Please respond to these 3 posts

125 words each. APA format with in texts citation and references.

Jordan

DB #4

COLLAPSE

As an oncology nurse who cares for underserved populations, the list of programs.

policies, partnerships, and/or campaigns that could benefit our patient populations is

innumerable. It is not uncommon for our patients to be homeless, incarcerated, non-English

speaking, cognitively impaired, and so on and so forth. Basically, our patients have many needs.

and while we try in earnest to meet all of them, things do slip through the cracks. However, what

does seem feasible and shouldn't slip through the cracks is equitable access to cancer screening.

Cancer screening is a crucial public health strategy for the early identification of many

cancer sub-types, as it allows for earlier access to treatment and care, which ultimately impacts

survival and long-term clinical outcomes (Richardson-Parry et al., 2023). As a testament to the

power of cancer screenings, it is estimated that 83% of cervical cancer related deaths could be

prevented with regular screening (Richardson-Parry et al., 2023). Unfortunately, many

underserved and disadvantaged populations don't have access to regular cancer screenings.

The reasons for lower rates of cancer screening among underserved populations are

complicated and multifaceted; these reasons can vary from sociodemographic and cultural

factors to perceived racial discrimination (Richardson-Parry et al., 2023). That said, there are

ways to overcome these barriers and increase access to screening for these populations.

Cuaresma found et al. (2018) found that a lay health educator program was effective in

increasing rates of colorectal screening nearly 10%. Mehta et al. (2021) found that a financial

incentive was effective in increasing colorectal screening by nearly 20%. Coronado et al. (2016)

discovered that combining motivational interviewing and offering free mammograms can

increase breast cancer screening by nearly 10%. Bottom line, the evidence suggests interventions

to increase cancer screenings are effective and they should be implemented amongst those who

get screened the least.

Regarding implementation, surveying a particular population first would probably be

best. Different populations may respond differently to different interventions. Getting feedback

from the community is crucial. Conducting free educational sessions within communities to raise

awareness about the importance of screening is a crucial intervention as well but could also

increase the effectiveness of other interventions./nKassandra

Week 4

COLLAPSE

1. A population in my current practice is the complex care pediatric population. This pediatric specialty

includes a wide range of patients from those with neurological disorders, physical disabilities, and multi-

system disorders. Many patients in this population are nonverbal or monosyllabic, making communication

difficult. They also tend to suffer from musculoskeletal issues which make mobility challenging or nearly

impossible. Children part of this population tend to be confined to wheelchairs or other mobility devices

for their safety.

A necessary component of childhood is activity and learning through play. However, oftentimes, children

part of this complex-care population are not allotted the same opportunities as able-bodied or less

medically complex children to participate in these play settings (Gately et al., 2023). Play is necessary to/nfacilitate growth, develop, and social skills; however, this is stunted for disabled children due to the

existence of environmental and societal barriers.

2. An intervention that would be helpful to implement would be the facilitation of play equipment in parks

and playgrounds that are accessible to kids of all abilities. Alternative swings such as those which include

increased lateral supports and straps as well interventions to make parks themselves more comfortable

such as increased and adjustable shade to accommodate for children that have difficult repositioning

themselves (Movahed et al., 2023). Currently, in the city of Somerville, there is a project entitled "Play for

all which focuses on the creation of accessible play through the addition of play equipment for children of

all abilities. Projects such as these throughout cities could make beneficial and life-changing impacts on

the lives of the disabled pediatric population.

3. Increasing the opportunity for play amongst disabled children results in improved cognitive skill as well

as social, emotional, and motor skills. Outdoor play also helps to support physical activity and helps to

promote and develop independence amongst children (Moore et al., 2022). Children with disabilities and

the families of those children can better feel supported and included in their communities if they are

granted the same opportunities and rights for play as able-bodied children. Play is a right and every step

possible should be taken in order to ensure every child is granted access to developmental opportunities

which can increase their quality of life./nMikyoung

Week 4

COLLAPSE

Many people have substance use disorder in our community. The residents in Gardner, MA are

depressed because of financial distress. This nurse has observed many people using nicotine, alcohol,

opioids, and marijuana. Massachusetts legally allows the sale of marijuana in stores for recreational

purposes and even to grow marijuana at home. This recent legal change seems to have accelerated the

use of marijuana without caution. Pregnant women who misuse alcohol and drugs are the most

vulnerable in our community.

The community nurse can perform nursing interventions to reduce substance use for pregnant

women. First, a nurse starts a mandatory screening program for opioid use disorder during prenatal

pregnancy care. Reising et al. (2019) reported nurses should perform screening for opioid use disorder,

develop positive relationships, and refer to treatment. This care should be based on values-neutral

strategies to promote healthy outcomes for pregnant women and their babies. Through mandatory

screening, patients know their diagnosis, can discuss their opioid use disorder, and receive a referral to

treatment. Second, a nurse educates about the risk of alcohol consumption during pregnancy and

immediately following the intervention. Eustace (2000) reported that immediately following the

intervention for pregnancy women with alcohol abuse had a greater reduction in alcohol consumption

behavior at 6 weeks and 12 weeks than following the intervention was rejected. Immediate intervention

after education about the risk of alcohol consumption can increase reinforcement. Patients try following

the treatment because the nurse monitors their behavior immediately and regularly.