Discussion: Public and Community Health

Purpose

This assignment is intended to help you learn to do the following:

• Describe the practice of community focused and community based nursing.
• Develop clinical prevention and population-focused interventions for culturally diverse populations.

Overview

This discussion addresses common health promotion issues from the perspective of populations and the community. We will look closely at the ways that we can improve the health of populations by exploring leading health indicators and sharing findings.

Action Items

1. Review the 2030 Leading Health IndicatorsLinks to an external site. from this module’s readings.
2. Select a Leading Health Indicator topic and focus. For example, you may have selected the topic of “Access to Health Services” with a focus on “persons with medical insurance.” (Hint: use the Healthy People 2030 Leading Health Indicators Custom ListLinks to an external site. link on the webpage.)
3. Respond to these prompts:
   1. Which Leading Health Indicator topic and focus did you select?
   2. Provide a brief overview of the focus area (1-2 sentences).
   3. Identify the interventions and resources available.
   4. Briefly summarize the national data that was provided about your focus area.
   5. Include a reference list. All citations and your reference list must adhere to APA GuidelinesLinks to an external site..

 

Overview

During this module we will look at the role of the professional nurse in working with aggregates in the community.  We will emphasize the components of health promotion and disease prevention at the individual and population level in order to improve the health of individuals, families, groups, communities, and populations. In addition, we will explore the health attitudes, beliefs, and practices of culturally diverse populations.

Learning Outcomes

After successfully completing this module, you should be able to:

• Describe the practice of community focused and community based nursing.
• Formulate strategies using clinical judgment and decision-making skills to lead planning efforts for an emergency situation.
• Develop clinical prevention and population-focused interventions for culturally diverse populations.

Reading & Preparation

Here are the resources you need to prepare for this module:

• Explore the Healthy People 2030Links to an external site. site. Focus on the 2030 Leading Health IndicatorsLinks to an external site. section.
• The Franklin University Infectious Disease ExerciseDownload The Franklin University Infectious Disease Exercise
• A Global Public Health Convention for the 21st CenturyLinks to an external site.
• CDC Community Health Assessments and Health Improvement PlansLinks to an external site.
• Nurses in Disaster Preparedness and Public Health Emergency ResponseLinks to an external site.

 Post-Traumatic Stress Disorder (PTSD)

Post Traumatic Stress Disorder (PTSD) is a severe mental health condition that is caused by experiencing a traumatic event. The effect on individuals varies from individual to individual across the lifespan, causing disruption of cognitive, emotional, and physical well-being. The pathophysiology, manifestations, diagnosis, lifespan considerations, and case study analysis of PTSD are covered in this reflective activity. Studying these aspects ultimately helped inform me of how PTSD affects people and the importance of a quick diagnosis and intervention.

Understanding the Pathophysiology of PTSD

PTSD is a neurobiological change that arises in the setting of trauma and results in changes in the hypothalamic-pituitary-adrenal (HPA) axis, autonomic nervous system, and limbic structures such as the amygdala, hippocampus, and prefrontal cortex. The amygdala becomes hyperactive, and fear responses are heightened, while there is hippocampal dysfunction that prevents memory processing (Raise-Abdullahi et al., 2023). Persistent stress response mainly results from excessive cortisol release caused by chronic dysregulation of the HPA axis. Knowing this pathophysiology helps explain the biological underpinnings of PTSD since it suggests the necessity of biological interventions that include targeting both psychological and physiological factors.

Manifestations and Diagnosis of PTSD

Psychological and physiological symptoms associated with PTSD are grouped into four clusters: intrusive thoughts, avoidance, negative alterations of cognition and mood, and hyperarousal. Examples of feelings from which individuals might suffer would include flashbacks, nightmares, emotional detachment, irritability, and heightened startle (jump) responses. Diagnosis is based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria adapted by the Clinician-Administered PTSD Scale, Fifth Edition (CAPS-5) and PTSD Checklist (PCL-5) (Wojujutari et al., 2024). Further validations for the biological basis of PTSD are found in its structural and functional abnormalities that are seen in the brains of subjects with PTSD, as seen in neuroimaging studies. Initiating proper treatment and improving patient outcomes requires a proper diagnosis.

Lifespan Considerations in PTSD

PTSD has different expressions depending on the age and the life situation. Symptoms in children may include behavioral regression, nightmares, and inability to speak about the distress. In adolescents, risk-taking, aggression, and the use of substances as coping mechanisms (Du et al., 2022). Those with PTSD and expecting have much higher rates of poor health outcomes for both mother and child, such as preterm birth and postpartum depression. Cognitive decline in older adults may worsen their symptoms and social withdrawal and predispose them to comorbid conditions, most frequently depression. Healthcare providers can tailor interventions depending on developmental and physiological differences with these recognitions.

Case Study Analysis

The case study of Jacob Smith, a 38-year-old combat veteran with PTSD. All of his symptoms are consistent with PTSD diagnostic criteria, including nightmares, hypervigilance, emotional detachment, and avoidance behavior. The presence of comorbid substance abuse is consistent with his history of alcohol use to cope. Diagnostic findings of a high PCL-5 score of 56 with MRI evidence of amygdala hyperactivity meet the criteria of PTSD. Cognitive behavioral therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and selective serotonin reuptake inhibitors (SSRIs) are known to follow as treatment recommendations (Du et al, 2022). The lesson for this case study is that a personalized treatment plan needs to consider the patient’s background and severity of symptoms.

Implications for Clinical Practice

The knowledge of PTSD helps the clinician in assessing, diagnosing, and strategizing on the treatment of patients. All the talks revolve around recognizing early warning signs so that treatment can be given before long-term complications arrive. However, substantial symptom relief can be obtained through evidence-based treatments, including CBT and pharmacotherapy, requiring an interdisciplinary approach (Han et al., 2021). They also must dispel stigma and dissuade people from not seeking help due to fears of judgment from healthcare providers. Practitioners can provide positive patient outcomes and healthy recovery by integrating research findings.

The Role of Trauma-Informed Care

Trauma-informed care is a crucial aspect of PTSD management, which recognizes the effect of trauma on individuals and how these have psychological implications for the clients. Safety, trust, peer support, collaboration, empowerment, and cultural competence are emphasized in this approach. When trauma-informed principles are integrated into practice, this provides an environment that is healing and further away from traumatization for their clients. An example of this can be to ensure a calm, clinical setting and to offer patient-centered interventions that will significantly increase engagement and treatment adherence.

The Future of PTSD Treatment

The best part about PTSD is that emerging treatments for this illness are evolving. Ketamine-assisted therapy has been found to help reduce symptoms in cases of treatment resistance. Another innovative, virtual reality exposure therapy (VRET) is another intervention that helps patients face and process traumatic memories safely. Also, neurofeedback therapy, which teaches recovering brain patterns, has been thought to reduce PTSD symptoms (Raise-Abdullahi et al., 2023). These advancements demonstrate, not surprisingly, that research and innovations should continue to evolve regarding how patients and patient outcomes are treated.

Personal Insights and Professional Growth

The reflections in this discussion deepened my consciousness regarding PTSD’s far-reaching impact and the requirement for holistic care. Because the disorder is so complicated, pharmacological, psychological, and social support efforts must be made as a totality. Studies of PTSD support the continued need for early intervention, education of the patient, and taking advantage of interdisciplinary collaboration in the field of mental health. This understanding can be incorporated into future practice by healthcare professionals and will contribute to improved patient well-being and resilience.

Conclusion

In conclusion, PTSD is a severe condition with negative effects on both mind and body. Treatment of this condition should be individually comprehensive because its pathophysiology, multiple manifestations, and diagnostic complexities demand this approach. With age-specific considerations and case study analysis, the importance of age-specific interventions is also lived. Knowledge about clinical competence and gaining knowledge about PTSD increases the capacity for patient support and advocacy. In the future, it will be crucial to integrate evidence-based interventions and a supportive healthcare environment in order to effectively address PTSD.

References

Du, J., Diao, H., Zhou, X., Zhang, C., Chen, Y., Gao, Y., & Wang, Y. (2022). Post-traumatic stress disorder: a psychiatric disorder requiring urgent attention. Medical review, 2(3), 219-243. https://doi.org/10.1515/mr-2022-0012Links to an external site. 

Han, H. R., Miller, H. N., Nkimbeng, M., Budhathoki, C., Mikhael, T., Rivers, E., … & Wilson, P. (2021). Trauma informed interventions: A systematic review. PloS one, 16(6), e0252747. https://doi.org/10.1371/journal.pone.0252747Links to an external site. 

Raise-Abdullahi, P., Meamar, M., Vafaei, A. A., Alizadeh, M., Dadkhah, M., Shafia, S., … & Rashidy-Pour, A. (2023). Hypothalamus and post-traumatic stress disorder: a review. Brain sciences, 13(7), 1010. https://doi.org/10.3390/brainsci13071010Links to an external site. 

Wojujutari, A. K., Idemudia, E. S., & Ugwu, L. E. (2024). The assessment of reliability generalisation of clinician-administered PTSD scale for DSM-5 (CAPS-5): a meta-analysis. Frontiers in Psychology, 15, 1354229. https://doi.org/10.3389/fpsyg.2024.1354229Links to an external site. 

 

• Cover letter
• professional Portfolio/Resume. 
• The Walden University Career Planning and Development site has information on many topics of relevance

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