Health promotion week1 peers response 

respond to peers thoughtfully, add value to the discussion, and apply ideas, insights, or concepts from scholarly sources, such as: journal articles, assigned readings, textbook material, lectures, course materials, or authoritative websites. For specific details and criteria, refer to the discussion rubric in the Menu (⋮) or in the Course Overview Weekly Discussion Guidelines

1st peers post

Emilee Harper

WEEK 1 DISCUSSION 2

· Define health promotion in your own words.

 Health promotion, in my own words, is the process of empowering individuals, communities, and societies to enhance their overall well-being and achieve their highest level of physical, mental, and social health. It involves dedicated efforts to prevent illness, promote healthy behaviors, and address the encouragement of health to achieve optimal quality of life. 

· Discuss the differences in primary, secondary, and tertiary prevention.

1. Primary Prevention: This focuses on preventing the onset of health issues. It aims to reduce the risk of disease or injury before they occur. Examples include vaccinations, health education, and lifestyle interventions to promote healthy habits.

2. Secondary Prevention: Secondary prevention is about early detection and intervention to prevent the progression of a health issue. It includes activities like regular screenings, diagnostic tests, and prompt treatment to control a disease or injury in its early stages.

3. Tertiary Prevention: Tertiary prevention is geared towards minimizing the impact of established diseases or injuries and preventing their complications. It involves rehabilitation, disease management, and strategies to improve the patient's quality of life.

 

· Identify two patient-focused topics of interest from the Healthy People 2030 website that interest you. For each topic, identify an objective from the Healthy People 2030 website on which you would like to focus. Why are these topics of interest to you? Provide a rationale for your selections.

1. Topic 1: Mental Health and Mental Disorders

· Objective: “Increase the proportion of children, adolescents, and adults who receive treatment for a major depressive episode.”

· Rationale: Mental health is a critical but often stigmatized aspect of overall well-being. Focusing on increasing access to treatment for depression aligns with the goal of promoting mental health and reducing the burden of mental disorders.

2. Topic 2: Substance Abuse (Drug and Alcohol Use)

3.  

· Objective: “Reduce the proportion of people who misuse prescription drugs in the past year.”

· Rationale: The misuse of prescription drugs is a growing public health concern. Reducing this misuse can reduce the associated health risks, addiction, and adverse consequences on individuals and communities.

 

Increase the proportion of children and adolescents who get appropriate treatment for anxiety or depression – EMCD04. Increase the proportion of children and adolescents who get appropriate treatment for anxiety or depression – EMCD04 – Healthy People 2030. (n.d.).
https://health.gov/healthypeople/objectives-and-data/browse-objectives/children/increase-proportion-children-and-adolescents-who-get-appropriate-treatment-anxiety-or-depression-emc-d04

Prevention strategies – STATPEARLS – NCBI bookshelf. (n.d.).
https://www.ncbi.nlm.nih.gov/books/NBK537222/ Kisling LA, M Das J. Prevention Strategies. [Updated 2023 Aug 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.

Reduce the proportion of people who misused prescription drugs in the past year – su12. Reduce the proportion of people who misused prescription drugs in the past year – SU12 – Healthy People 2030. (n.d.).
https://health.gov/healthypeople/objectives-and-data/browse-objectives/drug-and-alcohol-use/reduce-proportion-people-who-misused-prescription-drugs-past-year-su-12

 

2nd peer post

Melinda Goebel

Health Promotion is a huge factor in health care. It is about taking care of your health and preventing or treating disease and illness. Primary prevention is mostly about preventing damage to your health before it can occur. Secondary prevention is about preventing the illness from progressing and further damaging health. Tertiary prevention helps manage long term, complex health problems to improve life with the disease as much as a possible.

 

I chose to focus on Heart Disease and Stoke from the Health People 2030 website. I chose this because it relates so closely to my practice at work on a Heart and Vascular Unit. Another reasoning I had behind researching this topic is because it is so relevant in health promotion and heart disease effects so many Americans, when it could be prevented.

 

Part of the Heart Disease and Stroke topic included screening for atrial fibrillation. This objective caught my interest because it is so much more common than people realize and often people live with atrial fibrillation without knowing until a larger event, such as heart attack or stroke occur. It could do so much for Secondary Prevention if the general population had more of an understanding of atrial fibrillation and a way to screen.

 

Diabetes is a huge problem in the population of the United States and effects so many of all ages. As a nurse I about half of my patient will come in with type 2 diabetes. This is another disease that has so many other effects on the body and health that could be prevented or controlled.

 

Type 2 diabetes is occurring in children and young adults more often. This could be prevented with education on a balanced diet and the risk of being diabetic. There is also ways to control blood sugars and lower A1C in these younger generations that are being diagnosed with type 2 diabetes.

 

U.S. Department of Health and Human Services. (2021). Healthy People 2030. Health.gov. https://health.gov/healthypeople

Original Work, No Plagiarism, Cite and Reference

Joanna, a psychiatrist, has a busy clinical practice. She is widely recognized as a leader in reducing the number of psychotic episodes that patients with schizophrenia experience. Her treatment modalities are largely informed by her research. She has performed numerous clinical trial studies combining various antipsychotic and other medications to achieve longer intervals without episodes. She has cultivated a trusting relationship with her patients as many have seen her for more than five years as she has provide hope and relief to a great number of them.

Joanna is enrolling participants into a randomized placebo-controlled study with a promising new drug to treat schizophrenia. Although two other psychiatrists in her practice are referring patients to the study, she also decides to offer the protocol to patients in her practice that meet the inclusion criteria.

As part of the consent process, she explains to patients that there is a 50-50 chance whether they are placed in the group receiving the investigational drug or in the group that receives the placebo (sugar pill). She tells them that those who are given placebos will not be offered standard-of-care medicine so that important drug-placebo differences can be identified. Joanna also tells them that rational decision-making does not seem to be affected during short periods of medication-free intervals, according to the most recent research. She does acknowledge that studies have had mixed results about the increased risk of suicidality, however.

One of Joanna’s patients, a potential participant named Duncan, asks how long the study is supposed to last. Joanna knows that Duncan has failed other attempts of reducing the length and severity of his schizophrenic episodes. She also believes that he may be a good candidate for the study—as long as he’s not in the placebo group.  There’s no guarantee that he’ll receive the treatment, or do well on it. If he doesn’t enroll, then his clinical care will go on uninterrupted. If he does enroll, this new experimental drug may be his best shot at receiving an effective treatment so that he can lead a more normal life.

Joanna asks if Duncan is interested. Duncan responds, “Whatever you think is best. You’re the doc.”

Questions:

1. How many different kinds of conflicts of interest does Joanna have?

2. How concerned should she be that her patient(s) might not grasp the risks of participating in a drug trial?

3. In your own words, what is a therapeutic misconception?

4. What do you think motivates patients like Duncan to respond “Whatever you think is best”?

5. Should clinical researchers be allowed to enroll their own patients in a study?

   

Week 7 Discussion Forum

    

• Although we know you did not complete a full research project, you  completed the research proposal with an idea of what your actual results  could be. If you ever do complete a full research project, an important  step is making sure your research is published/disseminated so that  other nurse educator professionals can benefit from your hard work.  There are many ways to disseminate information in nursing as seen in  your text, including many different nursing journals. As a nurse  educator, you will engage in professional development and find  peer-reviewed information to share with your students. Think about your  proposal and where it might fit if it were published. Describe how you  would disseminate your work and the reasons for your choice.

Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. 

Reproductive Case Study

Case Presentation:

An 20y.o., sexually active, college student has been experiencing dysuria for the last couple of days. At one point he noticed that a small amount of yellowish discharge from the tip of his penis. He is in a relationship with his first sexual partner for about 5 months. He has not experienced any similar incidents in this time frame and wonders if his partner has been monogamous. He made an appointment at the school clinic to seek care. He has provided a urine specimen for evaluation.

Physical Exam:

T, 100.6; HR 82, R 18, Bp 120/76.

Yellow discharge noted on penile area

Low back pain

Unilateral left painful, swollen scrotum

Culture was also done to identify the organism

Questioning occurred related to his sexual partners.

Test results came back positive for chlamydia.

Questions:

1. Originally considered a virus, Chlamydia is now recognized as a bacteria. Why is this so?

2. Chlamydial organisms are obligate non-motile intracellular parasites associated with many sexually transmitted diseases. Why?

3. Why can this virus remain latent or subclinical for years before it is diagnosed?

4. What are the treatment options for this patient? Note where you found the evidence to support this treatment.

5. Why did the medical professionals ask him about his sexual partners?

6. If untreated, what complications could occur to his sexual partner?

7. What education is needed for this patient to prevent this from occurring again?

.

 Mixed methods research designs combine quantitative and qualitative research methods to answer research questions requiring both perspectives. Describe the pros and cons of a mixed method research design. Please include 400 words in your initial post with two scholarly references.

Attached you can find the rubric to following