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REQUIREMENTS:
PLEASE CREATE 3 DIFFERENT REPLIES FOR DISCUSSION 1 AND 2 , EACH REPLY MUST BE DIFFERENT AND ORGANIZE BY REPLY 1, REPLY 2 AND REPLY 3 IN BOLD LETTERS TO IDENTIFY THEM. ADD 2 REFERENCES NO OLDER THAN 5 YEARS
FOR DISCUSSION 3 CREATE ONE REPLY, ADD 2 REFERENCES NO OLDER THAN 5 YEARS OLD
2PAGES
NO PLAGIARISM
DUE DATE FEBRUARY 3, 2023
Discussion 1 ERI
I plan to work as a family nurse practitioner in Miami-Dade County. According to County Health Rankings (2023), Miami-Dade is ranked as one the healthiest counties in the state of Florida. A specific health concern that is on the rise in the county is sexually transmitted infections (STIs). The county has 540.3 new infections per 100,000 population, and this rate is higher than the state average of 515.9 new infections per 100,000 population. This health concern has an impact on Miami-Dade’s quality of life health outcomes. For example, the county has a poor or fair health ranking of 26% compared to the state average of 18%, and has 4.5 poor physical health days compared to 4.0 days in Florida State (County Health Rankings, 2023).
The creation of a community health center program can help to address this health concern by using community approaches to reducing STIs in Miami-Dade County. This program would start by identifying community factors that contribute to disparities in STI rates. For example, areas like Miami-Dade are generally urban and have multiple individual and neighborhood factors, such as multiple partnering drug activity, which promote risky sexual behavior and lead to high STI rates (Green et al., 2019). Second, the program would engage community members to create interventions to address the issues that promote sexual risk and elevate STI rates, thus advancing community wellness. Additionally, the program would promote personal health among individual community members and this would help reduce overall STI transmissions.
I can influence policy innovation to resolve the STI problem by advocating for policymakers in Miami-Dade to update STI case management guidelines to account for specific risk factors in the county such as multiple partnering. This would ensure that patients receive not only pharmacological therapy for STIs, but also get comprehensive sexual health assessment in order to protect the reproductive health of patients and their partners.
References
County Health Rankings. (2023).
Miami-Dade, FL.
https://www.countyhealthrankings.org/explore-health-rankings/florida/miami-dade?year=2022
Green, K. M., Matson, P. A., Reboussin, B. A., Milam, A. J., Furr-Holden, D., Rabinowitz, J. A., Powell, T. W., & Ialongo, N. S. (2019). Individual and neighborhood factors associated with sexual behavior classes in an urban longitudinal sample.
Sexually transmitted diseases,
46(2), 98-104.
https://doi.org/10.1097/OLQ.0000000000000920
REQUIREMENTS:
PLEASE CREATE 3 DIFFERENT REPLIES FOR DISCUSSION 1 ABOVE, EACH REPLY MUST BE DIFFERENT AND ORGANIZE BY 1,2,3 IN BOLD LETTERS. ADD REFERENCES NO OLDER THAN 5 YEARS
DISCUSSION 2 GL
In New Mexico, the mental health status is concerning and is set to continue worsening. The general statistics concerning mental health as outlined here. First, the data shows that adults in New Mexico reported poor mental health for 4.7 days out of the past 30. The number of days varied between 3.6 and 6.7 across different counties (New Mexico, 2020). Additionally, 17% of adults in New Mexico reported binge or heavy drinking, ranging from 15% to 20% across different counties (New Mexico, 2020). The state had a ratio of one mental health provider per 240 registered individuals, ranging from one provider per 0 individuals to one provider per 60 individuals across different counties (New Mexico, 2020).
A community health program can help address mental health problems in New Mexico by raising awareness by educating the community on the importance of mental health and reducing the stigma surrounding mental illness. The program can provide resources connecting individuals with mental health resources (Stiefel et al., 2021). Also, Access to mental health services can be improved. Other interventions include encouraging early intervention and building a supportive environment.
As a nursing practitioner, I can influence policy innovation to resolve mental health problems by advocating for Evidence-Based Practice, where I can use my expertise and research to advocate for evidence-based policies that have been proven to effectively address mental health problems (Stiefel et al., 2021). Other actions I can do include building collaborations, participating in policy-making processes, engaging with the media, and providing education by educating elected officials, policymakers, and the general public about the impact of mental health problems and the importance of investment in mental health services.
References
New Mexico. (2020, April 9). County Health Rankings & Roadmaps. Retrieved February 1, 2023, from https://www.countyhealthrankings.org/explore-health-rankings/new-mexico
Stiefel, M. C., Straszewski, T., Taylor, J. C., Huang, C., An, J., Wilson-Anumudu, F. J., & Cheadle, A. (2021). Using the county health rankings framework to create national percentile scores for health outcomes and health factors. The Permanente Journal, 25.
REQUIREMENTS:
PLEASE CREATE 3 DIFFERENT REPLIES FOR DISCUSSION 2 ABOVE, EACH REPLY MUST BE DIFFERENT AND ORGANIZE BY 1,2,3 IN BOLD LETTERS. ADD REFERENCES NO OLDER THAN 5 YEARS
DISCUSSION 3
What would factors in MP’s history help support a diagnosis of overactive bladder?
Various factors in the history of MP support the diagnosis of an overactive bladder. Firstly, the patient complains about a sudden urge to urinate that is challenging to control. She is unable to prevent urine, and incidents such as coughing may cause the release of moderate urine. Also, the patient’s history indicates urgency incontinence, whereby an unintentional loss of urine occurs after the urge to urinate. As a result, MP uses Peri Pads to hold the released urine. Besides, the symptoms presented by the patient support an overactive bladder diagnosis because no other illnesses influence the urine issue. Based on the history presented, underlying pathologic or metallic conditions are absent, a symptom of an overactive bladder (Ouslander, 2018).
The clinician prescribes oxybutynin 10 mg (extended-release). What does MP need to know about this drug?
MP should know that oxybutynin 10mg prescription by the clinician is classified under antispasmodics. The medication agents act to improve bladder capacity and minimize the frequency and urgency of urinating. Oxybutynin is used to relax muscles in the bladder and delay the desire for frequent urination. The drug is suitable for the treatment of overactive bladder. MP should be informed about the possible side effects of the drug. Common side effects include vomiting, constipation, diarrhea, and headache (Siddiqui, Perry, and Scott, 2017). Other side effects include dry mouth, dizziness, stomach pain, and blurred vision. However, for the constipation issues associated with the drug, MP should consume fiber-rich food and drinking water can manage dry mouth.
If oxybutynin is ineffective, the clinician could use mirabegron, a beta-3 agonist. What does MP need to know about this new drug?
MP should know that mirabegron is a medication classified as a beta-3 agonist. It is effective in the treatment of an overactive bladder by controlling the bladder muscles. The drug can be utilized as a long-acting tablet that should not be consumed more or less than the clinician prescribes. The precautions that MP should take is to determine if the mirabegron ingredients pose severe allergic reactions. Also, MP should beware of the possible side effects of the drug, such as dizziness, back pain, dry mouth, and headaches. However, severe side effects should be communicated with the doctor. They may include swelling of the face, difficulty breathing, and painful urination (Bragg et al. 2016).
PLEASE CREATE ONE REPLY FOR DISCUSSION 3 ABOVE. ADD REFERENCES NO OLDER THAN 5 YEARS
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