NURS 6050 Discussion Week 1 Presidential Agendas

Sample Answer for NURS 6050 Discussion Week 1 Presidential Agendas Included After Question

Rather than focus on the treatment of chronic disease, policies that influence population health tend to emphasize prevention and wellness; the reduction or elimination of waste and the eradication of health disparities based on race, ethnicity, language, income, gender, sexual orientation, disability and other factors. The reasoning is that good health belongs to the whole, not just an individual. (New York State Dept. of Health, n.d.)

Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.

Consider a topic (mental health, HIV, opioid epidemic, pandemics, obesity, prescription drug prices, or many others) that rises to the presidential level. How did the current and previous presidents handle the problem? What would you do differently?

Reference:

New York State Department of Health. (n.d.). Making New York the healthiest state: Achieving the triple aim. Retrieved June 21, 2021 from https://www.health.ny.gov/events/population_health_summit/docs/what_is_population_health.pdf

Resources

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare:

  • Review the Resources and reflect on the importance of agenda setting.
  • Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.

By Day 3 of Week 1

Post your response to the discussion question: Consider a population health topic that rises to the presidential agenda level. Which social determinant most affects this health issue? How did two recent presidents handle the problem? What would you do differently?

By Day 6 of Week 1

Respond to at least two of your colleagues* on two different days by expanding on their response and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.

*Note: Throughout this program, your fellow students are referred to as colleagues.

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A Sample Answer For the Assignment: NURS 6050 Discussion Week 1 Presidential Agendas

Title: NURS 6050 Discussion Week 1 Presidential Agendas

Rather than focus on the treatment of chronic disease, policies that influence population health tend to emphasize prevention and wellness; the reduction or elimination of waste and the eradication of health disparities based on race, ethnicity, language, income, gender, sexual orientation, disability and other factors. The reasoning is that good health belongs to the whole, not just an individual. (New York State Dept. of Health, n.d.)

Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.

Consider a topic (mental health, HIV, opioid epidemic, pandemics, obesity, prescription drug prices, or many others) that rises to the presidential level. How did the current and previous presidents handle the problem? What would you do differently?

Reference

New York State Department of Health. (n.d.). Making New York the healthiest state: Achieving the triple aim. Retrieved June 21, 2021 from https://www.health.ny.gov/events/population_health_summit/docs/what_is_population_health.pdf

A Sample Answer 2 For the Assignment: NURS 6050 Discussion Week 1 Presidential Agendas

Title: NURS 6050 Discussion Week 1 Presidential Agendas

After working with mental health illness patients on and off for a while, I have chosen to pursue a Master of Science in nursing with a specialization in mental health. I was always wondering as to what goes on one’s mind when suffering from mental health illness since my childhood as I was grown up seeing one of my cousins with mental health crisis most of his life. Mental health patients need more care than ever especially during and after the COVID-19 pandemic. A study reported significant increase in suicidal behavior and psychomotor agitation after a lockdown in pandemic (Ambrosetti et al., 2021).  I did not have any difficulties making this choice, but I have friends talking about how hard it is to get the preceptors for our practicum. I am very worried about that.

Choosing mental health as a specialty, I am intending to become a member of American Psychiatric Nurses Association (APNA). APNA helps us to connect with fellow psychiatric- mental health nurses, get to know about evidence-based resources and programs, and participate in exclusive opportunities to advance the care and treatment of those with mental health and substance use needs (APNA, n.d.). Walden University has a mission to create scholar- practitioners for a positive social change, I believe joining APNA will contribute to the mission to some sort (Walden University, n.d.).

A Sample Answer 3 For the Assignment: NURS 6050 Discussion Week 1 Presidential Agendas

Title: NURS 6050 Discussion Week 1 Presidential Agendas

One of the global pandemics that has reached the presidential level is COVID-19. This is a viral infection that started in Wuhan, China, in 2019. It is caused by SARS-COV-2, and its symptoms include fever, tiredness, sore throat, loss of sense of taste, among others (Shereen et al., 2020). The two U.S. presidents that have managed the pandemic are former President Trump and President Biden. These two presidents had two different management strategies ranging from communication to the use of masks.

Instead of a coordinated national plan to implement public health preventive measures to curb the spread of COVID-19, the Trump Administration rested the primary responsibility of corresponding to COVID-19 with the states. The federal government came in as a backup plan. This was a downside since a lack of a coordinated national plan led to worsening community spread, lack of supplies, and ineffective policies. During the early stages of the pandemic, the President focused on closing U.S. borders to prevent the virus’s entry. However, the community spread the virus, and this policy was not effective.

After taking office from Donald Trump, President Biden focused on consistent information to restore trust and credibility. He shifted into a national COVID-19 emergency response plan and eliminated cost barriers in COVID-19 care. He scaled up COVID-19 testing, contact tracing, and distribution of critical COVID-19 supplies. The President focused on mask-wearing as a preventive measure. He called on governors and mayors to oversee mask-wearing campaigns. Biden has also focused on mass vaccinations to prevent severe COVID-19. Currently, 70% of adult Americans are fully vaccinated.

Primary prevention measures are essential in the control of COVID-19. These measures include hand washing, wearing a mask, and social distancing (Sellner et al., 2021). As a president, I would have invested in primary prevention measures to slow down community spread at the beginning of the pandemic.

NURS 6050 Discussion Week 1 Presidential Agendas
NURS 6050 Discussion Week 1 Presidential Agendas

References

Sellner, J., Jenkins, T. M., Von Oertzen, T. J., Bassetti, C. L., Beghi, E., Bereczki, D., Bodini, B., Cavallieri, F., Di Liberto, G., Helbok, R., Macerollo, A., Maia, L. F., Oreja‐Guevara, C., Özturk, S., Rakusa, M., Sauerbier, A., Soffietti, R., Taba, P., & Pisani, A. (2021). Primary prevention of COVID‐19: Advocacy for vaccination from a neurological perspective. European Journal of Neurology28(10), 3226-3229.

Shereen, M. A., Khan, S., Kazmi, A., Bashir, N., & Siddique, R. (2020). COVID-19 infection: Emergence, transmission, and characteristics of human coronaviruses. Journal of Advanced Research24, 91-98.

A Sample Answer 3 For the Assignment: NURS 6050 Discussion Week 1 Presidential Agendas

Title: NURS 6050 Discussion Week 1 Presidential Agendas

Opioid Abuse:

According to the CDC, the number of drug overdose deaths increased by nearly 5% from 2018 to 2019 and has quadrupled since 1999. Over 70% of the 70,630 deaths in 2019 involved an opioid. From 2018 to 2019, there were significant changes in opioid-involved death rates (CDC, 2017).

Opioids are highly addictive, and opioid abuse has become a national crisis in the United States. Statistics highlight the severity of the epidemic, with the National Institute on Drug Abuse reporting that more than 2 million Americans abuse opioids and that more than 90 Americans die by opioid overdose every day, on average (NIH, 2020).

The U.S. presidents that have managed the abuse are President Joe Biden and Donald Trump. They both having different approaches to this matter.

Joe Biden approach is to tackle this crisis by making sure people have access to high quality health care – including substance use disorder treatment and mental health services. That’s what Obamacare did by designating substance use disorder treatment and mental health services as essential benefits that insurers must cover, and by expanding Medicaid, the nation’s largest payer for mental health services which also plays an increasingly growing role as a payer for substance use disorder services. Biden’s plan to tackle the opioid epidemic and substance use disorders is to defeat Trump and then protect and build on Obamacare (CNN, 2020).

President Trump wants to repeal Obamacare, including its Medicaid expansion. Repeal would be disastrous for communities and families combating the opioid crisis (CNN, 2020)

As president, I would invest in making sure that primary care providers are prescribing opioids to patient that .have chronic issues, drug testing monthly to make sure patients are not using other drugs. I have patient to give feedback as in if the prescribed dose is helping.

References:

Centers for Disease Control and Prevention. (2021, March 17). Understanding the epidemic. Centers for Disease Control and Prevention. Retrieved November 29, 2021, from https://www.cdc.gov/opioids/basics/epidemic.html.

U.S. Department of Health and Human Services. (n.d.). National Institutes of Health. Retrieved November 29, 2021, from https://www.nih.gov/.

Vazquez, M. (2020, February 2). What Trump’s drug policies have meant for America’s opioid epidemic. CNN. Retrieved November 29, 2021, from https://www.cnn.com/2020/02/02/politics/opioid-epidemic-donald-trump-drug-policy/index.html.

A Sample Answer 4 For the Assignment: NURS 6050 Discussion Week 1 Presidential Agendas

Title: NURS 6050 Discussion Week 1 Presidential Agendas

It was great reading your discussion post. It is fact that Obamacare’s approach to the opioid epidemic is similar to the Biden administration. Providing high-quality substance abuse treatment and mental health services.

Working in psychiatry and mental health I work with a lot of people whom before the pandemic was able to manage and cope with day-to-day stressors however and as a direct result, I have found the number of substance abuse cases has grown exponentially. Thus there are not enough places for us to refer patients to that require substance abuse services. Often times than not patients are dually diagnosed with a psychiatric disorder coupled with a substance abuse disorder.

Your suggestion as president is ideal and functions similar to methadone/suboxone clinics. They are established to treat opioids and pain management. However, this is a system that is often taken for granted and easily overwhelmed. I would suggest an alternative to opioids as the only line of help for chronic pain. For instance non-Westernized forms of treatment acupuncture, meditation, and herbs.

 

Reference

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Barrett Learning p. 17- 36.

A Sample Answer 5 For the Assignment: NURS 6050 Discussion Week 1 Presidential Agendas

Title: NURS 6050 Discussion Week 1 Presidential Agendas

Access to high quality care is the key! One of the strategies of the current president is to achieve universal coverage which will help provide more people with substance use disorders with the care they need.   We all know that people with substance use disorders have faced stigma and other barriers inside and outside of health care and addiction services (The White House, n.d).  The Mental Health Parity and Addiction Equity Act (MHPAEA) is essential to integrating treatment for substance use disorder into mainstream health care and improving the quality of care.

According to the current regime,  education on preventing youth substance use, including the use of alcohol, tobacco and illicit drugs, is essential to young people’s healthy growth and development. Delaying use until after adolescence also decreases the likelihood of developing a substance use disorder (The White House, n.d).

Multiple stressors during the pandemic – isolation, sickness, grief, job loss, food instability and loss of routines – have devastated many Americans and presented unprecedented challenges for behavioral health providers across the nation. In view of this, The Biden administration has increased federal funding to address the opioid crisis. In March 2021, the Biden-Harris Administration announced that the American Rescue Plan would include $4 billion to enable the Substance Abuse and Mental Health Services Administration

(SAMHSA) and Health Resources and Services Administration (HRSA) to expand vital behavioral health services, sustain the use of telehealth, reduce inequities, and even offer mental health services (Le & Rosen, 2021).

While the legislative response is primarily non-punitive, most opioid-specific policy does not explicitly address the intersection of opioid misuse and addiction with salient social factors such as economic disinvestment and social isolation (Bowen & Irish, 2019).

References

Bowen, E. A., & Irish, A. (2019). A policy mapping analysis of goals, target populations, and punitive notions in the U.S. congressional response to the opioid epidemic. International Journal of Drug Policy, 74, 90–97.

Le, A. B., & Rosen, J. D. (2021). It Is Time to Implement Primary Prevention in the Workplace to Ameliorate the Ongoing U.S. Opioid Epidemic. NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy, 31(3), 210–218.

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A Sample Answer 6 For the Assignment: NURS 6050 Discussion Week 1 Presidential Agendas

Title: NURS 6050 Discussion Week 1 Presidential Agendas

The healthcare system is highly sensitive and that is why presidents have to make critical decisions and ensure the safety of their citizens. I agree with you that the opioid epidemic is one of the healthcare issues that rose to the presidential level. Opioid misuse presents various health risks and that is why it was necessary to engage the presidential intervention. President Bush’s administration approached the issue in three ways. First, the administration provided efforts to stop the kids from using the drug. Secondly, the treatment for those already using the drug was expanded and finally, the flow of the drug into America was controlled. The measure would be undertaken for infectious diseases that arise, Breaking the infection cycle is important in managing health crises and emergencies (Hedberg, et al., 2019).

The Obama administration approached the issue more comprehensively and approved the CAR bill to fight the epidemic. Similarly, President Donald Trump declared the epidemic a national state of emergency and this was appropriate. I agree that health issues require urgent intervention to curb the causative factors and prevent the issue from spreading further and this is what the three presidential administrations did.

The presidents must be sensitive to identify the impacts of given health issues and develop appropriate policies that will minimize the harmful effects the citizens suffer (Smith, 2020). In this case, the use of opioid drugs was on the rise and the level could have been very disastrous if the relevant measures developed were not adopted. It is important that government systems set aside funds to handle medical emergencies whenever they rise because they cannot be postponed (Katz, Attal-Juncqua & Fischer, 2017).

References

Hedberg, K., Bui, L. T., Livingston, C., Shields, L. M., & Van Otterloo, J. (2019). Integrating public health and health care strategies to address the opioid epidemic: the Oregon Health Authority’s Opioid Initiative. Journal of Public Health Management and Practice25(3), 214-220. doi: 10.1097/PHH.0000000000000849.

Katz, R., Attal-Juncqua, A., & Fischer, J. E. (2017). Funding public health emergency preparedness in the United States. American journal of public health107(S2), S148-S152. doi: 10.2105/AJPH.2017.303956

Smith, H. J. (2020). Ethics, Public Health, and Addressing the Opioid Crisis. AMA Journal of Ethics22(8), 647-650. doi: 10.1001/amajethics.2020.647.

A Sample Answer 7 For the Assignment: NURS 6050 Discussion Week 1 Presidential Agendas

Title: NURS 6050 Discussion Week 1 Presidential Agendas

Thanks for posting about mental health. I acknowledge that this is a public health issue that is not going away. Those suffering from mental health illnesses took a negative impact from the current pandemic. The mental health crisis has been attributed to a lack of access to healthcare and programs. I agree that public funding should never be decreased. Anyone can have a mental illness, and it is not just the population living in poverty. Although prevention is critical, I believe providing resources for students and families about mental illness could help decrease suicidal rates, connect with a professional early on, and promote a positive change to remove the stigma associated with the disease. Mental health awareness is beneficial for adolescents when education is provided at an early age. Through preventative services, adolescents or children who suffer from mental illness can receive early intervention to divert from the long-lasting effects of trauma. 

 I concur that both Bush and Obama fulfilled their goal to combat the mental health crisis and improve patient access to care.  In addition with the Bush administration provided Mentally Ill Offender Treatment and Crime Reduction Act (MIOTCRA), and it provided resources for incarcerated people with mental illness or substance abuse issues(Hart, 2016). Furthermore, Obama support efforts addressed veterans who suffered from PTSD and depression and enabled the Clay Hunt Suicide Prevention for American Veterans Act which aided in providing suicide prevention programs to veterans (The White House, 2015). Overall, providing recovery services, increasing public education, and community-based research will strengthen our ways to provide effective treatment for those with mental illness.  

References 

Hart, J. W. (2016, February 15). How presidents have shaped mental health care. NAMI-Blog. https://www.nami.org/Blogs/NAMI-Blog/February-2016/How-Presidents-Have-Shaped-Mental-Heaalth-Care 

The White House. (2015, February 12). The clay hunt act: What the president just signed. whitehouse.gov. https://obamawhitehouse.archives.gov/blog/2015/02/12/clay-hunt-act-what-president-just-signe

Grading Rubric Guidelines

Performance Category 10 9 8 4 0
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic decisions.

  • Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions
  • Evaluates literature resources to develop a comprehensive analysis or synthesis.
  • Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion
  • Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.
  • Evaluates information from source(s) to develop a coherent analysis or synthesis.
  • Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis.
  • Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.
  • Demonstrates little or no understanding of the topic.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) without any interpretation/evaluation.
  • The posting uses information that is not valid, relevant, or reliable
  • No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.
  • Information is not valid, relevant, or reliable
Performance Category  10 9 8 4 0
Application of Course Knowledge –

Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations

  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;
  • Applies concepts to personal experience in the professional setting and or relevant application to real life.
  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.
  • Applies concepts to personal experience in their professional setting and or relevant application to real life
  • Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content
  • Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Does not demonstrate a solid understanding of the principles and concepts presented in the lesson
  • Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.
  • Posts are superficial and do not reflect an understanding of the lesson content
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored
  • No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category  5 4 3 2 0
Interactive Dialogue

Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.

(5 points possible per graded thread)

  • Exceeds minimum post requirements
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days.
  • Replies to a post posed by faculty and to a peer
  • Summarizes what was learned from the lesson, readings, and other student posts for the week.
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days
  • Replies to a question posed by a peer

Summarizes what was learned from the lesson, readings, and other student posts for the week.

  • Meets expectations of 2 posts on 2 different days.
  • The main post is not made by the Wednesday deadline
  • Does not reply to a question posed by a peer or faculty
  • Has only one post for the week
  • Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments
  • Does not post to the thread
  • No connections are made to the topic
  Minus 1 Point Minus 2 Point Minus 3 Point Minus 4 Point Minus 5 Point
Grammar, Syntax, APA

Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition

  • 2-3 errors in APA format.
  • Written responses have 2-3 grammatical, spelling, and punctuation errors.
  • Writing style is generally clear, focused, and facilitates communication.
  • 4-5 errors in APA format.
  • Writing responses have 4-5 grammatical, spelling and punctuation errors.
  • Writing style is somewhat focused.
  • 6-7 errors in APA format.
  • Writing responses have 6-7 grammatical, spelling and punctuation errors.
  • Writing style is slightly focused making discussion difficult to understand.
  • 8-10 errors in APA format.
  • Writing responses have 8-10 grammatical, spelling and punctuation errors.
  • Writing style is not focused, making discussion difficult to understand.
  • Post contains greater than 10 errors in APA format.
  • Written responses have more than 10 grammatical, spelling and punctuation errors.
  • Writing style does not facilitate communication.
  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
0 points lost       -5 points lost
Total Participation Requirements

per discussion thread

The student answers the threaded discussion question or topic on one day and posts a second response on another day. The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement

per discussion thread

The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

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