NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution

NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution

Patient, Family, or Population Health Problem Solution

Sadly, Josephine’s battle with how to deal with her rheumatoid arthritis as well as pay medical expenses is not unusual—more than a million Americans suffer from this illness. It is projected that 78.4 million persons in the US will have rheumatism by 2040; therefore, finding ways to increase treatment accessibility and cost is crucial (Kellahan et al., 2023). NURS FPX 4900 Assessment 4, As Josephine’s nurse, I would support modifications to legislation that would reduce pharmaceutical prices, make generics more widely available, and enhance Medicaid coverage of arthritis drugs. Along with knowledge and tools for controlling symptoms, I could also offer Josephine workouts to keep her mobility intact, joint safety strategies, and recommendations to charitable initiatives that might help with medical expenses associated with her disease. Josephine might have a far better life if she had the proper care and assistance.

NURS FPX 4900 Assessment 4: Role of Leadership and Change Management

Encouraging legislative reforms to increase the accessibility and cost of rheumatoid arthritis therapy requires revolutionary management. One may use leadership that transforms to push for change in the role of Josephine’s doctor. This entails using idealistic power, personalized attention, stimulation of thinking, and inspiring motivation for politicians. The nurse may arrange one-on-one sessions with lawmakers to share Josephine’s experience and her economic demise brought on by exorbitant prescription drug expenses to present a dynamic and moral case. The nurse may advocate for lower prescription costs price rise caps, and provide Medicaid the authority to negotiate rates by setting an example of activism and building relationships with legislators (Skochelak, 2020).

The treatment options for the condition will also be expanded using a successful organizational transformation approach. Kotter’s eight-step strategy is a valuable tool for nurse leaders who want to drive modifications to their medical environments (Fagerström, 2021). To do this, it is necessary to raise awareness of the importance of patient economic difficulties, form an association of providers who share this issue, create a plan and objective for more coverage, offer employees the authority to launch fresh assistance applications and integrate such modifications into the culture of the company. Economic help, medication availability, and self-management knowledge will all significantly benefit if Kotter’s gradual paradigm is implemented.

The healthcare worker may use revolutionary management to inform and enable Josephine on a personal level. The nurse demonstrates specialized concern by teaching Josephine how to handle herself, using joint protection procedures and personalized workout regimens. Encouraging Josephine to actively participate in managing her symptoms via intellectual engagement makes it easier for her to adhere to the treatment plan. The healthcare provider can provide Josephine with complete treatment for her rheumatoid arthritis through broad policy improvements, institutional-level adjustments, and particular patient representation.

Informed Nursing Ethics

My suggested solution for Josephine was influenced by the ethical standards of nursing, including the concepts of benevolence, equity, and justice. Having Josephine’s foremost needs foremost and acting to further her physical and mental well-being is the aim of generosity. Promoting lower pharmaceutical prices is consistent with the mutual beneficence concept as it eliminates financial obstacles that prevent Josephine from receiving the essential medication for her autoimmune disorder. For justice to be valued, everyone must get equal treatment (Savulescu & Cameron, 2020). Encouraging modifications to the law that will increase insurance and reduce expenses would help Josephine and other patients who are having trouble affording their inflammatory arthritis treatments. Fairness also requires nurses to guarantee that patients have appropriate availability of facilities to receive treatment (Fritz & Cox, 2020). By leveling the playing circle and removing barriers to receiving a high-quality, reasonably priced therapy customized to her disease, Josephine’s access to financial support initiatives and instruction on self-management exemplifies the equitable principles of healthcare morality.

Communication and Collaboration Strategies

Using evidence-based cooperative procedures, a registered nurse may maximize Josephine’s arthritis-related rheumatoid therapy and foster involvement. Providing Josephine with the control she needs for handling her health entails meticulously paying attention to her viewpoints and using collaborative decision-making to establish care objectives. Teach-back strategies may guarantee that Josephine understands self-management measures such as joint preservation (Talevski et al., 2020). Questions that are vague in a motivating interview may help uncover Josephine’s adherence to therapy obstacles. Patient-centered cooperation is shown by creating a diet and fitness program specific to Josephine’s tastes and way of life.

Moreover, efficient interpersonal interaction is necessary to raise Josephine’s performance. To maximize medical literacy, nurse educators should talk slowly, use simple language, condense knowledge, and provide illustrations. Educators may gauge students ‘ comprehension throughout the class by using teach-to-goal strategies and Josephine’s explanations of ideas. Establishing rapport and empathetic communication might help you avoid using medical terminology (Tan et al., 2021). Feedback may be given by the nurse when self-care tasks are repeatedly demonstrated. Josephine is more engaged in treating her rheumatoid arthritis management when she receives individualized, caring messaging.

Benefit of Input from Patient of Family

By using individualized ways to elicit Josephine’s views and objectives, the nurse may successfully gather crucial information about managing Josephine’s illness. The healthcare provider may discover difficulties that would not be apparent otherwise by actively paying attention to Josephine and utilizing inspiring interviewing strategies to grasp her treatment hurdles, questions, and aspirations (Fritz & Cox, 2020). It makes it more feasible to include Josephine’s behavior and cultural customs in managing yourself measures, such as workout and food plans. Josephine’s involvement ensures that instruction and skill development are delivered understandably and efficiently. Getting Josephine’s input via engagement and teaching encourages the therapy’s commitment. Above all, giving Josephine’s perspective and perspective priority shows admiration for her independence and gives her the tools she needs to manage her chronic illness (Tan et al., 2021). Working together, a treatment that prioritizes the patient requires getting Josephine’s viewpoints.

Guidance by State Board Nursing Practice or Policies

I carefully adhered to the American Nurses Association’s Code of Ethics, establishing moral and professional guidelines for nurses while serving as Josephine’s caregiver. I was given specific directions to campaign for legislative initiatives to lower drug prescription prices and increase the inexpensive availability of rheumatoid arthritis therapy for underprivileged patients like Josephine by Provision 3.4 on transparency and reasonable allocation of funds (Kpienbaareh et al., 2020). I was also forced to fight for Josephine’s equitable access to high-quality care because of Provision 7.3 on racial equity. The Patient Affordability Policy in the hospital system listed specific financial assistance programs I could put Josephine in touch with (Ragavan et al., 2024). This encompasses a donor-funded copay support initiative, with a range of prices with income-based cost adjustments, and charity healthcare funds pay for qualified underinsured patients’ visits and prescription drugs in full. By Section 3B of this policy, I shall cooperate carefully with our social assistance section to start and finish Josephine’s petitions.

Josephine’s treatment was informed by research-based recommendations for reducing health inequalities included in the central government’s Healthy People 2030 regulations, which I implemented (Ochiai et al., 2021). To guarantee that Josephine receives high-quality treatment as an individual of at-risk humanity, the AH-06 strategy expressly seeks to enhance the number of people who can obtain high-quality healthcare services. My emphasis informs this objective on the importance of information and instruction in self-management.

NURS FPX 4900 Assessment 4: Effectiveness of Standards and Policies

The pregnant, organizational, and administrative rules and standards I consulted while creating strategies for Josephine’s arthritis-related care have been helpful, according to recent studies. Research on medical financial aid programs for underprivileged patients reveals that when robust sliding fee schemes are put in place and nurses assist in enrolling qualified patients, there is an improvement in adherence, a decrease in the rate of readmission, and a boost in happiness among patients. According to studies, nurses who follow the third clause of Justice and Fairness in their nursing practice are more likely to advocate for patient economic equality (Copeland, 2020). Furthermore, randomized studies have shown that government measures for uniform information on arthritis managing one’s emotions as described in Healthy People 2030, lessen restrictions associated with rheumatism and enhance the standard of living.

Improvement in Care, Cost, and Safety

Fighting for legislation to reduce pharmaceutical prices might significantly enhance the quality of treatment by eliminating the financial obstacles that keep people like Josephine from getting the necessary drugs. According to research, policies and changes in medication prices enhance treatment results and commitment for chronic illnesses (Kvarnström et al., 2021). By lowering the risk of illnesses and spontaneous joint abnormalities similar to rheumatoid arthritis, improved adherence enhances patient safeguards. Reducing exorbitant medicine prices may have a systemic effect of lowering total healthcare expenditures associated with uncontrolled illness. At-risk individuals will get immediate relief by implementing financial assistance and institutional help initiatives, enabling them to begin and continue treatment regimens. Research indicates that in low-income people, premium support and medical free of charge boost medication compliance by 2.5 times (Kong et al., 2022). Patient safety is further improved because of these systems’ ability to prevent treatment stops and disruptions. Individualized training on the disorder and training in self-management with a nurse may improve results. According to systematic studies, one-on-one education on osteoarthritis that focuses on managing symptoms, joint safety, and rehabilitation enhances the quality of life by lowering pain and functional restrictions (Kvarnström et al., 2021). Following customized guidance and education, participants also show safer utilization of drugs.


Josephine’s story highlights the significant effects the disease may have on a person’s quality of existence and the difficulties that patients frequently encounter in finding reasonably priced therapy. A multimodal approach is used in my suggested nursing treatments to deal with a person without administrative and institutional limitations. Promoting care, justice, and fairness is the goal of campaigning for legislative changes to reduce prescription drug prices. NURS FPX 4900 Assessment 4, Making connections between Josephine and institutional scholarship programs may help her temporarily overcome her budgetary problems. By offering tailored instruction and self-management assistance, Josephine can maximize her wellness results. By combining campaigning at the organizational level with nursing ethics-guided supervision of care at the individual level, healthcare professionals may provide patients with complete treatment for chronic inflammation-related conditions.



Copeland, D. (2020). A Critical Analysis of the American Nurses Association Position Statement on Workplace Violence. Advances in Nursing Science, Publish Ahead of Print(2). https://doi.org/10.1097/ans.0000000000000345

Fagerström, L. M. (2021). Leading Change When Implementing Advanced Practice Nursing. A Caring Advanced Practice Nursing Model, 219–233. https://doi.org/10.1007/978-3-030-53555-1_12

Fritz, Z., & Cox, C. L. (2020). Integrating philosophy, policy and practice to create a just and fair health service. Journal of Medical Ethics, 46(12), 797–802. https://doi.org/10.1136/medethics-2020-106853

Kellahan, S., Burnitt, L., Eisen, S., Curtis, M. P., & Parks, D. (2023). Development of a structured musculoskeletal and rheumatic disease continuing education program for nurse practitioners. Journal of the American Association of Nurse Practitioners, Publish Ahead of Print. https://doi.org/10.1097/jxx.0000000000000832

Kong, E., Shepard, M., & McIntyre, A. (2022). Turnover in Zero-Premium Status Among Health Insurance Marketplace Plans Available to Low-Income Enrollees. JAMA Health Forum, 3(4), e220674. https://doi.org/10.1001/jamahealthforum.2022.0674

Kpienbaareh, D., Bezner Kerr, R., Luginaah, I., Wang, J., Lupafya, E., Dakishoni, L., & Shumba, L. (2020). Spatial and Ecological Farmer Knowledge and Decision-Making about Ecosystem Services and Biodiversity. Land, 9(10), 356. https://doi.org/10.3390/land9100356

Kvarnström, K., Westerholm, A., Airaksinen, M., & Liira, H. (2021). Factors Contributing to Medication Adherence in Patients with a Chronic Condition: A Scoping Review of Qualitative Research. Pharmaceutics, 13(7), 1100. https://doi.org/10.3390/pharmaceutics13071100

Ochiai, E., Kigenyi, T., Sondik, E., Pronk, N., Kleinman, D. V., Blakey, C., Fromknecht, C. Q., Heffernan, M., & Brewer, K. H. (2021). Healthy People 2030 Leading Health Indicators and Overall Health and Well-being Measures: Opportunities to Assess and Improve the Health and Well-being of the Nation. Journal of Public Health Management and Practice, 27(6), S235–S241. https://doi.org/10.1097/phh.0000000000001424

Ragavan, M. V., Swartz, S., Clark, M., Lo, M., Gupta, A., Chino, F., & Tracy Kuo Lin. (2024). Access to Financial Assistance Programs and Their Impact on Overall Spending on Oral Anticancer Medications at an Integrated Specialty Pharmacy. JCO Oncology Practice. https://doi.org/10.1200/op.23.00446

Savulescu, J., & Cameron, J. (2020). Why lockdown of the elderly is not ageist and why levelling down equality is wrong. Journal of Medical Ethics, 46(11), 717–721. https://doi.org/10.1136/medethics-2020-106336

Skochelak, S. E. (2020). Health Systems Science E-Book: Health Systems Science E-Book. In Google Books. Elsevier Health Sciences. https://books.google.com/books?hl=en&lr=&id=1sjhDwAAQBAJ&oi=fnd&pg=PA243&dq=The+nurse+may+advocate+for+lower+prescription+costs+price+rise+caps

Talevski, J., Wong Shee, A., Rasmussen, B., Kemp, G., & Beauchamp, A. (2020). Teach-back: A systematic review of implementation and impacts. PLOS ONE, 15(4), 1–18. https://doi.org/10.1371/journal.pone.0231350

Tan, L., Le, M. K., Yu, C. C., Liaw, S. Y., Tierney, T., Ho, Y. Y., Lim, E., Lim, D., Ng, R., Ngeow, C., & Low, J. (2021). Defining clinical empathy: a grounded theory approach from the perspective of healthcare workers and patients in a multicultural setting. BMJ Open, 11(9), e045224. https://doi.org/10.1136/bmjopen-2020-045224

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