Preventive care

1 postsRe: Topic 3 DQ 2
Preventive care has its inherent characteristics embedded in the primary, secondary, and tertiary health promotion framework. Evidence-based research suggests that the three components of promotion should be incorporated to achieve effective treatment processes and disease prevention. According to Ali and Katz (2015), in 2010, tobacco use was the leading cause of death accounting for 435 000 deaths while diet and lack of physical activity followed with 400 000 cases in the United States. Although health promotion levels differ in cost and approach, they interlace with public health tenets to appropriate control measures for such preventable conditions and deaths by initiating awareness campaigns and determining educational needs for patients.

Levels of health promotion have disparities in costs and approaches to the administration of the appropriate treatment. The primary level involves the strategies that inhibit the occurrence of diseases. Such methods include vaccination, alteration of ill-health behaviors, and prohibition of foods and substances that increase susceptibility to illnesses. Comprising the primary level, upstream approaches diverge from the secondary and tertiary because they are cheaper and more efficient and constitute lower morbidity and mortality rates (World Health Organization [WHO], 2020). In addition, the primary level concerns the enhancement of the general health of the public as opposed to secondary and tertiary stages, which entail personalized treatment. Secondary prevention encompasses screening for diseases before signs and symptoms appear. In contrast, the tertiary level involves the mitigation of disease progression after diagnosis and manifestation of symptoms. Thus, the levels of health promotion differ in cost, effectiveness, and the administration of strategies depending on the stage of illness.

Although primary, secondary, and tertiary levels diverge in approach, they overlap with the principles of public health. The fundamental policy of the promotion levels is to facilitate the prevention of diseases. Healthcare providers, professionals, institutions, and the community environment are responsible for implementing this proposed action (WHO, 2020). Moreover, these promotion levels offer specific information on how to administer treatment. Primary prevention creates awareness for people to vaccinate and avoid indulgence in food and substances associated with illnesses. Secondary and tertiary levels enhance screening processes that help in diagnosing the diseases and stages to ensure the appropriate preventive measures are implemented. Therefore, levels of promotion align with public health policies and offer information on preventive measures.

Despite the cost and varying approaches to prevention, primary, secondary, and tertiary levels of promotion correspond to public health policies. Health institutions administer them to promote disease prevention and address the educational needs of patients. Health professionals, institutions, and governments should foster health promotions in societies to ensure optimal disease prevention.

References

Ali, A., & Katz, D. L. (2015). Disease prevention and health promotion: How integrative medicine fits. American Journal of Preventive Medicine, 49(5), 230-240. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4615581/

World Health Organization (WHO). (2020). EPHO5: Disease prevention, including early detection of illness. Retrieved from https://www.euro.who.int/en/health-topics/Health-systems/public-health-services/policy/the-10-essential-public-health-operations/epho5-disease-prevention,-including-early-detection-of-illness2

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Posttraumatic Stress Disorder

I need a response to this assignment

3 references not more than 5 years

zero plagiarism

Posttraumatic Stress Disorder

Posttraumatic Stress Disorder (PTSD) is very common amongst military veterans and it is a debilitating and disabling condition that impacts and individual’s life in its entirety. While many veterans are able to function normally after a completion of their service, there are some that are plagued by PTSD and substance abuse which is a common co-occurring symptom. Indeed, in contrast to average prevalence of 15–30% in the general population, as many as 63% of veterans with a documented alcohol use disorder also meet criteria for PTSD(Mahoney, 2020). The William Thompson case study is about an Iraq war veteran who after serving is now suffering from PTSD and substance abuse disorder. The client is denying or refusing to acknowledge that he has PTSD. While many civilians do not seek help, or wait years to do so, concerns about stigma may be amplified among veterans because military culture places a high value on emotional strength and mental toughness(Meshberg-Cohen, 2017). The client is showing classic symptoms of PTSD including having issues keeping a job, substance abuse, refusal to get help and minimizing. In community and veteran samples,PTSDis associated with poor social and family relationships, absenteeism from work, lower income, and lower educational and occupational success(American Psychiatric Association, 2013).

There are varying therapeutic approaches that can be utilized to treat this client, finding the best one depends on the individual being treated as well as the evidence for treatment. Practice guidelines for PTSD include CBT and EMDR as effective first-line treatment modalities(Wheeler, 2014). Depending on the severity of the illness along with the substance abuse or use disorder, medication can be utilized as well. Based on the client and his presentation, I would utilize EMDR therapy because there is evidence that it is effective at treating PTSD since it is trauma based. Three decades of research have resulted in 30 randomized controlled trials (RCT) attesting to the efficacy of EMDR therapy in the treatment of PTSD(Hurley, 2018). The Practice Guidelines of the World Health Organization [WHO] (2013) describe the EMDR therapy approach, “Like CBT with a trauma focus, EMDR aims to reduce subjective distress and strengthen adaptive beliefs related to the traumatic event(Hurley, 2018). Unlike CBT with a trauma focus, EMDR does not involve (a) detailed descriptions of the event, (b) direct challenging of beliefs, (c) extended exposure, or (d) homework” (p. 1)(Hurley, 2018). Along with EMDR, I would recommend an adrenergic agent. To date, a number of adrenergic agents have been tested for their efficacy in treating PTSD. These include the alpha-2 adrenergic agonists clonidine and guanfacine, the nonselective beta-adrenergic agent propranolol, and most promising prazosin, which is an alpha-1 adrenergic receptor antagonist that blocks the actions of NE on alpha-1 receptors(Petrakis, 2016). Several randomized controlled trials have found that the alpha-1 blocker prazosin is effective in reducing symptoms of posttraumatic stress disorder (PTSD) among active-duty soldiers(Roundup, 2017). SSRI’s are the medication of choice or first line for PTSD and alcohol dependence and have been proven effective in studies. The expected outcome for this client is that he will be able to manage his PTSD and substance abuse through the combination of EMDR therapy as well as medication and this will allow him to more effectively function and cope.

References

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental disorders. Washinton, DC: Author: American Psyhciatric Association.

Hurley, E. C. (2018). Effective treatment of veterans with PTSD: Comparison between intensive daily and weekly EMDR approaches. Frontiers in Psychology, 9, https://doi-org.ezp.waldenulibrary.org/10.3389/fpsyg.2018.01458.

Mahoney, C. T. (2020). Parallel process modeling of posttraumatic stress disorder symptoms and alcohol use severity in returning veterans. Psychology of Addictive Behaviors, https://doi-org.ezp.waldenulibrary.org/10.1037/adb0000569.

Meshberg-Cohen, S. K. (2017). Relationship between substance use and attitudes towards seeking professional psychological help among veterans filing PTSD claims. Addictive Behaviors, 74, 9–12. https://doi-org.ezp.waldenulibrary.org/10.1016/j.addbeh.2017.05.024.

Petrakis, I. L. (2016). Prazosin for veterans with posttraumatic stress disorder and comorbid alcohol dependence: A clinical trial. Alcoholism: Clinical and Experimental Research, 40(1), 178–186. https://doi-org.ezp.waldenulibrary.org/10.1111/acer.12926.

Roundup, R. (2017). Research Roundup. Brown University Psychopharmacology Update, 8(4), 7–8. https://doi-org.ezp.waldenulibrary.org/10.1002/pu.30223.

Wheeler, K. (. (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

The case brief should include the following major categories. I am including a link to information from LexisNexis on writing case briefs. Format the brief so I can easily identify these sections.

The case brief should include the following major categories. I am including a link to information from LexisNexis on writing case briefs. Format the brief so I can easily identify these sections.

How to write a case brief.

Facts of the Case:This is a summary of events that provide context to the issues discussed in the appeal. This most often includes a summary of events which lead to an arrest and trial of the defendant. It should also include some of the arguments made by the parties in the case which are related to the reason for the appeal. For example, a person may be arrested for possession of a controlled substance. His attorney may have argued that police conducted an illegal search and the evidence should be suppressed and not used against him during the trail. After the defendant’s conviction, this objection provides the basis for the defendant’s appeal to an appellate court. This summary should include a description of reasoning and ruling of all the lower courts involved in this case. For example, a case which has made it to the Supreme Court will have moved through more than one appellate court first. Describe each court’s decision on the issue. This summary may also include the original trial court judge’s ruling on the issue and possibly that trial court judge’s reasoning.

Procedural History:Each appellate case will have a legal basis for appeal in which one of the parties involved in the case will assert that an error was committed during the original trial. Using the example above the defendant’s attorney may argue that the conviction of his client should be reversed because of a violation of his client’s rights. Other precedents (previous cases) may be cited in making this argument. Be sure to include the precise error alleged to have been made. (e.g. 4th amendment right to be free from unreasonable searches)

Judgment:This is the outcome of the case. The final decision handed down by the highest appellate court. Was the original outcome of the trial court affirmed, reversed, remanded, modified, etc? In addition to the ruling, including the court’s reasoning behind the ruling citing any precedent the court relied on. If there is a dissenting opinion (judges on the court who do not agree with the majority decision), please include their reasoning.

Your Thoughts and Opinion: This is where I want to hear your own opinion or ideas about the case. Make it at least a paragraph but more is better. Is this a good/bad decision? Doyou think there will be unintended consequences because of this decision? You are not confined to any particular issues in this section as long as you explain and justify your opinion.

Illinois v. Wardlow528 U.S. 119 (2000)| FindLaw

Accountability in Healthcare

Accountability in Healthcare
This assignment will be at least 1500 words. Address each bulleted item (topic) in detail including the questions that follow each bullet. There should be three (3) sections in your paper; one for each bullet below. Separate each section in your paper with a clear brief heading that allows your professor to know which bullet you are addressing in that section of your paper.

Include a “Conclusion” section that summarizes all topics.

This week you will reflect upon accountability in healthcare and address the following questions:

• Briefly define an Accountability Care Organization (ACO) and how it impacts health care providers:1. How do ACOs differ from the health maintenance organizations (HMOs) of earlier years2. What role does health information technology (HIT) play in the newer models of care?

• What is the benefit of hospitals partnering with primary care providers?1. How does bundling payments contain healthcare costs?2. How does pay for performance (P4P) improve quality care?

• Briefly discuss the value-based purchasing program?1. How do value-based purchasing (VBP) programs affect reimbursement to hospitals?2. Who benefits the most from value-based reimbursement and why?3. How does the VBP program measure hospital performance?

Assignment Expectations

Length: 1500-2000 words in length

Structure: Include a title page, body, conclusion and reference page in APA format.