2025 Discussion Assignment Respond to at least two of your colleagues by providing additional

Response 4 2025

Discussion Assignment: Respond to at least two of your colleagues by providing additional insights or alternative perspectives. Explain your reasoning using at least TWO different references from current evidence-based literature in APA Format. Colleagues Response Post # 1 Being a Change Agent for Mental Health Being in healthcare we are constantly seeing the changes that are happening surrounding mental health. There are often news headlines of lack of funding and resources for clients with mental health problems. As a repercussion we also see the detrimental impact of people trying to function in society without adequate care. According to the National Council for Behavioral Health (2018), 56% of Americans are seeking help for mental health issues, while 76% of people believe that mental health is just as important as physical health. Being a change agent for mental health is identifying what you can change within yourself that would provide an asset to the mental health community. I think the most important thing you can do as a mental health practitioner is to provide your clients with an open-minded nonjudgmental environment to voice their concerns. Social change is the process of adjusting attitudes, values, and actions to address social problems in a positive way (National Sexual Violence Resource Center, 2014). Being a positive resource for your clients allows for them to trust you and help break the stigma surrounding mental health in America. How I Would Advocate in my Community I live in a small rural community in Ohio. I currently work as an emergency room nurse and unfortunately the lack of mental health resources is very apparent. People with mental health issues rely heavily on emergency rooms, are often admitted to the hospital, and are stuck in the emergency room longer than patients with physical symptoms (Luthra, 2016).  In the emergency room the clients we see are often looking for different resources including; medication refills, to be connected to a counselor, or inpatient hospitalization. Our hospital recently closed our inpatient psychiatric unit and started referring our patients to a bigger health organization for inpatient psychiatric hospitalizations making it difficult to find placement for all the patients. A frequent complaint I hear from patients is the lack of finding a provider to see them for routine visits and maintenance medication. When I become a mental health nurse practitioner, I would like to be an advocate for patients by making myself available to see patients in an office setting and take emergency room referrals. By doing this I would be helping bridge the gap between emergency care and outpatient management. In summary, although we all can see the lack of resources for mental health clients, that doesn’t mean we don’t have the ability to make a change in our communities. Obtaining an advanced degree will allow me to use the tools that I have to give hope to clients suffering from mental illness. Colleagues Response Post # 2 Influencing social change Post an explanation of how you, as a nurse practitioner, might become a social change agent for psychiatric mental health. Include how you might advocate for change within your own community With more than 45 million adults in the United States were diagnosed with a mental illness in 2009. This translated to 1 in 5 persons having a mental disorder. Studies also showed that less half of this number of people with mental illness was able to get treatment. Accessibility to mental health still remains a big problem in the US and so most people go undiagnosed and / or untreated for the disorders. This is due to the complexity and fragmentation of the healthcare system, which results to health disparity ( Kuehn, 2011). As Psychiatric and Mental Health Nurse Practitioners ( PMHNP), the burden of making sure that everybody gets access to mental health falls right on our shoulders. One of the ways of defining mental health is that it is the state of mental wellbeing that allows one to function fully and be productive in life. Good mental health encompasses several domains, including having mental health literacy, having a good attitude towards mental disorders, having a positive self – perception, positive emotions, knowing the meaning of life, having social skills, being sexually healthy, and being physically healthy, among other domains (Fusar-Poli et al, 2019). As PMHNP, advocating for the individuals with mental illness is our duty, especially due to the fragmented health care system. Most people with mental health needs often find themselves overwhelmed by the responsibility to make informed choices, since information regarding mental health is not readily available to the general population. The PMHNP can make a big change by ensuring that information regarding mental health in its entirety is available to everybody and that everybody is able to access the care they require. Advocacy can be achieved by the PMHNP making sure that they themselves have the required and up to date knowledge regarding mental health issues, in order for them to adequately pass this information on to the general population. The PMHNP can keep themselves up to date with details regarding mental health through attending seminars and conferences for PMHNPs, doing Continuing Education Units 9 CEUs),reading/ writing journals ( Ozer et al, 201). People with mental illnesses suffer a lot of stigma from their families and also from the public. Sometimes stigma may come from those that are charged with the healthcare provision, such as psychiatric nurses, psychologist, psychiatrists and social workers. Most of the stigmatization stems from misunderstandings, myths , judgment and stereotyping towards mental health. This stigmatization affects how and if people seek mental health . Mental health is accorded different negative names. Mental health workers can be agents of change by changing their attitude towards the mentally ill, and also by educating the public regarding these attitudes and how they affect those with the disorders ( Tingle, 2002). A PMHNP, we can be agents of change through getting involved in the making and changing of health policies. By conducting research and conducting quality improvement projects, PMHNPs can change the health policy to a point where it benefits those with mental disorder. By writing journeys and articles regarding the information they collect, the PHNP can reach a lot of audience and provide the much needed mental health education. The PMHNPs can attend local meetings, school -related meetings and parent-teacher meetings, and disseminate their research findings to school children, teachers ,parents, board members, members of parliament and other healthcare stakeholders (Chilton, 2015). As a PH NP, another way to bring about social change and change in mental healthcare is by writing to my state and federal legislators regarding a healthcare policy that is already under discussion. Being the person with first-hand information regarding mental health, a PHNP is able to pass on ground information regarding how certain bills have impacted the patients on a day to day basis, and give an input on how these bills can be improved and how recourses can be allocated ( Jennings et al,2015). As A Mental health nurse practitioners I will influence mental health changes by joining professional Mental health organizations as well as in-hospital committees that lobby for patients as well as for mental health in general. As members of these organizations, PNHNPs would have a collective voice that is likely to convince legislators regarding certain mental health issues that have not been addressed. Professional organizations such as, American Counseling Association, American Mental Health Counselors Association, American Psychological Association, American Psychiatric Association, National Association of Psychiatric Health Systems, The American College of Psychiatrists are among the major professional associations that a PHNP can join to have a voice for change ( Waldrop, 2018). Conclusion As a practicing PHNP, I intend to do all the above, get up to date with all the information and technologies in mental health, get involved in my community as an educator, get into in-hospital and professional organizations in order to get a stronger voice to advocate for mental health, reach out to legislators and provide them information that could transform mental health, and be involved in research on mental health. I am already a member of Psychiatric Advanced Practice Nurses of Houston, and I attend their very educative meetings. I intend to continue with this organization and be a major contributor towards mental health. Publishing educative information in magazines and journals will also be another way I propose to keep myself involved in mental health change.

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2025 Discussion Question Respond to one of the following questions Review Healthy People 2020 Global Health Initiatives Choose

55 D3 2025

Discussion Question Respond to one of the following questions: Review Healthy People 2020 Global Health Initiatives. Choose one disease process and discuss the disease process, the goal of Healthy People 2020, and how the CDC plays a role in meeting the goal. Search the South University Online Library for caregiver role strain. What is the most important factor that causes caregiver role strain? What can be done to prevent it? Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.

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2025 APA format 350 words scholar authors Please see references According to the Centers for Disease Control and Prevention

Nurses Working To Prevent Disease At Home 2025

APA format. 350 words. scholar authors. Please see references According to the Centers for Disease Control and Prevention (CDC) (2016), a vaccination has not been found to prevent the Zika virus, a disease that has been transmitted to humans through mosquito bites from mosquitoes that are most active during the day. Zika has been found in many countries around the globe, and its range is expanding. The symptoms of Zika are generally mild, last about a week, and include fever, rash, joint pain, and/or conjunctivitis. Symptoms are generally so mild that many victims will not know they have been infected, but about 20% of those individuals who are bitten will develop Zika. The most concerning symptom of Zika affects pregnant women, whose babies may develop microcephaly. In general, the CDC (2016) has recommended that people wear long-sleeved shirts and long pants when outside and apply insect repellant beforehand to avoid getting bitten. People who possibly have been infected with the Zika virus are urged to use a condom during sexual contact to avoid spreading the virus to others. In fact, some countries, such as El Salvador, have recommended that women avoid pregnancy for the next two years ( The New York Times, 1/25/16). The CDC has also recommended that any vessels or containers of open water be protected from access to mosquitoes so that breeding cycles are disrupted. Brazil has begun a massive campaign to stop mosquitoes from accessing breeding grounds by closing their access to water collection systems and other sources of standing or still water. Could something like the Zika virus begin in your neighborhood? In this Discussion, you will examine your neighborhood through the eyes of the public health nurse or a nurse epidemiologist. To prepare for this Discussion: Walk around a two-block radius near where you live or work. Look to see if you can spot any areas where mosquitoes may reproduce. These sites may include abandoned tires, rainwater collection systems that have been installed at homes, parks or golf courses, low sections at roadsides or near sidewalks, and the like. You may include pictures of sites that you find to enhance your discussion thread. Note any positive or negative findings that you observe. Have steps been taken to prevent mosquito breeding? Find out what your community health department does for mosquito abatement. Discover who in your community you would contact to report deficiencies/negative findings. Determine what you can do, as a PHN, to change policy to reduce mosquito breeding grounds in your neighborhood. By Day 3 Post your findings regarding mosquito breeding grounds in a two-block radius near where you live or work. Include any preventative strategies you can see that are already in place. Report on the role your local health department plays in mosquito abatement and to whom you would report negative findings. Then, describe your role as a BSN in changing policy to ensure a healthier climate (reduced mosquito breeding grounds) in your neighborhood. References Holtz, C. (2017). Global health care: Issues and policies (3rd ed.). Burlington, MA: Jones & Bartlett. Chapter 14, “Global Perspectives on Nutrition” (pp. 381-414) Chapter 15, “Global Perspectives on Environmental Health” (pp. 419-439) Stanhope, M., & Lancaster, J. (2016). Public health nursing: Population-centered health care in the community (9th ed.). St. Louis, MO: Elsevier. Chapter 10, “Environmental Health” (pp. 217–241) Public Health Nursing: Population-Centered Health Care in the Community, 9th Ed. by Stanhope, M., & Lancaster, J. Copyright 2015 by Elsevier Health Science Books. Reprinted by permission of Elsevier Health Science Books via the Copyright Clearance Center. Veenema, T. G., Griffin, A., Gable, A. R., MacIntyre, L., Simons, N., Couig, M. P., … Larson, E. (2016). Nurses as leaders in disaster preparedness and response—A call to action. Journal of Nursing Scholarship, 48 (2), 187–200.

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2025 DERMATOLOGY CASE STUDY Chief complaint My right great toe has been hurting for about 2

DERMATOLOGY CASE STUDY, APA 6, 3 References Less 5 Years. Similarities Less %5 2025

DERMATOLOGY CASE STUDY Chief complaint: “ My right great toe has been hurting for about 2 months and now it’s itchy, swollen and yellow. I can’t wear closed shoes and I was fine until I started going to the gym”. HPI: E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation, and “yellow” right great toe. She noticed that the toe was moderately itching after she took a shower at the gym. She did not pay much attention. About two weeks after the itching became intense and she applied Benadryl cream with only some relief. She continued going to the gym and noticed that the itching got worse and her toe nail started to change color. She also indicated that the toe got swollen, painful and turned completely yellow 2 weeks ago. She applied lotrimin AF cream and it did not help relief her symptoms. She has not tried other remedies. Denies associated symptoms of fever and chills. PMH: Diabetes Mellitus, type 2. Surgeries: None Allergies: Augmentin Medication: Metformin 500mg PO BID. Vaccination History: Immunization is up to date and she received her flu shot this year. Social history: College graduate married and no children. She drinks 1 glass of red wine every night with dinner. She is a former smoker and quit 6 years ago. Family history: Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, HTN. ROS: Constitutional: Negative for fever. Negative for chills. Respiratory: No Shortness of breath. No Orthopnea Cardiovascular: Regular rhythm. Skin: Right great toe swollen, itchy, painful and discolored. Psychiatric : No anxiety. No depression. Physical examination: Vital Signs Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0, P 88 R 22, non-labored HEENT : Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: No Crackles. Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. 1+ pitting edema ankle bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: Slow gait but steady. No Kyphosis. SKIN: Right great toe with yellow-brown discoloration in the proximal nail plate. Marked periungual inflammation. + dryness. No pus. No neuro deficit. PSYCH: Normal affect. Cooperative. Labs: Hgb 13.2, Hct 38%, K+ 4.2, Na+138, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98. Assessment: Primary Diagnosis: Proximal subungual onychomycosis Differential Diagnosis: Irritant Contact Dermatitis, Lichen Planus, Nail Psoriasis Special Lab : Fungal culture confirms fungal infection. As an NP student, you need to determine the medications for onychomycosis. 1. According to the AAFP/CDC Guidelines, what antifungal medication(s) should this patient be prescribed, and for how long? Write her complete prescriptions using the prescription writing format in your textbook. 2. What labs for baseline and follow up of therapy would you order for this patient? Give rationale.

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2025 Discussion Question Using the Tool Kit in the learning materials describe from the set of criteria you will

Discussion 2025

Discussion Question: Using the Tool Kit in the learning materials, describe from the set of criteria you will use to guide and determine the prioritization process upon community health assessment analysis. Your initial posting should be 400 words in length and utilize at least one scholarly source other than the textbook.

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2025 In nursing practice accurate identification and application of research is essential to

Literature Review 2025

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project. The assignment will be used to develop a written implementation plan. For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion

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2025 Pick three 3 of the leading causes of the American Civil War Write one paragraph for

His W4 D1 2025

Pick three (3) of the leading causes of the American Civil War: Write one paragraph for each topic on how it contributed to the civil war The Compromise of 1850 The Fugitive Slave Law 1850 Uncle Tom’s Cabin 1852 The Kansas Nebraska Act 1854 The Dred Scott Case of 1857 The Lincoln Douglas Debates 1858 Address one (1) of the following for your selections: 1. Based on the historical facts given in this module, assess if the American Civil War was inevitable? 2. Analyze if the United States Supreme Court can settle legal and moral issues through judiciary review. In your response, provide a documented example of a modern parallel of a legal or moral issue settled by the United States Supreme Court. Total of 4 paragraphs 2 references with in text citation

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2025 Discussion Access to mental health services is a hot topic in U S Healthcare Do you know

Community Access To Mental Health Services 2025

Discussion Access to mental health services is a hot topic in U.S. Healthcare. Do you know what resources are available for clients seeking care in your own community? Select one mental health related condition from the list below. Conduct a web search to identify health care services within your community aimed specifically at addressing this condition. Choose one: Depression Suicidal ideation Opioid addiction Answer the following questions in your post: When reviewing a client’s health history and physical examination record, what are some findings (subjective and objective) that may indicate a need for further in-depth assessment for the condition you selected above? Describe a focused specialty assessment tool you could use to screen the client for this condition. What resources did you find in your community that address this issue? What type of services do they provide? Were there specific resources or services you were hoping to locate, and could not? Please explain.

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2025 Examine the importance of professional associations in nursing Choose a professional nursing organization that relates to your specialty

Professional Association Membership 2025

Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to your specialty area, or a specialty area in which you are interested. In a 750-1,000 word paper, provide a detailed overview the organization and its advantages for members. Include the following: Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member. Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses. Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area. Discuss opportunities for continuing education and professional development. 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. Please refer to the directions in the Student Success Center

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2025 Guidelines for the Field Experience Requirement You must attend at least 4 policy events

Field Experience Log 2025

Guidelines for the Field Experience Requirement You must “attend” at least 4 policy events, at least approximately 1 hour in length. Attendance of at least one of these events must be in-person. Up to 3 of the 4 events may be online and they must have a health policy focus. Online health policy events/ webinars will be posted from which you may choose. In addition, you may identify your own online policy events, but please check with your instructor to make sure the events you choose are eligible for field hours. In-person events must be health-related. For example, an example of in-person event would be attendance at a local board of health meeting, a local school-board meeting, a legislative hearing or meeting, a meeting by an executive branch agency that falls under your governor, a meeting by advocacy organization or special interest group, or a meetings of a political party, political group, or candidate. General Guidelines At each event, take notes, and then write up an account and analysis of each event, using the template for field experience logs (below), and the Field Experience Rubric posted on Moodle. You are required to complete and post a field event report assignment every other week, in Weeks 02, 04, 06, and 08. Field Log Guidelines As a way of demonstrating completion of this course requirement, you must submit, in writing, field logs that detail certain aspects of the event. The template for field experience logs is below. Each event log should be three to five double-spaced pages of text. Provide only a brief summary of the event itself. The analysis section should be 550 to 800 words, and be the most developed component of the report. In the analysis section, you can write about the process of policy being made at this event, and/or you can write about the actual health policy issue being discussed/considered. Your analysis should reference at least two sources. They can be from the learning materials in this course or other sources, but should be current (within the last 3 months). Use APA format for citations and references. Examples of logs are posted on Moodle. Template for Field Experience Logs The name of the event/meeting and who has sponsored it. Describe the steps taken in preparation for the event (beyond listening or attending the event). Place, date, time, and length of hearing/meeting/event. Topic under discussion. Names of participants and their titles (to the extent you can get them). Brief description of the testimony/meeting/event. (If more than one issue is presented, discuss a sampling of issues.) Analysis of the health policy issue and its implications for healthcare. Integrate course content and readings in your analysis. This section should be approximately 500 to 750 words.

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