Introduction to Target Community & Program Intervention Sample and Program    

REQUIRED COMPONENTS for Assignment #2: Introduction to Target Community & Program Intervention Sample and Program    

The assignment should be typed out on a word document in APA format. Each paragraph should consist of 5-6 complete sentences. The assignment should consist of 1,500- to 2,500-words (excluding references and title pages). This assignment must be completed and submitted on a Microsoft word document. 

 APA format is required. 12 font size should be used, font names that should be used are Times New Roman or Cambria (not both), normal margins (no more than 1 inch), double spaced, indentation, etc. Please include the title page that consists of your name (First and Last), Panther ID number and title of the article (APA format).In addition, include a reference page that consists of three (3) references from creditable resources.

1. Description of Target Community. Describe, succinctly, the “community” that you perceive can be targeted to meet the selected HP 2020 Objective.  Community means the target population that is within your reach and that is at risk for not meeting this HP 2020 objective.

Describe the following:

• Stated target objective from HP 2020 (Same as assignment #1 targeted objective).
• Description of your “community” at the city or county or municipality level; in other words, “who are these people?” in terms of demographics; you can typically find this demographic data from census databases or other national or local databases or information that is within the public domain.  
• You must include important epidemiological “person, place and time” information about your target community.  This includes the target population size and target population demographics.  Include local incidence and prevalence rates of health outcomes that are directly related to your chosen Healthy People 2020 health behavior.

*With regards to the “community”, I strongly recommend you target a relatively narrow segment or community.  For example, it would be advisable to choose to target the issue of underage drinking and subsequent car crashes in a target community within your county, city, town or local school district versus addressing this issue by choosing a chosen target community of your entire state. 

2.  Description of Your Health Promotion Program and Sample Size

(a) Provide detailed and specific information about your chosen “Building Your Own Health Promotion Program” intervention sample group in whom you plan on being your program participants in your eventually implemented “Building a Health Promotion Program Project”. This program intervention sample should be taken from within your chosen target community. You MUST provide a SPECIFIC INTERVENTION SAMPLE SIZE AND A SPECIFIC SAMPLE INTERVENTION LOCATION AND A SPECIFIC SAMPLE INTERVENTION START DATE AND COMPLETION DATE.  This will specify when the program’s intervention sample subjects will begin the program and begin to have activities administered to them.  This will also describe the completion date of the program.   You will eventually have specific health promotion program educational activities and components that you will develop and administer during the implementation period of your program.  If you decide to implement your program in a school or worksite or hospital or community center or place of worship or clinic within your target community then you must obtain try to obtain important descriptive statistical information and demographic information about your sample from the site manager or overseer.  For example, if you decide to implement an obesity prevention program that targets first and second graders in your city because the city or county or state statistics reveal high child obesity prevalence rates in this area, then you may choose to implement your program at a local elementary school.  Your intervention sample would be first and second grade classes in this particular elementary school.  You will seek to gather basic information about the number of first and second graders in your chosen school and also seek to gather basic demographic data about the school population if at all possible.  Try to choose an intervention sample in which you will be able to research and find and report on all of this important demographic data.  This data will be important for your “stakeholders” as well as for your program planning.

3. Proposed Program. Conclude this proposal with a brief discussion of your idea for a health promotion program plan to meet your HP 2020/2010 objective, health behavior and associated health indicator (assuming the results of your needs assessment indicate a need).  Please use three (3) sources of research supporting this type of program. 

Assignment must be typed and a minimum of 10 pages, 5 evidence-based references are required and cited accordingly. The prevailing hypothesis for schizophrenia implicates the neurotransmitter dopamine as playing a key role in the development of the disease. Dopamine acts on several areas of the brain with differing effects. Please outline the key dopamine pathways and the implications of antipsychotic use on each pathway.

Use the practice problem and a qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1000-1,250 word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Refer to the resource “Research Critique Guidelines” for suggested headings and content for your paper.

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 Turnitin. Please refer to the directions in the Student Success Center.

In a 3-page paper, written in APA format using proper spelling/grammar, research the topic of breastfeeding and address the following:

1. Explain at least 3 advantages and 3 potential disadvantages or concerns related to breastfeeding.
2. Explain at least 3 advantages and 3 disadvantages or concerns about formula feeding.
3. Describe the impact that breastfeeding has on a working mother.
4. Describe at least 1 legal issue and/or recent legislation related to breastfeeding.

Be sure to include APA citations for any resources you used as references.

Headings for the Written Assignment: Breastfeeding 

                   Introduction

                   Advantages and Disadvantages Breastfeeding

                   Advantages and Disadvantages Formula Feeding

                   Impact of Breastfeeding

                   Legal Issues

                   Conclusion

                   References

 Respond to at least two of your   colleagues who were assigned to a different case than you. Explain how   you might apply knowledge gained from your colleagues’ case studies to   you own practice in clinical settings.  

NOTE: Positive comment

                                               Main Post

         

 Case  Study: Volume 2, Case #21 focuses on the treatment of an adult client  diagnosed with Attention Deficit Hyperactivity Disorder (ADHD).  

Questions 

Question 1: Are you having problems with your loved one’s due being “argumentative and temperamental”?  

Rationale:  The client may have additional stress due to broken relationships and  this could be due to his disorder.  “Emotional dysregulation is  increasingly recognized as a core feature of ADHD” (Stralen, 2016).  Signs of ADHD include low frustration tolerance and explosive behavior  (Stralen, 2016).  

Question 2: 

What causes you the most anxiety?

It  is important to determine the triggers of the anxiety to help the  patient prepare for times when he is likely to be in high stress  situations. Planning a response when feeling overwhelmed can help the  patient remain in control of his emotions and allow the patient to  monitor his behavior. 

Question 3: 

You  stated that your father was abusive, was this physical or verbal abuse  or both? Do you contribute some of your anxiety from previous issues  with your father? 

It  is important for the provider to understand the client’s point of view  in regards to his upbringing. He realizes it has affected in him in some  way, as he has obtained psychotherapy in the past. I would want to know  if he has ever spoken to his father about this and if his father has  ever apologized for his actions. 

Questions for family

I  would want to talk with his mother to ask her how he did as a child in  school and at home in regards to schoolwork, chores and would want to  know if he had friends. Although  social problems are not part of the diagnostic criteria for ADHD, the  peer relationship difficulties faced by youth with this disorder are  profound (Hoza, 2007)

Diagnostics & Exams

A  full psychiatric evaluation which would include the Adult Self-Report  Scale (ASRS). ASRS was been developed by the World Health Organization  to determine if an individual (adult) may have ADHD. The scale is made  up of 6 questions, and if a client has at least 4 of 6 symptoms, there  may need to be a diagnosis of ADHD made by a professional (ADDA, 2018). Seay  et al. (2009) suggests the PMHNP should utilize intelligence test,  broad-spectrum scales, tests of specific abilities, and brain scans to  confirm the diagnosis and to rule out other disabilities, autism,  auditory processing disorders or mood disorders. In addition, a full medical work-up by a PCP in order to rule out other medical conditions that could present similarly to ADHD. 

Differential DX

General Anxiety Disorder: The  patient exhibits symptoms of generalized anxiety disorder, DSM-5 300.02  (F14.1). He has had the symptoms for greater than six months with the  symptoms being severe enough to interfere with the patient’s daily  functioning. The patient complains of feels of worry that is difficult  to control, irritability, restlessness, difficulty concentrating and  feeling on edge. The patient symptoms have not been linked to a physical  condition or to substance use (Reynolds & Kamphaus,2013).

ADHD:  client consistently complains of feeling tense, irritable, and anxious  (Stahl Online, 2019).  Questions arise once the general anxiety symptoms  are resolved and the client is left feeling hyperactive, inattentive,  and the inability to focus (Stahl Online).

Post-Traumatic  Stress Disorder: The client’s diagnosis of anxiety may have been  related to underlying issues related to a traumatic event that he  experienced as a child. The client’s father was verbally abusive to him  and was an alcoholic. It is a possibility that the client’s issues could  have some relations to previous exposure as a child. Post-Traumatic  Stress Disorder is a serious condition that can occur in clients who  have experienced various incidents including abuse (PTSD, 2018).

Medications

The  case states by year six the client has failed to achieve remission on  an SSRI, a 5-HT1A receptor partial agonist, an antihistamine anxiolytic  and an SGRI (Stahl Online, 2019).

Based on the pharmacological agents, I would select either  Cymbalta 60mg or Effexor XR 150mg.  Cymbalta did illicit a response,  but side effects prevented the escalation of the dosage.  Augmenting  with guanfacine an alpha-adrenergic agonist proved to be the therapy  that elicited remission for this client.

Lessons Learned

I  learned to always consider additional differential diagnosis and  evaluate and re-evaluate every situation separately to be sure of the  correct diagnosis.  Patient’s  often have comorbid diagnosis and treating both is vital to a  successful outcome for the patient. Symptoms of mental illness change  overtime making continued care necessary for the patient. The provider  must always be approachable and helpful for the client to feel  comfortable in his/her presence. 

 

                                                References

Attention Deficit Disorder Association. (2018). Adult ADHD Test. Retrieved from https://add.org/adhd-test/

Generalized Anxiety Disorder. (2018). Anxiety and Depression Association of America. Retrieved from https://adaa.org/understanding-anxiety/generalized-anxiety-disorder-gad

Posttraumatic Stress Disorder. (2018). Anxiety and Depression Association of America. Retrieved from https://adaa.org/understanding-anxiety/posttraumatic-stress-disorder-ptsd

Seay, B., McCarthy, L. F., and Williams, P. (2009). Your complete ADHD/ADD diagnosis guide.

            Retrieved from https://www.additudemag.com/adhd-testing-diagnosis-guide/

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical

            Applications (4th ed.). New York, NY: Cambridge University Press.

Stralen, J. W. (2016). Emotional dysregulation in children with attention-deficit/hyperactive disorder.

            Attention Deficit Hyperactivity Disorder. 8(4). p. 175-187. Retrieved from

            https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5110580/

Hoza  B, Mrug S, Gerdes AC, Bukowski WM, Kraemer HC, Wigal T, et al. What  aspects of peer relationships are impaired in children with  attention-deficit/hyperactivity disorder? Journal of Consulting and Clinical Psychology. 2005b;73:411–423. 

Reynolds, C. & Kampaus, R. (2013). Generalized Anxiety Disorder. Pearson. Retrieved from:

www.images.pearsonclinical.com/images/assets/basc-3/basc3resources/DMS-5_

            Diagnostic-Criteria_GeneralizedAnxietyDisorder.pdf.