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Evaluating Healthy People 2030 and Recommendations for APRNs
“Evaluating the Impact of Healthy People 2030 and Recommendations for Advanced Practice Nurses” “Advanced Nurse Practitioners’ Role in Helping People with Hepatitis C Quit Smoking”
Hermenegildo posted Oct 11, 2022 9:49 AMLast edited: Wednesday, October 12, 2022 8:47 AM PDT
Healthy People 2030
Evaluation
Healthy People 2030 (HP 2030) finds and ranks public health issues to improve the health and well-being of Americans (ODPHP-1, n. d.). The sixth season of HP 2030 is based on four years of research (ODPHP-1, n. d.). HP 2030 guides local health improvement strategies (NACCHO, 2020). HP 2030 is our health promotion and disease prevention framework (NACCHO, 2020). It recognizes the country’s health challenges (NACCHO, 2020). The framework guides local health efforts (NACCHO, 2020). It helps community health partnerships and ensures that “local health needs and priorities” (NACCHO, 2020) are considered in national prevention goals.
Goals
HP 2030 aspires to eliminate preventable illnesses, impairment, damage, and early death (ODPHP-2, n. d.). Fairness, knowledge, and eradicating health inequities improve everyone’s health (ODPHP-2, n. d.). They must also encourage health and well-being socially, physically, and economically (ODPHP-2, n.d.). They encourage lifelong growth, behavior, and well-being (ODPHP-2, n.d.). Lastly, they encourage leadership, key stakeholders, and the public to support health and wellness policies for everyone (ODPHP-2, n.d.).
Guidelines for Health Screening
A Lung Cancer Test
Testing for lung cancer should be frequent (ODPHP-3, 2021). For those who have “a 20-pack-year smoking history” (ODPHP-3, 2021) and “smoke […] or quit within the past 15 years” (ODPHP-3, 2021), low-dose computed tomography is recommended as an annual screening for lung cancer for those aged 50 and over. The USPSTF (the United States Preventive Services Task Force) says that patients in this group should not be screened anymore if their health problems shorten their expected lifespan or if they do not want to have lung surgery if needed (ODPHP-3.2021).
Chlamydia and Gonorrhoea Screening
Sexually active women under 24 should get chlamydia and gonorrhea tests (ODPHP-4, 2021). The USPSTF advises screening only for sexually active women aged 25 and older with high infection risk (ODPHP-4, 2021). The USPSTF found insufficient information to say whether testing sexually active men for chlamydia and gonorrhea was more important than the risks (ODPH-4, 2021).
Modifiable Risk Factors and APRNs’ Recommendations
Physical Inactivity
Physical inactivity is a risk factor that can be adjusted for heart disease and other health problems like falling. Advanced nurse practitioners can help older patients get in shape, which is important because being inactive is detrimental to one’s health. Advice about how to be more active is what counseling about physical activity is (Otmanowski & Chase, 2020). Counseling about physical activity can be done in person or over the phone, which may help other providers who do not have a lot of time to write out exercise plans (Otmanowski & Chase, 2020, as cited in Patel et al., 2011). The SCT, or the transtheoretical model, can be used in physical exercise therapy (Otmanowski & Chase, 2020, as cited in Prochaska et al., 2015). Exercise prescriptions could be a part of physical activity counseling (Otmanowski & Chase, 2020). Patients’ prescriptions are filled based on their goals, health, and other health problems (Otmanowski & Chase, 2020). A prescription is a better way to get people to exercise than just giving them advice (Otmanowski & Chase, 2020, as cited in Swinburn et al., 1998). During counseling sessions, advanced nurse practitioners talk to patients about their worries about being more active, point out the benefits of being more active, and help them set goals for being more active (Otmanowski & Chase, 202).
Cigarette Smoking
People with chronic hepatitis C who smoke are more likely to have lung and liver problems. Hepatitis C treatment can be less effective if people smoke cigarettes (Reid et al., 2020, as cited in Dev, Patel, Conrad, Blatt, & McHutchison, 2006; El-Zayadi et al., 2004; Pessione et al., 2001, 2003). Because of this bad outlook, people with hepatitis C who smoke should stop or cut down a lot. (Reid et al., 2020, as cited in El-Zayadi, 2006). Advanced nurse practitioners, especially those who specialize in hepatology, can help people quit or cut back on smoking by prescribing nicotine replacement drugs and setting up personalized phone counseling programs. With all this information in mind, advanced nurse practitioners will play a big part in helping people stop smoking through written or verbal prescriptions for nicotine replacemebcint therapy (NRT) and counseling.
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