Sample Answer for PRESIDENTIAL AGENDAS NURS 6050 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
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.
Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.
*Note: Throughout this program, your fellow students are referred to as colleagues.
A Sample Answer For the Assignment: PRESIDENTIAL AGENDAS NURS 6050
Title: PRESIDENTIAL AGENDAS NURS 6050
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.
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 Neurology, 28(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 Research, 24, 91-98.
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A Sample Answer 2 For the Assignment: PRESIDENTIAL AGENDAS NURS 6050
Title: PRESIDENTIAL AGENDAS NURS 6050
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 3 For the Assignment: PRESIDENTIAL AGENDAS NURS 6050
Title: PRESIDENTIAL AGENDAS NURS 6050
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 4 For the Assignment: PRESIDENTIAL AGENDAS NURS 6050
Title: PRESIDENTIAL AGENDAS NURS 6050
The population health topic I am choosing is the opioid epidemic. I chose this because it affects such a large population in today’s world. According to the Centers for Disease Control and Prevention (2022), drug overdose deaths have increased by nearly 5% from 2018 to 2019 and quadrupled since 1999. Over 70% of the 70,630 deaths in 2019 involved an opioid. In 2020, 91,799 drug overdose deaths occurred in the United States. The number continues to rise, and drugs seem to be more accessible.
Regarding social determinants, people from low socio-economic classes have poorer health. They are more likely to use tobacco, drink alcohol at high risk, and use illicit drugs. Drug-dependent people are particularly likely to be unemployed and to experience marginalization, both of which can exacerbate their problems and prevent seeking or benefiting from treatment (Spooner,2017). Drug abuse is not shy when it comes to whom it affects. People in low socioeconomic classes happen to get slammed with drug abuse as we have not provided the right accessibility for them.
One of President Trump’s solutions was to build a wall. Theoretically, the wall would stop illegal drugs from coming in, and this wall was supposed to be built on the Mexican border. He also said he would enhance access to addiction services, end Medicaid policies that obstruct inpatient treatment, and expand incentives for state and local governments to use drug courts and mandated treatment to respond to the addiction crisis (Kaiser Family Foundation,2017). Although some think the wall may help, it is not the solution to the epidemic. In some cases, working from the outside inward works, but in this case, I think this epidemic needs to be approached from the inside out.
In this case, I would have started the solution on the inside. I would have targeted what we can control right now. Stopping Illegal drugs from coming in will help in the long run, but you must focus on what illegal drugs are happening in the US. Building a wall doesn’t stop the use, trading, selling, or buying we are currently dealing with. I would work to eliminate those issues, do more research on who this affects the most, and start there. We know people from low socio-economic classes struggle the most, so I start there and work my way out. Maybe we start focusing on getting these people out of this low-income rut. We provide schooling, daycare, and opportunities some people will never receive. Even starting there seems small, but I would further it with Trump’s plan to enhance access to drug addiction services like counselors. I would hold more doctors accountable and pharmaceutical companies pushing these opioids for money.
According to the Democrat National Committee (2020), President Biden’s solution includes holding people accountable such as big pharmaceutical companies, executives, and others, responsible for their role in triggering the opioid crisis. Biden will create effective prevention, treatment, and recovery services available to all through a $125 billion federal investment. Most importantly, we will stop overprescribing pain medication to citizens. I think Biden’s solutions to this epidemic were much better; these solutions start inward and target the people in the US struggling. I believe the solutions listed will help the country see a decline in opioid deaths, but they won’t solve the issue altogether.
As much as I agree with this approach, I don’t think the primary producers of these drugs are being held accountable enough. I would figure out a way other than fines to serve these companies. Possibly suspending their production may be a helping solution. The problem is these companies are laced with money, so half the time, they don’t even blink at the request to hand over money due to fines. I wouldn’t change much to Biden’s policy otherwise. I think his approach gives people accessibility, and that’s truly what we need to end this epidemic.
Centers for Disease Control and Prevention (2022). Death Rate Maps & Graphs. Centers for Disease Control and Prevention. Retrieved August 30, 2022, from https://www.cdc.gov/drugoverdose/deaths/index.html
Democrat National Committee. (2020). The Biden plan to end the opioid crisis. Joe Biden for President: Official Campaign Website. Retrieved August 30, 2022, from https://joebiden.com/opioidcrisis/
Kaiser Family Foundation. (2017, January 9). President-elect Donald Trump stands on six health care issues – election 2016: The issues. KFF. Retrieved August 30, 2022, from https://www.kff.org/report-section/where-president-elect-donald-trump-stands-on-six-health-care-issues/#opioid
Spooner, C. (2017). SOCIAL DETERMINANTS OF DRUG USE. National Drug and Alcohol Research Centre (NDARC). Retrieved August 30, 2022, from https://ndarc.med.unsw.edu.au/
A Sample Answer 5 For the Assignment: PRESIDENTIAL AGENDAS NURS 6050
Title: PRESIDENTIAL AGENDAS NURS 6050
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.
A Sample Answer 6 For the Assignment: PRESIDENTIAL AGENDAS NURS 6050
Title: PRESIDENTIAL AGENDAS NURS 6050
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 Practice, 25(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 health, 107(S2), S148-S152. doi: 10.2105/AJPH.2017.303956
Smith, H. J. (2020). Ethics, Public Health, and Addressing the Opioid Crisis. AMA Journal of Ethics, 22(8), 647-650. doi: 10.1001/amajethics.2020.647.
A Sample Answer 7 For the Assignment: PRESIDENTIAL AGENDAS NURS 6050
Title: PRESIDENTIAL AGENDAS NURS 6050
I have chosen a nursing specialty of Psychiatric Mental Health Nurse Practitioner. I have worked in the field of mental health for the last 4 years. I started working in an out patient mental health urgent care facility when I received my RN. A few years later I enrolled with Walden University and obtain my BSN. Working with the homeless and the uninsured can be challenging at times but it is also very rewarding being able to stabilize those in need, providing psychiatric diagnosis, medication compliance, food, shelter and setting individuals up with appropriate resources in their communities. For these reasons I wanted to continue my education so I can assist individuals with mental health issues.
Professional organizations or associations can further a professional specialties by promoting career growth, networking, mentorship or advocacy (Echevarria, 2018). National Alliance on Mental Illness (NAMI) is a professional organization affiliated with psychiatric/mental health. There are two ways to become a part of NAMI, first is to create an account which includes free subscription, connecting with others in discussion groups and managing your profile preferences. The second option is to become a member which includes all the benefits of a free account plus, receiving NAMI magazines, attending the National Convention and online access to member-only content. NAMI provides advocacy, education, support and public awareness so that all individuals and families affected by mental illness can build better lives (NAMI, 2021).
Grading Rubric
| Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
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Failing level
of performance 55% or less 0 points |
| Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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| 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points | |
| Application of Course Knowledge
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in the all of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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| Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
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| Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
The following was present:
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| Participation
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| Due Date Requirements | Demonstrated all of the following:
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Demonstrates one or less of the following.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |