting. The community-based
health workforce is likely to face expanding numbers of acutely ill patients, including people with respiratory
compromise from COVID-19 and those with other emergency conditions indirectly related to the pandemic
context: interruptions in therapies for chronic conditions contribute to acute exacerbations (such as severe
asthma or heart attacks), while decreased access and delayed care-seeking result in later and more severe
presentations (such as sepsis that has evolved from a localized infection or shock in the setting of injury or
pregnancy-related bleeding).The Proposed Covid-19 Prevention Interventions At Healthcare.
Simple, inexpensive and effective first aid and acute care can be safely administered by individual community
members and community health workers with appropriate training, including those organized into communitybased first aid responder (CFAR) programmes. Such programmes use rota systems and people trained in first
aid who can be called on 24 hours per day to attend the scene of acute illness or injury to deliver basic care. In
many settings, these programmes overlap with and complement other case-management programmes, and
they may also be linked to volunteer ambulance services, such as those run by Red Cross and Red Crescent
Societies. The Proposed Covid-19 Prevention Interventions At Healthcare.In many settings, in addition to providing care onsite, CFARs accompany patients to ensure their safe
transport to facility-based care.
Ensuring early recognition, rapid treatment and timely referral for acute conditions maximizes the impact of
subsequent interventions and often mitigates the need for them. Robust community-based acute and
emergency care can help avoid excess morbidity and mortality during and after the COVID-19 pandemic,
facilitating a return to comprehensive service delivery and thus building a more resilient system.The Proposed Covid-19 Prevention Interventions At Healthcare.
KEY ACTIONS:
† Review community health service interventions and delivery channels and identify essential services and
delivery channels that need to be maintained, linking these processes with national or subnational planning.
† Define nonessential services that can be interrupted or postponed and identify triggers for their phased
resumption and catch-up strategies that can be used during early recovery.
† Modify community-level service delivery to avoid large gatherings of people.
† Update registers of vulnerable households (for example, those with pregnant or lactating women,
newborns or older people; or people living with disabilities (5), or chronic conditions), and monitor such
households to ensure continuity of care and establish social safety nets.
† Adapt diagnosis and treatment protocols and train and equip the community health workforce to screen
for COVID-19 symptoms, recognize danger signs and appropriately activate notification and referral pathways.
† Create a roster of community members trained in first aid and acute care, and strengthen or create an
organized CFAR system with 24-hour coverage that can be activated by mobile phone.
† Monitor the utilization of essential health services in the community by liaising regularly with the
community health workforce.The Proposed Covid-19 Prevention Interventions At Healthcare.

Objectives for the Proposed Covid-19 Prevention Interventions at Kingston Healthcare: How they Advocate for Autonomy and Social Justice for Individuals in the Community and Diverse Populations 

It is a known and accepted general fact that the world is quickly becoming multicultural in composition. This can be attributed to the ease of travel, technology, and facilitated immigration in the form of imported skilled. For this reason, nursing curricula in the United States in particular nowadays almost invariably include a course on transcultural nursing. Having cultural sensitivity and competence is therefore an integral part of all nurses. The community around Kingston Healthcare in California is a microcosm of the multicultural scenario round the world. This means that the interventions for Covid-19 prevention that form the capstone change project are delivered with cultural sensitivity to ensure success. Also, social justice must be assured by removing any systematic and innate biases the healthcare staff may have (Ornstein, 2017). This paper discusses three objectives for the proposed interventions and how they facilitate autonomy and social justice in the above context.The Proposed Covid-19 Prevention Interventions At Healthcare.

Like all good objectives, these goals must be not only specific and measurable, but also attainable and time-constrained (SMART). They are:

• To deliver 75% of the targeted health education and promotion about Covid-19 prevention and vaccination to the minority marginalized community around Kingston Healthcare in the next 100 days.

Statistics have shown that marginalized communities in the US are disproportionately affected by Covid-19. This is due to systemic inequalities in the access to healthcare (Kantamneni, 2020). Focusing health education on minorities fosters autonomy and delivers social justice (Entwistle, 2019; Haswell, 2019). The Proposed Covid-19 Prevention Interventions At Healthcare.

• To vaccinate every member of the minority community (Blacks, Hispanics, and Mixed Race) living around the facility who shows up at the clinic to avoid creating missed opportunities; after obtaining informed consent.

There is justified resistance to Covid-19 vaccination by minority communities because of past injustices. Giving an opportunity to every member of the community who comes to the facility to get the vaccine after obtaining consent promotes autonomy and respects social justice.

• To document every case of adverse effects following immunization (AEFIs) that may occur during the vaccination period.The Proposed Covid-19 Prevention Interventions At Healthcare.

There will be honesty in letting patients know that what they are experiencing is an adverse reaction to the vaccine. This promotes autonomy in that they will be given the opportunity to decide whether to get the second shot or not. Doing this without bias and discrimination is social justice. The Proposed Covid-19 Prevention Interventions At Healthcare.