For this assignment, you will research and prepare a community-level strategic plan that addresses a key public health issue.Potential topics may include:• Using prenatal and infancy home visits to prevent child abuse and neglect• Preventing falls in the elderly• Reducing population salt intake• Reducing tobacco use among adults• Preventing risky sexual behavior among youth and young adults• Reducing drug experimentation among young adultsInclude the following in your paper:Introduction:Provide an overview of the community health issue as described in Part A with identified causes and influences, including knowledge gaps. Detail the prevalence of the issue inside and outside the United States.Describe potential monetary costs associated with the issue in the United States.You must include data as part of your introduction (images, charts, graphs, etc., may be included as well as written data).Describe advance practice roles and management strategies that affect change at the community level.Identify key community and social resources that negatively and positively affect the selected issue.Identify changes or enhancements in community-related services for your selected topic.Develop a strategic plan that could decrease the prevalence of your selected topic.The goals for this plan needs to be specific, measurable, attainable, realistic, and time-bound. Include how your plan takes into consideration health literacy, socioeconomic factors, and cultural differences.Conclusion:A summary of the goals and challengesAn assessment of the outlook for action/progressAppendix A: Include your community assessment from Week 3 as Appendix A.Your paper should be 3–5 pages in length (not including the cover or reference pages). Use APA throughout.Include 2–3 scholarly sources that are carefully selected and appropriate to the topic. References should be current—no more than four years old.Part A of this assignment will be included as a file :)

Week 2 Discussion 1 How should you respond if your health promotion values conflict with a client’s values? Week 2 Discussion 2 What ethical issue have you recently encountered when teaching health promotion strategies to a patient? What ethical decision-making process did you use?  plus the two responses for each discussion Response 1 and 2 discussion 1Jesseca AlexanderI believe active listening is key in this situation. Should a patient’s values conflict with your health promotion, it’s important to find out what the patient’s core values are. By engaging in what the patient has to say regardless of whether you agree or disagree, they feel their beliefs/concerned are heard. From there, you can assess if it is possible to compromise with the patient. Having trust between you and the patient will increase the likelihood of compliance. I also like to tell patients to at least give it a try and if things don’t work out then we re-evaluate and search for another solution. In my case, I see my patients on a weekly basis until their wounds are healed. This approach may not be fitting in every situation.Kammie Pierce (She/Her)I believe we cannot fully respect and treat our clients without having our own self-awareness or practical reflection. Practical reflection is defined as "deliberating one's own thought and recollections of events to understand them and to take needed corrective action" (Edelman et al., 2013, p. 85). However, this self-evaluation is not to promote our own beliefs but instead to examine how our beliefs and biases can unintentionally interact with our clients as well as make us aware of when our own beliefs can create an nontherapeutic environment if displayed. While we also may be educated in addition to believing in specific health promoting behaviors, that does not discount our client's beliefs in their own health. If this situation arises, I believe we should respond first by engaging in active listening to really hear what our patients need and want, ask open-ended questions as to how they would like to promote their own health, and support their decisions as much as possible. One common example I have come across is Chinese, or other, clients practicing coining as a health promotion technique. While as a nurse I have been educated on not creating wounds or abrasions that can create a portal of infection, I also know this is a cultural and spiritual practice that has benefits in different ways for my patients so I support them in practicing this as a relief technique. I do not believe it is up to us to ultimately guide the care of our clients based on our own beliefs or values but instead, we need to learn how to best support their values in care and health to promote adherence and respect. ReferenceEdelman, C., Kudzma, E., & Mandle, C. (2013). Health promotion throughout the life span (8th Edition). Elsevier Health Sciences (US). https://online.vitalsource.com/books/978-0-323-09141-1 (Links to an external site.)Response 1 and 2 discussion 2Mirko Mendoza (He/Him)Ethical decision-making is an inevitable process when dealing with decisions that affect others. Often times, the nurse hopes to set goals that the patient is not motivated to work towards. Here, the nurse must keep in mind that the problem, as well as the solution belongs to the patient. The nurse’s role is not to tell the patient what to do, but to guide them to the best choice based on the patient’s values while providing them with the necessary information (Edelman et al., 2013). A common instance of value conflict in behavioral health nursing is encouraging a non-compliant patient to take their medication. Usually, patients will complain of undesirable side effects such as weight gain, or decreased libido, or lethargy in order to explain their noncompliance. As mental health nurses, we understand the importance of psychotropic medications in controlling symptoms of psychosis. However, this does not invalidate the suffering of the patient from side effects that may interfere with their quality of life. In the ethical-decision making process, it is necessary to factor in the patient’s value of the aspect of their life affected by the medication against the clinical outcomes of medication nonadherence. We would work with the physician to find an alternative medication, taper off the dosage to avoid said side effects, or prescribe another medication to address the side effects. We would re-clarify the patient’s value of their quality of life and reinforce the fact that psychosis is a barrier to that. In doing so, we address the patient’s values but also promote a healthy outcome based off clinical knowledge.   References Edelman, C., Kudzma, E., & Mandle, C. (2013). Health Promotion Throughout the Life Span (8th Edition). Elsevier Health Sciences (US). https://online.vitalsource.com/books/978-0-323-091...