Community Activism

Societal justice and critical reflection are the fundamental concepts underlying community activism. The former refers to the unbiased distribution of resources for a prolific and fulfilling lifestyle (Reichlin et al., 2019). For instance, through campaigns and demonstrations, nurses, practitioners and the general community would be able to advocate the cause of providing adequate medical amenities. 

Critical reflection boosts one’s understanding of the resident community’s issues (such as inadequate staffing) as well as those of others across the globe. Through this approach, the management and staff members would be able to devise long-term resolutions that ensure adequate staffing in the present and future (Reichlin et al., 2019). For example, pursuing suitable programs at academic institutions can steer students in the direction of the healthcare industry. 

Paying attention and keeping up with the trends in the tobacco industry is vital. This effort helps the advanced practice nurses to engage in community activism for preventing the negative health impacts associated with Big Tobacco in their respective societies (Salmond & Echevarria, 2017). As a result, the nurses would be in a position to enlighten the community members on addictiveness and diseases (such as lung cancer) associated with the increased consumption of tobacco products. 

Organizing programs to campaign against smoking is an essential stratagem that would aid nurses in educating the public on why tobacco control policy measures such as higher taxes are needed to ensure reduced consumption. With this tactic, nurses could participate in community activism to curb any further ill effects arising from the use of Big Tobacco (Salmond & Echevarria, 2017). Moreover, holding seminars that counsel smokers and non-smokers, especially the youth, to remain vigilant against industry-instigated efforts would be essential in discouraging the consumption of tobacco products. 

References

Reichlin, R., Peltier, M., Raether, E., & Polonsky, S. (2019). Nursing curriculum through a social justice lens: An upstream approach. Public Health Nursing, 36(3), 422-428.

Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopedic Nursing, 36(1), 12-25.

Modern society faces numerous problems that have adverse effects on the overall well-being of a community. Community activism involves social movements that are designed to help raise awareness on issues that society could be facing. Therefore, community activism encompasses the actions taken by a group of individuals to help educate the public on matters related to health, economy, and politics (Messias, 2017). The activities undertaken by community activist groups are known as grassroots actions. One of the main issues facing the United States is the rising levels of tobacco use. Tobacco is a highly addictive drug that contributes to a wide range of health problems including cancer, pregnancy problems in women, and impotence in men. Despite the well-known adverse effects of smoking, tobacco companies still continue to flourish in the business. 

Big Tobacco is a term used to refer to the largest tobacco firms in the United States. They include Altria, RJR, and Lorillard. These companies are well-established and shutting them down seems like an almost impossible task; they have lobbyists and lawyers that work hard to ensure that their clients remain profitable (Branston & Sweanor, 2016). Therefore, nurses should step up and take action against the growing use of tobacco in the United States. Nurses make up the largest proportion of healthcare workers. Additionally, they are also in direct contact with patients in different settings. Therefore, nurses can educate the public on the adverse effects of smoking tobacco and help stem the widespread smoking culture (Wolfson, 2017). If the masses are well-educated on the side effects of smoking, they will cease to use tobacco products, thus condemning Big Tobacco out of business.

References

Branston, J. R., & Sweanor, D. (2016). Big tobacco, e-cigarettes, and a road to the smoking endgame. International Journal of Drug Policy, 29(1), 14-18. doi:10.1016/j.drugpo.2015.12.023

Messias, D. K. (2017). An introduction to community activism. Retrieved from https://nursekey.com/an-introduction-to-community-activism/

Wolfson, M. (2017). The fight against big tobacco: The movement, the state and the public’s health. Abingdon, UK: Routledge Publishers.

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What is the biggest barrier you face in providing care to Bana at this point? After reading this week’s patient scenario, the biggest barrier that I noticed in providing care to Bana includes a language barrier and a language deficit. During the interview process, when the interviewer asked Bana about the assault, she appeared not to understand and looks at her case manager for help.

What is the priority action for you to take at this time? The priority action that I would take would to get an interpreter that speaks Bana’s language, Arabic. Due to Bana’s limited English, she is relying on the case manager to explain the details of her situation, even though the case manager does not speak Arabic and thus cannot interpret for her. It is Bana’s right to have a certified interpreter that speaks her language in order to interpret information so that we may gather accurate subjective information and Bana’s in involved in her health care.  

What action is most important for you to take to ensure the health and safety of the fetus?The action that is most important for the provider is to ensure the health and safety of the fetus would include: the mother’s safety, food, water, shelter, transportation, and access to medical care. The mother and the fetus need a safe, warm shelter to live, and have access to food, water, and transportation to receive medical care to ensure the safety of the mother and the fetus.

Given Bana’s financial situation, you are concerned about her and her family having adequate nutrition. Which intervention would best address this concern?Given Bana’s financial situation, it is a concern that she and her family may not receive adequate nutrition. I would reach out to social services, get the case manager involved, and reach out government and local organizations such as the Shalom Center, Giving Tree, and other food pantries that may assist Bana and her family to ensure that receive adequate nutrition. Additionally, hopefully, the organizations that I mentioned could help with establishing a shelter, transportation, and medical costs. 

Reference

Primary Care of Women, 2nd Edition, 2017. [Bookshelf Ambassadored]. Retrieved from https://ambassadored.vitalsource.com/#/books/undefined/

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The occurrence of cancer around the world is receiving increased attention by the medical establishment and the community. Numerous charities, universities, and non-profit organizations expend vast amounts of money and research to eliminate this disease in all of its forms. Unfortunately, not all types of cancer receive the same amount of attention in the media spotlight.  Whether it is due to embarrassment, ignorance, or fear, conversations about cancers involving the sexual reproduction systems are not as freely discussed in the United States or any other societies. 

While penile cancer is rare in the United States, it accounts for approximately 10% of cancers in African and South American men (Huether, McCance, Brashers, and Rote, 2017). A lack of social understanding, as well as the fear and ignorance that accompany diseases associated with sexual subjects, make delays a compounding problem. A specific diagnosis of penile cancer generally comes after a patient has noted a tumor or lesion. Further diagnosis, if it is not delayed, is done through an examination of the size, location, and fixation of the lesion. A biopsy is then performed along with imaging to determine if any metastasis has occurred in the surrounding lymph nodes. Treatment of this condition is usually completed with surgery although multimodal chemotherapy options are also being studied.  

Vaginal or cervical cancer is often discovered by females who experience vaginal bleeding or discomfort. These symptoms, again if not delayed, likely are followed by a physical including a bimanual pelvic examination and a Pap test. Additional testing for suspected cancerous growth includes an HPV test, colposcopy, and biopsy test to look for abnormal cellular growth or signs of cancer. Lastly, imaging, including MRI scans, computerized tomography, and positron emission tomography may be employed to identify and plan for the treatment of abnormal cellular growths. Treatment for cancer in the female reproductive organs is similar to that of men as surgery and chemotherapy, including radiation is often employed. 

Another similarity among men and women developing penile or cervical/vulvar cancer is the acquisition of the Human Papilloma Virus (HPV). Douglawi and Masterson (2019) note that nearly 40% of cases in France have been linked to this virus, which is most often acquired through unprotected sexual contact. Abramowitz et al. (2018) indicate an incidence of 7.5 per 100,000 women in the United States. Recent campaigns to vaccinate young adults, teens, and those in early adulthood has shown positive results in preventing transmission of this disease Joura, et al. (2019) agree that proper vaccination combined with screening can reduce recurrent or subsequent HPV disease transmission. 

A difference in the ability to recognize the presence of cancer includes visibility to the patient. Male sexual organs present an additional chance to catch the presence of a lesion by existing outside the body. Men that use good hygiene and self-examination practices are more likely to note a sore or lump on the penis than a female who must contend with pelvic pain or vaginal bleeding as a warning sign. 

Many of the same behavioral factors that cause cancer in other areas of the body are believed to be linked to the development of cancer within the reproductive organs. Factors such as smoking, poor personal hygiene, and HPV infection from unprotected sexual contact are associated with higher instances of penile or cervical/vulvar cancer (Emilio, Luigi, Riccardo, and Carlo, 2019). Additional factors such as diet and physical activity levels, remain a modifiable risk that can be adjusted with the appropriate education and effort. 

 Continued education of low-risk areas, as well as increased education of high-risk areas in Africa and South America, is the best way to reduce these debilitating illnesses. Information about the risk factors and best practices for maintaining a healthy lifestyle allow uneducated populations to realize access to treatment. The most effective avenue of treatment will include vaccines for males and females, to prevent acquiring HPV and information that stresses a healthier lifestyle, including physical activity and a low-fat diet.

References

Abramowitz, L., Lacau Saint Guily, J., Moyal-Barracco, M., Bergeron, C., Borne, H., Dahlab, A., Bresse, X., Uhart, M., Cancalon, C., Catella, L., and Bénard, S. (2018). Epidemiological and economic burden of potentially HPV-related cancers in France. Plos One, 13(9), e0202564. doi:10.1371/journal.pone.0202564

Emilio, S., Luigi, V., Riccardo, B., & Carlo, G. (2019). Lifestyle in urology: Cancer. Urologia, 86(3), 105–114. doi:10.1177/0391560319846012

Douglawi, A., & Masterson, T. A. (2019). Penile cancer epidemiology and risk factors: a contemporary review. Current Opinion In Urology, 29(2), 145–149. doi:10.1097/MOU.0000000000000581

Joura, E., Kyrgiou, M., Bosch, F., Kesic, V., Niemenen, P., Redman, C. W., & Gultekin, M. (2019). Human papillomavirus vaccination: The ESGO–EFC position paper of the European society of Gynaecologic Oncology and the European Federation for colposcopy. European Journal of Cancer, 116, 21–26. doi:10.1016/j.ejca.2019.04.032

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It is important for nurses to understand and identify what research, evidence-based practice and improvement processes or Quality improvements are so that they can be better equipped to serve patients. Research is the critical investigation that answers questions about a nursing phenomena. Evidence based practice is the collection, and integration of the said research. Improvement processes or quality improvement is the use of data to monitor the results of care as well as the use of improvement methods to design and test changes in practice. Therefore with the results of research comes evidence based practice, and quality improvement is how things change after the evidence based practice was integrated into the medical practice.

 Thus these three components impact the medical practice in different but important ways. Pamela K. Ginex states the different impacts on practice as being ” Research generates new knowledge for practice and adds to our professions’ knowledge base through the literature. Evidence- Based practice translates knowledge with a goal of improving practice. And Quality improvement, improves patient care processes and outcomes in specific healthcare settings. (Ginex)”

Refrences

Ginex, P. k. (2020, January 20). The Difference Between Quality Improvement, Evidence-Based Practice, and Research. Retrieved January 23, 2020, from https://voice.ons.org/news-and-views/oncology-research-quality-improvement-evidence-based-practice

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please write a response on the diagnostic test and support your response with reference.  

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