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