Class –
Keep in mind that health care does not only occur in healthcare systems, but where people live, work, learn, and play. Public health nurses have the ability to change systems and environments to promote health. Nursing is not only the care of the sick, but also promotion of health. Would you agree?
A large amount of the homeless population also suffers from mental illness. The purpose of this assignment is to analyze characteristics and health concerns for the homeless population in regards to mental illness.
Write a 1,250-1,500 word paper addressing the following criteria:
Support your writing with three to five scholarly peer-reviewed resources.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance
In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters?
Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?
In this Discussion, you will reflect on the role of professional nurses in policy evaluation.
To Prepare:
Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.
Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.
TASK
Post your initial response to one of the two topics below.
Epidemiology’s Role in Infectious and Communicable Diseases
Topic 1: Disease Outbreak
Select an infectious disease and research the CDC website for information about the disease including:
Topic 2: Epidemiological Applications
Peer 1
In this week lecture we focus on the concept of epidemiology and the role it plays when dealing with communicable and infectious diseases. In addition, we also learned about environmental health in terms of disease prevention as it related to the 3 levels referred to as primary, secondary, tertiary prevention. Hence, disease prevention are important concepts to understand when dealing with infectious diseases (South University Online, 2019). In my discussion, the infectious disease I choose to talk about is Tuberculosis, also known as “TB”. TB is a bacterial disease caused by the bacterium known as Mycobacterium Tuberculosis. TB is known to primary cause damage in the lungs but can also affect other vital organs within the body spreading to the kidneys, brain, bones, and spine. TB is spread from person to person through “airborne Transmission”. Therefore, TB is spread through the air by an infected person when they cough, talks, or sing (Division of Tuberculosis Elimination, 2016). Common presenting symptoms of TB include sneezing, consistent coughing (that last more than 3 weeks) night sweats, fever, chills, and unexplained loss of appetite (National Health Concil , 2020).
TB is not generally known to cause outbreaks, which can be described as the detection of more than 3 TB cases that has a epidemiology link associated with its transmission. In the years from 2009-2015, there were 21 outbreak cases of TB. Of these 21 cases reported over 80% of the individuals used drugs and illegal substances, which included some who also suffered from mental illness, and or were homeless. Hence, almost all of the TB outbreaks were due to a delayed diagnosis of the disease (Mindra et al., 2017). On the CDC website, there was a reported occurrences of TB outbreaks from 2002-2008. In there report they found that the majority of outbreaks occurred among drug users and people who drink an excess amount of alcohol. Hence, both studies revealed that the majority of TB outbreaks was among the homeless, and people suffering with mental health conditions (Division of Tuberculosis Elimination, 2019).
References
Division of Tuberculosis Elimination. (2019, September 6). Data & Statistics. Centers for Disease Control and Prevention. https://www.cdc.gov/tb/statistics/default.htm.
Division of Tuberculosis Elimination. (2016, March 17). Signs & Symptoms. Centers for Disease Control and Prevention. https://www.cdc.gov/tb/topic/basics/signsandsymptoms.htm.
Mindra, G., Wortham, J. M., Haddad, M. B., & Powell, K. M. (2017, February 1). Tuberculosis Outbreaks in the United States, 2009-2015. Public health reports (Washington, D.C. : 1974). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349481/.
National Health Concil . (2020, March 9). Living With Tuberculosis. American Lung Association. https://www.lung.org/lung-health-diseases/lung-disease-lookup/tuberculosis/symptoms-diagnosis.
Talwar, A., Tsang, C. A., Prince, S. F., Pratt, R. H., Walker, W. L., Schmit, K. M., & Langer, A. J. (2019, March 21). Tuberculosis – United States, 2018. Centers for Disease Control and Prevention. https://www.cdc.gov/mmwr/volumes/68/wr/mm6811a2.htm.
Peer 2
The infectious disease that I have chosen is Tuberculosis. The bacteria called Mycobacterium tuberculosis is what causes TB. Tuberculosis normally attacks the lungs, but it can also attack other body parts like the brain, kidney, or spine. Tuberculosis is spread through the air from one person to the next. The signs and symptoms that the person presents with usually depends on where in the body that the TB is. The signs and symptoms of pulmonary TB are: pain in the chest, coughing up blood or sputum, a bad cough that lasts 3 weeks or longer, no appetite, weight loss, fever, chills. sweating at night, weakness, fatigue. Other signs and symptoms depend on which body part is affected. There are also people who have TD and don’t get sick or presents with any signs and symptoms that are called Latent TB.
When it comes to outbreaks that pertain to TB, they do not happen often. Usually, the infectious period begins about 3 months before the initiation of any symptoms and usually ends when treatment starts. I did find one. On an Indian Reservation, there were 5 people who tested positive. When the investigation begins the was doing contact tracing to see 1) who did these people come in contact with and 2) where did this all stem from. They were in contact with a total of 126 people, 121 of them did receive a PPD test. 21 of those had latent TB and 19 were started on treatment. The people were in contact with each other at a party where they were really close to each other. This case does resemble most outbreaks and how they present. The first five had a productive cough and sputum.
References
Basic TB Facts. (2016, March 20). Retrieved September 30, 2020, from https://www.cdc.gov/tb/topic/basics/default.htm
Tuberculosis Outbreak on an American Indian Reservation — Montana, 2000–2001. (2002). Retrieved September 30, 2020, from https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5111a3.htm
Sociologic Sciences Interactive Case Study
Complete the Sociologic Sciences Interactive Case Study following the readings and presentation for this week. Associate what you have learned about the theories to this case study. Then see the instructions below to complete a journal entry about your experience.
Click on the Sociologic Sciences Journal link above. Once opened, select the Sociologic Sciences Case Study Reflective Journal and follow the instructions listed within the journal.
Melissa Garcia 3 postsRe: Topic 2 DQ 1
Child abuse in the school age years is any act that could harm a child in any way. Abuse exists throughout all ages, it is not limited to just one age group. There are different types of abuse and these include physical, sexual, emotional or psychological.
Physical abuse results in injury to the child that can be seen physically from bruises or burns. Some examples of physical abuse include hitting, biting, slapping, pushing, burning with cigarettes or hot water. Some children group up in families where hitting is seen as a normal type of punishment for misbehavior. However, this is not correct because it creates a trauma for the child and accidents could result as well from a hit in the wrong place. A nurse can identify this type of abuse due to the behavior of the child, usually they do not want to go home and are afraid of adults. Also when approaching the child they may draw away.
Sexual child abuse is any type of touching or intercourse from an adult to a child and can emotionally scar the child for life. Examples of this are fondling, violations of bodily privacy and exposing the child to adult sexuality. Adults can be very sick and perverted and this is very disgusting considering that a child is involved who is innocent and has no idea about what is going on. Sexual abuse is usually from someone who is close to the child. Identifying this type of abuse involves the child avoiding any type of talk relating to sexuality or rejection of their own genitals.
Emotional abuse is a type of abuse that affects the child’s mental health status and it entails verbal as well as psychological abuse. This sort of abuse interferes greatly with the child’s development as a person meaning their personality and attitude towards themselves. “Behavioral signs that could be indicative of abuse may include fearfulness, inappropriate sexual behavior, abnormal or irrational fears, and social withdrawal.” (Health Assessment: Foundations for effective practice)
Different cultures and religions have different beliefs when it comes to medicine and many have their own way of treating certain conditions. What may seem abuse is actually normal practices they perform which works for them. Some examples are cupping which is an ancient practice that consists of making small cuts to the skin to draw blood and help the body get rid of toxins. This is wet cupping. In dry cupping, suction is provided by a type of cup-like container and ecchymoses are made on the back of the person and it works to alleviate inflammation and pain. Coining is a healing practice that involves rubbing the skin to treat different types of illnesses.
To report abuse in Florida there is a hotline you can call provided by the department of Children and Families. You can either call or report online in a specific website. As a nurse, to report abuse first of all we must prioritize the child’s safety. Report to the abuse hotline and then notify social services and well as the authorities to open an investigation.
I need these questions in about 120 words each
1 Remember, critiquing the evidence is very important, but it isn’t the first step. Using Melnyk’s process, what are the steps of EBP?
2. Communication is key – what strategies are effective in communicating with resistant groups?
3. Simon Sinek is an inspirational leader and discusses communication strategies. After reviewing the video, how can you use this strategy to communicate to stakeholders?https://www.ted.com/talks/simon_sinek_how_great_leaders_inspire_action?language=en
Write a short (50-100-word) paragraph response for each question posed below. Submit this assignment as a Microsoft Word document.
Explain the diagnostic criteria for the gender dysphoria, paraphilic disorder, or sexual dysfunction you selected.
Explain the evidenced-based psychotherapy and psychopharmacologic treatment for the gender dysphoria, paraphilic disorder, or sexual dysfunction you selected.
Case Study 1 & 2 (10 Points)
Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.
Case Study 1 & 2 Lyme Disease and Peripheral Vascular Disease
The answers must be in your own words with reference to journal or book where you found the evidence to your answer. Do not copy paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.
Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.
Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.
All answers to case studies must have reference cited in text for each answer and minimum of 2 Scholarly References (Journals, books) (No websites) per case Study
Late Assignment Policy
