Category: Nursing

Write a one-page peer review of the discussion below:
Mental Illness in the Carbon County Community
Within my community in Carbon County, there is definitely a significant presence of underserved and vulnerable subgroups. Specific portions (even entire townships or boroughs) within the county seem to be more at risk for vulnerability than others, such as Weissport, Lansford, and Lehighton boroughs; that being said, the healthcare disparities in the immediate area do not end there. Specifically, one high risk, vulnerable population within this community is people with mental illness. In an effort to best serve the community within the area, Lehigh Valley Health Network (LVHN) completed a community assessment of health needs that sought to identify strengths and vulnerabilities. One specific data point within LVHN’s assessment was that mortality from suicide in the county was approximately double that of the national average, at just over 24 people per 100,000 (2022). The fact that the incidence rate was so far above both the state and national rates is alarming and suggests a lack of community resources and support for mental illness. Along with this statistic, LVHN’s community assessment of health also found that the percentage of adults who reported high levels of alcohol consumption was about 21.5 percent, which sat at about two percent higher than the national average as well as one to two percent above the state average (2022). Both recreational drug use and alcohol abuse are certainly tied in with mental health, and an increase in one issue could have potentially devastating effects upon another. The vast majority of data obtained for the assessment led into just the beginning of 2020, so it would also be interesting and helpful to see additional, current data spanning throughout and following the pandemic.
Impact to the General Community
Actions taken from mental health challenges actually add to trauma and violence within the community, in the form of self-directed violence. This type of violence can cause minor to moderate injuries or can even lead to death by suicide. Suicide can be defined as “taking an action that causes one’s own death,” (Rector & Stanley, 2022). Completed suicides have an apparent direct impact to the patients themselves, as this event results in mortality. But the second- and third-order effects upon the community at large cannot be underestimated either. Any violence within the community is bound to have a negative impact upon families, neighbors, and acquaintances, but each suicide can exact a hefty toll upon many within a victim’s home, school, workplace, and entire town. Even if a person with mental illness is able to seek and receive appropriate treatment, it can be a huge challenge for that individual to maintain relationships, keep himself or herself safe, and engage in the tasks necessary to hold a job and make contributions to the community. But many people are not able to afford or locate timely assistance within the country and specifically within the Carbon County community, which exacerbates the challenge greatly and can lead to increased attempts at self-directed violence as well as potential increased incidences of self-medication via drug and alcohol abuse. And while violence, mortality rates, and drug and alcohol abuse are at an increased rate in a community, it is clearly generally less safe for those who inhabit the area.
Community Interventions
Mental health is a crisis that definitely impacts a sizeable subgroup within Carbon County, but it has also been identified as a nationwide issue that needs to be addressed. A few national objectives that contend with mental health include reduction of the overall suicide rate, increasing the percentage of people with depression who seek and receive treatment, and increasing the percentage of adult and adolescent primary care screenings for depression (Rector & Stanley, 2022). Although those goals will be addressed differently on a national level, there is also value to dealing with them at the community level as well. For example, interventions such as screenings at primary care and emergency care facilities within the community could serve as a great tool to identify vulnerable individuals as well as to help direct them to the appropriate resources. In addition, similarly to the manner in which Carbon County has developed a task force specific to opiate overdoses (complete with advertising and community outreach), the community could engage in awareness campaigns and educational programs to help identify risks associated with mental illness and self-directed violence as well as to broadcast the resources available specific to the area (Rector & Stanley, 2022).
The U.S. Department of Health and Human Services identified a specific shortage area in Carbon County, largely within the more rural coal region. The organization’s site published that the St. Luke’s Miners Healthcare Center in Lansford Borough served as a designated rural health clinic with coverage for primary care, mental health, and dental health needs (2023). Although this clinic is within walking distance of most locations within the town, many individuals may not know that the resource exists. Ensuring to disseminate information to the public regarding resources such as this clinic, the community crisis hotline, and the county alcohol and drug referral lines could help many individuals get the care they need. In turn, helping that vulnerable subgroup receive proficient, accessible care could resolve a large amount of self-directed violence in the community and keep other community members safe from exposure to violence and the heartache associated with losing a loved one to suicide.
References
Lehigh Valley Health Network. (2022, May). 2022 Community health needs assessment profile –
Carbon County. Carbon County CHNA Report. https://www.lvhn.org/sites/default/files/
2022-06/N17520_CHNA_Carbon_County_2022.pdf
Rector, C. & Stanley, M.J. (2022). Community and public health nursing: Promoting the public’s
health (10th ed.). Wolters Kluwer.
U.S. Department of Health & Human Services. (2023, November). Health provider shortage
areas find. Health Resources & Services Administration. https://data.hrsa.gov/tools/shortage-area/hpsa-find
Direction for Peer Responses:
Peer responses must be specific and not simply restate what your peer has said. You do not need to assess the quality of your peer’s work (e.g., good job with your post). Give your peer authentic feedback to engage in a scholarly discussion. Expand on Ideas: Instead of simply rephrasing what your peer said, aim to expand on their ideas. Add depth to the discussion by providing additional information, perspectives, or examples related to the topic. For instance, “Building on your point about [topic], I would like to add…” Offer a Counter Argument: If you have any critiques or suggestions for improvement, provide them in a constructive manner. Be specific about what aspects of their argument or reasoning could be enhanced. For example, “While I agree with your analysis of [topic], I believe considering [alternative perspective or evidence] could strengthen your argument.” Share Personal Experiences or Examples: Draw from your own experiences or clinical practice to illustrate or support your points. This adds authenticity and relevance to your response. For instance, “In my clinical experience, I encountered a similar situation where [describe situation]. This relates to your point about [topic] because…” Pose Thoughtful Questions: Encourage further discussion by posing thoughtful questions to your peer. These questions can help deepen their understanding of the topic or prompt them to consider alternative viewpoints. For example, “I’m curious about your thoughts on [related aspect of the topic]. How do you think [specific factor] influences [topic] in the context of [setting]?” Provide Evidence or References: If applicable, support your points with evidence from scholarly sources or relevant literature. This demonstrates academic rigor and enhances the credibility of your response. For example, “Research by [author] suggests that [fact or finding], which aligns with your argument about [topic].” Encourage Dialogue and Collaboration: Conclude your response by inviting your peer to continue the discussion or collaborate on future projects. This fosters a sense of community and engagement within the academic environment. For instance, “I look forward to hearing your thoughts on [related topic]. Peer reviewed scholarly resources should be used and a minimum of 2 references are required. Correct APA format, including letter casing, references and citations, writing mechanics, grammar, spelling, and punctuation are used.

Conduct an analysis of the elements of the research article you identified(Article attached). Be sure to include the following:
-Your topic of interest(Nursing Informatics-please see the attached article)
-A correctly formatted APA citation of the article you selected, along with link or search details.
-Identify a professional practice use of the theories/concepts presented in the article.
-Analysis of the article using the “Research Analysis Matrix” section of the template
-Write a 1-paragraph justification stating whether you would recommend this article to inform professional practice.
Write a 2- to 3-paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following:
-Describe your approach to identifying and analyzing peer-reviewed research.
-Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research.
-Identify at least one resource you intend to use in the future to find peer-reviewed research.

I have attached the readings, rubric and assignment. Please use apa 7 formatting and scholarly resources

from week 4 to 7 time log
Submit a journal entry (along with your time log). The journal entry is your opportunity to be self-reflective. It should connect your previous professional experience with your practice, competencies/concepts in the program, and the literature. See the Practicum Guidelines, located in the Practicum area and in this week’s Learning Resources, for a complete descriiption of the practicum.

I wrote a final paper, it came back with many new and added comments, I need your help to add the requested information, fix any formating issues, and make it look great

This topic would need to be relevant to a nurse educator in a labor and delivery unit of a hospital.

Module 05 Content
Question
Competency
Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.
Scenario
Tony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas.
Tony’s ABG results:
pH 7.28
PaCO2 – 55 mm Hg
PaO2 – 70 mm Hg
HCO3 – 30 mEq/L
Instructions
In a 1-2 page Word document:
Determine Tony’s acid-base imbalance
Describe possible causes of the imbalance
Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance
List the multidimensional care strategies that are appropriate for the care of Tony
Resources
For assistance with citations, refer to the APA Guide.
For assistance with research, refer to the Nursing Research Guide.
Submit your completed assignment by following the directions below. Please check the Course Calendar for specific due dates.
Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:
Jstudent_exampleproblem_101504

After completing the required reading in your text on genetics/genomics, for this discussion prompt please consider either a close friend, a relative, or even your own family, and discuss whether you (a friend, or a relative) are at risk for any of the multifactorial disorders mentioned in the text. Also identify what factors may have attributed to the actual or potential multifactorial disorder?
Please substantiate your argument and assertions. Provide APA-style references in your post.

My topic is Opioid Use Disorder and the medication chosen is methadone
In this Blog, you will have the opportunity to teach your peers about a specific substance use and/or addiction/impulse control disorder. A Blog is a conversational, informal written piece on a topic. Your faculty will assign you a particular illness and the approved treatment for the illness to create a presentation to share with your peers.
Construct a Blog post, not to exceed 1,500–2,000 words, written for a PMHNP provider audience to post in the Discussion area.
Although you are not required to respond to colleagues, collegial discussion is welcome. Also, it will be important for you to read your peers’ Blog posts in order to learn about all of the medications on the assigned list.
You will be assigned from the following list:
Opioid Use Disorder
Vivitrol
Suboxone
Methadone
Lofexidine
Alcohol Use Disorder
Acamprosate
Naltrexone
Disulfiram
Phenobarbital (seizure control due to alcohol withdrawal)
Chlordiazepoxide
Cannabis Use Disorder
Nefazodone*
Fluoxetine*
Gabapentin*
Buspirone*
Stimulant Use Disorder (cocaine, methamphetamine)
Antipsychotic Medications*
Combination Injectable Naltrexone*
Bupropion*
Gabapentin*
Tobacco Use Disorder
Nicotine replacement patch
Nicotine replacement gum
Nicotine replacement inhaler
Zyban
Sedative/Hypnotic Anxiolytic Use Disorder
Gabapentin*
Buspirone*
Flumazenil*
Trazodone*
Binge Eating Disorder (BED)
Lisdexamphetamine
*Indicates not FDA approved.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
By Day 5 of Week 9
Post your Blog response by doing the following:
Identify the substance or addiction with discussion on pertinent diagnostic criteria for the use disorder.
Identify the street names of the substance for the use disorder.
Describe how someone can use or abuse the substance (oral, smoke, IV, etc.).
Describe the symptoms of someone under the influence of this substance.
Describe the symptoms of someone under the withdrawal of this substance.
After describing the substance, discuss the treatment recommendations by doing the following:
Identify the first-line treatment options.
Identify the FDA-approved medications for the substance.
Note: If there are no FDA-approved medications, describe any evidenced-based, clinically acceptable off-label medications to treat the illness.
Identify the proposed mechanisms of action for the medication to treat the illness.
Describe the common side effects of the medication.
Describe how the patient should take the medication.
Identify any baseline and/or ongoing tests and assessment(s) needed when taking the medication.
Describe the non-pharmacologic intervention recommendations.
This Assignment requires a minimum of three (3) peer-reviewed, evidence-based scholarly references outside of course Learning Resources.
Note: You will need to include the APA formatting citation of all references used with a Reference list.

Discussion Prompt
An APN’s status as an employee or independent contractor is a significant factor when considering issues pertaining to professional liability and other legal, tax, financial, and contractual situations. In Chapter 27 (The APN as an Employee or Independent Contractor: Legal and Contractual Considerations), Joel discusses the differences and considerations between formal employment and independent contracting.
Discuss the elements that are important to you when evaluating a prospective employer. Which elements are negotiable, and which are non-negotiable? Discuss the benefits and drawbacks of formal employment versus independent contracting as an APN as they apply to your desired practice setting