Community Health Nursing Intervention Strategies

Community Health Nursing Intervention Strategies Assignment Papers. Community Health Nursing Intervention Strategies Assignment Papers. Permalink: https://nursingpaperessays.com/ community-health…ignment-papers / ? Towards the end of the last century, health improvement strategies (such as the World Health Organization’s seminal Health for all by the year 2000) tended to use phrases like ‘protecting and promoting health’. In more recent years, the vocabulary has broadened out to place an emphasis on wellbeing as well as health. Today the phrase ‘population health’ is used to convey a way of conceiving health that is wider still. It includes the whole range of determinants of health and wellbeing – many of which, such as town planning or education, are quite separate from health services.Community Health Nursing Intervention Strategies Assignment Papers. Referring to ‘population health’ rather than the more traditional phrase ‘public health’ also helps avoid any perception that this is only the responsibility of public health professionals. Population health is about creating a collective sense of responsibility across many organisations and individuals, in addition to public health specialists.Community Health Nursing Intervention Strategies Assignment Papers. Confusingly, the phrase ‘population health management’ is also widely used, with a specific meaning that is narrower in focus than population health. Population health management refers to ways of bringing together health-related data to identify a specific population that health services may then prioritise. For example, data may be used to identify groups of people who are frequent users of accident and emergency departments. This way of using data is also sometimes called ‘population segmentation’. Throughout all these changes in vocabulary, one element has consistently been essential: an emphasis on reducing inequalities in health, as well as improving health overall. This continues to be important in population health. There are several definitions of population health in use. The King’s Fund defines it as: An approach aimed at improving the health of an entire population. It is about improving the physical and mental health outcomes and wellbeing of people within and across a defined local, regional or national population, while reducing health inequalities. It includes action to reduce the occurrence of ill health, action to deliver appropriate health and care services and action on the wider determinants of health. It requires working with communities and partner agencies.Community Health Nursing Intervention Strategies Assignment Papers. A vision for population health, page 18 What is involved in improving population health? Our health is shaped by a range of factors, as set out in Figure 1. It is hard to be precise about how much each of these factors contributes to our health, but the evidence is convincing that the wider determinants of health in the outer ring have the most impact, followed by our lifestyles and health behaviours, and then the health and care system. There is also now greater recognition of the importance of the communities we live and work in, and the social networks we belong to.Community Health Nursing Intervention Strategies Assignment Papers. Figure 1 – What affects our health? Figure 1: social determinants of health Dahlgren G, Whitehead M (1993). Tackling inequalities in health: what can we learn from what has been tried? Working paper prepared for The King’s Fund International Seminar on Tackling Inequalities in Health, September 1993, Ditchley Park, Oxfordshire. London, The King’s Fund, accessible in: Dahlgren G, Whitehead M. (2007) European strategies for tackling social inequities in health: Levelling up Part 2. Copenhagen: WHO Regional office for Europe: http://www.euro.who.int/__data/assets/pdf_file/0018/103824/E89384.pdf The King’s Fund definition of population health leads to a focus on actions in four broad areas, illustrated in Figure 2. These are the four pillars of population health. Figure 2 – Four pillars of population health Four pillars of population health Improving population health requires action on all four of the pillars and, crucially, the interfaces and overlaps between them. Understanding the interfaces and overlaps between the pillars is essential. For example, housing is well-known to have a powerful impact on health. Healthy New Towns are an example of how an understanding of the overlap between housing, lifestyles and behaviours can lead to housing developments that are designed to encourage physical activity, healthy eating and social interaction. Similarly, sugary drinks have been associated with childhood obesity. Understanding how lifestyle choices – in this case, the choice of drinks – overlap with wider determinants of health – in this case, the affordability of less sugary drinks – helped the government design a soft drinks industry levy (often referred to as a ‘sugar tax’) which has led to a reduction in the sugar content of many soft drinks.Community Health Nursing Intervention Strategies Assignment Papers. The King’s Fund describes this way of thinking about population health as a ‘population health system’ in which the four pillars are inter-connected and action is co-ordinated across them rather than within each in isolation. This is illustrated in Figure 3. Figure 3 – A population health system Figure 2: a population health system How should progress be made on population health? The first step is to recognise that improving population health is an urgent priority. Over the last 100 years we have grown used to people living for longer and longer, but in recent years life expectancy has stopped increasing in England and in some areas has been reducing. Health inequalities are widening and England lags behind comparable nations of many key measures of health outcomes. Demand on NHS services has been increasing, but much of that extra demand is for treatment of conditions which are preventable. At heart, the NHS remains a treatment service for people when they become ill.Community Health Nursing Intervention Strategies Assignment Papers. Importantly, action needs to be taken at three levels: national – eg, government, arm’s length bodies, membership organisations regional – eg, devolution areas, sustainability and transformation partnerships, integrated care systems local – eg, individual cities, towns and neighbourhoods. What needs to happen at the national level to improve population health? In addition to The King’s Fund’s A vision for population health, national bodies in England have started to signal a will to prioritise population health. Notably: the Department of Health and Social Care has issued a new strategy Prevention is better than cure which identifies population health as a priority. It includes a commitment for a Green Paper (consultation document) on the specific steps which the government will take to translate that priority into action.Community Health Nursing Intervention Strategies Assignment Papers. NHS England has been increasingly vocal in its aim of reducing health inequalities, and has identified prevention as one of the key themes in the long-term plan for the NHS. The plan includes a welcome emphasis on population health which will be a key focus for integrated care systems as they are rolled out across the country. National leadership for population health is essential but it needs to be co-ordinated across government. There are different options for how to do so. The last Labour government’s policies set targets for reducing health inequalities which went across government, with accountability through a cabinet sub-committee. The Welsh government has set statutory targets for improving population health, which go beyond the health sector and include requirements for translating them to the local level and for monitoring. The same legislation also set a requirement for health impact assessment of all policies. At the moment, efforts to improve population health lack a common set of high-level goals and robust accountability for improvement. Although progress is being made in many local areas, responsibility for this is fragmented and unclear, rather than joined up as a concerted, nationwide approach. Improving accountability for contributing to national, high level goals is a priority. The King’s Fund has highlighted the potentially important role that Public Health England could have in monitoring and reporting on progress across the health and care system and beyond, if its role were more than only advisory.Community Health Nursing Intervention Strategies Assignment Papers. At present, funding is skewed towards health services providing treatment, such as hospitals. There is good evidence that investment in prevention is cost-effective, but the benefits of that investment may not be realised until several years later and, in the meantime, hospitals need the funding now in order to meet people’s immediate needs. Breaking out of this cycle is fundamental to making progress. One of the challenges for national leaders is to lead a debate about how best to re-balance spending across the four pillars of population health.Community Health Nursing Intervention Strategies Assignment Papers. What needs to happen at a regional level to improve population health? Devolution areas and regional plans made by sustainability and transformation partnerships (STPs) or integrated care systems (ICSs) – which often include several local authorities and clinical commissioning groups – have great potential to improve population health. Greater Manchester, for example, has a population health plan which is fully integrated into broader plans for economic development and growth and for public service reform. It is rooted in a set of principles and values which reflect the overall approach to devolution, and it sets out ambitious plans and programmes. STPs and ICSs are using 2019/20 as a ‘foundation year’ to build up system-wide implementation plans for first five years of the NHS long-term plan, presenting a key opportunity to strengthen their focus on population health:Community Health Nursing Intervention Strategies Assignment Papers. Every ICS will need streamlined commissioning arrangements to enable a single set of commissioning decisions at system level. This will typically involve a single CCG for each ICS area. CCGs will become leaner, more strategic organisations that support providers to partner with local government and other community organisations on population health, service redesign and long-term plan implementation. The NHS long-term plan, page 29 It is implicit within this that although ICSs are being established through the NHS long-term plan, if they are to have impact on population health, they must not behave as just NHS bodies. At the regional level, a priority is to build on the cross-sector partnership approach that many STPs have started to establish.Community Health Nursing Intervention Strategies Assignment Papers. What does a population health approach look like at a local level? There is no single blueprint for a local population health approach: each place will need to work out what approach and – importantly – what arrangements for leadership and accountability will work best for their context. The four pillars of population health provide a framework that can be used for reviewing achievements and gaps, to inform the development of local plans and approaches.Community Health Nursing Intervention Strategies Assignment Papers. The examples below show the different approaches taken by different local areas. Bristol is developing its approach to population health by building on an existing commitment to be a ‘Marmot city’, adopting the approaches advocated by Professor Sir Michael Marmot for improving health and reducing health inequality. The Marmot city infrastructure is the basis for creating partnerships between city planning and development, public health, the local NHS, the local university, the police and others.Community Health Nursing Intervention Strategies Assignment Papers. Devon is using its STP as the framework for improving population health. For example, NHS commissioners and local authorities have jointly established wellbeing hubs. The County Durham Partnership positions the health and wellbeing board as the vehicle for improving population health by bringing together economic development, services for children and families, health improvement, community safety and the environment. There is notable engagement of councillors and NHS chief executives. Cherwell District Council is leading the Bicester Healthy New Town Initiative – a new development of 13,000 homes within the Bicester area – to bring together 20 partner organisations to ensure that the development actively promotes and improves residents’ health. Local politicians – councillors and mayors – have an essential role in bringing different organisations and departments together to work as effective partnerships, and in ensuring a focus on what the local community needs rather than a narrow view of organisational accountability. The King’s Fund’s report on the role of cities in improving population health describes this in more detail. Involving local people and using their insight to draw up plans for improving health are key to population health approaches. The Surrey Heartlands Health and Care Partnership demonstrates a range of methods for engaging people at scale including a citizen’s panel, monthly online surveys, citizen ambassadors and rigorous use of focus groups and deliberative research methods.Community Health Nursing Intervention Strategies Assignment Papers. Conclusion Right now, a number of policy developments are causing population health to have an increasingly high profile. Some of these – such as the NHS long-term plan – are specific to the NHS, although population health is about far more than just NHS services. It is clear that a significant groundswell is building up, creating opportunities for progress. Various secretaries of state for health have prioritised prevention when they first assumed office, only for that initial enthusiasm to evaporate over time. There is also a history of short-term thinking, resulting in prevention budgets being among the first to be cut at times of financial pressure. The key issue now is to ensure that the various commitments that have been made to improving population health go beyond rhetoric, to sustained effort at national, regional and local levels.Community Health Nursing Intervention Strategies Assignment Papers. 5095. Prespecialty Clinical Directed Study [Formerly NURS 262] This clinical course is designed to facilitate prespecialty student maintenance of clinical competencies in the event the student is unable to progress as planned in the clinical course curriculum of the prespecialty level. Students enrolled in this course will complete independent review of prior clinical and non-clinical course content, supervised laboratory practice, and facilitated clinical experience as directed by the faculty to demonstrate maintenance of clinical competency at the level of the last successfully completed prespecialty course. Prerequisite: Successful completion of at least one prespecialty clinical course. [1] 5101. Legal and Ethical Accountability in Professional Nursing Practice [Formerly NURS 215] This course provides an opportunity for the student to explore current legal and ethical issues in health care. Students will gain understanding of legal and ethical concepts, applying them in identification and analysis of complex scenarios affecting professional nursing practice. Legal principles, nursing liability, ethical theories, and decision-making are discussed as foundational concepts for professional nursing practice. Corequisites: 5103, 5105, 5106, 5115. [2] Fall 5103. Human Experience of Health and Illness Across the Lifespan I [Formerly NURS 235] Nursing 5103 is the first of three didactic courses examining the human experience of health and illness across the lifespan from infancy through senescence. Community Health Nursing Intervention Strategies Assignment Papers. The framework incorporates the following concepts and their influence on health and response to illness: growth and development, mental health, gender, lifestyle, value systems, spirituality, ethnicity, environment, and psychosocial, economic, and cultural issues. The impact of these factors on individuals, families, and aggregates will be explored. Basic concepts/knowledge of selected interventions will be introduced. Selected health problems involving the sensory, hematological, endocrine, renal/urinary, cardiovascular, and respiratory systems will be presented; the epidemiology, pathophysiology, medical management (select pharmacologic, non-pharmacologic, and surgical), and nursing management will be addressed. Health promotion, including primary, secondary, and tertiary, anticipatory guidance, and patient education will be discussed. Corequisite: 5101, 5105, 5106, 5115. [4] Fall 5105. Enhancement of Community and Population Health I [Formerly NURS 225] This course is the first in a sequence of three clinical practice courses designed to provide the student with an opportunity to explore population and community-based health care principles that impact the client.Community Health Nursing Intervention Strategies Assignment Papers. Healthy People 2020 will be used as a framework to determine the health status of the community. Notably, the course will provide the student knowledge on how the social determinants of health impact the health of the community. In addition, resources will be discussed in relation to the availability, barriers,and access in the community. The community clinical experience is designed to provide the student the opportunity to work within a community organization or agency to assess and identify specific challenges to maximizing the health of persons in communities and populations. Corequisite: 5101, 5103, 5106, 5115. [3] Fall 5106. Pharmacology for Nursing Care I [Formerly NURS 255A] This course presents an introduction to pharmacologic knowledge, the clinical indications for drug use as a treatment modality, and the role of the nurse in drug therapy.Community Health Nursing Intervention Strategies Assignment Papers. The course will present content on the prototype drug from major drug classifications that serves as a framework for continued self-study of new drug information. Emphasis will be placed on major drug classifications and their respective prototype drug(s) that are more commonly encountered in drug therapy. Corequisite: 5101, 5103, 5105, 5115. [2] Fall 5115. Fundamentals of Clinical Practice [Formerly NURS 245] This course is the first in a sequence of three clinical practice courses. The course is designed to provide the student with the opportunity to acquire the knowledge, skills, and attitudes required to apply the nursing process (assessment, analysis, planning, intervention, and evaluation) in the delivery of client-centered nursing care. Students will learn and practice assessment and intervention skills in a didactic classroom setting and in a simulated laboratory setting and progress to full application of the nursing process in an adult medical/surgical clinical setting with maximum faculty guidance. Corequisite: 5101, 5103, 5105, 5106. [5] Fall 5201. Inquiry and Evidence in Professional Nursing Practice [Formerly NURS 216] This course provides an introduction to nursing research and the evidence based practice process. Special emphasis is placed on integration of nursing science with clinical judgment and patient preferences for care. Students gain knowledge of the contributions of qualitative and quantitative research to clinical practice.Community Health Nursing Intervention Strategies Assignment Papers. Knowledge development and the interrelationships among theory, practice and research are discussed. The nurse’s role as advocate for human subjects in research is presented. Students identify clinical problems, search scholarly literature for information related to those problems, and critically appraise the scholarly information for application to clinical practice. The course culminates with the presentation of an evidence based nursing project addressing a selected clinical problem for the purpose of improving patient outcomes. Prerequisites: 5101, 5102, 5103, 5105, 5106, 5115; corequisites: 5203, 5205, 5206, 5215. [2] Spring 5203. Human Experience of Health and Illness Across the Lifespan II [Formerly NURS 236] Nursing 5203 is the second of three didactic courses examining the human experience of health and illness across the lifespan from infancy through senescence, including the childbearing cycle.Community Health Nursing Intervention Strategies Assignment Papers. The framework incorporates the following concepts and their influence on health and response to illness: growth and development, mental health, gender, lifestyle, value systems, spirituality, ethnicity, environment, and psychosocial, economic, and cultural issues. The impact of these factors on individuals, families, and aggregates will be explored. Basic concepts/knowledge of selected interventions will be introduced. Selected health problems involving mental health disorders with appropriate treatment modalities and settings, gastrointestinal, reproductive (including maternity focus) systems, and care of the client with cancer will be presented. The epidemiology, pathophysiology, medical management (non-pharmacologic, and surgical), and nursing management will be addressed. Health promotion, including primary, secondary, and tertiary, anticipatory guidance, and patient education will be discussed. Prerequisite: 5101, 5102, 5105, 5103, 5115, 5106. Corequisite: 5201, 5205, 5215, 5206. [5] Spring 5205. Enhancement of Community and Population Health II [Formerly NURS 226] This course is the second in a sequence of three clinical practice courses designed to provide the student with an opportunity to explore population and community based health care principles that impact the client.Community Health Nursing Intervention Strategies Assignment Papers. This course will provide the student with an opportunity to use evidence-based practice to enhance the knowledge base regarding factors that impact the client’s health status within the community and population. This course will focus on how evidence-based practice may be used to increase healthy lifespans, decrease discrepancies in health status and improve health outcomes. The course explores population-based care models and environments in which health care is delivered: community agencies, clinics, neighborhoods/communities, schools, the family, and the workplace. Prerequisite: 5101, 5102, 5105, 5103, 5115, 5106. Corequisite: 5201, 5203, 5215, 5206. [3] Spring 5206. Pharmacology for Nursing Care II [Formerly NURS 255B] This course extends and builds upon pharmacological knowledge from earlier pharmacology courses and the Health and Illness Across the Lifespan series. The focus of the course is drug therapy most commonly seen in specific clinical settings and specific patient situations. Community Health Nursing Intervention Strategies Assignment Papers. The course presents a context for safe drug administration and for continued self-study of new drug information. Emphasis is placed on pharmacological interventions to achieve safe and optimal patient outcomes. Prerequisite: 5101, 5102, 5105, 5103, 5115, 5106. Corequisite: 5201, 5205, 5203, 5215. [2] Spring 5215. Integration of Theoretical and Clinical Aspects of Nursing I [Formerly NURS 246] This course is the second of a sequence of three clinical practice courses. Community Health Nursing Intervention Strategies Assignment Papers. It is designed to provide the student with the opportunity to integrate theory, practice, and evidence in the application of the nursing process in a clinical setting for diverse client aggregate populations across the lifespan (child-bearing families/newborn health, pediatric and adolescent health, adult and older adult health, and psychiatric/mental health). Students will analyze and integrate aggregate specific concepts in the provision of client-centered care in a variety of health care settings with moderate faculty guidance. Prerequisite: 5101, 5102, 5105, 5103, 5115, 5106. Corequisite: 5201, 5205, 5203, 5206. [3] Spring 5301. Leadership and Management in Professional Nursing Practice [Formerly NURS 217] This course provides an introduction to leadership and management in nursing. Course content focuses on leadership and decision-making theories, power and influence, team building, communication, and problem solving skills. The course is designed to facilitate transition to practice and management of professional issues that reflect the current complexity in provision of care with respect to patient, organizational, and professional advocacy. Quality improvement and management skills will be emphasized including delegation and assignment, managed care, outcomes management, resource allocation, conflict resolution, and economic principles pertinent to the efficient and effective delivery of health care services. Prerequisite: 5101, 5201; corequisite: 5303, 5305, 5306, 5315, 5325. [2] Summer 5303. Human Experience of Health and Illness Across the Lifespan III [Formerly NURS 237] This is the third of three didactic courses examining the human experience of health and illness across the lifespan – from infancy through senescence – with an emphasis on increasing complex acute and chronic issues. The course provides the student with the theoretical basis to apply principles of chronic illness, including assessment and intervention skills, to at-risk populations. Community Health Nursing Intervention Strategies Assignment Papers. The impact of multi-system factors on individuals, families, and aggregates or populations/communities will be explored. The epidemiology, pathophysiology, medical management (pharmacologic, non-pharmacologic, and surgical), and nursing management for selected health problems will be addressed. Health promotion, anticipatory guidance, and patient education will be discussed. Prerequisite: 5101, 5201, 5102, 5105, 5205, 5103, 5203, 5115, 5215, 5106, 5206. Corequisite: 5301, 5305, 5315, 5325, 5306. [Prerequisites and corequisites apply to non-R.N. students only.] [4] Fall, Summer 5305. Enhancement of Community and Population Health III [Formerly NURS 227] This course is the third in a sequence of three clinical practice courses designed to provide the student with an opportunity to explore population and community-based health care principles that impact the client. This course addresses healthcare systems related issues that impact the client’s ability to maintain and maximize health.Community Health Nursing Intervention Strategies Assignment Papers. Students will have the opportunity to build on their knowledge of clients within communities and populations, collaborate to synthesize and evaluate data, identify appropriate programs, and disseminate findings. Prerequisite: 5101, 5201, 5102, 5105, 5205, 5103, 5203, 5115, 5215, 5106, 5206. Corequisite: 5301, 5303, 5315, 5325, 5306. [2] Summer 5306. Pharmacology for Nursing Care III [Formerly NURS 256] This course presents pharmacologic knowledge, the clinical indications for medication use as a treatment modality, and the role of the nurse in medication therapy. Emphasis is placed on the variations of pharmacologic therapy in critical and complex situations with the goal of achieving safe and optimal client outcomes in specific situations.Community Health Nursing Intervention Strategies Assignment Papers. Major medication classifications and commonly encountered prototype(s) within specialty areas will serve as a framework for continued learning of new pharmacologic information. Additionally, this course engages students in group activities which require collaboration, negotiation, and rationalizations of decisions essential for client centered care.. Prerequisite: 5101, 5201, 5102, 5105, 5205, 5103, 5203, 5115, 5215, 5106, 5206. Corequisite: 5301, 5305, 5303, 5315, 5325. [1] Summer 5315. Integration of Theoretical and Clinical Aspects of Nursing II [Formerly NURS 247A] This course is the final rotation of the second in the sequence of three clinical practice courses. This course is designed to provide the student with the opportunity to integrate theory, practice, and evidence in the application of the nursing process in a clinical setting for diverse client aggregate populations across the life span (child-bearing families/newborn health, pediatric and adolescent health, adult and older adult health, and psychiatric/mental health). Community Health Nursing Intervention Strategies Assignment Papers. Students will analyze and integrate aggregate specific concepts in the provision of client-centered care in variety of health care settings with moderate faculty guidance. Prerequisite: 5101, 5201, 5102, 5105, 5205, 5103, 5203, 5115, 5215, 5106, 5206. Corequisite: 5301, 5305, 5303, 5325, 5306. [1] Summer 5325. Capstone Clinical Practicum [Formerly NURS 247B] This course is the third in a sequence of three clinical practice courses. This course is designed to provide the student with the opportunity to synthesize theory, practice, and evidence in the application of the nursing process for multiple complex adult medical-surgical clients. Students will synthesize acquired knowledge, skills, and attitudes to prevent illness and promote health, prioritize and delegate nursing care, and engage as leaders within the inter-professional health care team to meet the needs of clients on the continuum of health. Prerequisite: 5101, 5201, 5102, 5105, 5205, 5103, 5203, 5115, 5215, 5106, 5206. Corequisite: 5301, 5305, 5303, 5315, 5306. [2] Summer 5401. Critical Thinking, Supporting Evidence and Communication, Part 1 [Formerly NURS 218A] This course focuses on identification of the unique strengths/perceptions of each RN student and a development of an individualized plan for learning. The course assists RN students in identifying and developing strategies to foster critical thinking, lifelong learning, and nursing practice role development.Community Health Nursing Intervention Strategies Assignment Papers. Theory development and research are introduced as processes essential to the organization and development of nursing knowledge. Limited to RN students. [3] Fall 5402. Epidemiology and Population-Based Nursing [Formerly NURS 228] This course provides the student with an opportunity to explore population-based health care principles of prevention, health maintenance and health promotion within the context of Healthy People 2010. Notably, the course will focus on how these principles are used to increase healthy lifespan, decrease discrepancies in health status and health outcomes for different populations and assure access to preventive services for all. It emphasizes epidemiologic principles and population-based holistic health promotion/disease prevention as an integral part of populations at risk for illness, disability, or premature death. Further, the course explores population-based care models and environments in which health care is delivered: community agencies, neighborhoods/communities, schools, the family, and the workplace. Legislation and policy implications for primary, secondary, and tertiary care will be discussed. [3] Fall 5403. Health Care Systems and the Role of the Nurse as Facilitator of Learning [Formerly NURS 238] This course addresses health care systems and the role of the nurse as teacher and facilitator of learning in health care. Course content focuses on leadership concepts, decision-making, team building, communication, managerial skills, and integrates the foundational concepts of teaching and counseling patients and families.Community Health Nursing Intervention Strategies Assignment Papers. The course also provides information on contemporary trends in the organization and delivery of health care to individuals, families and populations to include quality improvement and legal/regulatory issues. In addition, course content will include the impact of managed care and financial pressures on health care providers along with outcomes management, financial management, conflict resolution and economic principles pertinent to the delivery of health care services.Community Health Nursing Intervention S

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