Refection Paper The IOM published report, "Future of Nursing: Leading Change, Advancing Health," makes recommendations for lifelong learning and achieving higher levels of education.In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals.Include the following:Discuss your options in the job market based on your educational level.Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals.Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing.Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics.Discuss whether continuing nursing education should be mandatory. Provide support for your response.

Week 12 Discussion: VaginitisR.S. is a 32-year-old woman who seeks treatment for a vaginal discharge that she has had for the past month. She is sexually active and has had the same partner for the past 6 months. She reports noticing an odor, especially after sexual intercourse. Her history reveals that she has been using a commercial douche on a biweekly basis during the past year for hygienic purposes in an attempt to prevent vaginal infections. She denies any other associated symptoms. The physical examination reveals a white vaginal discharge. Microscopic examination of the vaginal discharge shows clue cells, and the pH is 5.5.Diagnosis: Bacterial Vaginosis 1. List specific goals of treatment for this patient.2. What drug therapy would you prescribe? Why?3. Discuss specific patient education based on the prescribed therapy.4. List one or two adverse reactions for the selected agent that would cause you to change therapy.5. What OTC or alternative medications would be appropriate for this patient?6.What dietary or lifestyle changes should be recommended?Provide 3 Postings (Initial Posting and Respond to 2 Peer Based on APA Guidelines). Respond in complete sentences, 2-3 paragraphs. Work must be supported by peer-reviewed article published within 5 years.

Employers are making an effort to involve employees more in their health care. This is evidenced by the increase in consumer-directed health plans being offered by employers today. Employers feel that the more informed and engaged an employee is, the lower their health care costs will be. Employee engagement is a way for employers to battle rising health care costs and outlook on managed care plans.What managed care trends do you think affect employers today and which do you think has the greatest impact on employers? Explain your perspective with examples. Do these trends impact small and large employers the same or not?PEER COLLAPSEAnne Misher et al., details some ways employers are affected by managed care in their article, “Employer-sponsored wellness programs for hypertension and dyslipidemia in a 2-hospital health system,” (2019). Firstly, employers should be aware of the increasing focus on behavioral health. The World Health Organization claims the leading cause of poor health and disability worldwide, is depression (2019, pg 289). This becomes an issue because depressed populations are less likely to want to participate in healthy activities, such as socializing, or working out. Employers should also familiarize themselves with the new approaches to cost-sharing. Since in-network providers mean so much more nowadays, covering out-of-network expenses could become more difficult for employers. Finally, employers should be open to discussing healthcare options with their employees, as the average consumer is knowledgeable about healthcare. Personally, I am still on my mom’s insurance, as I am 21. So, I still have 5 years that I can mooch of that haha. Anyways, her and I are open about policies and can discuss quite a bit about her policy. If we have a question on anything, our insurer has a helpful app we can use to answer our questions. Employers should be prepared to discuss decisions with their employees, regarding health benefits. Larger healthcare organizations should be more concerned with mental health and knowledgeable employees, while smaller clinics should worry more about out-of-network costs. With more employees, larger organizations should expect a larger volume of employees to have questions about health insurance. Furthermore, they should be more equipped to handle emotional, and mental health crises.Misher, A., Brown, J., Maguire, C., & Schnibben, A. P. (2019). Employer-Sponsored Wellness Programs for Hypertension and Dyslipidemia in a 2-Hospital Health