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 A major contributing factor to the incident and mortality rate is diet. According to the national cancer institute, one-third of cancer cases in the United States are related to poor nutrition, physical inactivity, and/or excess body weight or obesity, and thus could be prevented. A past issue that I observed in the District of Columbia is that in the low-income communities, you had more convenient stores with predominantly processed foods, fast food chain restaurants, and liquors stores than you had organic markets and open plot areas for the community to establish their own access to fresh produce.  Today, that changed drastically. Although those stores and poor restaurants still exist they have areas within these communities where farmers can come in and sell fresh and even organic fruits, vegetables, and meats to the community. Also, those that require supplement assistance are able to get a discount of some sort when they participate buy buying from these event. Within my own community, the local schools have after school set ups where parents and those in the community can come and buy. With increasing the access to healthier food options, the way people view healthy eating needs to change. There are so many tasty and delicious alternatives to the greasy fried food people eat that are unaware of it. Although diet plays a vital role in preventing cancer, harmful habits such as smoking lead to cancer of the lungs. This has been an ongoing issues affecting everyone young and old as well as indirectly by means of secondhand smoke.

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1. The Study of Cancer Survivors assesses survivors’ health behaviors and physical, emotional functioning as they are going through the survivorship of cancer. This is a longitudinal study to compare changes over time of survivors in order to study about long-term impact of cancer.
2. The National Quality of Life Survey for Caregivers studies about unmet needs among cancer caregivers and the impact on their quality of life.
3. Symptom Surveillance and Disparities Study identifies side effects of cancer treatment, which sometimes go under-reported or under-treated, leading to unnecessary suffering and impairments in quality of life of cancer patients. This study helps to develop a scientifically systems for tracking trends in cancer symptoms and its and management.
4. The Survey of Physician Attitudes Regarding the Care of Cancer Survivors assesses the knowledge, attitudes, and behaviors of primary care physicians and oncologists regarding post-curative care of colorectal and breast cancer survivors. This study also identifies physician and patient barriers in order to provide an optimal care to colorectal cancer survivors.
5. The Post-Treatment Survivor Transition Study examines the preparedness of cancer survivors for transition from active treatment back to the community care setting. A good preparedness for transition is associated with better outcomes, such as compliance with screening/surveillance recommendations, fewer emergency room visits, and better management of symptoms and co-morbid condition

Topic: Narcolepsy with Cataplexy

This assignment requires proper APA format. This includes a title page, reference page, and proper headings. An abstract is not required. Write a 3-4 page paper (in addition to the title page and reference page) addressing the following:

•  Ethical considerations 

Headings to include:

• Best practices and/or evidence-based practice
• Identify Risks 
• Address HIPAA and/or FERPA concerns
• Informed Consent components.
• Conclusion – this section should also incorporate  principles and concepts from the Belmont Report that apply to Narcolepsy with  Cataplexy.

To prepare:

• Review literature for moral/ethical issues encountered by a PMHNP.
• Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write a 2-page paper in which you do the following:

• Summarize the moral/ethical issue in the article (no more than 1 paragraph).
• Describe the moral and ethical dilemmas surrounding the issue.
• Analyze the ethical issue and compare them to the state health laws and regulations in your state.
• Outline the process of ethical decision making you would use to address this ethical dilemma.

Please use this article 
Article: 
http://www.aacap.org/App_Themes/AACAP/docs/resources_for_primary_care/training_toolkit_for_systems_based_practice/PP%20cultural%20competence.pdf

Select a specific vulnerable population and analyze how three of the following issues impact the selected population’s state of health: social, economic, cultural, and environmental.

Two references are required: One from a peer-reviewed NURSING journal less than 5 y/o and one from the course textbook.

Professional, governmental, or educational organizations (.org, .gov, or .edu) may be used as supplemental references.

APA format required (including level one headings).

Discussion Question:

Do you feel that in the past five years there has been a shift in the prevention of disease? Find an article to discuss this change. Discuss the article. Based on the article and your research which prevention (primary, secondary, or tertiary) should nurses and insurance companies be spending their time and money? Explain and give reasons.  Please relate this to one health condition or disease (obesity, diabetes or heart disease, for example.)

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