NURS 6050 Discussion Presidential Agendas SAMPLE

Walden University NURS 6050 Discussion Presidential Agendas SAMPLE-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NURS 6050 Discussion Presidential Agendas SAMPLE assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NURS 6050 Discussion Presidential Agendas SAMPLE

Whether one passes or fails an academic assignment such as the Walden University NURS 6050 Discussion Presidential Agendas SAMPLE depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NURS 6050 Discussion Presidential Agendas SAMPLE

The introduction for the Walden University NURS 6050 Discussion Presidential Agendas SAMPLE is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

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How to Write the Body for NURS 6050 Discussion Presidential Agendas SAMPLE

After the introduction, move into the main part of the NURS 6050 Discussion Presidential Agendas SAMPLE assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NURS 6050 Discussion Presidential Agendas SAMPLE

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NURS 6050 Discussion Presidential Agendas SAMPLE

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NURS 6050 Discussion Presidential Agendas SAMPLE Included After Question

Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.

Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently?

To Prepare:

Review the Resources and reflect on the importance of agenda setting.
Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.

By Day 3 of Week 1

Post your response to the discussion question: Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently?

Obesity

Obesity is a growing concern across the country, affecting people across their life spans and including diverse races, genders, and socioeconomic groups, with the most significant impact on those who are underserved and have lower education levels. According to the CDC, obesity prevalence is higher than 20% in adult populations and 19.7% in children and adolescents (CDC, 2022). With obesity as a central risk factor for chronic comorbidity for some of the most devasting diseases like cancer, heart disease, and diabetes, it should be a priority of policymakers today not only due to the enormous expense of caring for chronic conditions but also the wellbeing of the population.

Importance of Agenda Setting

According to Milstead and Short (2019), agenda setting is the “process of moving a problem to the government’s attention so that solutions can be discovered” (p.17). This is no simple task; several factors and forces, along with intricate timing, play into having an item on an agenda becoming policy or even garnering the attention of players positioned to make a change.

Schnider and Ingram’s theory, as it appears in Milstead and Short (2019), writes “that one can best understand agenda setting, alternative formulation, and policy implementation by knowing how elected officials see different target populations and by knowing the social constructions of such populations” (p.31). In summary, the agenda issues that will determine which populations will have the most significant impact on re-elections, funding, and overall improving the public opinion of the parties involved.

Agenda priorities

Obesity should be an agenda priority based on the lack of progress made with the current plan and interventions and the worsening of the situation. Several social determinants could be interpreted to have the most critical impact on obesity, including socioeconomic, historical, education quality, and outcomes. The best position to take to garner the most cost-effective intervention and policy changes would be to approach education as the social determinant that would be the most impactful (Social Determinant of Health, n.d).

Presidential Positions

According to Healthy People 2030, released by the Office of Disease Prevention and Health Promotion, one of the outlined objectives established by the current administration in 2020 was to decrease adult obesity to 36%; however, the rate of obesity has climbed to 41.8% as of 2023 (U.S. Department of Health and Human Services, n.d).

According to a statement from the White House briefing room, the current Government of Power has committed to “The Global Nutrition Coordination Plan” in partnership with the Tokyo Nutrition Growth Summit, working together to improve approaches to nutrition (The White House, 2022a).

On the contrary, the Republican Congressional agenda looks quite different. The fiscal plan would include repealing the Affordable Care Act (ACA) and cuts to Medicaid; both programs fund preventive care and provide services for the most at risk, those who are underserved and have a more fragile socioeconomic position, making education a lower priority (The White House, 2022b).

How I would change the agenda

Honestly, if I had any say on how to correct the obesity problem and change the policy that would have the most impact, it would be to revisit the agricultural subsidy programs that fund corn, soy, and grain, as they are the root cause of the low consumer costs of highly processed foods that are the source for a majority of the metabolic imbalances contributing to obesity today. Crossing siloed departments like healthcare versus agriculture is no small feat. It may appear they are unrelated; however, I argue that we cannot fix the problem of obesity until we fix the source of the problem, which is highly processed corn, soy, and grain-based foods that dominate the diets of the populations most at risk due to low socioeconomic and education levels. No medication, office visit, procedure, or ACA will genuinely correct the obesity epidemic; continually dumping funding into managing a symptom of the problem will not truly get to the root cause.

In closing, the obesity crisis across the country will continue regardless of the president elected to power until the root cause, which is our food sources and processing, is brought to the forefront of the discussion and placed on the agenda of an agency that can generate sufficient support to initiate change.

References

Center for Disease Control (CDC). (2022). Overweight and obesity. Retrieved November 27, 2023, from Data & Statistics | Overweight & Obesity | CDC

Links to an external site..

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning. Chapter 2. Pg. 17-31.

Social Determinants of Health. Social Determinants of Health – Healthy People 2030. (n.d.). https://health.gov/healthypeople/priority-areas/social-determinants-healthLinks to an external site.

The White House. (2022a). Fact Sheet: The Biden administration’s commitment to global health. Retrieved November 28, 2023, from FACT SHEET: The Biden Administration’s Commitment to Global Health | The White House

Links to an external site.

The White House. (2022b). Fact sheet: the congressional Republican agenda: repealing the Affordable Care Act and slashing Medicaid. Retrieved November 28, 2023, from FACT SHEET: The Congressional Republican Agenda: Repealing the Affordable Care Act and Slashing Medicaid | The White House

Links to an external site..

U.S. Department of Health and Human Services. (n.d). Healthy People 2030, Retrieved November 28, 2023, from Reduce the proportion of adults with obesity — NWS‑03 – Healthy People 2030 | health.gov

By Day 6 of Week 1

Respond to at least two of your colleagues* on two different days by expanding on their response and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.

A Sample Answer For the Assignment: NURS 6050 Discussion Presidential Agendas SAMPLE
Title: NURS 6050 Discussion Presidential Agendas SAMPLE

Agenda Setting in Policies

Presidents and presidential candidates use agenda-setting in campaigns and during presidential terms. According to the textbook Health Policy and Politics, 6^th Edition, the definition of agenda setting is the process of bringing a problem to the government’s attention so that solutions can be considered (Milstead, Short 2019, page 17). Agenda setting is used in all career fields and is highly beneficial in the medical field. Many federal agendas promote healthcare issues as healthcare is a vital need in all people’s lives. Healthcare topics become agenda priorities as policymakers and citizens are interested in the best public policies to address society’s concerns (Milstead, Short 2019, page 17). Agenda-setting can create outcomes that can initiate new practices in healthcare organizations (Milstead, Short 2019, page 18).

Access to Mental Health

Access to mental health is an important topic at the presidential level. According to The United States Government and Biden Administration, insurers make it difficult to access mental health treatment, causing consumers to seek care out-of-network at higher costs for treatments (The United States Government, 2023). Mental health is a vital part of the healthcare system, as adequate public access to it in needed. President Biden states that mental health is health, and part of their agenda includes a strategy to transform how mental health is understood, accessed, treated, and integrated into healthcare settings (The United States Government, 2023). It is expressed that this agenda will allow those insured greater access to mental health care within their network, reducing patient costs (The United States Government, 2023). Former President Donald J. Trump stated at a time when many Americans are experiencing increased stress, anxiety, and personal loss, we must also ensure that our country can meet the mental health needs of those struggling in this crisis (National Archives and Records Administration, 2020). This statement was made after the beginning of the COVID-19 pandemic. The former administration addressed the importance of the public’s access to mental health care. Executive orders were made under the previous administration, and funding was obtained to provide support to the mental health needs of the public (National Archives and Records Administration, 2020). After researching, it is evident that mental healthcare is an essential topic on the agendas of our former and current administrations. Through my research it is evident that how the public obtains access to mental healthcare was focused on more within the Biden Administration.

What Could Be Done Different

After working as a registered nurse at a Level 1 emergency room with a psychiatric unit, I have seen firsthand how a lack of patient resources can impact patient care. I have seen how a lack of continuity of care can impact mental health patients and lead to poor outcomes. Many patients who seek out mental health care do not know their options for receiving care and look to primary care providers or their local ER for treatments. I feel as if the former administration laid the foundation for the current administration to create its agenda. I believe that they did address the importance of mental health after the start of COVID-19 and the end of former President Trump’s term. It is my opinion that with more time former President Trump would have been able to create and implement his own agenda towards patient’s access to mental health care. I see how the Biden Administration is making mental health a priority in their healthcare agenda. I do not believe I would do anything differently. I would however want to work with and reach out to more health care professionals. I believe that by hearing the voices of the caregivers and providers the Biden Administration can learn vital information that can help improve outcomes for mental health patients. I believe that more accessible access to in-network treatment would allow for continuity of care and more follow-ups, leading to a more positive patient experience. A more positive patient experience will allow for better patient success and outcomes, which, as healthcare providers, should be our goal.

NURS 6050 Discussion Presidential Agendas SAMPLE

A health population topic that has risen to the presidential level that has been a hardship for health care and the population for many years now is mental health. Mental health has encumbered the healthcare system before Covid-19, but after the pandemic, the issue has intensified because of the lack of access to healthcare simultaneously with the increased need for care. Mental illness is defined as mild to moderate in degree depending on the condition (Mental Illness, 2023) According to the World Health Organization suicide is ranked the fourth leading cause of death among people who are between 15-29 years old (World Health Organization: WHO, 2019). It is also found that people who suffer from severe mental health disorders die as much as twenty years prematurely (World Health Organization: WHO, 2019). Not only do people with mental health suffer from the effects of mental health but they also face discrimination, stigma, and human rights violations from their peers and even amongst healthcare workers from whom they seek help (World Health Organization: WHO, 2019). It is estimated that close to one in five adults in the United States live with a mental illness which is estimated to be close to 52.9 million people in 2020 (Mental Illness, 2023).

From the data above it can be concluded that there is a serious gap between mental health and access to treatment for people. One of the leading social determinants that negatively affect mental health is the lack of access to health care for those diagnosed or suffering from mental health. Although lack of access to health care for those with mental health can be from a wide array of obstacles, the cost of health care is amongst one of the highest obstacles to not seeking treatment. It is found that close to 60-70 percent of people are worried about the cost of mental health treatment (“Reducing Suicide,” 2002). The rise in copayments for mental health treatment is directly correlated with lower access. People without health care insurance also experience increased barriers to care or delay in seeking care (“Reducing Suicide,” 2002).

To combat the mental health crisis in the United States Joe Biden created and launched the “988” crisis response line. This crisis hotline created a national network of local crisis centers to answer calls and texts (The White House, 2022). Joe Biden, through the American Rescue Plan, has provided $180 million to help support the local capacity of crisis calls and crisis response to calls. Biden’s FY23 budget will enhance this investment with an additional $700 million to hire staff for local crisis centers. (The White House, 2022). Joe Biden also expanded mental health services through the American Rescue Plan by investing millions of dollars into expanding Certified Community Behavioral Health Clinic (CCBHC). Biden’s FY23 budget will propose to make the CCBHCs’ programs permanent while concurrently allowing states funding to expand CCBHCs in the communities most in need (The White House, 2022). CCBHC is a proven model of care that improves health outcomes while having the ability to lower costs for individuals who are seeking treatment by delivering 24/7 mental health and substance use care whether the individual seeking treatment has the means to pay for treatment or not (The White House, 2022).

President Trump also took action to improve Americans’ mental health. Trump signed an Executive Order that addressed the negative impact of prolonged closures of mental and behavioral health resources. He provided grant funding to support mental health treatment services which included telehealth, peer-to-peer, and safe in-person therapeutic service (The White House, 2020). Finally, Trump signed legislation that distributed an estimated $425 million in emergency funds to focus on mental and substance use disorders (The White House, 2020).

Both Presidential parties have been active in their attempts to help the mental health crisis in the United States. This writer feels that education and more resources surrounding mental health starting at a young age implemented into the education system are crucial. It is found that individuals do not seek help because of the discrimination and disparity they are faced with if they are vocal about their mental health, therefore if it is educated amongst children at a young age that is in fact acceptable and “normal” to talk about mental health and to seek treatment then children growing up into adults would not feel ashamed or guilty for the attempts to seek treatment. Education should also be given to not only the school systems but also health care facilities and local community organizations surrounding how and where an individual can seek treatment for mental health even if they have financial barriers they are faced with. Education should be given on the different ways one can seek treatment whether that be in person or over a telehealth call as you might find an individual does not seek treatment because they think face-to-face treatment is their only option. This writer does not feel that there is nearly enough light shed on the resources that are currently available to people. As a nurse in the health care system, we play a vital role in having the ability to educate patients and patients’ families about the resources that are available to them surrounding mental health and have an obligation to our patients to make sure we are doing so.

NURS 6050 Discussion Presidential Agendas SAMPLE

The healthcare system is highly sensitive and that is why presidents have to make critical decisions and ensure the safety of their citizens. I agree with you that the opioid epidemic is one of the healthcare issues that rose to the presidential level. Opioid misuse presents various health risks and that is why it was necessary to engage the presidential intervention. President Bush’s administration approached the issue in three ways. First, the administration provided efforts to stop the kids from using the drug. Secondly, the treatment for those already using the drug was expanded and finally, the flow of the drug into America was controlled. The measure would be undertaken for infectious diseases that arise, Breaking the infection cycle is important in managing health crises and emergencies (Hedberg, et al., 2019).

The Obama administration approached the issue more comprehensively and approved the CAR bill to fight the epidemic. Similarly, President Donald Trump declared the epidemic a national state of emergency and this was appropriate. I agree that health issues require urgent intervention to curb the causative factors and prevent the issue from spreading further and this is what the three presidential administrations did.

The presidents must be sensitive to identify the impacts of given health issues and develop appropriate policies that will minimize the harmful effects the citizens suffer (Smith, 2020). In this case, the use of opioid drugs was on the rise and the level could have been very disastrous if the relevant measures developed were not adopted. It is important that government systems set aside funds to handle medical emergencies whenever they rise because they cannot be postponed (Katz, Attal-Juncqua & Fischer, 2017).

NURS 6050 Discussion Presidential Agendas SAMPLE References

Hedberg, K., Bui, L. T., Livingston, C., Shields, L. M., & Van Otterloo, J. (2019). Integrating public health and health care strategies to address the opioid epidemic: the Oregon Health Authority’s Opioid Initiative. Journal of Public Health Management and Practice, 25(3), 214-220. doi: 10.1097/PHH.0000000000000849.

Katz, R., Attal-Juncqua, A., & Fischer, J. E. (2017). Funding public health emergency preparedness in the United States. American journal of public health, 107(S2), S148-S152. doi: 10.2105/AJPH.2017.303956

Smith, H. J. (2020). Ethics, Public Health, and Addressing the Opioid Crisis. AMA Journal of Ethics, 22(8), 647-650. doi: 10.1001/amajethics.2020.647.

When being presented with the topic of discussion for this week, my mind, as I’m sure most of ours, immediately wandered to the subject of debate related to the pandemic and the vaccine mandate that seems to be the black cloud, in not only the healthcare setting but now intruding into all employers’ policies as well.

The enforcement of this mandate has been a matter of contention our current president has prioritized in his agenda. This pandemic just so happened to take over during an election year, so we were fortunate to see how two separate presidents prioritized the specifics of their agendas related to the same pandemic.

According to Keith Kellogg in his book War By Other Means: A General In The Trump White House, he discusses some of the accomplishments of our former president during his time in office. “On March 13,2020, President Trump declared COVID-19 a national emergency…Vice President Pence worked with companies like 3M to dramatically increase production of N-95 medical masks.

He worked with diagnostic lab companies to ramp up testing.” (Kellogg, 2021) Kellogg (2021) tells us about President Trump working with FedEx and UPS air assets in order to ensure the American healthcare workers had the appropriate personal protective equipment and ensuring there wouldn’t be a delay in receiving sed equipment due to the travel ban that was implemented as well. He sent in reinforcements to New York and California by sending the U.S. Navy hospital ships to assist with patient care.

He developed Operation Warp Speed by gathering teams of experts to manufacture a vaccine that could be developed and distributed. President Trump’s goal was to “make the system work better and faster than it had ever worked before.” (Kellogg, 2021) Kellogg (2021), being the former National Security Advisor under the Trump and Pence Administration, ensures his audience that President Trump stretched all resources in order to fulfill his directive to do everything possible to protect the American people from harm.

A Sample Answer 2 For the Assignment: NURS 6050 Discussion Presidential Agendas SAMPLE
Title: NURS 6050 Discussion Presidential Agendas SAMPLE

NURS 6050 Discussion Presidential Agendas SAMPLE

Our current President, Joe Biden, is approaching the pandemic in a different view. As soon has Biden took office he worked actively to open America’s southern border, which has resulted in over 1.4 million illegal border crossings. (GOP Staff, 2021) With each illegal crossing, there has not been a since effort to mandate the vaccine for those individuals. Biden’s speech in September 2021 discusses this being a “pandemic of the unvaccinated.” (Biden, 2021)

He states there being a “25% minority that is not vaccinated” (Biden, 2021) and emphasizes that they are the cause of the losing battle against COVID-19 and his duty is to “protect the vaccinated.” (Biden, 2021) Which then leads him to discuss his next step in plan of action, being that all employers with more than 100 employees must require the vaccine. He states he is aware that this mandate will affect about two thirds of all workers, and he has no regard to that fact.

Biden expects the American people to “trust the science” but still refuses to be transparent about not mandating the vaccine for certain groups, the possible long term affects and the devastating adverse reactions we are now being inundated with in the hospital setting. Biden discusses the pandemic issues by using scare tactics and totalitarianism approaches, hence why OSHA has now placed a hold on Biden’s mandate due to it being unconstitutional.

According to Health Policy and Politics, the definition of “policy is a consciously chosen course of action: a law, regulation, rule, procedure, administrative action, incentive, or voluntary practice of governments and other institutions.” (Milstead & Short, 2019) As nurses, we can make a difference at this level by “identifying a problem and being part of the solution.” (Milstead & Short, 2019) We, as healthcare workers, practice autonomy by allowing our patients to have and to practice their patient’s rights.

We must accept our patient’s choices for what they feel is right for their body, regardless of what the popular opinion may be. In the same, the U.S. congressional members and senators must respect and accept the choices of those who decide the vaccine may not be the best choice for their body or their children’s body. I do not feel the mandate is an appropriate way to handle this pandemic. There has been evidence showing Florida reaching the lowest case rate in the nation as a result of Governor DeSantis’ leadership and our data-driven approach free of mandates or lockdowns (Florida Executive Office Staff, 2021).

State Surgeon General Dr. Joseph Ladapo (2021) also discusses the success in Governor DeSantis’ innovative approach and states, “moving forward, we must continue focusing on data and evidence to make public health decisions and not allow such decisions to be politicized.” I believe in natural immunity and personal choice. Therefore, I would not allow a government overreach and enforce a vaccine mandate to all, especially before long-term studies have been published. I would allow resources to be available, such as DeSantis’ approach, and focus on the data and evidence that has proved it’s efficacy.

NURS 6050 Discussion Presidential Agendas References

Biden, J. (2021, September 10). Remarks by president Biden on fighting the COVID-19 pandemic. The White House. Retrieved November 29, 2021, from https://www.whitehouse.gov/briefing-room/speeches-remarks/2021/09/09/remarks-by-president-biden-on-fighting-the-covid-19-pandemic-3/.
Florida Executive Office Staff. (2021, October 27). Florida reaches lowest case rate in the nation. Florida Governor Ron DeSantis. Retrieved November 29, 2021, from https://www.flgov.com/2021/10/27/florida-reaches-lowest-case-rate-in-the-nation/.
GOP Staff. (2021, November 4). Biden’s open border policies have deadly consequences. gop.gov. Retrieved November 29, 2021, from https://www.gop.gov/bidens-open-border-policies-have-deadly-consequences/.
Kellogg, K. (2021). War by other means: A general in the trump white house. Regnery Publishing.
Milstead, J., & Short, N. (2019). In Health policy and politics: A nurse’s guide (p. 3). essay, Jones & Bartlett Learning.

A Sample Answer For 3 the Assignment: NURS 6050 Discussion Presidential Agendas SAMPLE
Title: NURS 6050 Discussion Presidential Agendas SAMPLE

NURS 6050 Discussion Presidential Agendas

RE: Discussion – Week 1

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Mental illness is a health issuewhoseattack is not on the body but the mind, in recent years mental illness has become an acceptable topic to discuss while in the past, having a mental illness meant suffering aloneand in silence. Thenumber of people screening with moderate to severe symptoms of depression and anxiety has continued to increase throughout 2020 and remains higher than rates prior to COVID-19 (Mental Health America , 2021).

People are suffering and they are finally speaking out about it and I will say that is a testament to how our Presidents have highlighted the importance of speaking out about your mental illness and getting the help that you need and providing that help. In 2013 President Obama announced that $50 million of the funding will support nearly 200 community health centers in expanding the availability of services to individuals living with mental illness and/or substance use disorders (Ingoglia, 2013).

The Biden administration followed that same initiative when he took office and allocated 2.5 Billion dollars in funding for the mental illness and addiction crisis the country now faces; $1.65 billion will go toward the Substance Abuse Prevention and Treatment Block Grant, which gives the receiving states and territories money to improve already-existing treatment, and $825 million will be used by the states to deal specifically with mental health treatment services (Allen, 2021).

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This nurse is an advocate for mental well-being, and believes that in order to heal the body you have to start with the mind. We learned early on in nursing school that the brain is the control station for every part of our body and in order for our different systems to complete their distinct tasks the brain must function properly.

Our thought processes affect how our brain works, neuroscience has begun to uncover some of the intricate and less obvious relations between the mind and the brain, as investigative approaches from biochemistry, psychology, and genetics converge on an understanding of the physiology of mental illness (S., 1992). As a psych nurse I believe that they did the same thing that I would have done because the issue is that there are not enough mental health providers and so you have people suffering that are unable to get the help they need because providers are booked to capacity.

The one thing that I would do differently is ensure that each state send yearly summaries of exactly how they are putting that money to use, and the effectiveness of the changes they made using that money. This is purely to hold each state accountable and ensure the money is being distributed to bringing a firm foundation for the treatment of mental illness.

NURS 6050 Discussion Presidential Agendas SAMPLE References:

Allen, M. (2021, March 11). Exclusive: Biden directing $2.5B to address mental health and addiction crisis.Retrieved from AXIOS: https://www.axios.com/biden-funding-drug-mental-health-crisis-310d0250-cb6e-409c-8f30-9d73c3fd94a7.html
Ingoglia, C. (2013, December 11). Obama Administration Announces $100 Million in Mental Health Funding.Retrieved from National Council fot Mental Wellbeing : https://www.thenationalcouncil.org
Mental Health America . (2021). The State Of Mental Health In America. Retrieved from Mental Health America : https://mhanational.org/issues/state-mental-health-america
S., A. (1992). The Role of the Brain in Mental Illness. Retrieved from National Academies Press (US): https://www.ncbi.nlm.nih.gov/books/NBK234144/

A Sample Answer 4 For the Assignment: NURS 6050 Discussion Presidential Agendas SAMPLE
Title: NURS 6050 Discussion Presidential Agendas SAMPLE

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NURS 6050 Discussion Presidential Agendas

RE: Discussion – Week 1

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COVID-19

A novel coronavirus hit the U.S. in January 2020, and WHO declared coronavirus a pandemic (Sheposh, 2021). A new strain called Delta surfaced, and the death toll is once again increasing. When the pandemic began, there was a lot of confusion about how to handle the pandemic. Former President Trump first put the responsibility on states to deal with covid-19. As the case number increased, The White House created federal social distancing guidelines.

At the same time, the COVID task force was formed with people of The Centers for Disease Control and Prevention (CDC). President Trump declared a national emergency and ordered expanded supplies and test kits to be distributed in the U.S. The president was eager to reopen the company and return to normalcy. He signed the bill to help people for relief and put an emphasis on developing covid vaccines. He also decided not to fund the WHO and criticized the covid task force for their recommendations (Hart, 2021).

President Biden put the primary responsibility on the federal government and called for states to put more strict mask mandates in place. He signed the bills for more stimulus checks and called for swift distributions on vaccines. He decided to rejoin the WHO and promised the funding. He also called for a controversial vaccine mandate for federal workers.

No one predicted that this pandemic could happen in their lifetime. However, I feel the government has done a great job against this pandemic. Covid-19 is still ongoing, and new strains are being discovered. However, things are settling down, and I feel that life is returning to normal. During this pandemic, the federal government set a goal to innoculate people as much as possible and set an agenda to do so.

I cannot entirely agree with the mandate of vaccines because I think that it is a violation of our rights. I’m afraid I also have to disagree with funding the WHO. I feel that Johns Hopkins University and CDC give us better statistics and accurate numbers, and also they function way better than WHO.

NURS 6050 Discussion Presidential Agendas SAMPLE References

Coronavirus Disease 2019 (COVID-19). By: Sheposh, Richard, Salem Press Encyclopedia of Health, 2021
Hart, J. (2021). Did the COVID-19 pandemic help or hurt Donald Trump’s political fortunes? PLoS ONE, 16(2), 1–10. https://doi-org.ezp.waldenulibrary.org/10.1371/journal.pone.0247664

A Sample Answer 5 For the Assignment: NURS 6050 Discussion Presidential Agendas SAMPLE
Title: NURS 6050 Discussion Presidential Agendas SAMPLE

RE: Discussion – Week 1

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In my opinion, the Federal Government of the United States, ably led by President Joe Biden, made the right decision by ensuring that the majority of its population receives the covid -19 vaccine, based on the CDC recommendations. The science behind this approach is based on the age long principle of Herd immunity.

Herd immunity(population immunity) , is the direct/indirect protection from an infectious disease that happens when about 75 to 80% of a population is immunized either through vaccination as in the case of Covid -19 or by immunity developed through previous infection (WHO, 2021). As we may have known, vaccines stimulate specific antibodies in our bodies that help with fighting specific infections whenever we come in contact with them.

Usually, these vaccines are made to protect us against infections or organisms with very high pathogenicity or virulence, sufficient to overwhelm ones natural immunity upon first exposure , thus leading to very severe illness or even death. The fortified immune system is able to attack such organisms whenever that vaccinated individual becomes exposed to the organism.

However, for the unvaccinated individual, a highly virulent pathogen like the novel coronavirus is able to attack and cause severe debilitating illness or even death, because the natural immune system is too weak to fight back. As a consequence, vaccines have become inextricably connected to our survival as humans.

As regards human rights, I believe the President has a constitutional obligation to protect the lives and property of all inhabitants of the United States. This, he is doing, by taking relevant steps at encouraging people to take the vaccines.

Consequently, whatever he has to do to keep the people safe and in good health should not be regarded or seen as against peoples’ rights, as he can only be president over the living and not the dead. Interestingly too, our rights are not absolute under the law, if not, you could kill somebody and walk away without retribution.

In the aspect of the US withdrawal from the WHO, the United States remains the leader of all developed nations of the world, and arguably the largest financial contributor to the WHO. As such, it has a responsibility to keep all other nations safe from disease or infirmity even as it takes care of itself. The WHO serves as a reference point in the area of Healthcare for every nation of the world.

All countries make monthly contributions to this agency, for the purpose of having a collective and formidable front against diseases that affect humanity as well as drawing up universally acceptable management guidelines, which are usually sourced from medical experts all over the world. An epidemic, in any part of the world is not likely to completely isolate the US, so long as movement of humans continue to take place, just as was the case with covid -19. Even though Johns Hopkins has been doing a great job, its scope is largely limited to the US, while the WHO is global .

In conclusion, President Joe Biden, has so far shown impeccable leadership in his approach to managing the affairs of the US, especially rejoining the WHO and his strategies on vaccination.

NURS 6050 Discussion Presidential Agendas SAMPLE References

Bernal, J. L., Andrews, N., Gower, C., Gallagher, E., Simmons, R., Thelwall, S., Stowe, J., Tessier, E., Groves, N., Dabrera, G., Myers, R., Campbell, C., Amirthalingam, G., Edmunds, M., Zambon, M., Brown, K., Hopkins, S., Chand, M., & Ramsay, M. (2021). Effectiveness of COVID-19 vaccines against the B.1.617.2 variant. https://doi.org/10.1101/2021.05.22.21257658
Coronavirus disease (COVID-19): Herd immunity, lockdowns and COVID-19. (n.d.). WHO | World Health Organization. https://www.who.int/news-room/q-a-detail/herd-immunity-lockdowns-and-covid-19
Coronavirus disease 2019 (COVID-19). (2021, August 6). Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/variants/delta-variant.html

A Sample Answer 6 For the Assignment: NURS 6050 Discussion Presidential Agendas SAMPLE
Title: NURS 6050 Discussion Presidential Agendas SAMPLE

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NURS 6050 Discussion Presidential Agendas

How Current and Previous Presidents Handled Mental Health Problems

Population health is crucial in determining a group of individual’s health status and health outcomes. Public health practitioners must improve population health to optimize the health of a large area (New York State Department of Health, n.d.). Presidents have reformed to expand population health and influence health outcomes through population-wide policies and interventions.

For example, President Joe Biden’s government works with nations to address mental health. The federal government plays a role in mental health to regulate systems, protect consumers’ rights, provide funding for services, and support research. Also, his government establishes and enforces minimum standards that states can expand on.

This differs from what happened during President Donald Trump’s era, when the government focused more on protecting individual rights in schools and workplaces (Beeber, 2019). Federal protection policies were set in privacy to prohibit abuse and fight discrimination to promote inclusivity. Currently, the government provides reasonable accommodation and supports people in need to deal with deeply rooted mental problems.

What should be done Differently

Governments should adopt mental health policies and integrate them into public health to reduce society’s burden. Government support hinders the development of factors that contribute to poverty and reduce the intrinsic value of physical fitness. Also, it is essential to consider stigma concerning mental health illnesses when developing policies.

This will help to do away with the stigma that results from lack of attention among ministers, which causes poor leadership and inadequacy of legislation in the health sector (Nochaiwong et al., 2021). Besides, stigma is detrimental not only to people with mental illnesses but also to society. The government should improve policy-making programs and focus more on interventions that will promote the prevalence of mental disorders.

Governments should ensure that all relevant agencies recognize the importance of mental health and are aware of the influence of their activities on mental health. Therefore, there should be proper coordination between the government and relevant agencies to reduce the burden of mental health problems across populations.

NURS 6050 Discussion Presidential Agendas SAMPLE References

Beeber, L. S. (2019). Mental health issues and substance use in the United States: Pulling the power levers. Journal of the American Psychiatric Nurses Association, 25(1), 19-26. https://doi.org/10.1177%2F1078390318811572
New York State Department of Health. (n.d.). Making New York the healthiest state: Achieving the triple aim. https://www.health.ny.gov/events/population_health_summit/docs/what_is_population_health.pdf
Nochaiwong, S., Ruengorn, C., Thavorn, K., Hutton, B., Awiphan, R., Phosuya, C., & Wongpakaran, T. (2021). Global prevalence of mental health issues among the general population during the coronavirus disease-2019 pandemic: a systematic review and meta-analysis. Scientific Reports, 11(1), 1-18. https://doi.org/10.1038/s41598-021-89700-8

A Sample Answer 7 For the Assignment: NURS 6050 Discussion Presidential Agendas SAMPLE
Title: NURS 6050 Discussion Presidential Agendas SAMPLE

NURS 6050 Discussion Presidential Agendas SAMPLE

I agree with you that most people living the US and the world have had mental illness at one stage of their lives. It is absolutely true that most communities have neglected mental illness such as emotional distress, depression, and stress. Unexpected and sudden death is common among mental health patients. Persons with mental illness are known to have poor health status and considerable premature mortality.

I concur with my colleague that the previous presidents, George W Bush, Barrack Obama, and Donald Trump, have made fundamental reforms to reduce the number of mental health patients in America. Bush created a commission that come up with 19 impressive recommendations to reduce mental illness. His successor, Obama, signed ACA that added mental health patients to Medicaid. Lastly, Trump supported a group of health clinics for mentally ill patients with US$700 million.

Mental health disorders affect a person’s feeling, thinking, mood, or behavior, such as anxiety, depression, panic disorder, prevalence, schizophrenia, or bipolar disorder (Valentine, & Shipherd, 2018). These conditions may either be chronic (long-lasting) or occasional, affecting the person’s ability to perform their daily activities. In 2019, nearly 21% of Americans had a mental illness. The number signifies that 1 in 5 Americans experienced mental health disorders in 2019 (Czeisler et al., 2020).

Mental health disorder does not discriminate, and it can affect all people regardless of their social status, income, geography, age, sexual orientation, ethnicity/race, or spirituality/religion. Unfortunately, people who are mentally ill do not want to talk about it. There is nothing to be ashamed of about this condition; it is a medical condition like diabetes, cancer, or cardiovascular diseases. Most mental disorders disorders are treatable.

NURS 6050 Discussion Presidential Agendas SAMPLE References

Czeisler, M. É., Lane, R. I., Petrosky, E., Wiley, J. F., Christensen, A., Njai, R., … & Rajaratnam, S. M. (2020). Mental health, substance use, and suicidal ideation during the COVID-19 pandemic—United States, June 24–30, 2020. Morbidity and Mortality Weekly Report, 69(32), 1049. Doi: doi: 10.15585/mmwr.mm6932a1
Valentine, S. E., & Shipherd, J. C. (2018). A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States. Clinical Psychology Review, 66, 24-38. Doi: 10.1016/j.cpr.2018.03.003

Consider a population health topic that rises to the presidential agenda level. Which social determinant most affects this health issue? How did two recent presidents handle the problem? What would you do differently?

Various health issues come to mind when deciding on a topic for discussion. I choose mental health, which has got the plan on the presidential level several times and continues to grow. The COVID-19 pandemic has increased mental health needs in the population. President Obama made progress in mental health by expanding health care coverage with the Affordable Care Act (ACA).

The ACA restricted insurance companies from discriminating care for pre-existing diagnoses and gave coverage for substance use and mental health-related services. President Obama extended services with a hundred million US dollars through the ACA by building behavioral health centers. Obama indicated the nation’s responsibility by helping those in uniform with mental health and their families requiring support, and he announced May 2016 as a Mental health awareness month (The White House, 2016).

President Trump had positive and negative progress in the field of mental health. He focused on ruining the ACA and lowering Medicaid; many low-income people who relied on substance abuse and mental health treatment coverage would not have coverage. President Trump executed the first American health care by signing an administrative order on October 5, 2020. It was positive due to improved access to mental health for people who suffered from mental health conditions aggravated by the current COVID-19 pandemic.

President Trump said that his government is committed to controlling the disaster of suicide, stopping the crisis of opioids, and enhancing behavioral and mental health (DeVylder, 2017). The COVID-19 pandemic also worsened behavioral and mental health because of anxiety and stress from social isolation, lost unemployment, and extended lockdown (Sim, 2012). It demonstrated the clear focus the Trump government executed.

NURS 6050 Discussion Presidential Agendas SAMPLE

I praise our presidents for creating recent modifications and concentrating on mental and behavioral health because it was overdue. I would execute additional mental and psychological training for health care staff because they need good mental health. I noticed people in need waiting for specialized facilities for their needs and spending hours and days waiting to see the doctor.

For example, most of these patients go to the emergency department, and options for specialized treatment are unavailable at some locations. With increasing need, providers cannot accept many patients, and these patients do not get help on time and raised trauma occurs because of the wrong approach in areas that cannot deliver specialized care. I will also raise the mental health research budget because of the need for effective treatments.

NURS 6050 Discussion Presidential Agendas SAMPLE References

DeVylder, J. E. (2017). Donald Trump, the police, and Mental Health in US cities. American Journal of Public Health, 107(7), 1042–1043. https://doi.org/10.2105/ajph.2017.303827
Sim, F. (2012). Health and Wellbeing: The 21st century agenda. Public Health, 126. https://doi.org/10.1016/j.puhe.2012.05.012
The White House. (2016, April 28). Presidential Proclamation-National Mental Health Awareness Month. https://www.counseling.org/news/updates/2020/10/06/president-trump-issues-executive-order-on-behavioralhealth

A Sample Answer 8 For the Assignment: NURS 6050 Discussion Presidential Agendas SAMPLE
Title: NURS 6050 Discussion Presidential Agendas SAMPLE

NURS 6050 Discussion Presidential Agendas SAMPLE

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NURS 6050 Discussion Presidential Agendas SAMPLE

Each year in the U.S., millions of people are affected by mental illness. The CDC reports that 50% of Americans will at one time in their life be diagnosed with a mental disorder (CDC, 2019). As nurses, we must understand the physical, social and financial impact mental health has on our nation. We must raise awareness, reduce the negative stigma, and advocate for better health care.

I focused my post on mental health care because it is my nursing specialty. After reviewing what the last three presidents have accomplished, I was surprised and pleased with president Bush’s and Obama’s attempts to address mental health; however, I was disappointed in President Trump’s apparent lack of support.

In 2002 President Bush created the New Freedom Commission Act, which would improve mental health services for children, adolescents, and adults by coordinating treatments and services to promote their successful integration into the community (President`s New Freedom Commission on Mental Health, 2019). His support for mental health didn’t stop there. Throughout his presidency, he continued to make positive changes for those living with mental illness. In his final year as president, he signed an act establishing health insurance coverage for people with mental health disorders, seeing it as just as important as physical health (Hart, 2016).

Two years later, under the Obama administration, President Obama signed the Patient Protection and Affordable Care Act, much like Bush, demonstrating that mental health is as important as physical health. In 2016, the president proposed a budget that included a new $500 million investment to increase access to mental health care (Hart, 2016). As stated above, both Presidents acknowledged mental health and the importance of treating it as equal to physical health. Conversely, during his time in office, President Trump advocated for the reduction in Medicaid funding to each state, which directly impacted the mental health services to the aged and disabled who qualified under this program (The Trump Administration and Mental Health, 2018).

If I were to do anything different, I would have built on the legacy of Bush and Obama to increase awareness, policies, and funds to address mental health. Mental health issues are not going away, and decreasing funding for programs that meet the needs of the mentally ill is a step in the wrong direction.

The population health topic I am choosing is the opioid epidemic. I chose this because it affects such a large population in today’s world. According to the Centers for Disease Control and Prevention (2022), drug overdose deaths have increased by nearly 5% from 2018 to 2019 and quadrupled since 1999. Over 70% of the 70,630 deaths in 2019 involved an opioid. In 2020, 91,799 drug overdose deaths occurred in the United States. The number continues to rise, and drugs seem to be more accessible.

Regarding social determinants, people from low socio-economic classes have poorer health. They are more likely to use tobacco, drink alcohol at high risk, and use illicit drugs. Drug-dependent people are particularly likely to be unemployed and to experience marginalization, both of which can exacerbate their problems and prevent seeking or benefiting from treatment (Spooner,2017). Drug abuse is not shy when it comes to whom it affects. People in low socioeconomic classes happen to get slammed with drug abuse as we have not provided the right accessibility for them.

One of President Trump’s solutions was to build a wall. Theoretically, the wall would stop illegal drugs from coming in, and this wall was supposed to be built on the Mexican border. He also said he would enhance access to addiction services, end Medicaid policies that obstruct inpatient treatment, and expand incentives for state and local governments to use drug courts and mandated treatment to respond to the addiction crisis (Kaiser Family Foundation,2017). Although some think the wall may help, it is not the solution to the epidemic. In some cases, working from the outside inward works, but in this case, I think this epidemic needs to be approached from the inside out.

NURS 6050 Discussion Presidential Agendas SAMPLE

In this case, I would have started the solution on the inside. I would have targeted what we can control right now. Stopping Illegal drugs from coming in will help in the long run, but you must focus on what illegal drugs are happening in the US. Building a wall doesn’t stop the use, trading, selling, or buying we are currently dealing with. I would work to eliminate those issues, do more research on who this affects the most, and start there.

We know people from low socio-economic classes struggle the most, so I start there and work my way out. Maybe we start focusing on getting these people out of this low-income rut. We provide schooling, daycare, and opportunities some people will never receive. Even starting there seems small, but I would further it with Trump’s plan to enhance access to drug addiction services like counselors. I would hold more doctors accountable and pharmaceutical companies pushing these opioids for money.

According to the Democrat National Committee (2020), President Biden’s solution includes holding people accountable such as big pharmaceutical companies, executives, and others, responsible for their role in triggering the opioid crisis. Biden will create effective prevention, treatment, and recovery services available to all through a $125 billion federal investment. Most importantly, we will stop overprescribing pain medication to citizens. I think Biden’s solutions to this epidemic were much better; these solutions start inward and target the people in the US struggling. I believe the solutions listed will help the country see a decline in opioid deaths, but they won’t solve the issue altogether.

As much as I agree with this approach, I don’t think the primary producers of these drugs are being held accountable enough. I would figure out a way other than fines to serve these companies. Possibly suspending their production may be a helping solution. The problem is these companies are laced with money, so half the time, they don’t even blink at the request to hand over money due to fines. I wouldn’t change much to Biden’s policy otherwise. I think his approach gives people accessibility, and that’s truly what we need to end this epidemic.

Centers for Disease Control and Prevention (2022). Death Rate Maps & Graphs. Centers for Disease Control and Prevention. Retrieved August 30, 2022, from https://www.cdc.gov/drugoverdose/deaths/index.html

Democrat National Committee. (2020). The Biden plan to end the opioid crisis. Joe Biden for President: Official Campaign Website. Retrieved August 30, 2022, from https://joebiden.com/opioidcrisis/

Kaiser Family Foundation. (2017, January 9). President-elect Donald Trump stands on six health care issues – election 2016: The issues. KFF. Retrieved August 30, 2022, from https://www.kff.org/report-section/where-president-elect-donald-trump-stands-on-six-health-care-issues/#opioid

Spooner, C. (2017). SOCIAL DETERMINANTS OF DRUG USE. National Drug and Alcohol Research Centre (NDARC). Retrieved August 30, 2022, from https://ndarc.med.unsw.edu.au/

NURS 6050 Discussion: Presidential Agendas

The identified healthcare issue that has often been a high-profile component of presidential agendas is opioid crisis. The opioid abuse and addiction has been a continuing challenge for many years. The most commonly misused and addictive opioids include heroin, prescription opioids, and synthetic opiods like Fentanyl. Opioid misuse and addiction has caused serious negative outcomes including deaths and disabilities (Park & Otte, 2019). Moreover, the problem does not only affect the health but also the social and economic wellbeing of Americans. This paper seeks to explore how Presidents Trump, Obama, and Bush administrations addressed this issue and what could be done differently to address the issue.

Presidential Agendas

President Trump

The initiative by Trump to address opioid abuse was to create awareness to the public regarding the dangers of opioid abuse through public education. He also intended to control the nature of drug importation in the US. As such, President Trump was committed to change immigration to ensure better control of drug importation in the US (White House, 2018). Therefore, he proposed policies to ensure deportation and prevention of illegal immigrants from entering the US. Trump believed that most of these illegal immigrants promoted illegal drug trafficking. He also opted to build wall on the border of US and Mexico, which is believed to be biggest supplier. Trump also provided financial resources to help in addressing continuing challenges of opioid crises (U.S. UNVIE, 2019).

President Obama

In effort to address opioid abuse, President Obama signed into law the Comprehensive Addiction and Recovery Act to curb opioid epidemic. This legislation provided an all-round federal response to the prescription heroin and opioid epidemic that continues to damage many neighborhoods across the US (Murphy et al., 2018). This Act seeks not only to curb the misuse of opioids but also ensure access to proper treatment for the victims. The Act also entails effective surveillance plans by the Medicare prescription drug to ensure safe prescription.

President Bush

According to The White House (2002), President Bush aimed at fighting the drug menace by stopping drug use before it begins, healing America’s drug users, and disrupting the market. Therefore, his strategy was to use the security agencies to fight drug use and deal with drug dealers. Consequently, Bush directed coast guards to enhance boarder security to reduce drugs being imported into the country. He also urged the Homeland Security to enhance boarder management system. All these efforts were intended to limit drug supply, reduce demand, and ensure the affected get the best treatment. Bush also made a clarion call to Americans to avoid drug abuse and misuse and also urged parents to create awareness on their children on the essence of avoiding drugs.

What could be done Differently

The incidences of opioid misuse, abuse, and addictions continue to range American communities at an alarming rate. As such, the focus should be shifted on this issue beyond being considered only as an addiction to being a condition that warrants proper medical management and treatment. Moreover, since nurses are the healthcare providers who interact with patients and community members more than any other healthcare providers, it is necessary to equip nurses to proper education to lead the fight against opioids through nurse-led opioid education (Montgomery & McNamara, 2016). This initiative is critical in creating awareness to patients to make informed choices. The government should also establish many treatment facilities in the country, especially in areas that are most affected.

NURS 6050 Discussion Presidential Agendas SAMPLE References

Montgomery, R., & McNamara, S. A. (2016). Multimodal pain management for enhanced recovery: reinforcing the shift from traditional pathways through nurse-led interventions. AORN journal, 104(6), S9-S16. https://doi.org/10.1016/j.aorn.2016.10.012

Murphy, J., Goodman, D., Johnson, M. C., & Terplan, M. (2018). The comprehensive addiction and recovery act: opioid use disorder and midwifery practice. Obstetrics & Gynecology, 131(3), 542-544. doi: 10.1097/AOG.0000000000002493

Park, K., & Otte, A. (2019). Prevention of opioid abuse and treatment of opioid addiction: current status and future possibilities. Annual review of biomedical engineering, 21, 61-84. https://doi.org/10.1146/annurev-bioeng-060418-052155

The White House. (2002). The President’s National Drug Control Strategy. Retrieved 28 February 2021, from https://georgewbush-whitehouse.archives.gov/news/releases/2002/02/20020212-2.html\

U.S. UNVIE. (2019). President Trump is Fighting to End the Opioid Crisis | USUNVIE. Retrieved 28 February 2021, from https://vienna.usmission.gov/president-donald-j-trump-is-fighting-to-end-the-opioid-crisis/

White House. (2018). President Donald J. Trump’s initiative to stop opioid abuse and reduce drug supply and demand.

Mental health continues to be a topic that rises to the presidential level due to the severity of the issue surrounding affordable care and access. Our current president, Joe Biden, declared in a proclamation his plan to improve the disparities within mental health during National Mental Health Awareness Month this year. President Joe Biden (2021) stated in this proclamation that his administration was dedicated to improving the mental health needs across the lifespan and that he would implement the American Rescue Plan as well as continuing to build on the 21^st Century Cures Act. According to Joe Biden, “the American Rescue Plan includes substantial investments to promote mental health among the health care workforce” and the 21^st Century Cares Act would be built upon by “integrating mental health and addiction treatment into primary care settings, schools, and homes” (Joseph Biden, 2021). President Biden requested a significant amount of funding to be dedicated to addressing the health care disparities in America among adults and children, including services from prevention to recovery and every step in between.

President Donald Trump’s administration also focused heavily on mental health intervention, especially during the prolonged COVID-19 pandemic. President Trump (2020) discussed accessing federal funds to provide crisis intervention, increase availability and accessibility to quality care, increase availability of telehealth and online services for mental health, and encourage n-person mentorship programs. One of President Trump’s primary concerns was the increasing rate of suicides in the nation, and he planned to implement the President’s Roadmap to Empower Veterans and End a National Tragedy of Suicide (PREVENTS). President Trump was also concerned about mental health not only among veterans but in minorities, domestic violence victims, the disabled, and other at-risk populations.

Both presidents addressed the increasing need for intervention among populations struggling with mental health issues, however President Biden appeared to have a more planned out and direct approach with definitive funds mentioned in his proclamation. The increasing rates of mental health struggles during the pandemic warrant concern for the statistics of suicides, but President Biden had a broader view of mental health and a more thought-out plan on how to address these issues. However, President Trump’s administration appeared to have an unprepared plan with no dedicated funds to any specific action. I would have focused on how the government can provide more preventative treatments, as treating mental health issues before they become severe and unmanageable will serve a better purpose than treating problems after they arise.

A Sample Answer For the Assignment: NURS 6050 Discussion Presidential Agendas SAMPLE
Title: NURS 6050 Discussion Presidential Agendas SAMPLE

Population Health Topic That Rises to the Presidential Agenda Level

The population health topic that rises to the presidential agenda is the decline of mental and behavioral health related to COVID-19. The pandemic started out as a physical health crisis, then quickly evolved into a mental and behavior health crisis. This happened quickly after during the first week of lockdown. According to Presidents Trumps Executive Order, and the evidence base research done by Brooks et al, “Mental illness can develop in as little as 9 days of quarantine and these disorders can last for years” (2020). This mental crisis continues to have a significant negative impact on the well-being of many people.

The social determinant related to COVID-10 mental health crisis was that it had a greater negative effected on Hispanics, Blacks and Asian adults. There was an increase in depression, anxiety and these groups had less access to mental health services. Moreover, they experienced a higher rate of unemployment and income loss. (Thomeer et al, 2022)

The two recent presidents to handle the mental crisis problem was President Trump and now President Biden. President Trump signed an Executive Order (EO) to improve the mental and behavior health crisis. His order was to build a “System of Strengths” which addressed prevention, being prepared, and offering crisis services. (Trump, 2022) President Biden strategy is to address the mental health crisis by offering grants to communities to create mobile crisis response teams. Which will help communities have access to rapidly responsive and culturally competent care . These mobile crisis response teams will be trained in evidence-based practices as first responders. (HHS Awards Funding to Build out the Biden-Harris Administration’s Crisis Care 988 Lifeline, 2023)

Mental health needs to be taken as serious as physical health. Both presidents address the mental health crisis which was accelerated by COVID-19, and both made good plans. What COVID-19 has shown us is that we are social beings, and that isolating people will cause great harm. We as a nation we are making great change concerning mental health care and I have chosen the right field to continue in advance nursing.

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3532534

HHS Awards Funding to Build Out the Biden-Harris Administration’s Crisis Care 988 Lifeline. (2023, May 24). Www.samhsa.gov. https://www.samhsa.gov/newsroom/press-announcements/20230525/hhs-awards-funding-build-out-biden-harris-crisis-care-988-lifeline

Trump, R. (2020). Saving Lives Through Increased Support for Mental and Behavioral Health Needs. SAMSA. https://trumpwhitehouse.archives.gov/presidential-actions/executive-order-saving-lives-increased-support-mental-behavioral-health-needs/

Thomeer, M. B., Moody, M. D., & Yahirun, J. (2022). Racial and ethnic disparities in mental health and mental health care during the COVID-19 pandemic. Journal of Racial and Ethnic Health Disparities, 10(2), 961–976. https://doi.org/10.1007/s40615-022-01284-9

During the stress of the current pandemic, it has become increasingly obvious that mental health resources are an often-unmet need in our community. The PMHNP program will afford me the opportunity to be a larger part of the solution as a direct care provider and give evidenced-based care for patients of all ages.

During the pandemic we saw an influx of patients experiencing a mental health crisis. This was related to several factors such as lockdowns, decreased in person visits, and lack of mental health providers in general. With such an increase of patients in need of psychiatric care, there became a challenge of trying to facilitate outpatient follow up. I have witnessed first-hand how my community is underserved when it comes to receiving mental health care. It is because of this experience I have decided to pursue advancing my education and become a PMHNP. This will allow me to expand my knowledge, skills, interventions, and improve access to mental health treatment for this vulnerable population.

One of the main factors driving my decision is that psychiatric mental health nurse practitioners are known for providing holistic, patient-centered care. They assess, diagnose, counsel their patients regarding their illness, and prescribe medication. This aligns with my current and past philosophy of nursing.

Nurses should be a part of an organization and seek membership to achieve ones’ professional and personal goals (Echevarria, 2018). I plan on joining the American Psychiatric Nurse Association upon completion of this program. I will use the resources developed by this organization to connect with other members to network, gain resources, attend educational programs, and gain peer support.

I concur with you that as medical providers, it is our job to let drug addicts and people in recovery know they are not alone and that others care about their health and wellbeing. It is also important for healthcare professionals to recognize that weekly outpatient appointments might not be enough for every patient, especially those with more free time on their hands during the pandemic (Ornell et al., 2020). Medical providers should coordinate care with other providers as needed, focusing on adding as much structure and support to their patients’ routine as possible. For example, when treating a patient with a substance use disorder in an outpatient setting once weekly, the patient can also participate in intensive outpatient care through another local provider. Nevertheless, clinicians should also consider encouraging patients to participate in virtual community support groups. This is because there is no black-and-white approach to helping patients struggling with substance use but it is really about tailoring to what each patient needs (Jemberie et al., 2020).

References

Jemberie, W. B., Williams, J. S., Eriksson, M., Grönlund, A. S., Ng, N., Nilsson, M. B., … & Lundgren, L. M. (2020). Substance use disorders and COVID-19: multi-faceted problems which require multi-pronged solutions. Frontiers in psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00714

Ornell, F., Moura, H. F., Scherer, J. N., Pechansky, F., Kessler, F. H. P., & von Diemen, L. (2020). The COVID-19 pandemic and its impact on substance use: implications for prevention and treatment. Psychiatry research, 289, 113096. https://dx.doi.org/10.1016%2Fj.psychres.2020.113096

  For the population health topic for this discussion, I chose to write about mental health.  As a psychiatric registered nurse that has worked with the adults and adolescents over the last 2 years, I have witnessed a dramatic increase in mental health issues in both populations.  According to a study by the World Health Organization, there was a global increase in anxiety and depression by 25% in the first year of the COVID-19 pandemic (2022).  

            There are several factors that contribute to the social determinants of mental health which include age, race, socioeconomic status, education level, family, and social support (Mental Health, 2022).  

            President Donald Trump took positive action to address the mental health crisis that impacted many Americans due to the COVID-19 pandemic.  President Trump signed an executive order which addressed the negative effects of shutdowns on mental health and help increasing efforts for suicide prevention.  His administration setup funding to support the treatment for mental health issues such as telehealth and safe in-person services (National Archives and Records Administration, 2020).  

            President Biden also setup funding to to strengthen the response to the mental health crisis.   His administration setup $105 million in funding to setup a three-digit code (988) for the National Suicide Prevention Line to improve responsiveness (U.S. Department of Health & Human Services, 2022).  

            I think that both presidents had a good response considering the fact that this pandemic increased the mental health crisis with all of the uncertainties that came with it.  As a psych RN, I realized that there is a tremendous shortage of psych providers.  Therefore, I would continue to strengthen the response to this crisis by setting up more services for mental health patients and making it easier to get in-person treatment options.

References

Mental health. Mental Health | Healthy People 2020. (2022, June 2). Retrieved August 30, 2022, from https://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi-topics/Mental-Health/determinants

National Archives and Records Administration. (2020, October 5). President Donald J. Trump Is Safeguarding Americans’ Mental Health and Preventing The Tragedy of Suicide. National Archives and Records Administration. Retrieved August 30, 2022, from https://trumpwhitehouse.archives.gov/briefings-statements/president-donald-j-trump-safeguarding-americans-mental-health-preventing-tragedy-suicide/ 

U.S. Department of Health & Human Services. (2022, April 19). As part of president Biden’s Mental Health Strategy, HHS Awards nearly $105 million to states and territories to strengthen crisis call center services in advance of July transition to 988. SAMHSA. Retrieved August 30, 2022, from https://www.samhsa.gov/newsroom/press-announcements/20220419/hhs-awards-105-million-states-territories-strengthen-crisis-call-center-services 

World Health Organization. (2022, March 2). Covid-19 pandemic triggers 25% increase in prevalence of anxiety and depression worldwide. World Health Organization. Retrieved August 30, 2022, from https://www.who.int/news/item/02-03-2022-covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide 

Sample Answer for NURS 6050 Week 1 Discussion Presidential Agendas 

Shannon Roberts

RE: Discussion – Week 1

For every presidency, healthcare will be a top priority to make changes to and improve. The availability of prescription drug coverage is always a touchy subject with each political party. Everyone wants to provide prescription drug coverages, but are they going about it the right way? I will look into how Bush, Obama and Trump attempted to improve and change the prescription drug coverage through their agendas.

When President George W. Bush took office, he wanted to provide a prescription drug plan that would benefit the people. He developed the “Medicare Prescription Drug, Improvement, and Modernization Act of 2003” (The Bush Record- Fact Sheet: Empowering Medicare Beneficiaries With Affordable Options, n.d.). Thanks to this act, over 40 million Americans have better access to medications and other health services. Taxpayers were able to save approximately $240 Billion dollars with this initiative. Unfortunately, this created a gap in coverage called the “donut hole”. (The Medicare Part D Coverage Gap (“Donut Hole”, 2014).  Having an improved medication coverage plan was originally a great idea, but many Americans have struggled immensely affording prescriptions while they are in the “Donut Hole”. Bush’s prescription health plans ended up having to many loopholes. And the “donut hole” was disastrous for the American poor.

Obama took office in 2009 and immediately wanted to work on getting health care for all. (Improving Health for All Americans, 2015). He worked to ensure that the “Donut Hole” was to be phased out. Health care coverage become more affordable and eliminated the pre-existing condition clause that eliminated the availability of health care for all. This was huge for the dialysis population that I serve. This allowed many to find coverage that was more financially reasonable and better for them. However, they became a small portion of the overall healthcare dollars. Obama also worked with Centers for Medicare and developed a payment system to have providers be reimbursed based on metrics and outcomes versus just being reimbursed for preforming a procedure or seeing the patient. (Continuing the Affordable Care Act’s Progress on Delivery System Reform Is an Economic Imperative, 2015). I believe this was a game changer to have providers hold themselves accountable for outcomes and patient overall health.

Beginning day one of Trumps administration he wanted to get “Great Healthcare for Americans” (Healthcare – The White House, n.d.) at a reasonable cost to the government. Trump was able to lower drug prices. Allow pharmacies and practitioners to educate patients on coupons for prescriptions and use of importing drugs from Canada where costs are typically less. This change saved dialysis patients thousands of dollars a year by having access to prescription sites like GoodRx to find what pharmacy will have the cheapest medications and any coupons they have available. In my opinion, this is the beginning to manage overall healthcare against cost.

Bush, Obama and Trump have all taken initiatives to continue to improve healthcare and prescription drug coverage in America. I believe that we still have improvements to be made. Prescription drug coverage is expensive. We as healthcare providers will always need to do our part to continue to make changes and better the lives of that patients that we touch to improve the overall health of patients to assist with decreasing the financial burden that is put on our healthcare system.

References

The Bush Record- Fact Sheet: Empowering Medicare Beneficiaries With Affordable Options. (n.d.). Georgewbush-whitehouse.archives.gov. Retrieved from https://georgewbush-whitehouse.archives.gov/index.html

 The Medicare Part D Coverage Gap (“Donut Hole”). (2014, November 13). Medicare Information, Help and Plan Enrollment- Medicare.com. Retrieved from https://medicare.com/medicare-part-d/coverage-gap-donut-hole-made-simple/

Improving Health for All Americans. (2015, December) Whitehouse.gov; Whitehouse. Retrieved from https://obamawhitehouse.archives.gov/the-record/health-care

Healthcare- The White House. (n.d.). Trumpwhitehouse.archives.gov. Retrieved from https://trumpwhitehouse.archives.gov/issues/healthcare/

Continuing the Affordable Care Act’s Progress on Delivery System Reform Is an Economic Imperative. (2015, March 24). Whitehouse.gov. Retrieved from https://obamawhitehouse.archives.gov/blog/2015/03/24/continuing-affordable-care-act-s-progress-delivery-system-reform-economic-imperative

‌ Sample Response for NURS 6050 Week 1 Discussion Presidential Agendas 

Hi Shannon,

Good topic. The time for generics to be on the market has decreased but could possibly be decreased more. Novack found one pharmacy had a mark-up of 48% and another 84% for ophthalmic drops. Another example was an antidepressant for $220 at one pharmacy and the same prescription for $55 at a nearby warehouse store (2016). Why is the U.S. not able to get medications from other reliable countries?

Dr. Robin

Novack, G. D. (2016). What determines how much your patient pays for their medication in the united states? American Journal of Ophthalmology, 167, 48-51. doi:http://dx.doi.org.ezp.waldenulibrary.org/10.1016/j.ajo.2016.04.010

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