NURS 4115 – 2025 Discussion Preventing Disease in Communities The Role of Public Health the Silent SentiOur world starts with

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NURS 4115 – 2025

 

Discussion: Preventing Disease in Communities: The Role of Public Health, the Silent SentiOur “world” starts with our own community, county, and state, then moves out in concentric rings from that point to include our country and eventually the world. Disease is transmitted from person to person through direct contact,  

Discussion: Preventing Disease in Communities: The Role of Public Health, the Silent Sentinel

Our “world” starts with our own community, county, and state, then moves out in concentric rings from that point to include our country and eventually the world. Disease is transmitted from person to person through direct contact, or from a source such as a vector or contaminated water through a variety of means, such as flood waters or even terrorist actions. Individuals with limited or no knowledge of safe sex methods may have unprotected sexual relations and knowingly or unknowingly transmit disease to their partners, then to their partners’ partners, and on and on. Often it is the role of the public health nurse to investigate a disease outbreak, contain it, and then educate others so that the same situation doesn’t happen again.

In this Discussion, you will visit a site and interview people who work there about risks for disease transmission, then report on your findings.

To prepare, select which site you will visit from the following options:

  • High school nurse’s office
  • Water treatment plant
  • Public health department
  • Pediatrician’s office

Create a brief description of your setting, providing some context; for example, how many patients are seen, size or capacity of the facility as applicable, and/or the location of the office or organization.

Take pictures of the building and surrounding area/neighborhood to provide context. You do not have to include the interior/s of the building/s or people/clients who may be there.

Then, during your site visit, pose the questions listed in the following chart:

High school nurse

  • What is the school’s policy on giving students advice about birth control?
  • How often do you get requests for information about birth control or how to protect oneself from an STD?
  • How do you track vaccination compliance, and what happens to students who fall out of compliance?

Local water treatment plant

  • Where does your community’s water come from?
  • Where is it stored?
  • How often is it tested for purity?
  • What safeguards are in place to prevent tampering with the water supply?

Local public health department

  • Does this department have an STD clinic?
  • In addition to testing, does the department offer treatment of one party or both parties?
  • What is the most frequently diagnosed STD?

A pediatrician’s office

  • What is your policy on accepting patients who refuse vaccinations?
  • What are the most common reasons parents decline vaccinations for their children in this particular office?
  • What is the policy at this office for giving antibiotics to treat viral syndromes?

Now, look at the site you visited through the eyes of the public health nurse (PHN). Imagine you are the PHN and have been asked to investigate an outbreak at this facility.

  • What questions would you ask?
  • What suggestions could you make to avoid a disease outbreak at the facility?
  • What would your role as a change agent be for any deficiencies you find in your on-site inspection?
By Day 3

Post your brief description and pictures of the site you visited. Share the answers you were given to the questions you posed. Then, respond to the above prompts through the eyes of a PHN asked to investigate an outbreak at this facility.

Support your response with references from the professional nursing literature.

Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).or from a source such as a vector or contaminated water 

Research Findings And Research Publications – 2025 Give five suggestions regarding disseminating your research findings List using bullets 2 How would you present these suggestions as a

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Research Findings And Research Publications – 2025

 

Give five suggestions regarding disseminating your research findings? (List using bullets).

2. How would you present these suggestions as a presentation or defense?

3. Discuss the rationale and responsibilities for publication of your research.

Dr. Davis

Reading Assignment

Chapter 22 and Chapter 23 (Tappen, 2015). Research findings and Research Publications

Review your APA 6th Edition Manual

Irish, Italian And Puerto Rican Heritages – 2025 People of Irish Heritage People of Italian Heritage People of Puerto Rican Heritage

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Irish, Italian And Puerto Rican Heritages – 2025

 

People of Irish Heritage.

People of Italian Heritage.

People of Puerto Rican Heritage.

1.  Discuss the organization and the family role in every one of the heritages mentioned about and how they affect (positively or negatively) the delivery of health care.

2.  Identify sociocultural variables within the Irish, Italian and Puerto Rican heritage and mention some examples.

  References must be no older than 5 years.  A minimum of 700 words is required.  Please follow the instructions,,,APA Style

N491 Discussion Mod 2 – 2025 Henderson believed nurses have the responsibility to assess the needs of

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N491 Discussion Mod 2 – 2025

  

:

Henderson believed nurses have the responsibility to assess the needs of the individual patient, help individuals meet their health needs, and provide an environment in which the individual can perform activities unaided. What is an opportunity in your nursing practice that would benefit from application of Henderson’s theory? How does this align with the ANA’s definition of nursing? Provide at least one evidenced-based research article to support this recommendation.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

Nur635rr – 2025 Choose a drug that has been approved by the FDA within the past year Write

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Nur635rr – 2025

 

Choose a drug that has been approved by the FDA within the past year.

Write a 1,000-1,250 word paper in which you:

  1. Describe the drug approved by the FDA. Include the pharmacodynamics and pharmacokinetic properties of the chosen drug.
  2. Provide an overview of the disease state for which the drug is used.
  3. Describe what is different about this agent compared to currently available therapies.
  4. Discuss the potential risks associated with this agent and any monitoring parameters that are necessary.
  5. Decide whether you would personally prescribe this agent or stick with currently available alternatives.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Nur635rr – 2025 Choose a drug that has been approved by the FDA within the past

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Nur635rr – 2025

 

Choose a drug that has been approved by the FDA within the past year.

Write a 1,000-1,250 word paper in which you:

  1. Describe the drug approved by the FDA. Include the pharmacodynamics and pharmacokinetic properties of the chosen drug.
  2. Provide an overview of the disease state for which the drug is used.
  3. Describe what is different about this agent compared to currently available therapies.
  4. Discuss the potential risks associated with this agent and any monitoring parameters that are necessary.
  5. Decide whether you would personally prescribe this agent or stick with currently available alternatives.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Assignment – 2025 In the Module 4 Discussion you considered how professional nurses can become involved in

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Assignment – 2025

 

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:

  • In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
  • Review the Resources and reflect on the role of professional nurses in policy evaluation.

By Day 3 of Week 9

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.

Assignment – 2025 In the Module 4 Discussion you considered how professional nurses can become involved in policy making A critical component of

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Assignment – 2025

 

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:

  • In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
  • Review the Resources and reflect on the role of professional nurses in policy evaluation.

By Day 3 of Week 9

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.

Assignment – 2025 In the Module 4 Discussion you considered how professional nurses can become involved in policy making A critical component of any

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Assignment – 2025

 

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:

  • In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
  • Review the Resources and reflect on the role of professional nurses in policy evaluation.

By Day 3 of Week 9

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.

Respondo 13 – 2025 Utilize at least two scholarly references per post What did you learn from your experience

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Respondo 13 – 2025

 Utilize at least two scholarly references per post. What did you learn from your experience with Motivational Interviewing this week that could help your peer better address the preventive guidelines for the women in the scenarios? 

Scenario 1

 In the first scenario, a 34-year-old woman is 36 weeks pregnant. She has one child and this is her second pregnancy. The patient is complaining of shortness of breath and swollen ankles. She associates having the flu with her coughing for several days. While talking, she is noticeably out of breath. Upon reviewing her chart, she has a history of hypertension. She reported stopping her blood pressure medications when she found out she was pregnant and admitted to seldomly taking her pills in general. She does not think it is a big deal. The purpose of this discussion is to apply the technique of motivational interviewing with the female in the scenario. Positively influencing her as an Advanced Practice Nurse (APRN) will be discussed and my experience with motivational interviewing will be described.

            During pregnancy, the diagnosis of hypertension will negatively affect the mother and her unborn baby if it is not appropriately controlled. De Chesnay and Anderson (2020), explains that a fatal condition called peripartum cardiomyopathy (PPCM), is heart failure that that arises in pregnancy. The woman can also be affected from the condition five months after pregnancy. It is possible that the patient in the scenario developed PPCM due to stopping her blood pressure medications, which should have been continued in order to manage and prevent exacerbation of the disease throughout her pregnancy. According to de Chesnay and Anderson (2020), a risk factor for PPCM is chronic hypertension that is left untreated.

            While hypertension is a disorder that can appear during pregnancy, chronic hypertension is described as pre-existing hypertension that was previously diagnosed before 20 weeks of gestation. Pregnant women are monitored for hypertension during pregnancy due to the prevalence and impact on health (Braunthal & Brateanu, 2019). It is important for the patient to understand the effects and harms of untreated hypertension while pregnant, both to herself and her unborn child. As an APRN the severity of the situation will be brought to her attention. The goal of assisting her to make changes and therefore the right choice in adhering to her blood pressure medication, will be implemented through motivational interviewing. According to Li et al. (2020), motivational interviewing is a type of counseling that takes on a cooperative and patient centered approach with the goal of bringing about changes in behavior. This type of approach will be used as APRNs to positively affect the health of the patient.

            Non-judgement and empathy along with other techniques are utilized by the healthcare professional or counselors during motivational interviewing. This generates an environment that will help patients to discover or realize variations between the objective and their existing behavior (Li et al., 2020). Motivational interviewing focuses on unearthing and resolving indecision, enhances perceived importance of change, and support patients to prepare and make change (Li et al., 2020). There are several benefits of using the technique of motivational interviewing. Pros of using this technique with the pregnant woman are supporting her in the decision process while empowering her to start taking her blood pressure medication, her health condition and symptoms will improve, and her health behavior will improve. The patient will also be allowed to set her own goal without being pressured to change (Hogden et al., 2012). Actively involving patients in treatment and decision making is positively connected to their goal (Li et al., 2020). Some disadvantages of using motivational interviewing with the patient are the time limit and the timely intervention that is needed for her situation. In addition, guidance and monitoring by a clinician is needed in her case (Hogden et al., 2012).

            After learning about motivational interviewing, the technique was used with a coworker. It was very easy to engage her in the interview since she brought the concern to my attention. I was able to practice therapeutic listening, while asking questions that would get her to think about the reason to implement positive actions related to her diet. It was challenging because I had to hold off on my strong opinion of why she needed to change her eating habits. After all, continuing down the pathway of consuming unhealthy foods is obviously damaging to one’s health. However, the benefits of using this motivational interviewing with her allowed me to become more comfortable with the technique since it motivated her to make small changes at her own pace.

Scenario 2

 

Motivational interviewing is a type of interviewing used to help individuals resolve feelings and insecurities to find the internal motivation they need to make a positive change in their behavior (Hettema, Steel, and Miller, 2005). To have a positive impact on the health of the 26-year-old pregnant women in scenario 2 who is smoking and vaping, it will be important as a APRN to gain trust and rapport to positively affect her health. By using motivational interviewing, the APRN can help the patient decide what her long-term goals are, what her desires are, and help her find her motivation to be healthy for her baby.  

            Some disadvantages of using motivational interviewing with this patient is that outside influences may be stronger, and after she leaves the clinic returning to smoking and vaping will still be a habit especially if she is surrounded by people who smoke and vape. She also may not realize the urgency to stop smoking and vaping for her health and her baby’s health. Another disadvantage is if she has a motivational interview with someone who is not effective in counseling and leading her to make a positive change in her behavior (Edelman, 2018). Advantages of motivational interviewing is that it is a clinic visit that is noninvasive and can make positive impacts on patients lives by finding their inner motivation to make better health decisions after leaving the clinic. Many clinics found that using motivational interviewing, especially in substance abuse clinics, had better treatment program retention, increased participation in recover, higher post-program sobriety, and increased success in sobriety (Alyssa, 2019).

            I trialed the techniques of motivational interviewing on my fiancé and at first, he was slow to answer and felt it was uncomfortable that I was repeating what he was saying and allowing him to lead the conversation. We discussed his habit of drinking red bull energy drinks. After a while, he became more comfortable with leading the conversation when I would give positive feedback on what he was saying showing that I was listening. It ultimately put the interview in his hands to problem solve health behaviors and came to conclusion that he does not need red bull, but it has become a habit and he realizes it is not good for his health. I can see the benefits of becoming more comfortable with this technique because it is a technique that incorporates great listening skills from the provider and allows the patient to have a voice rather than going to appointments and always feel like they are being lectured. I definitely like this approach rather than a lecture type approach.