DNP 825 Topic 1 DQ 1
DNP 825 Topic 1 DQ 1
DNP 825 Topic 1 DQ 1
Identify a population-based problem of interest you see in your community and identify relevant outcomes you would like to see from mitigating the scope and effects of this problem. What role would public health play in addressing this social issue? How is public health essential to the health and well-being of your community, and how does public health relate to population-based nursing? Support your response with examples and relevant literature.
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during my research on childhood obesity, this learner came across many references that pointed out that the COVID-19 pandemic was the exception to the rule and added more complexities to already complex situations. Obesity is one of the preexisting diseases associated with death in adults with COVID-19 (Dietz & Santos-Burgoa, 2020). It is believed that increased inflammatory cytokines associated with obesity may contribute to the increased morbidity associated with obesity patients who get COVID-19 infections (Dietz & Santos-Burgoa, 2020). The quarantine with prolonged school closures and home confinement during the pandemic contributed to increased childhood obesity problems because of poor food choices, increased screen time, lack of ability to exercise, and isolation that can lead to depression (Pietrabissa et al., 2021). The lockdown only allowed for essential shopping which led to purchasing foods with long shelf-life that are typically ultra-processed and calorie-dense in order to minimize their trips to the supermarket. Stress eating of readily available high calorie dense food and sugary beverages became the norm. This can all lead to numerous health problems including diabetes and heart disease in this population (Pietrabissa et al., 2021).
Dietz, W., & Santos-Burgoa, C. (2020). Obesity and its implicationis for COVID-19 mortality. Obesity, 1. https://www.sochob.cl/web1/wp-content/uploads/2020/04/Obesity-and-its-Implications-for-COVID%E2%80%9019-Mortality.pdf
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Pietrabissa, G., Volpi, C., Bottacchi, M., Bertuzzi, V., Usubini, A., Loffler-Stastka, H., Prevendar, T., Rapelli, G., Cattivelli, R., Castelnuovo, G., Molinari, E., & Sartorio, A. (2021). The impact of social isolation during the COVID-19 pandemic on physical and mental health: The lived experience of adolescents with obesity and their caregivers. International Journal of Environmental Research and Public Health, 18, 3026. https://www.mdpi.com/1660-4601/18/6/3026
Nov 2, 2022, 6:35 AM
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Oct 30, 2022, 9:48 PM
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When there is an outbreak of a disease, the older adults and the children are vulnerable to contracting these diseases. This significantly affect the elderly who are already suffering from chronic illnesses. Other conditions may affect the older adults that will affect the mortality and the morbidity rate of the older adults. There must be a public awareness on the prevention of these diseases. If patients are not educated on these diseases, the infection may spread in the community. The importance of hand hygiene must be taught to patients of all groups. Different diseases are preventable when the patient is educated on the danger of engaging in the practice.
Many hospital emergency department experience huge surge of children and the elderly with respiratory distress due to COVID 19. In many instance these condition becomes life threatening to these children. To adequately treat this major health concern, it is very imperative for the healthcare providers to make quick assessment to determine the severity of the condition (Carroll & Lenney).Some of the effective procedure for proper management of COVID in children include developing treatment protocols, complete pediatric assessment measure, effective discharge care action plan and follow up with the recommendation of inhaled corticosteroids to reduce chronic morbidity.
References
Carroll W., Lenney W. (2007).Drug therapy in the management of acute asthma. ArchDisChildEducPractEd. Jun; 92(3):ep82-6.
Larcher, V., Dittborn, M., Linthicum, J., Sutton, A., Brierley, J., Payne, C., Hardy, H., & GOSH Young People’s Forum (2020). Young people’s views on their role in the COVID-19 pandemic and society’s recovery from it. Archives of disease in childhood, 105(12), 1192–1196. https://doi.org/10.1136/archdischild-2020-320040
Nov 2, 2022, 6:36 AM
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Nov 2, 2022, 6:05 PM
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the COVID 19 pandemic has shifted healthcare in ways we never could imagine. For the last few years all crisises were around COVID and how we can treat these patients but in a way that still allows is to look at how COVID is going to be treated in each disease process. To prepare for the predicted COVID-19 surge, we created a multidisciplinary team led by a doctorally-prepared Advanced Practice Registered Nurse (APRN). Our goal was to reduce utilization of hospital and emergency department services by safely managing patients in their homes under an Enhanced Home Support Model (EHSM) when possible. Caring for mildly ill patients in their homes opened hospital beds for the patients with more severe illness. There were many hiccups with this initiative but its not an initiative we would of looked at before.
Kidd, L., (2022) “Collaboration Among Providers to Treat COVID-19 Patients at Home Opens Beds for Those with More Serious Illness” OJIN: The Online Journal of Issues in Nursing Vol. 27, No. 2.
Oct 25, 2022, 11:47 AM
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Oct 31, 2022, 11:13 AM
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Good Afternoon,
I am not sure if this aligns with the topic, however, the CDC has made health literacy and health disparities a matter of concern for public health. That being said, Health Occupations Students of America has added a new event called Public Health. This event encourages high school and college level students to think of ways to increase community health. This years topic is 2022-2023 Public Health Topic: Heart Healthy for Life: What You Need to Know Now, however, I find it interesting that the CDC has lessons for students ages pre-K to college that focus on public health. I believe the next step is to promote these free lesson plans to public and private schools. For example, you may find a link to the health equity science and intervention strategy on their website. This is useful information as part of public health is using community resources to education and engage.
I will now shift subjects. Our professors asked how public health was effected by COVID. This is a hot topic as I have spent much of today working with the Medical Reserve Corp in DFW. This community emergency response organization lost a great deal of their staff during the pandemic. The MRC along with other health care entities were strapped for human resources and found themselves overworked, mentally and physically exhausted. COVID provided a rude awakening to the lack of resources needed to prepare for a pandemic. Unfortunately, COVID greatest impact was on populations with high levels of health disparities. Although, public health announcements encouraged social distancing the tight living quarters and lack of access to health care increased their mortality rates. However, as we review the roles of public health nursing we better understand part of their purpose is to address health equities. For example, COVID 19 was an unfortunate reminder of the need to close these gaps… as “Black, Hispanic, and American Indian persons in the US are more likely to live in crowded conditions, in multigenerational households, and have jobs that cannot be performed remotely, such as transit workers, grocery store clerks, nursing aides, construction workers, and household workers. These groups are more likely to travel on public transportation due to lack of having their own vehicle.” Public Health also recognizes other influences such as access to healthy food, medical care and mental health also effected COVID outcomes, this understanding may assist in the future.
https://hosa.org/wp-content/uploads/2022/09/22-23-PH-Sept1.pdf
https://www.cdc.gov/healthliteracy/education-support/schools.html
https://aspr.hhs.gov/MRC/Pages/index.aspx
Oct 29, 2022, 10:54 PM
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There are 2.5 to 3.5 million estimated individuals who experience homelessness over the course of a year, and people who are homeless have poorer mental health outcomes which may be related to a higher level of psychiatric distress and lower recognized recovery levels from serious mental illness (Balasuriya et al., 2020).
A high rate of homelessness is one of US most pressing social issues, and their mental and physical health is poor compared to the general population. Drugs, alcohol abuse, physical abuse, and anxiety disorders contribute to the higher prevalence of mental disorders or mental health problems and are associated with a higher risk of suicide attempts (Shelton et al., 2015). Drug abuse amongst young people in the US has become the most important risk factor for homelessness which may lead to increased mortality and morbidity from several causes that include cardiovascular diseases, infectious diseases, homicide, substance abuse, unintentional injury, and suicide.
Research also shows that young homeless people and runaways were able to provide specific details of poor family functioning and childhood abuse. The prevalence of suicide attempts and suicidal ideation is excessively high in homeless, mentally ill people. Access to shelter, water, adequate nutrition, protection from elements of society, and psychiatric needs for homeless people are very important. Solutions to address barriers include street psychiatry, where care and services are provided directly to homeless individuals through outreach and mobile services on the streets; continuous health care management partnered with local community organizations, open access to care with outreach in shelters or community locations; integrated mental health with primary care located in the community; supported employment programs; housing and rehabilitation services and recovery and holistic trauma-informed approaches (Balasuriya et al., 2020). Advocacy and further research are important needs to address this homelessness issue, and multidisciplinary teams such as case managers, housing specialists, social workers, and vocational specialists play an integral part in finding solutions and addressing their needs.
References
Balasuriya, L., Buelt, E., & Tsai, J. (2020). The Never-ending loop: homelessness, psychiatric disorder, and mortality. Psychiatric Times, 37(5), 12–14.
Shelton, K.H., Taylor, P.J., Bonner, a. & van den Bree. M. (2015). Risk factors for homelessness: evidence from a population-based study. Psychiatric Services, 60 (4), 419- 562.
https://doi.org/10.1176/ps.2009.60.4.465
Nov 2, 2022, 6:38 AM
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The United States opioid epidemic is a nationwide public health crisis. Initially driven by increased consumption and availability of pharmaceutical opioids, an increasing number of opioid overdoses are now related to heroin and illicitly manufactured fentanyl and fentanyl analogs. Addressing this epidemic requires addressing the stigma associated with opioid use disorders and its treatment, improving access to efficacious treatment options, specifically methadone and buprenorphine, and reducing opioid overdose fatalities with distribution of the opioid antagonist and overdose reversal agent naloxone.
Prescribing patterns alone may not be sufficient to identify patients who are at high risk for opioid overdose, especially for those using illicit opioids. Interventions aimed at reducing opioid overdoses should take into account different patterns of opioid prescribing associated with illicit and prescription opioid overdose deaths and be designed around the local characteristics of the opioid overdose epidemic.
For nations to improve the health of their populations, some have cogently argued, they need to move beyond clinical interventions with high-risk groups. This concept was best articulated by Rose (1992), who noted that medical thinking has been largely concerned with the needs of sick individuals. Although this reflects an important mission for medicine and health care, it is a limited one that does little to prevent people from becoming sick in the first place, and it typically has disregarded issues related to disparities in access to and quality of preventive and treatment services. Carrying out the public health mission described in requires systematic identification of health problems and the development of means to solve those problems. For nations to improve the health of their populations, some have cogently argued, they need to move beyond clinical interventions with high-risk groups.
For most people, thinking about health and health care is a very personal issue. Approaching health from a population perspective commits the nation to understanding and acting on the full array of factors that affect health. To best address the social, economic, and cultural environments at national, state, and local levels, the nation’s efforts must involve more than just the traditional sectors the governmental public health agencies and the health care delivery system.
References
Abbasi, A. B., Salisbury-Afshar, E., Berberet, C. E., Layden, J. E., & Pho, M. T. (2020). Opioid Prescribing Patterns Before Fatal Opioid Overdose. American journal of preventive medicine, 58(2), 250–253. https://doi.org/10.1016/j.amepre.2019.09.022
Lyden, J., & Binswanger, I. A. (2019). The United States opioid epidemic. Seminars in perinatology, 43(3), 123–131. https://doi.org/10.1053/j.semperi.2019.01.001
Important information for writing discussion questions and participation
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. aYou could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.
If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.
Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource
Name: Discussion Rubric
| Excellent
90–100 |
Good
80–89 |
Fair
70–79 |
Poor
0–69 |
||
| Main Posting:
Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. |
40 (40%) – 44 (44%)
Thoroughly responds to the Discussion question(s). Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. No less than 75% of post has exceptional depth and breadth. Supported by at least three current credible sources. |
35 (35%) – 39 (39%)
Responds to most of the Discussion question(s). Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of the post has exceptional depth and breadth. Supported by at least three credible references. |
31 (31%) – 34 (34%)
Responds to some of the Discussion question(s). One to two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Cited with fewer than two credible references. |
0 (0%) – 30 (30%)
Does not respond to the Discussion question(s). Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible references. |
|
| Main Posting:
Writing |
6 (6%) – 6 (6%)
Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style. |
5 (5%) – 5 (5%)
Written concisely. May contain one to two grammatical or spelling errors. Adheres to current APA manual writing rules and style. |
4 (4%) – 4 (4%)
Written somewhat concisely. May contain more than two spelling or grammatical errors. Contains some APA formatting errors. |
0 (0%) – 3 (3%)
Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. |
|
| Main Posting:
Timely and full participation |
9 (9%) – 10 (10%)
Meets requirements for timely, full, and active participation. Posts main Discussion by due date. |
8 (8%) – 8 (8%)
Meets requirements for full participation. Posts main Discussion by due date. |
7 (7%) – 7 (7%)
Posts main Discussion by due date. |
0 (0%) – 6 (6%)
Does not meet requirements for full participation. Does not post main Discussion by due date. |
|
| First Response:
Post to colleague’s main post that is reflective and justified with credible sources. |
9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. |
8 (8%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting. |
7 (7%) – 7 (7%)
Response is on topic and may have some depth. |
0 (0%) – 6 (6%)
Response may not be on topic and lacks depth. |
|
| First Response:
Writing |
6 (6%) – 6 (6%)
Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. |
5 (5%) – 5 (5%)
Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides o | |||