• Identify and explain positions other than the lithotomy in which a pelvic examination can be performed.
• Why are women at a higher risk of UTI than males?
• What would you educate to decrease the risk of UTI?
• Summarize the pros and cons of newborn circumcision.
• Describe the following signs on a female examination:
  • Goodell
  • Hegar’s
  • McDonald’s
  • Chadwick
• Name the characteristics of the following type of hernias:
  • Indirect inguinal
  • Direct inguinal
  • Femoral
• 500 words, no website reference, academic reference 2016-2021

For this week’s discussion, we will look to the Twitter feed and locate a Tweet that describes a new health care initiative or an issue you are passionate about or that speaks to you

 The tweet I choose to address is as follows:

it’s International #OverdoseAwarenessDay  (Links to an external site.)#Opioid (Links to an external site.) dependence is not a self-acquired bad habit but a complex #MentalHealth (Links to an external site.) condition.

Explore this initiative in detail and share your thoughts on the plan.

     When I reviewed the activities scheduled in Ohio for the 2021 Overdose Awareness Day, there was a strong statement from Cuyahoga County where I reside- silence. Ohio has reported yearly increases in fatal opioid overdose mortality rates, as well as fatal fentanyl overdose rates, in the last seven consecutive years (Hall et al., 2020).  Although the hot spot for addiction remains in our areas of Appalachia, Cuyahoga County continues to struggle with addiction and unintentional overdoses.

Discuss your thoughts about the Tweet and whether you can support the initiative or not. Be sure to use evidence in support of your position.

     As an Advanced Practice Registered Nurse (APRN) with a psychiatric specialty, I treat individuals with dually diagnosed substance use disorders and mental illness. There are several underlying predispositions that are shared, such as childhood trauma, stressors of social determinants of health, changes to brain composition, and genetic vulnerabilities. As a Doctor of Nursing Practice (DNP) leader, it will be imperative that I advocate for treatment and community programs that support recovery and sustained remission.  People who inject drugs are at increased risk of overdose, and more importantly, for fatal overdose. When examined as a separate population, overdose is identified as the leading cause of mortality in the United States.  The use of naloxone, and the improved opportunity for immediate access, is the most effective and impactful intervention to reduce the death rate (Buresh et al., 2020).  I support the initiative, to bring awareness to prevention, treatment, and recovery. I am not 100% behind the tweet, because I feel it is a bit misleading that all people who have opioid dependence have a mental illness, and that is inaccurate.

Within the political climate of government today, does this initiative have any hope of moving forward? Share your position based on the evidence.

     I believe the initiative does have the ability to move forward, due to the stress that addiction places on our health care systems, our economic stability, our overwhelmed criminal justice system, and our already burdened social/community services systems (Moffit, 2020). 

Compose a Tweet (no more than 140 characters) that adequately addresses your response to the original post and share this Tweet in the discussion

Accidental overdoses can and do happen, if you have #opioid dependence or addiction get free #naloxone today! #OpioidCrisis #NALOXONEsaveslives

REFERENCE

Buresh, M., Gicquelais, R., Astemborski, J., Kirk, G., Mehta, S., & Genberg, B. (2020). Fatal overdose prevention and experience with naloxone: A cross-sectional study from a community-based cohort of people who inject drugs in Baltimore, Maryland. PLoS ONE, 15(3), e0230127. https://doi.org/10.1371/journal.pone.0230127 (Links to an external site.)

Hall, T., Hall, E., McGrath, R., & Haile, Z. (2020). Years of life lost due to opioid overdose in Ohio: Temporal and geographic patterns of excess mortality. Journal of Addiction Medicine, 14(2), 156-162. https://doi.org/10.1097/ADM.0000000000000554 (Links to an external site.)

Moffit, S.(2020). Introduction: The politics of the opioid epidemic. Journal of Health Politics, Policy and Law, 45(2), 171–175. https://doi.org/10.1215/03616878-8004838

I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE 3 SOURCES NO LATER THAN 5 YEARS.

ch of this orientation class is focused on your future. For example, you have created a technology back-up plan for future use and considered how your schedule will change when you take on new school responsibilities. You’ve learned about what to expect when you are in academic classes, resources that can help you, and how to create SMART goals. In Module 6, you learned about a variety of topics related to paying for your education.

For this discussion assignment, visit www.igrad.com and click on “Topics”. (Note: It is not necessary to sign up with iGrad in order to complete this assignment.)  iGrad has an extensive library of videos and articles under three categories:

• Managing Money
• Paying for School
• Finding a Career

Explore the various topics under these categories to find videos or articles that are of personal interest to you.

In the Discussion Area below, post a response about at least one video or article that you would recommend to a fellow classmate and why you found it interesting or helpful. Please include the full title of the video or article. You may also include a web address so that your classmates can easily visit it as well.

 Describe the characteristics of performance-driven team. Describe the difference between intrinsic and extrinsic motivation and explain why it is important in understanding the types of motivation when it comes to team performance.