geopolitical and phenomenological

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Discuss how geopolitical and phenomenological place influence the context of a population or community assessment and intervention. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings, referrals, resources and spiritual support for the community or population. Describe how community resources can aid in the implementation process of an intervention. How could the Christian worldview influence one’s perspective of human value and dignity in an intervention?

Discussion

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In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course. 

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

discussion

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As a psychiatric and mental health nurse practitioner, it is essential for you to have a strong background in foundational neuroscience. In order to diagnose and treat patients, you must not only understand the pathophysiology of psychiatric disorders but also how medications for these disorders impact the central nervous system. These concepts of foundational neuroscience can be challenging to understand. Therefore, this Discussion is designed to encourage you to think through these concepts, develop a rationale for your thinking, and deepen your understanding by interacting with your colleagues.

For this Discussion, review the Learning Resources and reflect on the concepts of foundational neuroscience as they might apply to your role as the psychiatric mental health nurse practitioner in prescribing medications for patients.  

  1. Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents, including how partial and inverse agonist functionality may impact the efficacy of psychopharmacologic treatments.
  2. Compare and contrast the actions of g couple proteins and ion gated channels.
  3. Explain how the role of epigenetics may contribute to pharmacologic action.
  4. Explain how this information may impact the way you prescribe medications to patients. Include a specific example of a situation or case with a patient in which the psychiatric mental health nurse practitioner must be aware of the medication’s action.

Health Promotion week1

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Health promotion 1week discussion:

Week 1 Discussion (USLO 1.1)

As we begin to explore the concept of health promotion, please respond to the following:

· Define health promotion in your own words.

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

· 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.

Additional Instructions

Please note that you need to support your post with a scholarly source that is referenced using APA format and include in-text citations where you are using the referenced material in your post.  You are expected to respond to the discussion prompt with your initial post by the 3rd day of the unit week.  After submitting your initial post, respond to at least two other student posts.  Your responses should be thoughtful, respectful, and substantially add value to the discussion.  You should respond to your peers throughout the unit week, but all responses need to be submitted no later than the last day of the unit week.

Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs.

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Health Po. Discussion W4 

 In 2010, the Affordable Care Act opens up the 45-year-old Medicare program to the biggest changes since its inception. Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs. 

The discussion must address the topic.

Rationale must be provided

500 words in your initial post by Wednesday 23:59 pm

Minimum of two scholarly references in APA format within the last five years published

Discussion

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Home-Based Telemental Health Care Act of 2023

The role of policy in health is inseparable. Politics significantly dictate an array of interventions in healthcare. The government incorporates the population’s power bestowed upon them to produce policies that influence public health interventions to safeguard a community’s health and welfare. Most recently, on 30th March 2023, the Senate introduced the Home-Based Telemental Health Care Act of 2023 (Congress.gov, n.d.). The bill aims to protect and improve the mental wellness of underserved individuals in the suburban regions who depend on income from farming, fishing, and forestry. This bill establishes grants to support the development of mental health and substance use services within rural regions. According to Mongelli et al. (2020), underserved individuals in the United States face various challenges to access mental health services, including social stigma, unavailable mental health units and services, inaccessible hospitals, unaffordable services, lack of medical insurance, and delays in treatment. Mental health and wellness are a basic need and a public health concern globally. Therefore, necessary efforts toward ensuring healthcare for all and reducing disparities in access are crucial.

The significant social determinants of health impacting the populations in the proposed Home-Based Telemental Health Care Act bill are economic instability, lack of education, lack of support system, and inefficient healthcare services. People living in rural areas are likely to have inadequate healthcare services owing to the limited number of clinicians willing to provide services to the region and low socioeconomic status (Coombs et al., 2021). Thus, in the event of sickness, they are predisposed to delays in accessing health services due to limited funds, lack of health insurance, long travel costs, and hours in search of appropriate care facilities.

Telehealth adoption in healthcare is extensive to narrow the barriers to access. Research by McBain et al. (2023) found that telehealth significantly improved access to specialized health services and mental health treatment in the United States during the COVID-19 pandemic, where in-person services were unavailable. Results in this study demonstrate that the intergration of telehealth to promote rural healthcare areas can result in a marked expansion of mental health and substance use services, bypassing the avoidable travel and expensive treatment costs and time wastage. Hence, supporting the Home-Based Telemental Health Care Act will significantly impact the health outcomes of individuals living in rural areas with blue-collar jobs.

 Respond to this by either supporting or respectfully challenging this explanation on whether there is an evidence base to support the proposed health policy they described. 

PRESIDENTIAL AGENDAS

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Vanessa Musaga

Population health topics that rise to the presidential agenda level often highlight critical public health concerns. One such issue is mental health, a topic influenced significantly by social determinants (Smith, 2023). For the purpose of this discussion, we will focus on mental health and examine how two recent U.S. presidents, Barack Obama and Donald Trump, handled this issue.

Social Determinant Affecting Mental Health: One of the most influential social determinants impacting mental health is socioeconomic status. Poverty, income inequality, and lack of access to education and job opportunities can lead to increased stress, limited access to mental health services, and higher prevalence of mental health disorders.

Barack Obama's Approach: During his presidency, Barack Obama took several steps to address mental health issues. The Affordable Care Act (ACA), often referred to as Obamacare, expanded access to mental health services by mandating that insurance plans cover mental health treatment on par with physical health. This significantly reduced the financial barriers to mental health care, making it more accessible to a broader population. Additionally, Obama's administration increased funding for mental health research and initiatives, reducing the stigma associated with mental health problems and promoting mental health awareness (Johnson & Brown, 2016).

Donald Trump's Approach: Donald Trump's approach to mental health was less comprehensive than Obama's. His administration did not make significant strides in expanding mental health coverage or addressing socioeconomic factors influencing mental health. Although there were efforts to combat the opioid crisis, which has a strong connection to mental health, overall mental health policies were not a primary focus of his presidency (Smith & White, 2019).

What I Would Do Differently: To address the issue of mental health differently, I would propose a more holistic approach. This would involve:

1.
Addressing Social Determinants: Implement policies aimed at reducing income inequality, increasing access to quality education, and creating job opportunities. By improving socioeconomic conditions, we can reduce the stressors that contribute to mental health issues.

2.
Expanding Access to Mental Health Services: Continue the efforts initiated by the ACA to ensure that mental health services are easily accessible and affordable for all. This includes improving reimbursement rates for mental health providers to encourage more professionals to enter this field.

3.
Mental Health Education: Implement mental health education programs in schools and workplaces to reduce stigma and increase awareness. Encourage open conversations about mental health to foster a supportive environment.

4.
Investing in Research: Allocate resources to mental health research to better understand the causes of mental health disorders and develop more effective treatments and interventions (Brown & Johnson, 2022).

In conclusion, addressing mental health issues on the presidential agenda should involve a multi-pronged approach that considers social determinants, access to care, education, and awareness. This approach aims to create a healthier population with improved mental well-being.

References:

Brown, A. B., & Johnson, C. D. (2022). Advancing mental health policies in the United States. American Journal of Public Health, 112(3), 315-322.

Johnson, C. D., & Brown, A. B. (2016). The impact of the Affordable Care Act on mental health care access. Health Affairs, 35(6), 1029-1035.

Smith, J. K. (2023). Social determinants of mental health. Journal of Public Health, 45(2), 215-222.

Smith, J. K., & White, L. M. (2019). Mental health policy in the Trump era: Challenges and opportunities. Health Policy and Planning, 34(8), 598-605.

Summary & Analysis of Nurse Manager Interview

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Interview a nurse manager to explore the external factors that influence decision making such as health policy, regulatory requirements, accreditation, and health care financing.

  1. Provide an overview of the role of the nurse manager interviewed. Summarize the information from the interview (do not report the interview question by question)
  2. Perceptions related to impact on health policy on decision. Perceptions related to impact of regulatory agencies on decision making. Perceptions related to impact of health care financing on decision making.
  3. Analysis of the interview supported by the literature.

at this point week 4 D

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please follow all directions

module 3 discussion

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 Mary is 27 years old and has had a history of alcohol dependence for several years. Mary has a daughter Kylie, aged 3 years, who displays signs of fetal alcohol syndrome. Social work services have been involved with Mary and Kylie since her birth, culminating in Kylie being looked after by the local authority as a result of Mary arriving to collect Kylie from the local nursery while significantly under the influence of alcohol. Mary has demonstrated ambivalence regarding her ability to control her alcohol use. Mary has referred herself to a local counseling agency as suggested by the social worker and her PCP.