Discussion Question – System Change – Discussion Response


1. Nurses routinely outperform other occupations, earning the title of most trusted profession for decades. Nonetheless, the nursing voice remains absent in the public sphere, with little representation in governments and boardrooms. Healthcare can only improve and get better over time when positive change takes place within its ranks. As change agents, it is important that nursing leaders take up and spearhead new policies and procedures for change to improve patient care and nursing as a whole. Nursing leaders are classic examples of change agents. A “change agent is the individual responsible for delivering the implementation strategy, and is thus largely responsible for fidelity to the intended strategy and its ultimate success in achieving desired organizational changes” (Alagoz, et al., 2018, p. 2). One example of a nurse leader who spearheaded and implemented change is, AnnMarie Walton, MPH, BSN, Ph.D. AnnMarie noticed the increase in Hispanic males being diagnosed with leukemia and dying in their early years. She carried out a study and spearheaded research that has led to policy changes in North Carolina, where the state now mandates compliance with NIOSH recommendations for the safe handling of hazardous drugs, especially in the farms and fields. I believe she was able to conduct and push her work into policy through understanding the political playing field in her community and having a good network and communication with those in decision-making roles. She was able to influence those who could effect a change on current policies or programs. She then influenced the persons in decision-making roles to change the current policies to accommodate the change she desired.
Some of the driving forces that led to the change included the increase in the diagnosis of new Hispanic young male farmers with leukemia, along with the increase in fatalities for this population in her community. This pushed Ann Marie to use her skills as a good communicator to aid in the process. It is important that any change agent understand the most effective manner of communication to best communicate with those who need to be influenced for policies to be enacted.
Ann Marie faced very little opposition when she was trying to initiate change to improve and change policies in her community due in part to the fact that, this was a problem that was affecting a lot of the community at random, and the solution benefited the community in such a positive way.
Alagoz, E., Chih, M. Y., Hitchcock, M., Brown, R., [supanova_question]

Community Emergency Response Teams

IS-317.A: Introduction to Community Emergency Response Team (CERTs).

Student is to write a one-paged double-spaced paper on how this module is applicable to public health nursing. Include your experience with the online module.

NOTE: Do Not Take the Final Exam.

Please write a one paragraph conclusion to the paper attached. Instructions

Nursing Assignment Help Please write a one paragraph conclusion to the paper attached. Instructions are to include the following:
* Conclusion: A concluding paragraph is necessary to end the critique. This paragraph summarizes your overall judgments of the report in terms of its key strengths and weaknesses.[supanova_question]

Discussion Question – Nutrition Counseling – Discussion Response


1. One of Health People 2020 goals is to improve cardiovascular health by prevention early detection and treating patients for heart attacks and strokes (Heart disease and stroke n.d.). Hypertension is one of the most common cardiovascular diseases and a significant risk factor for heart attacks and strokes. In 2013, hypertension was responsible for over 72,000 deaths and 48 billion in health care costs. So controlling hypertension is an important goal from a healthcare and financial management perspective. Controlling hypertension is an essential prevention measure in preventing heart attacks and strokes and reducing advanced cardiovascular disease. One in three people is identified as having hypertension. Obesity and unhealthy food choices are significant components of hypertension, so educating patients on a healthy diet will assist patients with attaining a healthy weight and lowering their blood pressure. These modifiable risk factors will also decrease the patient’s risk of a hypertension-related stroke and or heart attack (Lennon et al., 2017).

An evidence-based analysis conducted in 2015 and published in 2017 recommended medical, nutritional therapy (MNT) with the optimal choice of referring patients to a dietician for individualized education a healthy diet (Lennon et al., 2017). The study also showed strong evidence promoting the DASH diet that stands for dietary approaches for stopping hypertension. Providers must understand that all patients may not have the ability to see a Registered Dietician for various reasons such as lack of insurance, lack of other required resources, and lack of time. As an NP, I will counsel patients and provide written materials using the DASH evidence-based approach. I would counsel patients to reduce sodium, high fat intake in their diet, and increase learner meats, fruits, vegetables, and calcium. Patients would be taught to limit fried and fast foods and rather choose baked foods with smaller carbohydrate portions, i.e., one-half of the vegetable portion. Patients also would be encouraged to try to eat fresh not canned good vegetables and fresh fruit with every meal. A method for portion control that has stuck with me is a protein (meat) the size of your fist, vegetables the size of two fists, and carbohydrate 1/2 the size of your fist or less. Elimination of processed foods and packaged food with high sodium content should also be avoided. Evidence also suggests that for heavy alcohol drinkers, reducing alcohol intake help with blood pressure reduction. Finally increasing physical activity is a must; walking is an easy exercise and the patient can gradually increase the amount as they build up a tolerance to the exercise. Part of the education plan is being sensitive to the patient’s cultural values and knowledge of their current health literacy status. It is vital to provide quality nutrition health education based on established evidence-based guidelines. It is also essential to include the patient in the education process to achieve buy-in and obtain better compliance.

Heart disease and stroke. Heart Disease and Stroke | Healthy People 2020. (n.d.). Retrieved November 19, 2021, from https://www.healthypeople.gov/2020/topics-objectives/topic/heart-disease-and-stroke.

Lennon, S. L., DellaValle, D. M., Rodder, S. G., Prest, M., Sinley, R. C., Hoy, M. K., [supanova_question]